Abstract:
PURPOSE:The benefits of minimally invasive surgical techniques in total hip arthroplasty (THA) are well known, but concerns about applying those techniques in obese patients are controversial. We prospectively compared patients with increased body mass index (BMI ≥ 30) undergoing THA with normal weight patients. METHODS:A total of 134 patients admitted for unilateral THA were randomised to have surgery through either a transgluteal or a minimally invasive approach (MicroHip). In each group a BMI ≥ 30 was used to define obese patients. Pre- and early post-operative demographics, intraoperative data, baseline haematological values, hip function (Harris Hip Score, Oxford Hip Score) and quality of life (EQ-5D) were assessed with follow-up at three months. RESULTS:Duration of surgery, blood loss, C-reactive protein levels, radiographic measurements and complication rates were comparable in all groups. There was a tendency for lower serum creatine kinase levels in the MicroHip group. Intraoperative fluoroscopic time and dose area products were significantly elevated in patients with a BMI exceeding 30 regardless of the approach used. Time points of mobilisation, length of hospital stay and functional outcome measurements were similar in the different weight groups. CONCLUSIONS:Our data suggest that obese patients gain similar benefit from MicroHip THA as do non-obese patients. The results of this study should be further investigated to assess long-term survivorship.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Dienstknecht T,Lüring C,Tingart M,Grifka J,Sendtner Edoi
10.1007/s00264-013-1833-5subject
Has Abstractpub_date
2013-06-01 00:00:00pages
1013-8issue
6eissn
0341-2695issn
1432-5195journal_volume
37pub_type
杂志文章,随机对照试验abstract::In the treatment of osteochondritis dissecans involving the elbow, we have used a bone-peg graft taken from the proximal part of the ulna and inserted into the defect. Thirty-two patients were followed from 2 to 10.5 years. The graft was utilised in 20 elbows, and 6 of these also had concomitant removal of a loose bod...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050304
更新日期:1999-01-01 00:00:00
abstract::At an average follow-up of 3.7 years we assessed the results of non-operative treatment of 84 symptomatic shoulders in 59 patients with a diagnosis of multidirectional shoulder instability. Sixty-two shoulders had received no previous surgical treatment (group A) while 22 had failed to respond to surgical treatment be...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640000202
更新日期:2001-01-01 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::The measure of radiographic pelvic and spinal parameters for sagittal balance analysis has gained importance in reconstructive surgery of the spine and particularly in degenerative spinal diseases (DSD). Fusion in the lumbar spine may result in loss of lumbar lordosis (LL), with possible compensatory mechanisms: decre...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-014-2516-6
更新日期:2015-01-01 00:00:00
abstract:PURPOSE:Degenerative disc disease involves sequential events that lead to the loss of cells, a decrease in disc matrix production, disc dehydration, and alteration of its biomechanical properties. The aim of this study was to determine whether cryoinjury of the nucleus pulposus performed through endplate perforation co...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3971-2
更新日期:2018-09-01 00:00:00
abstract::Diagnosis of avascular necrosis (AVN) of the femoral head depends on the combination of clinical symptoms and evaluation of radiographs and/or magnetic resonance imaging (MRI). To evaluate the evolution of AVN, the Ficat and the Association Research Circulation Osseous (ARCO) classification are commonly used to assess...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-007-0320-2
更新日期:2008-06-01 00:00:00
abstract:PURPOSE:The purpose of this study is to assess safety and feasibility of intradiscal bone marrow concentrate (BMC) injections to treat low back discogenic pain as an alternative to surgery with three year minimum follow-up. METHODS:A total of 26 patients suffering from degenerative disc disease and candidates for spin...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3560-9
更新日期:2017-10-01 00:00:00
abstract::We measured the size and volume of the femoral broaches and stems supplied with three commercial total hip replacement (THR) systems (JRI Furlong, Biomet Stanmore, and Howmedica Exeter). Using an in vitro method, we created cement mantles that could be directly measured. The broaches supplied with the Biomet Stanmore ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-003-0509-y
更新日期:2004-02-01 00:00:00
abstract:PURPOSE:To evaluate the safety and efficacy of a novel technique of preconditioning autologous blood with gold particles (GOLDIC®) and injection in patients with moderate to severe knee osteoarthritis (KOA). METHODS:During this phase 2a, proof-of-concept (PoC) open label study, 83 consecutive patients that 64 patients...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04870-w
更新日期:2021-02-01 00:00:00
abstract:PURPOSE:The purpose of this study is to analyze the results using the USS fracture MIS system (DePuy Synthes) to treat instable pelvic ring fractures. As its outstanding feature, it is the only Schanz screw and rod system at present that combines angular stability, perforation/fenestration of the screws for cement-augm...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3988-6
更新日期:2019-03-01 00:00:00
abstract:PURPOSE:Corticotomy is an integral part of the Ilizarov method on management of infected nonunited fractures that are challenging orthopaedic surgeons. However, the presence of active draining sinuses may contaminate the operative field with the potential of developing corticotomy site infection. The authors present a ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3924-9
更新日期:2018-12-01 00:00:00
abstract:PURPOSE:Knee pain after total knee arthroplasty may be caused by an unresurfaced patella. Secondary isolated resurfacing of the previously unresurfaced patella in total knee arthroplasty remains controversial. The aim of this retrospective study was to evaluate the outcome after patellar resurfacing as a second stage p...
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
abstract:PURPOSE:This systematic literature review analysed the change in range of knee flexion from pre-operative values, following conventional posterior stabilised (PS) and high-flexion (H-F) PS total knee arthroplasty (TKA). METHODS:We calculated the weighted mean differences of pre- and postoperative flexion using meta-an...
journal_title:International orthopaedics
pub_type: 杂志文章,meta分析
doi:10.1007/s00264-011-1228-4
更新日期:2011-09-01 00:00:00
abstract::The purpose of this study was to investigate the biomechanical efficacy of Histoacryl (cyanoacrylate, N-asetil 2 butyl sistein) in meniscal tear repair. In our study, the primary stability of three different repair techniques in delaying the formation of a gap of 2 mm was investigated. A meniscal tear was repaired wit...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-006-0158-z
更新日期:2007-04-01 00:00:00
abstract::There is currently an increased interest in the use of electro surgery in arthroscopy. Since the introduction of the bipolar arthroscopic radiofrequency (RF) wand, it has started to replace the classic Bovie monopolar probe on the assumption that the new technology provides multifunctional devices, combining both tiss...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-008-0541-z
更新日期:2009-02-01 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:BACKGROUND:AES mobile-bearing total ankle replacement was developed from the Buechel Pappas model. It was withdrawn in 2009, after identification of a higher than expected complication rate. The purpose of the current study was to analyse clinical outcomes, failures and survival of the initial series of 50 AES publishe...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3605-0
更新日期:2017-12-01 00:00:00
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:Since the introduction of autologous chondrocyte implantation (ACI) for the treatment of cartilage defects, the initial technique has undergone several modifications. Whereas an autologous periosteum flap was used for defect coverage in first generation ACI, a standardized collagen membrane was utilized in seco...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2368-0
更新日期:2014-10-01 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
doi:10.1007/s00264-002-0389-6
更新日期:2002-01-01 00:00:00
abstract::Twenty-one patients with patellar symptoms had arthroscopic treatment. Symptoms included frank patellar clunk and painful patellofemoral crepitus. All patients had posterior stabilized total knee replacement (TKR). The average onset of symptoms following TKR was 17 (range 3-75) months. All patients were referred to ph...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-002-0347-3
更新日期:2002-01-01 00:00:00
abstract::We report the outcome of 50 patients with degenerative lumbar spinal stenosis who were treated surgically by spinal decompression between 1984 and 1995. Their mean age at the time of surgery was 59.9 (45-77) years and the mean follow-up was 11.6 (6.1-17.2) years. Five patients had a concomitant spinal fusion. The preo...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-005-0030-6
更新日期:2006-02-01 00:00:00
abstract::We evaluated the results of polygonal triple (Kotz) osteotomy for the treatment of acetabular dysplasia over 10 years. This study included 31 hips of 27 patients who had the Kotz osteotomy for acetabular dysplasia. The mean age was 21.5 years. We performed the original Kotz osteotomy for the first 22 hips (group I), w...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-006-0203-y
更新日期:2007-06-01 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::The purpose of the study was to analyse the clinical results of an open Bankart repair for anterior instability in patients with a glenoid defect and those without a glenoid defect, and to identify factors related to the glenoid defect associated with anterior instability. The prospective study involved 20 patients wi...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-006-0234-4
更新日期:2007-10-01 00:00:00
abstract::Five hundred and fifteen children with single segment non-physeal extremity fractures were retrospectively reviewed. The male to female ratio was 2.7:1. The average age of study group was 9.9+/-4.7 years; 273 fractures (53%) were on the left, 242 (47%) were on the right. A fall was the main cause of the injury in most...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050388
更新日期:1999-01-01 00:00:00
abstract::We treated 25 patients with aggressive and malignant fibular tumours between April 1989 and May 2001. There were 11 osteosarcomas, seven Ewing's sarcoma and five chondrosarcomas. The tumours predominantly involved the upper one third; 16 were of Stage IIB. Neo-adjuvant and adjuvant chemotherapy were given to all patie...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-004-0566-x
更新日期:2004-10-01 00:00:00
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::We report three cases of para-articular chondroma and osteochondroma in the region of infrapatellar fat pad. All three lesions were resected and examined histologically. Two of them were primarily cartilaginous with a lobular pattern internally, and one uniformly osseous with peripheral cartilage. We conclude that the...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050322
更新日期:1999-01-01 00:00:00
abstract::We have reviewed 109 out of 122 operations performed for malunion of the distal radius. An excellent or good result was achieved in 80%, with 3% poor and 7% mediocre. Complications occurred in 12.6%. Accurate assessment of the frontal and sagittal angles of the articular surface of the distal radius was necessary in p...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00182984
更新日期:1992-01-01 00:00:00