Abstract：
PURPOSE:Traditionally, valgus knee deformity is predominately corrected by stabilisation with a plate inserted via the medial approach to the supracondylar region of the femur. However, this technique is unfavourable from both a biomechanical and a biological point of view. A revised retrograde dynamic locked nailing was developed to improve correction of this defect. METHOD:Forty-one knees with valgus deformity (average tibiofemoral angle, 22°; range, 16-29°) in 25 adult patients were treated by oblique femoral supracondylar varus osteotomy and stabilised with retrograde dynamic locked nails. Postoperatively, early ambulation with protected weight bearing and range of motion knee exercises were encouraged. RESULT:Thirty-five knees of 21 patients were followed-up for an average of 2.6 years (range, 1.1-4.5 years). All osteotomy sites healed with an average union period of 3.4 months (range, 2.5-5.0 months). There were no significant complications. At the latest follow-up, the average tibiofemoral angle was 7.1° valgus (range, 4-10° valgus). For all of the knees, the outcomes were satisfactory (p < 0.001). CONCLUSION:The technique described here may be a feasible alternative for correction of valgus knee deformity. The advantages of this technique include the use of a biomechanically more appropriate method, a minimal complication rate and a high rate of satisfactory outcomes.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Wu CCdoi
10.1007/s00264-012-1495-8subject
Has Abstractpub_date
2012-06-01 00:00:00pages
1191-7issue
6eissn
0341-2695issn
1432-5195journal_volume
36pub_type
杂志文章abstract：PURPOSE:Limited data exist for the reconstructive potential of short bone-preserving stems in THA using a minimal invasive posterolateral approach. Our study aim was to assess the effect of stem design on the reconstruction of hip offset and leg length in MIS posterolateral THA. METHODS:This retrospective consecutive ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-014-2299-9
更新日期：2014-07-01 00:00:00
abstract：PURPOSE:The purpose of this study was to investigate kinematic factors affecting postoperative knee flexion after cruciate-retaining (CR) total knee arthroplasty (TKA) by analysing pre- and postoperative knee kinematics. METHODS:We retrospectively analysed 58 patients with osteoarthritis who received the same implant ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-013-1803-y
更新日期：2013-05-01 00:00:00
abstract：PURPOSE:Several studies have investigated effectiveness of fibrin spray or bipolar sealer to control peri-operative bleeding and reduce the need for blood transfusion, but a direct comparison between the two methods has not been previously performed. We conducted a prospective randomised trial, with standard electrocau...
journal_title：International orthopaedics
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00264-013-1903-8
更新日期：2013-07-01 00:00:00
abstract：PURPOSE:Diagnosing periprosthetic infection remains a challenge. Multiplex-PCR and biomarkers such as alpha-defensin are potentially useful and fast methods for detecting periprosthetic infection. This study compared these new methods with clinical assessment, conventional microbiological methods and histo-pathological...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-017-3412-7
更新日期：2017-07-01 00:00:00
abstract：BACKGROUND:Intercondylar humerus fractures (AO type 13C), though less common (less than 1%), are increasing over the last few years. Open reduction and internal fixation (ORIF) of these fractures are now well recognised and preferred management. These fractures are principally approached from posterior side and various...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-020-04785-6
更新日期：2020-12-01 00:00:00
abstract：:The purpose of this study was to assess the referral system, clinical notes and radiographs of patients presenting with metastatic disease of long bones. The study demonstrated that 93% of oncologists did not use a reliable scoring system to assess risk of pathological fracture, and 60% felt an improvement in communic...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-008-0556-5
更新日期：2009-04-01 00:00:00
abstract：PURPOSE:Ankle sprains are the most common athletic injury. One of five chronic lateral ankle instability patients will require surgery, making operative outcomes crucial. The purpose of this study is to determine if operative method influences failure and complication rates in chronic lateral ankle ligament repair surg...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-017-3617-9
更新日期：2017-11-01 00:00:00
abstract：PURPOSE:Loosening of implants occurs mainly for two reasons: bacterial infection of the implant or "aseptic loosening" presumably due to wear particles derived from the implant. To gain further insight into the pathomechanism, we analysed activation of the T cell response in these patients. METHODS:Activation of perip...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-014-2310-5
更新日期：2014-06-01 00:00:00
abstract：PURPOSE:To compare the results of two groups of patients affected by osteochondritis dissecans (OCD) of the knee and treated with either osteochondral autologous transplantation (OAT) or bone-cartilage paste grafting (PG). METHODS:A total of 27 patients affected by OCD lesions of the femoral condyles were included: 15...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-020-04804-6
更新日期：2021-02-01 00:00:00
abstract：:Osteonecrosis of the femoral head (ONFH) is a devastating condition affecting relatively young patients whereby the femoral head is necrotic, resulting in significant pain, articular surface collapse, and eventual osteoarthritis. This condition has been highly associated with chronic steroid use, alcoholism, and hip t...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-018-3917-8
更新日期：2018-07-01 00:00:00
abstract：:Eighty three cases of intertrochanteric flexion osteotomy of the hip for severe osteoarthritis are reported with a five year follow up. Osteotomy is performed in the sagittal plane with flexion of the proximal fragment. The anatomical, biomechanical and operative criteria for this procedure are discussed. The indicati...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00266686
更新日期：1981-01-01 00:00:00
abstract：PURPOSE:We have developed iodine-supported titanium implants that suppress microbial activities and conducted in vivo and in vitro studies to determine their antimicrobial properties. METHODS:The implants were Ti-6Al-4 V titanium implants either untreated (Ti), treated with oxide film on the Ti surface by anodization ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-017-3477-3
更新日期：2017-06-01 00:00:00
abstract：PURPOSE:The medial plica (MP) is a normal anatomic structure consisting of a fold in the synovial layer of the joint. Arthroscopic resection is currently used as a gold standard procedure in patients with medial plica syndrome (MPS), but there are few prospective studies that analyze the long-term functional outcomes o...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-016-3313-1
更新日期：2017-01-01 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：BACKGROUND:Various open injury scores have been devised to aid the difficult decision of salvage or amputation following open fractures of the lower limb. Our aim of the study was to compare the performance of mangled extremity severity score (MESS), limb salvage index (LSI), orthopaedic trauma association-open fractur...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-020-04538-5
更新日期：2020-09-01 00:00:00
abstract：PURPOSE:Heterotopic ossification is a common complication after total hip arthroplasty. Non-steroidal anti-inflammatory drugs (NSAIDs) are known to prevent heterotopic ossifications effectively, however gastrointestinal complaints are reported frequently. In this study, we investigated whether etoricoxib, a selective c...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-013-1781-0
更新日期：2013-04-01 00:00:00
abstract：BACKGROUND:Cementless femoral stems are currently used in revision total hip arthroplasty (THA) with the surgeon choosing between various fixation modes. The outcomes are good in the medium term; however, some failures have been attributed to technical errors during implantation. When the decision has been made to use ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-4265-4
更新日期：2019-10-01 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:The aim of this study was to determine whether distal locking using an electromagnetic-manual guided distal locking decreases the malrotation rate in femur fractures treated with intramedullary nailing. METHODS:A total of 113 adult patients having unilateral femoral shaft fractures treated using IM nails were ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-014-2626-1
更新日期：2015-03-01 00:00:00
abstract：PURPOSE:The myofibroblast, a contractile fibroblastic cell expressing α-smooth muscle actin (α-SMA), has been reported to play a role in ligament healing. The aim of this study was to evaluate the feasibility of transplanting culture-derived myofibroblasts in injured rabbit medial collateral ligaments (MCL) and in inta...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-012-1519-4
更新日期：2012-08-01 00:00:00
abstract：:Varus knee deformity is very common, and it can be classified according to the severity and reducibility of the deformity. Pre-operative planning is mandatory to obtain a good result. Both clinical and radiological planning should be carefully performed, particularly focused on collateral ligament deficiency. In most ...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-018-4116-3
更新日期：2019-01-01 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：PURPOSE:The best treatment for intra-articular fractures of the calcaneus is still debated. The aims of this study were to determine whether intrafocal reduction of thalamic fractures is effective, to evaluate whether a locking nail is able to maintain reduction of the articular surface and to analyse the functional re...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-015-2816-5
更新日期：2015-10-01 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：:The purpose of this study was to evaluate the relationship between body mass index and early complications following total hip replacements. Five hundred and fifty patients who underwent primary total hip replacement were recruited. All these patients were subjected to a pre-operative assessment and follow-up at 6 wee...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-006-0222-8
更新日期：2007-08-01 00:00:00
abstract：:A prospective study was carried out to test the sensitivity and specificity of stress radiography in detecting anterior cruciate ligament deficiency in both knees of 116 patients using the Telos device. In 47 of these a total or partial rupture of the anterior cruciate ligament was diagnosed by arthroscopy, while the ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00179966
更新日期：1995-01-01 00:00:00
abstract：PURPOSE:Acetabular component position is important for stability and wear. Fluoroscopy can improve the accuracy of acetabular component placement in the posterior approach and the direct anterior approach (DAA). The purpose of this study was to determine if the direct anterior approach in the supine position facilitate...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-015-2803-x
更新日期：2016-01-01 00:00:00
abstract：PURPOSE:The longest follow-up dual mobility series from inventor Gilles Bousquet focussing on implant survival and the incidence of dislocation. METHODS:This was a retrospective study from 1985 to 1990, on 240 hips using a PF® modular femoral stem and a dual mobility Novae® tripodal socket (SERF). RESULTS:The 22-year...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-011-1289-4
更新日期：2012-03-01 00:00:00
abstract：:We have undertaken a meta-analysis of the English literature, to assess the component alignment outcomes after imageless computer assisted (CAOS) total knee arthroplasty (TKA) versus conventional TKA. We reviewed 23 publications that met the inclusion criteria. Results were summarised via a Bayesian hierarchical rando...
journal_title：International orthopaedics
pub_type： 杂志文章,meta分析
doi：10.1007/s00264-010-1008-6
更新日期：2011-03-01 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
