Abstract:
PURPOSE:Tibial fractures are the most common lower limb fractures. Some criteria such as open fractures and increasing open stage are known to be associated with high delayed union and pseudarthrosis rate. In cases of delayed or nonunion, classical treatment is autologous cancelous bone graft which is associated with high morbidity rate. The ideal treatment would be a percutaneous harvesting and grafting technique. As bone marrow autologous concentrate (BMAC) presents both advantages, we evaluated this technique from 2002 to 2007. METHODS:This was a retrospective study of 43 cases of open tibial fractures with initial surgical treatment. The criteria of inclusion were open fracture and nonunion, delayed union or suspicion of delayed union. RESULTS:In 23 cases (53.5 %) BMAC was successful. The success group had received significantly more CFU-F than the failure group (469 vs 153.10(3), p = 0.013). A threshold of 360.10(3) CFU-F grafted could be established over which there was 100 % success. BMAC done before 110 days after fracture had 47 % success and BMAC done since 110 days after fracture had 73 % success. BMAC success rate decreased with increasing initial fracture skin open stage. There was no BMAC success in cases of a fracture with a remaining gap of more than 4 mm. We had no complications with the technique at the iliac harvesting zone and tibia injection point. CONCLUSION:BMAC is a technique that should be considered as one of the different alternatives for management of long-bone delayed and nonunion because of its effectiveness, low complication rate, preservation of bone stock and low cost.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Le Nail LR,Stanovici J,Fournier J,Splingard M,Domenech J,Rosset Pdoi
10.1007/s00264-014-2342-xsubject
Has Abstractpub_date
2014-09-01 00:00:00pages
1845-53issue
9eissn
0341-2695issn
1432-5195journal_volume
38pub_type
杂志文章,评审abstract::The common peroneal nerves of 15 male rats were severed and the rats were divided into four groups: immediate grafting (I group); grafting delayed one month (IM group); grafting delayed for three months (3M group) and 5 healthy rats were used as controls (control group). All the rats were sacrificed 5 months after gra...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266515
更新日期:1985-01-01 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::Between April 1979 and August 1993, we treated 39 patients (49 knees) with knee flexion deformity after Poliomyelitis. All were subjected to fractional hamstring lengthening and supracondylar femoral extension osteotomy in the same surgical procedure. The goal was to correct the deformity and fit the lower extremities...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-005-0007-5
更新日期:2005-12-01 00:00:00
abstract:PURPOSE:Reverse shoulder prostheses have been gaining popularity in recent years. A short metaphyseal stem design will allow bone stock preservation and minimize stem related complications. We examined the clinical and radiographic short-term outcome of a short metaphyseal stem reverse shoulder arthroplasty. METHODS:T...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2328-8
更新日期:2014-06-01 00:00:00
abstract::Seventy-four cases of tuberculosis of the upper limb joints (sterno-clavicular 1; shoulder 12; elbow 42; wrist 10 and fingers 9), treated by two of the authors, were reviewed. Eighty-seven percent presented at an advanced stage of destruction. The diagnosis was proved in 71 our of 74 cases. In most, the treatment was ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266268
更新日期:1986-01-01 00:00:00
abstract::We treated 20 patients with symptomatic L4-5 isthmic spondylolisthesis (ten grade I, nine grade II and one grade III) surgically. All patients complained of low back pain and nine had additional radicular pain. Bilateral posterolateral fusion using the sacrospinalis muscle as a muscle pedicle bone graft was carried ou...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640100269
更新日期:2001-01-01 00:00:00
abstract::Eleven cases of extra-articular tuberculous osteomyelitis are presented. Eight of the patients were children. Ten were treated by curettage and chemotherapy and the diagnosis proved by histology or positive culture of the tubercle bacillus. One case was diagnosed because she also had tuberculous salpingitis, and she w...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050056
更新日期:1996-01-01 00:00:00
abstract:PURPOSE:Different target areas within the concept of combined cup and stem anteversion have been published for total hip arthroplasty (THA). We asked whether component positioning according to eight standard combined anteversion rules is associated with (1) more physiological gait patterns, (2) higher improvement of ga...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2777-8
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:The objective of this study was to analyze the prevalence and causes of early re-operation after hip replacement surgery using short bone-preserving stems in a large multicentre series. Specifically, we evaluated the clinical features of periprosthetic fractures occurring around short stems. METHODS:A total...
journal_title:International orthopaedics
pub_type: 杂志文章,多中心研究
doi:10.1007/s00264-018-3930-y
更新日期:2018-09-01 00:00:00
abstract:PURPOSE:Kienböck's disease is an unusual pathology with unknown aetiology within the pediatric population. Several treatment options have been described in the literature; however, there are neither large series nor homogeneous studies that have clarified which treatment is best. The aim of this study was to describe f...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1597-3
更新日期:2012-10-01 00:00:00
abstract::Pure alumina ceramic has been in clinical use in orthopaedics since 1971 and, currently, up to 5 million components have been implanted. Alumina offers advantages like stability, biocompatibility and low wear; however, it has limited strength. Applications are limited by design considerations. Engineers in biomaterial...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-007-0484-9
更新日期:2009-04-01 00:00:00
abstract:PURPOSE:This prospective, stratified, randomized, single-blind, placebo-controlled multicentre study investigated the safety and effectiveness of reducing blood loss and preventing venous thromboembolism (VTE) during posterior lumbar interbody fusion (PLIF) in patients with stenosis or spondylolisthesis using the combi...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04699-3
更新日期:2020-10-01 00:00:00
abstract:PURPOSE:The purpose of this study was to introduce a novel method of percutaneous achievement and maintenance of reduction for acute displaced scaphoid fractures and evaluate the feasibility of this method in treating acute displaced scaphoid fractures as well as explore its indications. METHODS:From February 2012 to ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3758-5
更新日期:2018-08-01 00:00:00
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 el...
journal_title:International orthopaedics
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s00264-012-1563-0
更新日期:2012-08-01 00:00:00
abstract:PURPOSE:The purpose of this study was to determine if a new titanium cup with increased porosity resulted in different periacetabular bone loss and migration compared to a porous coated cup. METHODS:Fifty-one patients with primary hip osteoarthritis were randomized to either a cup with porous titanium construct backsi...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-014-2571-z
更新日期:2015-05-01 00:00:00
abstract::Periprosthetic fractures of the acetabulum represent a rare incident in primary and revision total hip arthroplasty. The management of these fractures can be challenging. At present, there are no reliable guidelines for the treatment of periprosthetic acetabular fractures. Periprosthetic acetabular fractures can occur...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-015-2968-3
更新日期:2015-10-01 00:00:00
abstract::A key to the analysis of function after total hip replacement (THR) is the ability to identify gait adaptations specific to design features and surgical procedures. In a randomised controlled design, we evaluated the mechanics of gait after THR with a hip resurfacing system or conventional prosthesis. We also investig...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-010-1040-6
更新日期:2011-05-01 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::A prospective study was carried out in order to evaluate the predictive value of MRI in the early postoperative course after cruciate ligament replacement. Twenty patients who had undergone anterior cruciate ligament reconstruction using autologous patellar tendon/bone grafts were examined clinically and with contrast...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050262
更新日期:1998-01-01 00:00:00
abstract::When acute cholecystitis follows orthopaedic operations, the disease is frequently obscure and fulminating, with rapid progress to gangrene and perforation of the gallbladder, which may be fatal. Three cases are reported and the literature is reviewed. Various aspects of the disorder are discussed. It is important tha...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/BF00265749
更新日期:1988-01-01 00:00:00
abstract::Varus knee deformity is very common, and it can be classified according to the severity and reducibility of the deformity. Pre-operative planning is mandatory to obtain a good result. Both clinical and radiological planning should be carefully performed, particularly focused on collateral ligament deficiency. In most ...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-018-4116-3
更新日期:2019-01-01 00:00:00
abstract:PURPOSE:Little scientific evidence on blood loss and transfusion rates after short-stem hip arthroplasty exists. The hypothesis of this study was that the blood loss and transfusion rate is lower in short stems compared to straight stems. METHODS:We compared 124 patients who underwent total hip arthroplasty (THA) usin...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3365-2
更新日期:2017-07-01 00:00:00
abstract:PURPOSE:Extension lag, quadriceps weakness and subluxation of the extensor apparatus are known complications of patellectomy. In the case of total knee joint replacement with a nonconstrained system an instability may be encountered. Reconstruction of the patella allows restoration of the moment arm to improve quadrice...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1281-z
更新日期:2012-03-01 00:00:00
abstract:INTRODUCTION:The damage control orthopedics (DCO) concept is a sequential surgical management strategy indicated when ideal primary treatment is not possible or suitable. DCO principles are routinely applied to hand traumas in wartime practice, but could also be useful in a civilian setting when immediate specialized m...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3439-9
更新日期:2017-09-01 00:00:00
abstract:PURPOSE:The objective of this report was to analyse injury patterns and definitive management of local casualties with multiple blast extremity injuries in the Kabul International Airport Combat Support Hospital. METHODS:A clinical prospective study was performed from July 2012 to January 2013. Afghan victims of a bla...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2532-6
更新日期:2014-12-01 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::Between 1991 and 1998, we treated 72 patients with fusion of the lumbar spine using posterior pedicle screw fixation followed by anterior retroperitoneal insertion of a titanium cage filled with autogenous bone graft. All patients had chronic low back pain after failed conservative treatment. We were able to review 54...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-004-0577-7
更新日期:2004-10-01 00:00:00
abstract::Twenty-five patients underwent scapulectomy for various tumours between 1989 and 2005. We describe 23 patients with scapular tumours who were followed-up for a minimum of 2 years after scapulectomy. The average age was 29 years, and two-thirds of the patients were male. Nineteen patients had malignant neoplasms, of wh...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-006-0261-1
更新日期:2007-12-01 00:00:00
abstract::Postoperative infection is a regular complication in coccygectomy. The authors propose the use of a topical skin adhesive on the postoperative wound as a contribution to the prevention of this complication. It was used on the first 56 patients in this study. The rate of infection was 3.6% compared with the 14% rate of...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-010-1058-9
更新日期:2011-06-01 00:00:00
abstract:PURPOSE:There is evidence showing that mesenchymal stromal cells (MSC) may constitute a potential therapeutic strategy to induce bone regeneration. In this work, we investigate the capacity of autologous bone marrow (BM) MSC loaded on collagen microspheres (CM) and included into autologous platelet-rich plasma (PRP) cl...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3130-6
更新日期:2016-05-01 00:00:00