Abstract:
PURPOSE:Approximately 5% of patients with spinal tuberculosis will develop a severe kyphotic deformity resulting in increased potential for pain, spinal cord compression, cardiopulmonary dysfunction, costopelvic impingement and cosmetic concerns. This manuscript reviews the evaluation and surgical management of tuberculous kyphosis. METHODS:This is a review article. RESULTS:Risk factors for the development of severe kyphosis include those who develop spinal tuberculosis as children, multiple vertebral body involvement and thoracic spine involvement. These complications can be prevented by early diagnosis and treatment of spinal tubercular lesions at stages with little to no deformity. When tubercular lesions result in progression of kyphosis to more than 50 degrees, the deformity should be surgically corrected to avoid problems associated with sagittal imbalance. There are several operations described for the treatment of kyphosis secondary to tuberculous spondylitis. The type of the operation depends on the magnitude of correction required. CONCLUSIONS:Anterior, posterior and combined techniques as well as osteotomies and vertebral column resection have been described to correct spinal alignment and restore sagittal balance.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Issack PS,Boachie-Adjei Odoi
10.1007/s00264-011-1292-9subject
Has Abstractpub_date
2012-02-01 00:00:00pages
353-7issue
2eissn
0341-2695issn
1432-5195journal_volume
36pub_type
杂志文章,评审abstract:AIM OF THE STUDY:The aim of this study was to evaluate the radiographic effect of sagittal tibial osteotomy (STO), flexion tibial osteotomy (FTO) and deflexion tibial osteotomy (DTO) around the knee. It has been hypothesized that proximal STO modifies patellar height and could cause varus/valgus changes of the anatomic...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04580-3
更新日期:2020-11-01 00:00:00
abstract:PURPOSE:Total hip arthroplasty (THA) is an effective procedure for developmental dysplasia of the hip (DDH); however, it is sometimes difficult to complete for severe cases because of femoral head dislocation, dysplasia of the acetabulum and the femur, disparity in limb length, soft tissue contraction, and muscular atr...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1622-6
更新日期:2012-09-01 00:00:00
abstract::Fifty-four consecutive acute Achilles tendon ruptures were treated with end-to-end suture augmented with gastrocnemius fascial flaps. Surgery was performed within 24 h. Mean patient age was 35 (23-57) years, and 46 were men. Mean follow-up time was 4.8 (2-8) years. At follow-up, the mean visual analogue scale for pain...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-004-0598-2
更新日期:2005-02-01 00:00:00
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::Percutaneous bone grafting with a specially devised milling cutter was used in 21 patients with nonunion or delayed union of fractures of the tibial shaft. Union was obtained in 18. The technique is safe, simple and can be done under local anaesthesia. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00181707
更新日期:1993-11-01 00:00:00
abstract:PURPOSE:We aimed to evaluate the influence of cyclical mechanical loading on osteoblasts and fibroblasts, and co-cultures of both in vitro, simulating the conditions of the tendon-to-bone interface in anterior cruciate ligament reconstruction. METHODS:Osteoblast-like cells (OBL) and tendon-derived rodent fibroblasts (...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2165-1
更新日期:2014-05-01 00:00:00
abstract::Translaminar screw fixation is a good procedure for posterolateral spinal fusion of one or two motion segments. Anterior translation of the upper fused vertebra occurred in 5 of our patients following this procedure. A further fusion with pedicle screw fixation was needed in 2 of them. This complication has been previ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050213
更新日期:1998-01-01 00:00:00
abstract::Synovial oedema is a frequent complication in arthroscopic procedures performed with normal saline as the irrigating fluid. The authors have studied the effect of saline solution, Ringer lactate, 5% Dextran and 10% Dextran in normal saline on 12 specimens of human synovial membrane. They found that 10% Dextran in norm...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:
更新日期:1986-01-01 00:00:00
abstract:INTRODUCTION:The relapse rate after Ponseti method of correction has reduced in recent years which is attributable to the better appreciation of the need to achieve the correct degree of abduction. Ponseti recommended clinical 'overcorrection' of the foot to 700 of abduction. However, no scientific basis for this figur...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3603-2
更新日期:2017-11-01 00:00:00
abstract::Recently, patellofemoral arthroplasty has attracted increased interest as a salvage treatment for isolated patellofemoral arthritis. However, there are very few reports of the experience with modern generation patellofemoral arthroplasties. This investigation describes a collective experience of four centres reporting...
journal_title:International orthopaedics
pub_type: 杂志文章,多中心研究
doi:10.1007/s00264-008-0692-y
更新日期:2009-12-01 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::Bone lengthening is a surgical method which requires meticulous technique, continuous attention, and satisfactory cooperation on the part of the patient. The absence of common criteria makes it difficult both to classify the complications which arise, and to compare them with those of other authors. We report the comp...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00180230
更新日期:1994-10-01 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:Our aim was to elucidate the pooled outcome of the CementLess Spotorno (CLS) system in total hip arthroplasty (THA). METHODS:We compared the outcome of clinical inventor studies, independent clinical studies, and worldwide register data. The main endpoints for analysis were revision rates. RESULTS:Twenty clin...
journal_title:International orthopaedics
pub_type: 杂志文章,meta分析
doi:10.1007/s00264-013-1867-8
更新日期:2013-06-01 00:00:00
abstract::This transtrochanteric approach to the hip maintains continuity between the greater trochanter and the vastus lateralis muscle, thereby preventing the gross displacement of the greater trochanter and preserving the branches of the lateral circumflex vessels to it. The procedure offers the advantages of easy exposure a...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00265739
更新日期:1988-01-01 00:00:00
abstract::The immunogenicity of a virus-induced rat osteosarcoma was studied utilizing the lymphocyte microcytoxicity test. Lymphocytes from "progressor" animals (in which the tumour progressed and metastasized) demonstrated an ability to kill osteosarcoma cells in vitro, while serum from these animals abrogated or blocked the ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00268153
更新日期:1980-01-01 00:00:00
abstract:PURPOSE:The purpose of this study is to compare the efficacy of percutaneous Achilles tenotomy (AT) to combined open Achilles tenotomy and posterior capsulotomy (PC+AT) in the correction of residual equinus deformity in congenital talipes equinovarus after Ponseti serial casting in both idiopathic and non-idiopathic cl...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2631-4
更新日期:2015-04-01 00:00:00
abstract:PURPOSE:Open reduction and internal fixation (ORIF) using an extended lateral approach combined with plate osteosynthesis represents the current gold standard in calcaneal fracture treatment, but it is associated with a wound complication rate of up to 30%. Literature suggests that micro-circulation is one of the key f...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-4031-7
更新日期:2018-11-01 00:00:00
abstract::Chondromyxoid fibroma of the scapula occurring in a 23 year old woman is of interest because of its unusual site and the extensive invasion of the soft tissues. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00180217
更新日期:1992-06-01 00:00:00
abstract::Fifty patients with thoracolumbar fractures were treated operatively between July 2000 and December 2001. The average age of the patients was 33.6 years (range: 20-50 years), 36 were males and 14 were females and the follow-up averaged 59 months (range: 49-68 months). A fall from a height, usually a tree, was the most...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-006-0161-4
更新日期:2007-04-01 00:00:00
abstract::We evaluated the pre- and postoperative neurological state of 3 patients with lumbar intradural lipoma. Total resection of the lipoma in the cauda equina was impossible, and partial resection and expansive laminoplasty was carried out. Subsequent neural involvement may depend on the duration of symptoms rather than th...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050147
更新日期:1997-01-01 00:00:00
abstract::Twenty-eight arthrodeses of the wrist were carried out for various indications using an ulnar graft. The results were evaluated and it was found that the obliquely resected lower end of the ulna gave a longer graft for better fusion between the distal end of radius and the base of the 3rd metacarpal. There was no inst...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00180131
更新日期:1990-01-01 00:00:00
abstract::We describe the results of a retrospective analysis of patients with microbiologically proven infection, who underwent revision TKA between 1994 and 2008. Of the 121 patients included in the study, 61 (50%) were male and 60 (50%) were female. The mean age was 71 (range 42-88) years. The most common organisms identifie...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-009-0797-y
更新日期:2010-04-01 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: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:PURPOSE:Our aim was to explore the effect of varying in vitro culture conditions on general chondrogenesis of minced cartilage (MC) fragments. METHODS:Minced, fibrin-associated, bovine articular cartilage fragments were cultured in vitro within polyurethane scaffold rings. Constructs were maintained either free swelli...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2194-9
更新日期:2014-05-01 00:00:00
abstract:PURPOSE:This study describes a case series of 15 patients with radial head fractures who underwent radial head excision using an arthroscopic technique. METHODS:Over a four year period, 15 patients (average age 49.6 years) who had sustained a radial head or radial neck fracture underwent an arthroscopic excision of th...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1667-6
更新日期:2012-12-01 00:00:00
abstract::The incidence of the major complications of operation have been studied prospectively in 1,722 patients with a proximal femoral fracture treated by either insertion of a hemiarthroplasty, internal fixation with a Dynamic Hip Screw (DHS) or multiple parallel screws. Major complications occurred in 8.0%. A special surgi...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00192477
更新日期:1994-06-01 00:00:00
abstract::We give details of seven children with the TAR syndrome, Thrombocytopenia with absence of the radius. Two of the children were siblings. The TAR syndrome is characterised by hypomegakaryocytic thrombocytopenia and bilateral absence of the radius. It is inherited as an autosomal recessive trait. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00179704
更新日期:1991-01-01 00:00:00
abstract::Thirty-seven femoral shaft fractures occurred in 2360 cemented hip arthroplasties carried out between 1971 and 1989 at varying intervals after operation (average 3.7 years). Three types of fracture were recognised and treatment depended on the type, as did the prognosis. Good results were obtained in 70% of the cases....
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00182995
更新日期:1992-01-01 00:00:00