Abstract:
:In a randomised clinical trial in 50 patients with symptomatic osteoarthritis of the medial compartment of the knee, the clinical results of high tibial osteotomy (HTO) according to the open wedge osteotomy (OWO) and closed wedge osteotomy (CWO) were compared. In both groups locked plate fixation was used. Clinical and radiological assessments were performed preoperatively and after one year. Postoperative hip-knee-ankle (HKA) correction angles were monitored on standing leg X-rays. The effect of HTO on collateral laxity of the knee was measured with a specially designed varus-valgus device. The WOMAC osteoarthritis index, the modified knee society score (KS) and visual analogue scales (VAS) were used to assess symptoms of osteoarthritis, function, pain and patient satisfaction. At one-year follow-up we found accurate corrections in both groups and the planned correction angles were achieved. No loss of correction was observed. Furthermore, the medial collateral laxity and the patellar height significantly decreased after OWO. Significant improvements of WOMAC and KS scores were found in both groups. All patients had significantly less pain and were very satisfied with the results. Surgery time was significantly longer in the CWO group, and complications were more frequent in this group. Both techniques led to good and comparable clinical results. The choice of whether to perform an open or a closed wedge osteotomy may be based on preoperative patellar height or concomitant collateral laxity.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Gaasbeek RD,Nicolaas L,Rijnberg WJ,van Loon CJ,van Kampen Adoi
10.1007/s00264-009-0861-7subject
Has Abstractpub_date
2010-02-01 00:00:00pages
201-7issue
2eissn
0341-2695issn
1432-5195journal_volume
34pub_type
杂志文章,随机对照试验abstract::A woman aged 31 had an ameloblastoma of the inferior part of the maxilla treated by excision and a bone graft from the iliac crest. Nine years later she presented with a metastasis from the tumour at the donor site. Metastases from an ameloblastoma are rarely encountered. In this case there might have been contaminati...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00180180
更新日期:1994-02-01 00:00:00
abstract::We describe a patient with acute compression of the spinal cord by a spontaneous extra-dural haematoma. This rare condition is often misdiagnosed. We believe that an urgent MRI scan is indicated in patients presenting with progressive neurological deficit following spinal trauma. This allows the diagnosis of extra-dur...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050103
更新日期:1996-01-01 00:00:00
abstract:PURPOSE:Reconstruction of the medial patellofemoral ligament (MPFL) has become a popular procedure for patients with patellofemoral instability. Nevertheless, complication rates of up to 26 % have been reported. This study presents the analysis of failure and clinical outcome of subsequent revision surgery in young pat...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2437-4
更新日期:2014-11-01 00:00:00
abstract:PURPOSE:The aim of this study was to analyse the clinical outcome of a modified Sever-L'Episcopo technique for release of contracted muscles and tendon transfer to restore function of the shoulder joint in patients with Erb's palsy. METHODS:A case series was conducted from March 1988 to November 2009 for 19 patients. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2592-7
更新日期:2015-02-01 00:00:00
abstract:PURPOSE:The purpose of this study was to quantify limitations in sagittal ankle range of motion (ROM) at least two years after lateral column lengthening osteotomy of the calcaneus (LLC) and their implications regarding quality of life. METHODS:Fifteen patients with a mean follow-up of 80 ± 27 months after LLC and 15 ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04526-9
更新日期:2020-06-01 00:00:00
abstract::Myeloscopy has been undertaken in a series of 208 patients without any serious complications. Observations have been made of changes in blood flow in the vessels accompanying the cauda equina during Lasègue's test and in some pathological states. Direct observation of the nucleus pulposus has been achieved and the pos...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266074
更新日期:1981-01-01 00:00:00
abstract::A technique of oblique tibial osteotomy is described which is effective in correcting varus and medial rotational deformities in young children. The oblique cut in one plane corrects both elements of the deformity at the same time. We have used the method on both legs in four children and satisfactory results were obt...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00183361
更新日期:1990-01-01 00:00:00
abstract:PURPOSE:The purpose of this study was to find a suitable method of labelling cartilage samples for the measurement of distraction distances in biomechanical testing. METHODS:Samples of bovine cartilage were labelled using five different methods: hydroquinone and silver nitrate (AgNO3), potassium permanganate (KMnO4) w...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1468-3
更新日期:2012-07-01 00:00:00
abstract:PURPOSE:Osteoporosis mainly involves cancellous bone, and the spine and hip, with their relatively high cancellous bone to cortical bone ratio, are severely affected. Studies of bone mesenchymal stem cells (BMSCs) from osteoporotic patients and animal models have revealed that osteoporosis is often associated with redu...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1543-4
更新日期:2012-10-01 00:00:00
abstract:PURPOSE:Shoulder arthroplasty is one of the options for the treatment of complex proximal humeral fractures. The purpose of this study was to assess the clinical and radiographic results of the trabecular metal shoulder prosthesis in the treatment of complex proximal humeral fractures. METHODS:Fifty-one consecutive pa...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2061-8
更新日期:2013-11-01 00:00:00
abstract::The purpose of this study was to review the association between compensation status and surgical outcome especially of the shoulder. Given the high prevalence of shoulder injuries in the workplace and the large proportion of workers compensation (WC) claims involving such injuries, it is worth examining the correlatio...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-007-0493-8
更新日期:2009-04-01 00:00:00
abstract:PURPOSE:Intramedullary screw fixation is currently considered the gold standard treatment for Jones fractures in the athlete. Besides biological factors (i.e., poor vascularization), mechanical instability induced by the pull of the peroneus brevis tendon (PBT) contributes to deficient Jones fracture healing. This biom...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04581-2
更新日期:2020-07-01 00:00:00
abstract:PURPOSES:We investigated sequential levels of C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) in uncomplicated ACDF (anterior cervical discectomy and fusion) using allograft and DBM (demineralised bone matrix) for primary cervical spondylosis and/or disc herniation. To our knowledge, there has been no...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1645-z
更新日期:2012-11-01 00:00:00
abstract:PURPOSE:To determine the optimal position of reduction clamps applied to reduce transtectal transverse acetabular fractures approached through the anterior intrapelvic route. METHODS:Transtectal transverse fractures were created in sawbone hemipelvis models. Fractures were reduced and held with a large pointed reducti...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-019-04430-x
更新日期:2020-02-01 00:00:00
abstract:PURPOSE:The transfer of the pectoralis major in cases of irreparable rupture of the subscapularis has been described through different techniques. The aim of this prospective study was to compare the clinical results of transferring the clavicular or the sternal head of the pectoralis major tendon underneath the conjoi...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2566-9
更新日期:2015-03-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3971-2
更新日期:2018-09-01 00:00:00
abstract::The authors report seven cases of desmoid tumors of the extremities. A tumour less than a few centimetres in size is best removed by wide local excision. Large growths should also be excised, but efforts should be made to preserve the vessels and nerves, since malignant transformation and metastases do not occur. Irra...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00547171
更新日期:1988-01-01 00:00:00
abstract:PURPOSE:The aim of this study is to describe the influence of sitting and standing posture on sagittal pelvic inclination in total hip replacement patients to assist with correct acetabular component positioning. METHODS:Lateral radiographs of the pelvis and lumbar spine in sitting and standing positions were extracte...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2491-y
更新日期:2015-03-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2871-y
更新日期:2016-07-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050026
更新日期:1996-01-01 00:00:00
abstract::The purpose of the study was to analyse the clinical results of an open Bankart repair for anterior instability in patients with a glenoid defect and those without a glenoid defect, and to identify factors related to the glenoid defect associated with anterior instability. The prospective study involved 20 patients wi...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-006-0234-4
更新日期:2007-10-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1463-8
更新日期:2012-06-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-014-2281-6
更新日期:2014-06-01 00:00:00
abstract::We have followed up 227 total hip replacements using a cementless minimadreporic prosthesis for an average of 9 1/2 years. Special attention was paid to the acetabular component, of which 2 types were used; 77 incorporated screw rings and 134 were stabilised by spikes. The screw prostheses were evaluated at an average...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00180454
更新日期:1993-12-01 00:00:00
abstract::During a six-year period, eleven persons with primary pyogenic abscess of the psoas muscle were treated at the Mackay Memorial Hospital. Five were males and six were females and their average age was 47.2 years (range 6-83 years). The abscess was identified by CT in 7 patients, MRI in 2 and ultrasonography in 1. One a...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050205
更新日期:1998-01-01 00:00:00
abstract:PURPOSE:Osteoarthritis (OA) is one of the most common causes of disability and a prevalent chronic disease. The use of collagen is growing due to the satisfactory results in the treatment of OA. However, the possible beneficial effects of collagen for the treatment of OA are currently controversial. The aim of the pres...
journal_title:International orthopaedics
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s00264-018-4211-5
更新日期:2019-03-01 00:00:00
abstract:PURPOSE:The purpose of this study was to evaluate the efficiency of biologic augmentation of rotator cuff repair with iliac crest bone marrow-derived mesenchymal stem cells (MSCs). The prevalence of healing and prevention of re-tears were correlated with the number of MSCs received at the tendon-to-bone interface. MET...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2391-1
更新日期:2014-09-01 00:00:00
abstract:INTRODUCTION:Since 1962, the low friction arthroplasty developed by Sir John Charnley has given us very good long terms results at more than 40 years follow up, but dislocation remains a major complication. The dislocation rate is a permanent risk during the life of the patient and the prosthesis, defined by J. Caton a...
journal_title:International orthopaedics
pub_type: 古典文章,历史文章,杂志文章
doi:10.1007/s00264-016-3361-6
更新日期:2017-03-01 00:00:00
abstract:PURPOSE:Corticotomy is an integral part of the Ilizarov method on management of infected nonunited fractures that are challenging orthopaedic surgeons. However, the presence of active draining sinuses may contaminate the operative field with the potential of developing corticotomy site infection. The authors present a ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3924-9
更新日期:2018-12-01 00:00:00
abstract:PURPOSE:Acute compartment syndrome is a condition whereby tissue ischaemia occurs due to increased pressure in a closed myofascial compartment. It is a surgical emergency, with rapid recognition and treatment-the keys to good outcomes. METHODS:The available literature on diagnostic aids was reviewed by one of the seni...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-019-04386-y
更新日期:2019-11-01 00:00:00