Abstract：
PURPOSE:The treatment strategy for pelvic osteolysis with a well-fixed acetabular component after total hip arthroplasty(THA) involves replacing the acetabular cup liner and femoral head, débriding osteolytic lesions, and grafting. METHODS:We investigated whether retention of a well-fixed acetabular component using the two-approach technique—the ilioinguinal approach combined with the posterolateral approach—was compatible with socket survival. Were viewed clinical and radiographic findings for 24 patients(24 hips) who had undergone acetabular revision arthroplasty of a well-fixed socket for progressive osteolysis. The surgical techniques used included osteolytic lesion débridement and bone grafting through the ilioinguinal approach,and replacement of the acetabular liner and femoral head through the posterolateral approach. RESULTS:The mean duration of follow-up after revision was 2.3 (range 2.1–3.9) years. At follow-up evaluation, all acetabular components were well fixed and showed no evidence of loosening, osseous integration was apparent and there was no radiographic evidence that any lesions had progressed. No new osteolytic lesions were identified, and there were no clinical or radiographic complications. CONCLUSIONS:Curettage and bone grafting under direct vision, cup liner and femoral-head replacement because of progressive retroacetabular osteolysis and retention of well fixed components using the two-approach technique results in good osseous integration of lysis. Larger studies with longer follow-up periods are required to establish the longterm success of this technique.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Kang P,Yang J,Zhou Z,Shen B,Pei Fdoi
10.1007/s00264-011-1372-xsubject
Has Abstractpub_date
2012-05-01 00:00:00pages
949-54issue
5eissn
0341-2695issn
1432-5195journal_volume
36pub_type
信件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
abstract：PURPOSE:To evaluate the effects of rotator cuff tear (RCT) and its severity on shoulder proprioception. METHODS:We studied 132 consecutive patients (67 M-65 F; mean age ± SD, 66.03 ± 9.04; range, 43-78) who underwent arthroscopic rotator cuff repair. Tear size was determined intra-operatively. The control group includ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-4150-1
更新日期：2019-01-01 00:00:00
abstract：:Pure alumina ceramic has been in clinical use in orthopaedics since 1971 and, currently, up to 5 million components have been implanted. Alumina offers advantages like stability, biocompatibility and low wear; however, it has limited strength. Applications are limited by design considerations. Engineers in biomaterial...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-007-0484-9
更新日期：2009-04-01 00:00:00
abstract：PURPOSES:We performed a retrospective, cohort study to compare uncemented tibial fixation with cemented tibial fixation in distal femoral replacement (DFR). METHODS:Sixty-two cases with uncemented tibial fixation and 58 cases with cemented tibial fixation were included. Inter-group comparisons were performed for basel...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-3847-5
更新日期：2018-09-01 00:00:00
abstract：:Postoperative infection is a regular complication in coccygectomy. The authors propose the use of a topical skin adhesive on the postoperative wound as a contribution to the prevention of this complication. It was used on the first 56 patients in this study. The rate of infection was 3.6% compared with the 14% rate of...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-010-1058-9
更新日期：2011-06-01 00:00:00
abstract：PURPOSE:The aim of the study was to investigate risk factors for metastasis at diagnosis. METHODS:We collected patients diagnosed with conventional chondrosarcoma between 1983 and 2014 from the Surveillance, Epidemiology, and End Results (SEER) database. Each patient was classified as having metastatic or localized di...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-3942-7
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：PURPOSE:Surgical treatment of acetabular fractures with plate fixation is challenging for orthopaedic surgeons because of variations of the surface curvature and complex fracture patterns of the acetabulum. We present our experience with pre-operative computer-assisted virtual simulation and three-dimensional (3D) prin...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-4111-8
更新日期：2019-08-01 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：:The first metatarsophalangeal joint was replaced by a flexible silastic hinge prosthesis in 33 joints of 25 patients. Most patients were pleased with the operation but one third had some discomfort under the second and third metatarsal heads. We used a computer linked load cell matrix to analyse the forces under these...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00266950
更新日期：1985-01-01 00:00:00
abstract：:Between 1993 and 1998, 49 consecutive patients with impending or complete pathological fractures of the femur due to metastatic bone disease were treated with intramedullary nailing. Twenty-four were treated with a long Gamma nail and 32 with an AO nail with a cephalomedullary spiral blade. Both implants gave a good f...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640000114
更新日期：2000-01-01 00:00:00
abstract：BACKGROUND:Insufficient levels of serum 25-hydroxyvitamin D (25-OHD) influence the knee joint cartilage and lead to development and progression of knee osteoarthritis (OA). The purpose of this study was to determine the status of serum 25-OHD levels in patients with knee OA compared with controls. METHODS:A total of 1...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-010-1186-2
更新日期：2011-11-01 00:00:00
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 perfo...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-010-1005-9
更新日期：2011-03-01 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：:Between February 1996 and July 2000 eight patients (ages 35-74 years) with nine severely impacted humeral head fractures were operated on with the aim of preserving the humeral heads. Patients were treated surgically with open reduction, autologous bone grafting, and internal fixation with a screw-wiring technique. Th...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640100298
更新日期：2002-01-01 00:00:00
abstract：:Three patients who presented with longstanding medial knee pain and normal radiographs had an isotope bone scan in an attempt to arrive at a diagnosis. In each case there was a well-defined area of increased uptake over the medial tibial condyle and arthroscopy subsequently revealed meniscal damage. After arthroscopic...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00266379
更新日期：1989-01-01 00:00:00
abstract：:The contamination of drinking water by organic acids, selenium deficiency and the ingestion of fungal mycotoxins are the three main aetiological factors in the development of Kashin-Beck disease. An avian tibial chondrodysplasia induced by mycotoxins has been reported. Deoxynivalenol (DON) is one of many mycotoxins pr...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640100235
更新日期：2001-01-01 00:00:00
abstract：:Incorporation of massive cortical bone allografts in the human is slow and remains incomplete. Late biopsies of implanted allografts or histological studies of explanted allografts always show the partial substitution of necrotic bone by new bone from the host. The aim of the present study was to evaluate the value of...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00183550
更新日期：1993-01-01 00:00:00
abstract：PURPOSE:Beginners usually need increased punctures and dozens of fluoroscopy in learning transforamimal percutaneous endoscopic lumbar discectomy (tPELD). Navigator-assisted spinal surgery (NASS) is a novel technique that could induce a definite trajectory. The retrospective study aimed to investigate the impact of a d...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-016-3281-5
更新日期：2017-02-01 00:00:00
abstract：:In this prospective case series we evaluated the effectiveness and safety of using an anterior approach to paediatric supracondylar humerus fractures. We gathered data on 46 children that had a displaced supracondylar fracture of the humerus. All the patients had sustained a Gartland type III extension fracture that c...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-008-0668-y
更新日期：2009-10-01 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：:Thirty six patients with a chronic slip of the capital femoral epiphysis and a femoral headneck angle of more than 30 degrees, as measured in a lateral radiograph, were treated by intertrochanteric osteotomy. The patients had an abnormal gait, an average age of 14.1 years and symptoms for an average of 14.5 months. Th...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00180203
更新日期：1992-01-01 00:00:00
abstract：:Twenty-one patients having proximal ulna nonunion were treated with contoured plating. The most proximal hole received an intramedullary 6.5-mm cancellous lag screw that extends fixation of the nonunion site. Mean age of the patients was 41.7 years. Average follow-up period was 22 months. Union occurred in 19 cases af...
journal_title：International orthopaedics
pub_type： 临床试验,杂志文章
doi：10.1007/s00264-009-0809-y
更新日期：2010-03-01 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：PURPOSE:To investigate the effect of C3/4 disc degeneration on cervical spondylosis with dizziness (CSD) and to assess the curative effect of anterior cervical decompression and fusion (ACDF) in patients with CSD. METHOD:Four hundred nineteen patients who underwent ACDF for treatment of myelopathy or radiculopathy wer...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-020-04531-y
更新日期：2020-06-01 00:00:00
abstract：PURPOSE:We prospectively compared two types of dressing (conventional gauze-based versus absorbing hydrofibre) after primary total hip (THA) or knee (TKA) arthroplasties. METHODS:Eighty candidates for THA (n = 40) or TKA (s = 40) were randomized: gauze-based versus hydrofibre absorbing (Aquacel®, ConvaTec). The two gr...
journal_title：International orthopaedics
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00264-015-2726-6
更新日期：2015-07-01 00:00:00
abstract：PURPOSE:For complex proximal humeral fractures, severe displacement and comminuted fragments lead to poor clinical outcomes. Despite considerable management, the locking plate fixation is still a preference and the proper selection of its strategy for each individual seems to be essential. METHOD:The available classif...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-020-04544-7
更新日期：2020-09-01 00:00:00
abstract：PURPOSE:The purpose of this review was to assess the ten to 15-year outcomes of metal-on-metal hip resurfacing (MoM HR) when performed at designing and independent centres, and make recommendations for the future use of MoM HR. METHODS:Studies reporting ten to 15-year outcomes for modern MoM HR devices from both desig...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-015-2692-z
更新日期：2015-10-01 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：:It is debatable whether high-flexion (HF) total knee arthroplasty (TKA) designs will improve postoperative flexion and function or will diminish the need for manipulation under anaesthesia (MUA). We retrospectively analysed range of motion (ROM), flexion, Knee Society Score (KSS), and rate of MUA in a consecutive grou...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-009-0865-3
更新日期：2010-10-01 00:00:00
