Abstract:
PURPOSE:The purpose of this study was to examine the effect of subperiosteal injection of chondroinductive growth factors on the histological and biomechanical outcome of autologous osteoperiosteal grafts. METHODS:Thirty six standardised osteochondral defects were created in the trochlear groove of 18 Göttinger Minipigs and evaluated after six, 12 and 52 weeks. Defects were treated with press-fit implantation of autologous osteoperiosteal cylindrical block-grafts with or without subperiosteal injection of a chondroinductive growth factor mixture (GFM). RESULTS:Histomorphological analysis showed complete osseointegration of all grafts from six weeks. The periosteum remained in place in 35 of 36 cases. Fibrocartilagineous repair tissue formation occurred at the cambium layer with a maximum at 12 weeks in both groups. Histomorphological grading and biomechanical testing showed highest values at 12 weeks, with signs of tissue degradation at one year. There was no significant difference between both groups. CONCLUSION:Transplantation of autologous osteoperiosteal grafts is an effective method to restore subchondral bone defects, but not the overlying cartilage as the repair tissue deteriorates in the long term. Subperiosteal growth factors injection did not stimulate tissue differentiation on a biomechanical and histomorphological level.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Gotterbarm T,Breusch SJ,Vilei SB,Mainil-Varlet P,Richter W,Jung Mdoi
10.1007/s00264-013-1827-3subject
Has Abstractpub_date
2013-06-01 00:00:00pages
1171-8issue
6eissn
0341-2695issn
1432-5195journal_volume
37pub_type
杂志文章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
abstract:PURPOSE:The failure of total hip systems caused by wear-particle-induced loosening has focused interest on factors potentially affecting wear rate. Remnants of the blasting material were reported on grit-blasted surfaces for cementless fixation. These particles are believed to cause third-body wear and implant loosenin...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2135-7
更新日期:2014-04-01 00:00:00
abstract::In order to clarify the association between mycotoxin-producing fungi in food and Kashin-Beck disease (KBD), we examined the occurrence and contamination levels of fungi in samples of barley grain, from KBD-affected families and from unaffected families in endemic areas. A control area without the occurrence of KBD se...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640000218
更新日期:2001-01-01 00:00:00
abstract:PURPOSE:The purpose of this study was to compare bone healing of experimental osteotomies applying either piezosurgery or two different oscillating saw blades in a rabbit model. METHODS:The 16 rabbits were randomly assigned into four groups to comply with observation periods of one, two, three and five weeks. In all a...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-1908-3
更新日期:2013-08-01 00:00:00
abstract::The purpose of this study was to evaluate the effects of partial and full weightbearing after cementless total hip arthroplasty over a two year follow-up period. Fifty-nine women and 41 men (average age 61 years) received an uncemented Spotorno stem and were randomised into a full and a partial weightbearing group. No...
journal_title:International orthopaedics
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/s00264-010-1089-2
更新日期:2011-08-01 00:00:00
abstract::Total hip arthroplasty (THA) is one of the most successful operations that can restore function and relieve pain. Although a majority of the patients achieve significant pain relief after THA, there are a number of patients that develop chronic pain for unknown reasons. A literature search was performed looking for ch...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-012-1711-6
更新日期:2013-01-01 00:00:00
abstract::We reviewed a consecutive series of 19 patients with comminuted periprosthetic fractures, loosening of the femoral stem (Vancouver type B3) and significant loss of bone stock (Paprosky type III and IV). Sixteen porous-coated long stems and three Exeter stems, all with impaction grafting, were used. Large femoral onlay...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-002-0423-8
更新日期:2003-01-01 00:00:00
abstract::One hundred and twenty-five cases of tuberculous osteomyelitis have been observed by the authors since 1968. The site of the lesion and the clinical and radiological findings have been analysed. The importance of accurate diagnosis by bacteriological and histological investigation is emphasized. Pitfalls in the differ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266209
更新日期:1986-01-01 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::A combination of costo-sterno-clavicular hyperostosis and palmo-plantar pustulosis, sometimes with hyperostotic spondylosis and spondylarthritis, is called pustular osteoarthropathy. In the Western hemisphere 40 cases have been reported and in the Far East the condition occurs more commonly. Five cases are described. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00179705
更新日期:1991-01-01 00:00:00
abstract::The purpose of this study was to determine if the cartilage from loose osteochondral fragments remains viable. Five patients with OCD of the knee who had undergone surgical treatment (arthroscopic reduction and internal fixation of the loose body) were included. The average age of patients was 13 years (range 10-14 ye...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-010-0951-6
更新日期:2010-08-01 00:00:00
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 th...
journal_title:International orthopaedics
pub_type: 信件
doi:10.1007/s00264-011-1372-x
更新日期:2012-05-01 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:AIM:Computerized navigation of unicondylar knee arthroplasties (UKA) is not a widespread technique. The lifespan of a UKA depends on the quality of its implantation. We know that overcorrection leads to a rapid extension of the osteoarthritis to the opposite side of the knee and undercorrection to a rapid loosening or ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3293-1
更新日期:2017-02-01 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::Ten cases of histologically proven chondromyxoid fibroma (CMF) of the foot and ankle with a mean follow-up of 6.1 years were retrospectively reviewed using the Scottish Bone Tumour Registry. The patients' mean age was 19 years; there were six males and four females. The anatomical locations were five phalangeal, three...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-005-0046-y
更新日期:2006-06-01 00:00:00
abstract::We have successfully treated a middle aged woman with long-standing posterior dislocations of the knee, using two stage external fixation and arthrodesis. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050259
更新日期:1998-01-01 00:00:00
abstract::Loss of joint space, formation of osteophytes and deformation are common features of osteoarthritis. Little information exists about the radiological features of arthrosis in relation to clinical findings and the radiological appearance in degenerative shoulder joint disease especially with regard to decision making a...
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
abstract::We have reviewed the clinical features, together with the radiographs and computerised tomography, in 9 patients with tuberculosis of the vertebral body and neural arch. All presented with paraparesis or paraplegia. The morbidity associated with this disease is so serious that it is essential to have an accurate means...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/BF00179971
更新日期:1995-01-01 00:00:00
abstract:PURPOSE:Hemiarthroplasty (HA) is generally considered to be the treatment of choice in the most elderly patients with a displaced fracture of the femoral neck. However, there is inadequate evidence to support the choice between unipolar HA or bipolar HA. The primary aim of this study was to analyse the outcome regardin...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-011-1213-y
更新日期:2011-11-01 00:00:00
abstract:PURPOSE:The use of total hip arthroplasty (THA) to treat advanced tuberculous arthritis, particularly during the active phase, is challenging. The aim of this study was to evaluate the efficacy of cementless THA for advanced hip joint tuberculosis. METHODS:This study reviewed 32 patients (mean age at surgery, 49.4 yea...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2997-y
更新日期:2015-11-01 00:00:00
abstract::Hans von Gerssdorff and Hieronymus Brunschwig, who flourished in Germany in the latter half of the fifteenth century, have both left early printed treatises on Surgery which give excellent woodcuts showing pictures of instruments, operations, and costumes, at the end of the medieval period. Hieronymus Brunschwig or Hi...
journal_title:International orthopaedics
pub_type: 传,历史文章,杂志文章
doi:10.1007/s00264-015-2868-6
更新日期:2015-10-01 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:INTRODUCTION:Medial valgus-producing tibial osteotomy (MVTO) is classically used to treat early medial femorotibial osteoarthritis. Long-term results depend on the mechanical femorotibial angle (HKA) obtained at the end of the procedure. A correction goal between 3 and 6° valgus is commonly accepted. Several planning m...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04777-6
更新日期:2020-12-01 00:00:00
abstract:PURPOSE:To compare post-operative pain relief with peri-articular injection (PI) versus interscalene brachial plexus block (IBPB) after arthroscopic rotator cuff repair (ARCR) surgery. METHODS:We retrospectively reviewed 121 consecutive patients undergoing ARCR surgery divided into two groups: the PI group and the IBP...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-4096-3
更新日期:2019-06-01 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::Five cases of fracture of the lateral tibial condyle of the split-depression type were treated by elevation of the depressed fragment, bone grafting and cancellous bone screws. During the operation, tantalum markers were inserted into the depressed fragment and the tibial metaphysis for radiographic stereophotogrammet...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00192467
更新日期:1994-06-01 00:00:00
abstract:PURPOSE:Acute compartment syndrome is a condition whereby tissue ischaemia occurs due to increased pressure in a closed myofascial compartment. It is a surgical emergency, with rapid recognition and treatment-the keys to good outcomes. METHODS:The available literature on diagnostic aids was reviewed by one of the seni...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-019-04386-y
更新日期:2019-11-01 00:00:00
abstract:PURPOSE:The purpose of this study was to evaluate the impact of a preoperative myocardial infarction (MI) on outcomes of inpatient orthopaedic operations. METHODS:The National Surgical Quality Improvement Program database was used to identify patients who underwent common orthopaedic operations from 2006 to 2010. Pati...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2001-7
更新日期:2013-12-01 00:00:00