Abstract：
PURPOSE:Unreamed nails have revolutionised the treatment of tibial shaft fractures. Many authors, however, have reported increasing bone healing complications with these implants. Unfortunately, few studies have addressed the factors affecting bone healing after unreamed tibial nailing. METHODS:One-hundred and sixty tibial fractures in 158 patients (mean age 39.5 years) fixed using unreamed nails were reviewed. There were 78 AO type-A, 65 type-B and 17 type-C fractures (115 closed and 45 open fractures). Twelve patient, injury and surgery variables were analysed for their influence on fracture healing. RESULTS:Union occurred in all fractures after a mean time of 24.3 weeks. Additional surgery to achieve union, apart from dynamisation, was done in nine (6%) cases. The most important variables affecting healing were the mechanism of trauma (p=0.005), fracture site gap (p=0.01), degree of comminution (p=0.0003), associated soft tissue injuries (p=0.02) and the time to dynamisation (p=0.0001). CONCLUSIONS:High-energy trauma and fracture comminution have a negative impact on bone union and require close follow-up. It is essential to avoid distraction over three millimetres with unreamed nailing. Dynamisation is advised within ten weeks in axially stable fractures to encourage bone healing and avoid failure of the locking screws.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Salem KHdoi
10.1007/s00264-012-1505-xsubject
Has Abstractpub_date
2012-07-01 00:00:00pages
1471-7issue
7eissn
0341-2695issn
1432-5195journal_volume
36pub_type
杂志文章abstract：:The purpose of the study was to determine whether isolated revision of the acetabular component can be successfully performed without disturbing the femoral stem and to determine the fate of the unrevised femoral stem following revision. Fifty-seven hips in 55 patients underwent isolated acetabular revision without re...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-005-0674-2
更新日期：2005-10-01 00:00:00
abstract：PURPOSE:Our aim was to evaluate the results of short-segment pedicle instrumentation with screw insertion in the fracture level and find factors predicting kyphosis recurrence in thoracolumbar burst fractures. METHODS:We retrospectively analysed 122 patients with thoracolumbar burst fracture who were divided into two ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-016-3180-9
更新日期：2016-06-01 00:00:00
abstract：:The purpose of this study was to review the association between compensation status and surgical outcome especially of the shoulder. Given the high prevalence of shoulder injuries in the workplace and the large proportion of workers compensation (WC) claims involving such injuries, it is worth examining the correlatio...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-007-0493-8
更新日期：2009-04-01 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 review aims to provide a summary of the current literature regarding common medications prescribed in orthopaedic surgery and their potential implications in COVID-19 patients. METHODS:A systematic review was performed using the PRISMA guidelines. All clinical studies, reviews, consensus and guidelines rel...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-020-04643-5
更新日期：2020-08-01 00:00:00
abstract：BACKGROUND:Severe glenoid bone loss remains a surgical challenge. This condition is known to be associated with high rates of glenoid component failure. PURPOSE:The objective of this study was to evaluate clinical and radiological outcomes of a lateralized metal-backed 15.2-mm keeled baseplate prolonged by a thin 24.8...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-4249-4
更新日期：2019-09-01 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：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:Although there are various new scaffold-based techniques for cartilage regeneration it remains unclear up to which defect size they can be used. The present study reports of a cell-free collagen type I gel matrix for the treatment of large cartilage defects of the knee after a two-year follow-up. METHODS:Twent...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-015-2695-9
更新日期：2015-12-01 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：PURPOSE:Humero-ulnar external fixation has been proposed to treat complex supracondylar humeral fractures in children. It facilitates fracture reduction and reduces the risk of ulnar nerve lesion, which can occur after cross pinning. METHODS:In a ten year period, 28 children have been operated on in our centre by hume...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-016-3251-y
更新日期：2016-11-01 00:00:00
abstract：PURPOSE:Indications for amputation in natural disasters are not the same compared to our daily practice. They must be determined by those with great surgical experience and good knowledge of military or disaster surgical doctrine. Unfortunately, nowadays few surgeons have this experience. In fact, some volunteer surgeo...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-012-1548-z
更新日期：2012-10-01 00:00:00
abstract：:We conducted a prospective study of the clinical and radiographic variables related to the survival of 114 cementless resurfacing double-cup hip replacements (RHR) with a mean follow-up of 9 (range: 1--16) years. Three patients died, and 22 were unavailable for the final review in 2003. Sixty-one RHRs had to be revise...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-005-0652-8
更新日期：2005-08-01 00:00:00
abstract：:One hundred fractures of the tibial shaft were treated by early weight-bearing in a below knee patellar tendon bearing plaster cast. The rate of union, and the range of knee and ankle motion were assessed. Ninety-five per cent had good or excellent results. This method of treatment is particularly valuable in the thir...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00268506
更新日期：1989-01-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-012-1747-7
更新日期：2013-04-01 00:00:00
abstract：PURPOSE:Recently, increased interest has developed for patellofemoral arthroplasty as treatment for isolated patellofemoral arthritis. However, there are very few reports of the experience with the modern generation of patellofemoral arthroplasties. The new patellofemoral arthroplasty Hermes design is described. The de...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-013-2158-0
更新日期：2014-02-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00268171
更新日期：1985-01-01 00:00:00
abstract：:In this study, 22 women patients with adult idiopathic scoliosis treated surgically with Cotrel-Dubousset instrumentation (CDI) or Texas Scottish Rite Hospital instrumentation (TSRHI) were followed up for 56.2+/-4.0 months. The overall immediate and final corrections were respectively 21.5+/-40 (58%) and 26.6+/-2.90 (...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-002-0346-4
更新日期：2002-01-01 00:00:00
abstract：:During a 4-year period, 32 patients with type C unstable sacral fractures were treated in our university hospital. All patients had neurological deficits as a result of their sacral fracture. The average age was 31.2 (range 22-54) years and the average Hannover Polytrauma Score (PTS) was 24 (range 19-40) points. Twelv...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-007-0468-9
更新日期：2009-02-01 00:00:00
abstract：PURPOSE:Degenerative cervical spondylolisthesis has received insufficient attention, in contrast to degenerative lumbar spondylolisthesis. In fact, degenerative cervical spondylolisthesis may be more common than previously thought. METHODS:In order to provide appropriate guidelines for the treatment of degenerative ce...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-010-1203-5
更新日期：2011-06-01 00:00:00
abstract：:The aim of the present paper is to compare the results obtained using two osteosynthesis systems developed for the surgical treatment of fractures of the trochanteric region of the femur, based on the principles of closed intramedullary nailing: the Gamma nail and the proximal femoral nail (PFN). A prospective study i...
journal_title：International orthopaedics
pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：2002-01-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-4057-x
更新日期：2019-02-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-011-1468-3
更新日期：2012-07-01 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
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-011-1463-8
更新日期：2012-06-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-013-2253-2
更新日期：2014-11-01 00:00:00
abstract：BACKGROUND:Surgical management of humeral fractures associated with radial nerve palsy remains controversial. Some advocate surgical treatment in emergency while others recommend nonoperative treatment. PURPOSE:The aim of the study was to assess nerve recovery in a series of patients treated with open reduction and in...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-015-2745-3
更新日期：2015-08-01 00:00:00
abstract：:We measured cytokine secretion patterns in peripheral blood and granulation tissue by flow cytometry in 16 human immunodeficiency virus (HIV) positive and 26 HIV negative patients with spinal tuberculosis. Anti-retroviral therapy was not prescribed. There were no significant differences in the postoperative morbidity ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640000125
更新日期：2000-01-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-009-0846-6
更新日期：2010-06-01 00:00:00
abstract：:The effect of a low dose of diclofenac sodium, administered locally, on heterotopic bone formation in rats was investigated. Heterotopic bone was induced by implantation of demineralised bone matrix into the gluteal muscles. Diclofenac was released continuously for 2 weeks from micro-osmotic pumps for each demineralis...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00178357
更新日期：1995-01-01 00:00:00
