Abstract:
PURPOSE:Hemiarthroplasty (HA) is generally considered to be the treatment of choice in the most elderly patients with a displaced fracture of the femoral neck. However, there is inadequate evidence to support the choice between unipolar HA or bipolar HA. The primary aim of this study was to analyse the outcome regarding hip function and health-related quality of life (HRQoL) in patients randomised to either a unipolar or bipolar HA. The secondary aim was to analyse the degree of acetabular erosion and its influence upon outcome. METHODS:One hundred twenty patients with a mean age of 86 years and an acute displaced fracture of the femoral neck were randomly allocated to treatment by either unipolar or bipolar HA. Outcome measurements included hip function (Harris Hip Score, HHS), HRQoL (EQ-5D) and acetabular erosion. The patients were summoned at four and 12 months for follow-up. RESULTS:There were no significant differences between the groups regarding complications. The HHS scores were equal at both follow-ups, but there was a trend towards better HRQoL in the bipolar HA group at four months, EQ-5D (index) score 0.62 vs 0.54 (p = 0.06). Twenty percent of the patients in the unipolar HA group displayed acetabular erosion at the 12-month follow-up compared to 5% in the bipolar HA group (p = 0.03), and there were trends towards worse hip function and HRQoL among patients with acetabular erosion compared to those without: HHS scores 70.4 and 79.3, respectively (p = 0.09), and EQ-5D (index) scores 0.48 and 0.63, respectively (p = 0.13). CONCLUSION:Unipolar HA and bipolar HA appeared to produce equivalent clinical outcomes after one year, but the significantly higher incidence of acetabular erosion in the unipolar HA group may imply that bipolar HA should be the preferred treatment.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Hedbeck CJ,Blomfeldt R,Lapidus G,Törnkvist H,Ponzer S,Tidermark Jdoi
10.1007/s00264-011-1213-ysubject
Has Abstractpub_date
2011-11-01 00:00:00pages
1703-11issue
11eissn
0341-2695issn
1432-5195journal_volume
35pub_type
杂志文章,随机对照试验abstract::We have reviewed the clinical features, together with the radiographs and computerised tomography, in 9 patients with tuberculosis of the vertebral body and neural arch. All presented with paraparesis or paraplegia. The morbidity associated with this disease is so serious that it is essential to have an accurate means...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/BF00179971
更新日期:1995-01-01 00:00:00
abstract:INTRODUCTION:The most common reason for removal of well-fixed radial head prostheses is painful loosening. We hypothesised that short-stemmed prostheses, used for radial head arthroplasty, are not associated with an increased risk of implant loosening. METHODS:From 2002 to 2014, 65 patients were enrolled in a retrospe...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3644-6
更新日期:2018-01-01 00:00:00
abstract::Following amputation of a limb for osteosarcoma, the tumour was serially transferred to nude mice. The rate of growth was determined and the inhibitory effect of Cyclophosphamide, Adriamycin and 5-Fluorouracil was assessed in three separate experimental animal groups. In the tumour studied. Cyclophosphamide produced t...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00267728
更新日期:1982-01-01 00:00:00
abstract::In vitro and in vivo studies have demonstrated the possibility that cancellous bone could be used as a carrier of antibiotics for local delivery. However, the release of antibiotics from the loaded cancellous bone is too rapid and uncertain. We hypothesised that demineralisation of cancellous bone would increase the a...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-002-0384-y
更新日期:2003-01-01 00:00:00
abstract::The authors present 43 cases of comminuted intertrochanteric fracture, treated by replacement with a Leinbach prosthesis. The average age of the patient was 81 years, the average time of operation was 70.8 min, and the average blood loss was 502 cc. 88% of the patients were walking within 4-10 days. One deep infection...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266327
更新日期:1979-03-01 00:00:00
abstract:PURPOSE:The optimum treatment for periprosthetic fractures in the region of the distal femur is undefined. Although internal fixation for prostheses which are stable is commonly utilised, this can lead to very prolonged morbidity and failure of the fracture to unite. Where the prosthesis is either loose or infected, re...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2969-2
更新日期:2015-10-01 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::We have reviewed 29 cases of very unstable diaphyseal fractures of the femur in children and adolescents treated by Kuntscher nailing. Follow up was for at least 5 years, and in most cases until after the end of growth. There were no postoperative complications, and the mean overgrowth of the femur was 7.06 mm. There ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00186377
更新日期:1993-01-01 00:00:00
abstract:PURPOSE:The purpose of this study was to assess the effects of operative and non-operative treatment on clavicle fractures. METHOD:Relevant clinical trials on the operative and non-operative treatment for clavicle fractures were retrieved through searching the databases MEDLINE, Embase, OVID and the Cochrane Central R...
journal_title:International orthopaedics
pub_type: 杂志文章,meta分析
doi:10.1007/s00264-013-1871-z
更新日期:2013-08-01 00:00:00
abstract::We carried out experiments in rabbits to determine whether treating nerve transplants with gradually increasing concentrations of ethanol, ether and ficin would inhibit the graft-host immune reaction to the allograft. After treatment with ethanol, the basal laminar scaffold of the Schwann cell remained intact and ther...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00183371
更新日期:1990-01-01 00:00:00
abstract::Ten patients with clinical and radiological evidence of herniated discs at lower lumbar levels were treated with partial discectomy by a lateral percutaneous approach. Eight patients had complete relief from radicular pain and were discharged within four days. They returned to normal daily activity within one month. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00271309
更新日期:1987-01-01 00:00:00
abstract:BACKGROUND AND PURPOSE:There is no consensus on the optimal surgical procedure for treating Neer type-2 distal clavicle fractures. Hook plates provide better stability than other fixation methods for small fragments but have been related to multiple complications. METHODS:Retrospective study on patients operated for N...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-4108-3
更新日期:2019-07-01 00:00:00
abstract:BACKGROUND:Pubic bone nonunion and delayed union are reported as post-operative complications after peri-acetabular osteotomy (PAO). However, few studies have determined the incidence of delayed union using computed tomography (CT) scans. This study aimed to determine the incidence of delayed union at one year after PA...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3656-2
更新日期:2018-05-01 00:00:00
abstract:PURPOSE:Forty patients were enrolled in a prospective randomised study using conventional method or "Trabecular Metal Cone" (TM Cone) (Zimmer inc., Warsaw, USA) for reconstruction of bone loss of the proximal tibia during revision total knee arthroplasty (rTKA). The aim was to evaluate changes in bone mineral density (...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-012-1601-y
更新日期:2012-09-01 00:00:00
abstract:PURPOSE:Weight-bearing sports might influence the alignment of the lower extremities during growth. The relationship between participation in weight-bearing sports and the alignment of the lower extremities in adolescents has not been adequately studied yet. The aim of the study was to investigate whether sports partic...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-4015-7
更新日期:2018-12-01 00:00:00
abstract::The Register for Orthopaedic Prosthetic Implantation (RIPO) has been prospectively collecting data on hip prostheses performed in all the orthopaedic units in the region Emilia-Romagna since January 2000. The register aims to determine the characteristics of patients, evaluate the effectiveness of prostheses, and allo...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-007-0465-z
更新日期:2009-04-01 00:00:00
abstract::A clinical and radiological follow-up investigation with at least 20 years observation time was made of 255 persons with lumbar spondylolysis with or without spondylolisthesis. The main purposes were to study the relationship between clinical and radiological features and to look for radiological and other variables o...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00269912
更新日期:1984-01-01 00:00:00
abstract:PURPOSE:Traditionally and since Neer, the humeral side of shoulder arthroplasty consisted of a stemmed component but the real need for stem fixation in total shoulder arthroplasty (TSA) has barely been investigated. The current study evaluated the clinical and radiological outcomes with a stemless TSA. METHODS:Forty-s...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3371-4
更新日期:2017-05-01 00:00:00
abstract:PURPOSE:Bone-tendon healing following anterior cruciate ligament reconstruction is reportedly enhanced by bone morphogenetic protein (BMP)-7. To improve our understanding of the underlying biologic processes, we examined the effects of BMP-7 on region-specific gene expression in vitro. METHODS:A murine in vitro co-cul...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2688-8
更新日期:2015-04-01 00:00:00
abstract::After division of the tendo achilles in rats heterotopic bone forms in the muscle and in the tendon stumps. Tenotomy was performed in 26 male rats. Thirteen received Verapamil (36 mm/Kg) for six days per week for five months, and the remainder were not given this drug. The onset of heterotopic ossification was monitor...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00182655
更新日期:1990-01-01 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:In prosthetic joint infections (PJIs) of the knee, debridement with implant retention is associated with a high risk of recurrence. METHODS:A single-centre cohort study was performed with extensive analysis of the literature covering 1980-2012. RESULTS:In 21 patients (mean age 80.4 years, 19 immunosuppressed)...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-013-1923-4
更新日期:2013-08-01 00:00:00
abstract::Five cases of fracture of the lateral tibial condyle of the split-depression type were treated by elevation of the depressed fragment, bone grafting and cancellous bone screws. During the operation, tantalum markers were inserted into the depressed fragment and the tibial metaphysis for radiographic stereophotogrammet...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00192467
更新日期:1994-06-01 00:00:00
abstract:PURPOSE:Although diabetes mellitus (DM) has an adverse effect on complication rates in orthopaedic surgery, neither the effect of DM nor the association between haemoglobin A1C (HbA1C) and outcomes after shoulder arthroplasty (SA) has been studied. METHODS:A retrospective review of 406 SAs (70 HAs, 188 total shoulder ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3874-2
更新日期:2018-08-01 00:00:00
abstract::The purpose of this study was to investigate the biomechanical efficacy of Histoacryl (cyanoacrylate, N-asetil 2 butyl sistein) in meniscal tear repair. In our study, the primary stability of three different repair techniques in delaying the formation of a gap of 2 mm was investigated. A meniscal tear was repaired wit...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-006-0158-z
更新日期:2007-04-01 00:00:00
abstract::Over a 4-year period, 55 consecutive knee arthroscopies were performed on 54 patients with symptomatic mild to moderate osteoarthritis. There were 30 female patients and the average patient age was 60.9 years. The average follow-up period was 29.6 months. All patients underwent diagnostic arthroscopy and washout. Furt...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640000212
更新日期:2001-01-01 00:00:00
abstract:PURPOSE:To access the feasibility and efficacy of percutaneous endoscopic debridement (PED) combined with percutaneous pedicle screw fixation (PPSF) in the treatment of lumbar pyogenic spondylodiscitis. METHODS:Forty-five patients diagnosed as pyogenic spondylodiscitis underwent PPSF followed by PED. A drainage cathet...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-019-04456-1
更新日期:2020-03-01 00:00:00
abstract:PURPOSE:Pain in and around the metatarsal heads, the metatarsal phalangeal joints and the surrounding soft tissues is called metatarsalgia. Non-operative treatment of metatarsalgia includes foot orthoses. Foot orthoses may be classified as standard or custom-made. A systematic review was carried out to determine whethe...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3817-y
更新日期:2018-08-01 00:00:00
abstract:PURPOSE:Previous reports revealed a correlation between psychological problems and spinal surgery. There is a lack of knowledge on the effect of anxiety on the percutaneous transforaminal endoscopic discectomy (PTED) outcome at the two year follow-up. The purpose of this study is to investigate changes in anxiety after...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04656-0
更新日期:2020-11-01 00:00:00
abstract:PURPOSE:ADVANCE Medial Pivot (MP) (Wright Medical) total knee arthroplasty (TKA) was established to replicate normal tibio-femoral knee joint kinematics, however, its influence on the patello-femoral (PF) joint is unclear. The purpose in this study was to assess the PF joint conditions in Advance MP TKA, via radiograph...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2043-x
更新日期:2014-03-01 00:00:00