Abstract:
:A series of 49 pilon fractures in a tertiary referral centre treated definitively by open reduction and internal fixation have been assessed and the complications of such injuries examined. A retrospective analysis of case notes, radiographs and computerised tomographs over a seven-year period from 1999-2006 was performed. Infection was the most common postoperative problem. There were seven cases of superficial infection. There was a single case of deep infection requiring intravenous antibiotics and removal of metalwork. Other notable complications were those of secondary osteoarthritis (three cases) and malunion (one case). The key finding of this paper is the 2% incidence of deep infection following the direct operative approach to these fractures. The traditional operative approach to such injuries (initially advocated by Rüedi and Allgöwer in Injury 2:92-99, 1969) consisted of extensive soft tissue dissection to gain access to the distal tibia. Our preferred method is to access the tibia via the "direct approach" which involves direct access to the fracture site with minimal disturbance of the soft tissue envelope. We therefore believe that open reduction and internal fixation of pilon fractures via the direct approach to be a safe technique in the treatment of such devastating injuries.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
McCann PA,Jackson M,Mitchell ST,Atkins RMdoi
10.1007/s00264-010-1005-9subject
Has Abstractpub_date
2011-03-01 00:00:00pages
413-8issue
3eissn
0341-2695issn
1432-5195journal_volume
35pub_type
杂志文章abstract::The purpose of this study was to investigate the effects of addition of antibiotics into cement powder on the shear properties of the cement-metal interface. The approach involved adding 800 mg of teicoplanin to 40 g bone cement powder in the t-800 group, 1,600 mg teicoplanin in the t-1,600 group, and no antibiotic in...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-007-0347-4
更新日期:2008-08-01 00:00:00
abstract:PURPOSE:It is an established fact that post-operative (p.o.) soft-tissue swelling and lymphoedema after total knee arthroplasty (TKA) have a major influence on the p.o. early functional outcome. Kinesio taping has a proven clinical effect in increasing lymph drainage. Despite the decades of experience gained and the as...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3295-z
更新日期:2017-02-01 00:00:00
abstract::The aim of this non-randomised prospective study was to evaluate the short-term outcome of Gamma nail and dynamic hip screw (DHS) fixation in the treatment of subtrochanteric hip fractures due to low-energy trauma in the elderly. All of the 1,624 femoral hip fractures in 1,511 patients of the Oulu Hospital, aged over ...
journal_title:International orthopaedics
pub_type: 临床试验,杂志文章
doi:10.1007/s00264-006-0088-9
更新日期:2007-02-01 00:00:00
abstract:AIM OF THE STUDY:The aim of the study was to investigate functional and patient-rated outcome parameters after endoscopic assisted release of the ulnar nerve for cubital tunnel syndrome. METHODS:One hundred of 204 consecutive patients between 2006 and 2011 met the inclusion/exclusion criteria. Fifty-one of these patie...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3760-y
更新日期:2018-06-01 00:00:00
abstract::The objective of this study was to confirm the presence and frequency of a bifurcation of the popliteus tendon. The popliteus tendon has received attention due to its important function as a knee stabiliser. Several anatomical variants have recently been reported, one of them being a bifurcated tendon. However, the ac...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-008-0685-x
更新日期:2009-12-01 00:00:00
abstract::Lesions produced by splinters of wood in the soft tissues and bones of the limbs are not uncommon and may be difficult to diagnose. A detailed history and a high index of suspicion are the key to making the correct diagnosis. Investigations are usually inconclusive. Complete excision results in prompt resolution. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00183364
更新日期:1990-01-01 00:00:00
abstract:PURPOSE:Patients who undergo hip hemiarthroplasty (HHA) due to traumatic femoral neck fracture frequently require red blood cell (RBC) transfusion. Although post-operative autologous blood transfusion (ABT) is well established in elective arthroplasty, its role in trauma patients remains unclear. METHODS:Two hundred t...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-016-3143-1
更新日期:2016-12-01 00:00:00
abstract::Patients who cannot walk, particularly those with orthopaedic deformities, need more than a simple wheelchair; they require a special seating system. Since the early 1970's many different systems have been introduced to the field of orthotics and prescribed through "Seating Clinics" in many centres in North America an...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266517
更新日期:1985-01-01 00:00:00
abstract::We have developed a method to promote longitudinal bone growth at the level of a specific growth-plate (GP) in young rabbits. Insulin-like growth factor-I (IGF-I) was continuously infused by means of an osmotic pump into the bone marrow cavity of the proximal epiphysis of the tibia. Radiological measurement showed a 2...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-007-0336-7
更新日期:2008-06-01 00:00:00
abstract:PURPOSE:Although unilateral total knee arthroplasty (TKA) is successful in restoring function, there are concerns in relation to asymmetric gait patterns. Bi-cruciate retaining (BCR) TKA design preserves both anterior and posterior cruciate ligaments with the potential to restore normal joint kinematics. The purpose of...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3986-8
更新日期:2018-12-01 00:00:00
abstract::Two cases of septic loosening due to a tuberculosis infection occurred 18 months and 14 years after total hip arthroplasties. The primary source was pulmonary tuberculosis. Treatment was by removal of the prosthesis and radical debridement with the local implantation of gentamicin PMMA beads, followed by antituberculo...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00184916
更新日期:1995-01-01 00:00:00
abstract:INTRODUCTION:The damage control orthopedics (DCO) concept is a sequential surgical management strategy indicated when ideal primary treatment is not possible or suitable. DCO principles are routinely applied to hand traumas in wartime practice, but could also be useful in a civilian setting when immediate specialized m...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3439-9
更新日期:2017-09-01 00:00:00
abstract::A combination of costo-sterno-clavicular hyperostosis and palmo-plantar pustulosis, sometimes with hyperostotic spondylosis and spondylarthritis, is called pustular osteoarthropathy. In the Western hemisphere 40 cases have been reported and in the Far East the condition occurs more commonly. Five cases are described. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00179705
更新日期:1991-01-01 00:00:00
abstract::This paper is based on an invited lecture given at the SICOT 87 meeting in Munich. The topics discussed include: selective spinal arteriography in the management of tumours, which enables definition of the vascular supply of the cord and of the tumour and may facilitate preoperative embolisation; MRI, which allows vis...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/BF00266367
更新日期:1989-01-01 00:00:00
abstract:PURPOSE:Diabetes mellitus is associated with an increased risk of intervertebral disc degeneration (IDD). Reactive oxygen species (ROS), oxidative stressors, play a key role in autophagy of diabetes-associated diseases. Mitochondria are known to be the main source of endogenous ROS in most mammalian cell types. The aut...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2037-8
更新日期:2013-12-01 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::First metatarsophalangeal joint replacement is an alternative surgical procedure to arthrodesis in the treatment of moderate-to-severe hallux rigidus. However, few studies have been published about functional outcome after joint reconstructive procedures for hallux rigidus. The purpose of this study was to assess clin...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-009-0935-6
更新日期:2010-10-01 00:00:00
abstract:PURPOSE:The purpose of the study was to evaluate the treatment of five patients with proximal tibial epiphysis preserving resection for malignant tumours of the tibia. METHOD:Three patients suffered from Ewing sarcoma, two had osteosarcoma. The proximal level of the resection was in the line of the growth plate in fou...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1731-2
更新日期:2013-01-01 00:00:00
abstract:PURPOSE:Avascular necrosis of the talus is one of the most notable complications associated with talar neck fractures with frequent evolution of the osteonecrosis into a difficult arthrodesis. We tested whether the injection of bone marrow mesenchymal stem cells (MSCs) could improve the repair process of the osteonecro...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3716-7
更新日期:2018-12-01 00:00:00
abstract:INTRODUCTION:Fracture neck of femur (hip fracture) is a very common problem among old age group. Such elderly patients usually have some comorbidities for which they may use anti-platelet therapy (such as clopidogrel, aspirin, or others) for long duration (chronic use). These anti-platelet medications might make the bl...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04633-7
更新日期:2020-09-01 00:00:00
abstract::The purpose of this study was to examine the effect of anabolic steroid hormones and exercise training on skeletal tendons. Female mice were exercised for 1 and 10 weeks in an endurance running programme on a treadmill. The altered ultrastructure of tendons caused by simultaneously administered anabolic steroid hormon...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266702
更新日期:1987-01-01 00:00:00
abstract:BACKGROUND:Previous studies of soft tissue infiltration in hip arthroplasty present variable results. The purpose of this study is to identify whether injection of an analgesic mixture improves pain management during the immediate post-operative period. MATERIALS AND METHODS:This cohort study compared 129 patients tha...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3788-z
更新日期:2018-08-01 00:00:00
abstract:PURPOSE:The increase in methicillin-resistant Staphylococcus aureus (MRSA) infections is currently a major health care problem. Vancomycin is still often the first-line anti-microbiological agent for treating such infections; however, a recent decline in efficacy of vancomycin in MRSA infections has raised concerns and...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2149-1
更新日期:2014-04-01 00:00:00
abstract:PURPOSE:Endothelial dysfunction is a risk factor for osteonecrosis of femoral head (ONFH) and venous thromboembolism (VTE) [defined as deep venous thrombosis (DVT) or pulmonary embolism (PE)]. However, the risk of unprovoked VTE in non-traumatic ONFH patients remains unclear. METHODS:We investigated the relationship b...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3866-2
更新日期:2018-07-01 00:00:00
abstract::We describe fives cases of an unusual type of injury to the wrist which has been seen in Sikhs, an ethnic population in India. It is caused by entrapment of the kara, an iron bangle, which is traditionally worn as one of five compulsory religious symbols. The injuries were an open transtriquetral palmar perilunar disl...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00210533
更新日期:1991-01-01 00:00:00
abstract:PURPOSE:Cup positioning is important for optimum hip stability, avoiding component impingement and decreasing both bearing surface wear and revision rate. Transitioning from posterior approach in a lateral position to direct anterior approach (DAA) in a supine presents unique challenges for surgeons. The aim of this st...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04583-0
更新日期:2020-09-01 00:00:00
abstract::Developmental dysplasia of the hip (DDH) is a spectrum of disorders that results in anatomic abnormalities leading to increased contact stress in the joint and, eventually, secondary osteoarthritis. However, many patients with DDH become symptomatic before the severe degenerative changes of the hip because of abnormal...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-015-2927-z
更新日期:2016-05-01 00:00:00
abstract::Two matched groups of 28 patients each, with femoral neck fractures treated by primary internal fixation or by secondary total hip replacement after a complication of primary treatment, were evaluated and compared five years or more after primary pin fixation or secondary total hip replacement. The Nottingham Health P...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00186868
更新日期:1991-01-01 00:00:00
abstract:PURPOSE:Reverse shoulder arthroplasty (RSA) is often indicated in elderly patients with displaced proximal humerus fractures (PHF). The rate of greater tuberosity (GT) healing varies from 37 to 90% in this population. The aim of this study was to assess greater and lesser tuberosity (LT) fixation and healing on CT scan...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04928-9
更新日期:2021-01-09 00:00:00
abstract:INTRODUCTION:Dual-mobility cups (DMC) are gaining popularity mainly for their reduced rate of dislocation following total hip arthroplasty (THA). Currently, indication for DMC use extends beyond patients with high risk of dislocation or revision THA cases. Many authors reported DMC outcomes in primary THA for all aetio...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-020-04791-8
更新日期:2020-09-19 00:00:00