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. Patient demographic data, comorbidities, complications, and lengths of stay were collected. Multivariate logistic regression and linear regression models were used to compare outcomes for patients with and without a history of MI in the six months prior to surgery. RESULTS:Of the 32,462 patients identified, 86 had sustained an MI in the six months prior to surgery. The MI cohort had no cardiac complications but had increased incidences of superficial surgical site infection, unplanned re-intubation, ventilator-assisted respiration for more than 48 hours, pneumonia, sepsis or septic shock, and postoperative mortality within 30 days of surgery, as well as prolonged lengths of stay. Following logistic regression to adjust for baseline differences, a history of MI showed no association with cardiac complications and was significantly associated with superficial surgical site infection (OR 3.6, 95% CI 1.1-11.8), ventilator dependence for over 48 hours (OR 4.0, 95% CI 1.1-14.0), and extended length of stay (median with interquartile range 4 [4-4] vs. 5 [5-5] days). CONCLUSIONS:A myocardial infarction within six months prior to orthopaedic surgery is not associated with a higher risk of 30-day perioperative cardiac complications; however, it is associated with increased rates of surgical site infection, prolonged ventilator dependence, and longer hospital stay.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Lim S,Edelstein AI,Jain U,Puri L,Kim JYdoi
10.1007/s00264-013-2001-7subject
Has Abstractpub_date
2013-12-01 00:00:00pages
2483-9issue
12eissn
0341-2695issn
1432-5195journal_volume
37pub_type
杂志文章abstract：INTRODUCTION:The aim of paper is to check how many preliminary reports (PR) reach a long-term publication (LT), and analyse differences in outcomes and complications between them. METHODS:A literature search was performed to identify shoulder preliminary or early reports. Fifty one papers fulfilled criteria and were c...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-016-3228-x
更新日期：2017-05-01 00:00:00
abstract：:Short stem prostheses that preserve the femoral neck are becoming more and more popular. The CFP (collum femoris preserving) has been introduced especially for the treatment of younger patients. However, information about remodelling, complications and learning curve are thus far rare. We present a retrospective study...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-010-1020-x
更新日期：2011-05-01 00:00:00
abstract：PURPOSE:Coracoclavicular joint (CCJ) is a rare anomalous joint occasionally found between the coracoid process of scapula and the conoid tubercle of clavicle. The articulation has been extensively studied by means of anatomical, osteological and radiological investigations. Most cases are discovered incidentally, with ...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-011-1309-4
更新日期：2011-12-01 00:00:00
abstract：:Fixed multiplane deformities around the hip representing a combination of rotational, angular, and leg-length discrepancies are disabling for the patient and pose a challenge for the orthopaedic surgeon. We describe a joint-preserving, one-stage procedure to address these complex problems using an intertrochanteric os...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640100282
更新日期：2001-01-01 00:00:00
abstract：:We report on two cases of patients in whom hypocalcemic seizures during hemodialysis led to right scapular body fracture in one and bilateral femoral neck fractures in the other. ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640050377
更新日期：1999-01-01 00:00:00
abstract：:Amphotericin B has been the standard treatment for deep mycoses including African histoplasmosis, but its use is complicated by its toxicity. More recently, Fluconazole, a water-soluble triazole with antimycotic activity and little side effects, has become available. A case of African histoplasmosis from Nigeria, mani...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640050312
更新日期：1999-01-01 00:00:00
abstract：:We describe fives cases of an unusual type of injury to the wrist which has been seen in Sikhs, an ethnic population in India. It is caused by entrapment of the kara, an iron bangle, which is traditionally worn as one of five compulsory religious symbols. The injuries were an open transtriquetral palmar perilunar disl...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00210533
更新日期：1991-01-01 00:00:00
abstract：PURPOSE:Bone morphogenetic proteins (BMP) are recombinant osteoinductive proteins with their primary role being to promote bone formation. The off-label use of BMP in orthopaedic surgery has dramatically increased. However, reports of complications with BMP have emerged, and the safety of these proteins in orthopaedics...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-014-2534-4
更新日期：2014-12-01 00:00:00
abstract：:This report includes six patients with femoral head fractures. Five were associated with posterior hip dislocation, of which one also had an ipsilateral trochanteric fracture. All were young adults who had been injured in automobile accidents. The protocol for management, indications for surgery and guidelines for eva...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640000209
更新日期：2001-01-01 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：:First metatarsophalangeal joint replacement is an alternative surgical procedure to arthrodesis in the treatment of moderate-to-severe hallux rigidus. However, few studies have been published about functional outcome after joint reconstructive procedures for hallux rigidus. The purpose of this study was to assess clin...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-009-0935-6
更新日期：2010-10-01 00:00:00
abstract：:The aim of our study was to determine the radiographic prevalence of hip and knee osteoarthritis and compare our results with prevalence data reported by other studies, as no similar study had been performed in Hungary previously. Our aim was also to investigate the usefulness of the different radiological scoring met...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-010-1069-6
更新日期：2011-07-01 00:00:00
abstract：PURPOSE:Endothelial dysfunction is a risk factor for osteonecrosis of femoral head (ONFH) and venous thromboembolism (VTE) [defined as deep venous thrombosis (DVT) or pulmonary embolism (PE)]. However, the risk of unprovoked VTE in non-traumatic ONFH patients remains unclear. METHODS:We investigated the relationship b...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-3866-2
更新日期：2018-07-01 00:00:00
abstract：PURPOSE:Treating acetabular fractures with open reduction and internal fixation (ORIF) may lead to poorer outcomes in older patients. As data for osteoporotic acetabular fractures are limited, we compared primary total hip replacement (THR) with ORIF for treating osteoporotic acetabular fractures, including those with ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-016-3260-x
更新日期：2017-09-01 00:00:00
abstract：:Translaminar screw fixation is a good procedure for posterolateral spinal fusion of one or two motion segments. Anterior translation of the upper fused vertebra occurred in 5 of our patients following this procedure. A further fusion with pedicle screw fixation was needed in 2 of them. This complication has been previ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640050213
更新日期：1998-01-01 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 haematological and orthopaedic complications of patients with sickle cell disease from two different regions of Arabia are presented. Nineteen patients from the South-western region were matched for age and sex with an equal number from the Eastern region. The mean sickle cell haemoglobin was 75.95% in those from ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00182718
更新日期：1992-01-01 00:00:00
abstract：:The authors have treated 75 patients with various orthopaedic disorders including trauma, degenerative joint disease and tumours with ceramic surgical implants. A short account of the experience gained, together with some illustrative clinical cases is presented. Supplementary laboratory experiments have shown that Al...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00268651
更新日期：1982-01-01 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：PURPOSE:The aim of the present study was to compare the clinical outcomes of mobile-bearing unicompartmental knee arthroplasty (MB-UKA) and open-wedge high tibial osteotomy (OWHTO) for advanced isolated medial osteoarthritis (OA). METHODS:Patients with advanced medial compartment OA (Ahlbäck grade ≥ II) who underwent ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-3880-4
更新日期：2018-10-01 00:00:00
abstract：PURPOSE:The aim of this study was to compare angiogenic cytokine levels in knee osteoarthritis (OA) patients and healthy controls and to investigate the relationships between angiogenic cytokines and the OA severity. METHODS:Thirty-one knee OA patients and 15 healthy controls were recruited. Nine angiogenic cytokines ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-014-2406-y
更新日期：2014-09-01 00:00:00
abstract：:From October 2005 to September 2006, 20 patients with an acute thoracolumbar burst fracture underwent posterior instrumentation with transpedicular intracorporeal calcium sulphate grafting. The mean age of the patients at surgery was 41.8 years; 14 were men and six were women. The mean follow-up period was 28.5 months...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-008-0677-x
更新日期：2009-12-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640000125
更新日期：2000-01-01 00:00:00
abstract：PURPOSE:We aimed to evaluate the influence of cyclical mechanical loading on osteoblasts and fibroblasts, and co-cultures of both in vitro, simulating the conditions of the tendon-to-bone interface in anterior cruciate ligament reconstruction. METHODS:Osteoblast-like cells (OBL) and tendon-derived rodent fibroblasts (...
journal_title：International orthopaedics
pub_type： 杂志文章
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更新日期：2014-05-01 00:00:00
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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
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640050080
更新日期：1996-01-01 00:00:00
abstract：:Bony defects caused by trauma, tumors, infection or congenital anomalies can present a significant surgical challenge. Free vascularised fibular bone grafts (FVFGs) have proven to be extremely effective in managing larger defects (longer than 6 cm) where other conventional grafts have failed. FVFGs also have a role in...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-014-2281-6
更新日期：2014-06-01 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：:The patella clunk syndrome is not an uncommon complication, particularly after posterior-stabilized (PS) total knee arthroplasty. The present study was a consecutive unselected series comparing the incidence of the patella clunk syndrome amongst two comparable groups of elderly patients with knee arthritis implanted w...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-001-0316-2
更新日期：2002-01-01 00:00:00
abstract：PURPOSE:Previous reports revealed a correlation between psychological problems and spinal surgery. There is a lack of knowledge on the effect of anxiety on the percutaneous transforaminal endoscopic discectomy (PTED) outcome at the two year follow-up. The purpose of this study is to investigate changes in anxiety after...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-020-04656-0
更新日期：2020-11-01 00:00:00
