Abstract：
PURPOSE:Controversy still surrounds the optimal treatment for patients with displaced intra-articular calcaneal fractures (DIACF). An up-to-date meta-analysis was performed to evaluate clinical effectiveness of surgical treatment for DIACF compared with nonsurgical treatment. METHODS:We systematically searched four electronic databases (Medline, BIOSIS, Cochrane library and Google Scholar) to identify randomised controlled trials (RCTs) and clinical controlled trials (CCTs) in which surgical treatment was compared with nonsurgical treatment of DIACF from 1980 to 2011. Trial quality was assessed using the modified Jadad scale and effective data were pooled for meta-analysis. RESULTS:Ten studies (six RCTs and four CCTs) with a total of 891 participants were screened. Results showed that surgical treatment was superior to nonsurgical treatment in better recovery of the Böhler angle (P < 0.0001), more stable calcaneal height (P = 0.0009) and width (P < 0.00001). Moreover, fewer surgically treated patients needed increased shoe size (P = 0.0004) and more were able to resume pre-injury work (P = 0.004) than the nonsurgical patients. No significant difference was identified between the two methods regarding the incidence of residual pain (P = 0.49). However, operative management was associated with a higher risk of complications (P = 0.008). CONCLUSIONS:Although surgical repair may increase the complication probability, it is the price that has to be paid for better reconstruction of the calcaneus and better functional results. Taken as a whole, surgery is probably the optimal choice in DIACF treatment.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Jiang N,Lin QR,Diao XC,Wu L,Yu Bdoi
10.1007/s00264-012-1563-0subject
Has Abstractpub_date
2012-08-01 00:00:00pages
1615-22issue
8eissn
0341-2695issn
1432-5195journal_volume
36pub_type
杂志文章,meta分析,评审abstract：:The normal characteristics of the hallux sesamoid bones were studied in 200 toes (100 dissections and 100 radiographs from patients with hallux valgus), and pathological changes were recorded. Normally each sesamoid articulated with a separate groove on the plantar surface of the first metatarsal head. A bony ridge on...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00267743
更新日期：1984-01-01 00:00:00
abstract：BACKGROUND:Phemister procedure is an effective treatment for early stage osteonecrosis of femoral head (ONFH). Since the long-term results of the Phemister procedure are less reported in the literature, the purpose of this study was to investigate the long-term outcomes of this bone grafting technique in patients with ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-4013-9
更新日期：2019-03-01 00:00:00
abstract：PURPOSE:The aim of this study was to map the strength distribution of the human patella and correlate it to the subchondral bone plate density obtained by means of computed tomographyosteoabsorptiometry (CT-OAM). METHODS:Measurements were performed at 34 standardized points on each patella. The mineralization patterns...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-012-1545-2
更新日期：2012-09-01 00:00:00
abstract：:We treated 19 patients with piriformis muscle syndrome. All patients complained of pain in the buttocks and the posterior thigh. Clinically the buttock was tender and passive stretching increased the pain. In ten patients skin sensation was reduced and three had a limp. All patients were treated with tenotomy. At foll...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-001-0319-z
更新日期：2002-01-01 00:00:00
abstract：PURPOSE:The acetabular reinforcement ring with a hook (ARRH) has been designed for acetabular total hip arthroplasty (THA) revision. Additionally, the ARRH offers several advantages when used as a primary implant especially in cases with altered acetabular morphology. The implant facilitates anatomic positioning by pla...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-04284-9
更新日期：2019-12-01 00:00:00
abstract：PURPOSE:We reviewed our experience with the management of B2 and B3 femoral periprosthetic fractures using a distally fixed modular femoral stem in 55 patients. METHODS:All periprosthetic fractures were managed immediately after injury without using allograft; 53 hips were available for a mean follow up of 67 months. ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-011-1371-y
更新日期：2012-05-01 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：PURPOSE:Management of proximal humeral tumours remains a surgical challenge. No study to date has assessed the quality of life scores following the composite reverse shoulder arthroplasty for this indication. We, therefore, evaluated function and quality of life following reconstruction with allograft for malignant tum...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-017-3538-7
更新日期：2017-12-01 00:00:00
abstract：PURPOSE:Aged patients represent a high risk group for acquiring spinal tuberculosis, and it still remains a leading cause of kyphosis and paraplegia in developing nations. Aged patients often combined with cardiovascular and respiratory disease and single lung ventilation via anterior approach surgery could result in m...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-016-3161-z
更新日期：2016-06-01 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 prospective randomised trial of treatment of ruptured ankle ligaments was carried out at our institute. Two hundred patients were randomly assigned to 4 treatment groups. The results at 1 and 2 years after injury showed that functional treatment with a newly designed brace appeared to be the method of choice. This g...
journal_title：International orthopaedics
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1007/BF00192302
更新日期：1991-01-01 00:00:00
abstract：:The reliability and validity of the Hartofilakidis et al. classification system in adults with congenital hip disease (CHD) were examined. The radiographs of 102 adult patients (158 hips) with CHD were independently assessed by three senior surgeons. Interobserver variability was assessed by examining the agreement be...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-007-0472-0
更新日期：2009-04-01 00:00:00
abstract：PURPOSE:This study reports a case series of 44 primary total knee arthroplasties (TKAs) using autogenous morcellised bone grafting for large (≥10-mm-deep) medial tibial defects, which are generally repaired using metal augmentation. The bone-grafting technique is described in detail and the radiological outcomes are pr...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-016-3339-4
更新日期：2017-05-01 00:00:00
abstract：INTRODUCTION:Although consensus has been reached regarding the main aspects of intralesional surgery for giant cell tumour of the bone (GCTB), debates continue about the most effective combination of local adjuvants. The purpose of study was to analyze the previous experience and determine the most effective curettage ...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-020-04860-y
更新日期：2020-10-22 00:00:00
abstract：:We applied four published classifications for assessment of heterotopic ossification after total hip arthroplasty (Arcq, Brooker, DeLee and Della Valle [1, 2, 5, 6]. The average incidence of heterotopic ossification varied from 19.8% to 27.7%. The inter-observer reliability of the various classifications was determine...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-004-0603-9
更新日期：2005-06-01 00:00:00
abstract：PURPOSE:Stromal vascular fraction (SVF) as an injectable regenerative therapy for knee osteoarthritis (OA) has gained recent popularity. However, there is no clear consensus on the outcomes of such treatment. We systematically reviewed available evidence on the use of SVF injection in the treatment of knee OA. METHODS...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-020-04926-x
更新日期：2021-01-12 00:00:00
abstract：PURPOSE:Occult intra-operative periprosthetic acetabular fracture is a seldom-reported complication of primary total hip arthroplasty (THA). It may potentially be associated with cup instability and implant loosening. The present study aimed to investigate clinical consequences of this complication. METHODS:Between 20...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-4084-7
更新日期：2019-07-01 00:00:00
abstract：:The authors describe the technique and results obtained by a derotation osteotomy of the tibia in children. The method is simple, reliable and does not require internal fixation. It is suitable for dealing with deformity following poliomyelitis, and may also be used to treat tibial torsion which fails to correct with ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00266870
更新日期：1985-01-01 00:00:00
abstract：:Humeral shaft fractures respond well to conservative treatment and unite without much problem. Since it is uncommon, there is not much discussion regarding the management of nonunion in the literature, and hence this is a challenge to the treating orthopaedic surgeon. Osteoporosis of the fractured bone and stiffness o...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-008-0596-x
更新日期：2009-08-01 00:00:00
abstract：:The purpose of this study was to perform an objective clinical and radiological assessment of the thrust plate prosthesis (TPP). Fifty-three prostheses were evaluated clinically using the Harris hip score (HHS), visual analog scale (VAS), and radiographically before surgery, at the time of discharge, and postoperative...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-008-0714-9
更新日期：2009-12-01 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:The purpose of the study was to evaluate the treatment of five patients with proximal tibial epiphysis preserving resection for malignant tumours of the tibia. METHOD:Three patients suffered from Ewing sarcoma, two had osteosarcoma. The proximal level of the resection was in the line of the growth plate in fou...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-012-1731-2
更新日期：2013-01-01 00:00:00
abstract：PURPOSE:It is an established fact that post-operative (p.o.) soft-tissue swelling and lymphoedema after total knee arthroplasty (TKA) have a major influence on the p.o. early functional outcome. Kinesio taping has a proven clinical effect in increasing lymph drainage. Despite the decades of experience gained and the as...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-016-3295-z
更新日期：2017-02-01 00:00:00
abstract：INTRODUCTION:Talus fractures are not uncommon and one of the serious fractures in the foot and ankle. Peroneal tendon dislocation is one of the commonly missed soft tissue injuries which may have significant impact on the outcomes including persistent pain and swelling. They have been reported to be associated with cal...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-020-04534-9
更新日期：2020-05-01 00:00:00
abstract：:A full thickness defect was made in the central portion of the patellar tendon of 48 New Zealand white rabbits. Platelet-rich plasma (PRP) gel was then applied and filled the tendon defect. The same procedure was performed in the control group, without the application of PRP. Animals were sacrificed after one, two, th...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-009-0728-y
更新日期：2010-02-01 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：:A randomized, double blind study of low level laser treatment of chondromalacia of the patella in 40 patients has been undertaken. Chondromalacia was established by arthroscopy and was related to subjective symptoms. Eight treatments were given during five weeks by a physiotherapist with the use of a GAAS pulsed laser...
journal_title：International orthopaedics
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1007/BF00186879
更新日期：1991-01-01 00:00:00
abstract：PURPOSE:Percutaneous endoscopic discectomy is an effective minimally invasive spine surgery (MISS) for soft disc herniations. The objective of this review was to describe the current indications, surgical techniques, and clinical outcomes of endoscopic spine surgery. METHODS:A narrative review was performed with a foc...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-018-04283-w
更新日期：2019-04-01 00:00:00
abstract：:The Mennen plate has been used for osteosynthesis of 5 femoral fractures, 4 of which were at the tip of a prosthesis stem. Union was achieved in 2 fractures, and loss of fixation of the plate in three. ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640050234
更新日期：1998-01-01 00:00:00
abstract：PURPOSE:Despite bilateral knee replacement being frequently performed, little data is available to inform on the relative outcomes of each knee for individual patients. The purpose of this study was to compare these outcomes in a series of bilateral total knee replacements (TKRs) performed either simultaneously or at a...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-016-3122-6
更新日期：2016-10-01 00:00:00
