Abstract:
PURPOSE:The aim of the study was to evaluate the results of epiperineural suture repaired primary (clean transaction injury, massive soft-tissue associated injury) and secondary (delayed partial injury) ulnar nerve injuries according to lesion level and type. METHODS:Forty-two patients diagnosed with ulnar nerve injury between January 2008 and January 2012 were involved in the study. Ulnar nerve lesions were classified according to the level of injury into three types: type 1--lesion located above the flexor carpi ulnaris branch; type 2--lesion located between the flexor carpi ulnaris and the flexor digitorum profundus III and IV; type 3--lesion located below the flexor digitorum profundus III and IV and no more than 10 cm distal from the elbow crease. Additionally, ulnar nerve lesions were classified according to type into three groups: group 1 (n 17)--clean transaction injury; group 2 (n 14)--massive soft-tissue associated injury; group 3 (n 11)--delayed partial clean transaction injury. In follow-up evaluations, sensory and motor recovery was analysed with the most common Highet scale modified by Dellon et al. Functional results were evaluated according to the Disability of Arm, Shoulder, and Hand (DASH) score at final follow-up. RESULTS:There were no statistically significant differences between groups according to men/women ratio, mean age, mean follow-up period and ulnar-nerve injury level. The DASH score was significantly better in the clean transaction injury group than the other groups and significantly better for type 3 than types 1 and 2 injuries in all groups. Sensory recovery of type 1 and 3 injuries in the massive soft-tissue associated injury group was significantly worse than the other groups. The worst motor recovery was evaluated in type 1 injury and the best in type 3 injury according to injury level. According to group, motor recovery of the massive soft-tissue associated group was significantly worse than the other groups in all injury types. There were no statistically significant differences between clean transaction injury and delayed partial clean transaction injury groups in all injury types. CONCLUSIONS:Prognostic factors that influenced motor-sensory recovery and functional results were found in interval between trauma and reconstruction, injury level (worse results from proximal to distal) and mechanism of injury (worse results from massive soft-tissue injury to clear, sharp-tissue injury).
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Basar H,Basar B,Erol B,Tetik Cdoi
10.1007/s00264-014-2430-ysubject
Has Abstractpub_date
2014-10-01 00:00:00pages
2123-8issue
10eissn
0341-2695issn
1432-5195journal_volume
38pub_type
杂志文章abstract:PURPOSE:Diabetes mellitus is associated with an increased risk of intervertebral disc degeneration (IDD). Reactive oxygen species (ROS), oxidative stressors, play a key role in autophagy of diabetes-associated diseases. Mitochondria are known to be the main source of endogenous ROS in most mammalian cell types. The aut...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2037-8
更新日期:2013-12-01 00:00:00
abstract::In a retrospective study of 39 hips with osteonecrosis of the femoral head treated with core decompression we evaluated the extent of the necrotic area, the Ficat stage and the location of the lesion. The extent of the necrotic lesion was classified into three categories: mild, less than 15%; moderate, 15-30%; and sev...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640000186
更新日期:2001-01-01 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:PURPOSE:Residual feeling of leg length discrepancy (LLD) is a common cause of patient dissatisfaction following total hip arthroplasty (THA). The purpose of this study is to propose a method for determining an optimal leg length correction goal in THA. METHODS:We conducted a retrospective study of 132 patients to exam...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-019-04411-0
更新日期:2020-03-01 00:00:00
abstract:PURPOSE:Leg-length changes at total hip arthroplasty (THA) may result from too proximal position of the femoral component, i.e. not being sunk deep enough into the femoral canal due to the size and shape of both medullary canal and implant. Some femoral implants are designed to achieve such fixation in the mediolateral...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-020-04671-1
更新日期:2020-06-22 00:00:00
abstract:BACKGROUND:Deterioration of gait in adolescent and adult patients with cerebral palsy can be associated with multiple factors. Multilevel surgery (MLS) is one option in adults with cerebral palsy to improve gait function with encouraging short-term results. It is a question whether these improvements are maintained ove...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-4023-7
更新日期:2019-02-01 00:00:00
abstract::Results of two methods, conventional open reduction-internal plating and minimally invasive plating osteosynthesis (MIPO), in the treatment of mid-distal humeral shaft fractures were compared. Thirty-three patients were retrospectively analysed and divided into two groups. Group A (n = 17) patients were treated by MIP...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-009-0753-x
更新日期:2010-02-01 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: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:PURPOSE:The transfer of the pectoralis major in cases of irreparable rupture of the subscapularis has been described through different techniques. The aim of this prospective study was to compare the clinical results of transferring the clavicular or the sternal head of the pectoralis major tendon underneath the conjoi...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2566-9
更新日期:2015-03-01 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
doi:10.1007/s00264-013-2165-1
更新日期:2014-05-01 00:00:00
abstract::Fourteen femoral stems were implanted either manually by an experienced surgeon or by a robot in fresh human cadaveric femora. The neck-shaft angle, the anteversion, the length of the femoral neck and the gap between stem and bone was measured in each specimen. Implantation by robot showed higher precision in reconstr...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050356
更新日期:1999-01-01 00:00:00
abstract:BACKGROUND:To investigate the clinical effect of modified Judet quadricepsplasty (MJ) combined with patella traction designed by ourselves in the treatment of knee joint rigidity after a femoral fracture. METHODS:We retrospectively reviewed the clinical data of 21 patients with stiff knee joint after a femoral fractur...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04823-3
更新日期:2020-09-24 00:00:00
abstract:PURPOSE:The deltopectoral approach is a common surgical procedure for shoulder arthroplasty. Many surgeons are familiar with this procedure, but certain steps are still controversial. This is the case for the management of subscapularis, where surgeons must choose between tenotomy and the lesser tuberosity osteotomy. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2654-x
更新日期:2015-02-01 00:00:00
abstract::The treatment of complex humeral fractures or fracture-dislocations presents several challenges. Late complications such as malunion, avascular necrosis, or nonunion are frequent and often lead to articular incongruence. Patients can be severely handicapped, presenting with considerable pain, stiffness, and important ...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-014-2651-0
更新日期:2015-02-01 00:00:00
abstract:PURPOSE:We report our experience analysing the risk of fracture amongst allografts in limb-preserving surgery for bone tumours. METHODS:We retrospectively reviewed our experience with bone allograft and its major complications when used for limb -preserving operations for bone tumours. Forty-one structural allografts ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2980-7
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:Various types of dressing materials are available for wound care following hip and knee arthroplasty. However, it is unclear if one material is more beneficial than the others in terms of wound complications and fluid handling capacity. RESEARCH QUESTIONS:We performed a meta-analysis of randomized controlle...
journal_title:International orthopaedics
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s00264-017-3484-4
更新日期:2017-07-01 00:00:00
abstract:PURPOSE:Although unilateral total knee arthroplasty (TKA) is successful in restoring function, there are concerns in relation to asymmetric gait patterns. Bi-cruciate retaining (BCR) TKA design preserves both anterior and posterior cruciate ligaments with the potential to restore normal joint kinematics. The purpose of...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3986-8
更新日期:2018-12-01 00:00:00
abstract::The load transmitted through fresh fractures of the tarsometatarsus of adult chickens was varied by 40% more, or less, than the body weight to determine the effect of load-bearing on fracture healing. The healing fracture was examined for size and strength at 14 days, but no significant differences were detected in an...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00268171
更新日期:1985-01-01 00:00:00
abstract::A case of bilateral habitual dislocation of the patella associated with cleft lip and palate, and short metatarsals, metacarpals and phalanges is reported. The possible cause of habitual dislocation is discussed in the light of 20 cases which have been seen by the author. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00183358
更新日期:1990-01-01 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:The purpose of this study was to assess the effects of operative and non-operative treatment on clavicle fractures. METHOD:Relevant clinical trials on the operative and non-operative treatment for clavicle fractures were retrieved through searching the databases MEDLINE, Embase, OVID and the Cochrane Central R...
journal_title:International orthopaedics
pub_type: 杂志文章,meta分析
doi:10.1007/s00264-013-1871-z
更新日期:2013-08-01 00:00:00
abstract:PURPOSE:To determine the most common injury patterns, root cause, and the frequency with which unrecognized contralateral posterior ring injury occurs in patients presenting with surgically treated pelvic fractures. METHODS:The medical records of 73 patients presenting to our level I trauma center (52 male and 21 fema...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-4268-1
更新日期:2019-10-01 00:00:00
abstract:PURPOSE:The purpose of this study was to evaluate the efficiency of biologic augmentation of rotator cuff repair with iliac crest bone marrow-derived mesenchymal stem cells (MSCs). The prevalence of healing and prevention of re-tears were correlated with the number of MSCs received at the tendon-to-bone interface. MET...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2391-1
更新日期:2014-09-01 00:00:00
abstract::Developmental dysplasia of the hip (DDH) is a spectrum of disorders that results in anatomic abnormalities leading to increased contact stress in the joint and, eventually, secondary osteoarthritis. However, many patients with DDH become symptomatic before the severe degenerative changes of the hip because of abnormal...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-015-2927-z
更新日期:2016-05-01 00:00:00
abstract::The purpose of this work was to document eleven years of experience in knee replacement for fixed knee valgus through a lateral approach with special emphasis on the balancing procedures. At a mean follow-up of seven years, only one revision for sepsis was required in this series of 63 knee replacements. The mean knee...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-008-0698-5
更新日期:2009-12-01 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: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::Precise evaluation of bone loss and bone viability is necessary in order to select the most appropriate operation for patients with osteonecrosis of the femoral head. Bone destruction, and its exact location, can be assessed by computed axial tomography. The viability of remaining bone can be observed at operation by ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00269498
更新日期:1983-01-01 00:00:00
abstract::There is no evidence surrounding the benefits, effects or clinical outcomes treating asymptomatic urinary tract colonisation. A series of 558 patients undergoing elective admission for orthopaedic surgery were recruited prior to surgery and were screened for urinary tract infection (UTI). Patients had their urine dips...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-008-0573-4
更新日期:2009-06-01 00:00:00