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. METHODS:This article is conceived as a toolkit for the inexperienced surgeons, describing our tips and tricks to facilitate final exposure of the glenoid. For experienced surgeons, we analysed the tricky portions of the deltopectoral approach, comparing them with what is classically reported in the literature. RESULTS:We describe an original technic for subscapularis reattachment after lesser tuberosity osteotomy in order to improve its stability. The medial part of the fragment is secondarily sculpted to obtain a step shape, which will be applied against the base of the prosthetic cup in a sort of "corner buttress". CONCLUSIONS:Our work, based on our personal experience, confirms that there is no preferred single deltopectoral approach but, rather, multiple options. When embarking on this "shoulder highway", we encourage surgeons to respect the successive anatomic planes, which we believe is the only way to ensure easy and atraumatic dissection. KEY POINTS:- The safe plane for going around the humeral head and positioning retractors is the plane of the subacromial deltoid bursa. - Always stay close to the bone during capsule release, whether on the humeral or glenoid side. - Never go medially to the conjoint tendon or its deep face.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Gadea F,Bouju Y,Berhouet J,Bacle G,Favard Ldoi
10.1007/s00264-014-2654-xsubject
Has Abstractpub_date
2015-02-01 00:00:00pages
215-25issue
2eissn
0341-2695issn
1432-5195journal_volume
39pub_type
杂志文章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：PURPOSE:Hip-joint empyema is a severe local infection that can cause general illness and, in the worst-case scenario, death by septic complications. For severe hip-joint infections, the Girdlestone arthroplasty has been an established treatment option for many decades. We describe functional midterm results after treat...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-011-1351-2
更新日期：2012-05-01 00:00:00
abstract：:The Mennen plate has been used for osteosynthesis of 5 femoral fractures, 4 of which were at the tip of a prosthesis stem. Union was achieved in 2 fractures, and loss of fixation of the plate in three. ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640050234
更新日期：1998-01-01 00:00:00
abstract：PURPOSE:A posterior-anterior vertebral vector is proposed to facilitate visualization and understanding of scoliosis. The aim of this study was to highlight the interest of using vertebral vectors, especially in the horizontal plane, in clinical practice. METHODS:We used an EOS two-/three-dimensional (2D/3D) system an...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-017-3548-5
更新日期：2017-11-01 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：:We developed a locking screw plate system for the stabilisation of distal radial fractures, which can be inserted through a standard volar approach and in which the locking mechanism allows early post-operative mobilisation. Forty-nine patients with 50 fractures underwent surgical treatment; 66% were type C fractures....
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-002-0393-x
更新日期：2003-01-01 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:A full range of motion after total knee arthroplasty has become more and more requested by our patients, leading to novel designs of knee implants, the so-called "hyperflex" knees. The aim of the present study was to confirm whether or not hyperflexion of operated knees really improves the patients' quality of ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-014-2372-4
更新日期：2014-10-01 00:00:00
abstract：PURPOSE:Traditionally and since Neer, the humeral side of shoulder arthroplasty consisted of a stemmed component but the real need for stem fixation in total shoulder arthroplasty (TSA) has barely been investigated. The current study evaluated the clinical and radiological outcomes with a stemless TSA. METHODS:Forty-s...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-016-3371-4
更新日期：2017-05-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-013-1827-3
更新日期：2013-06-01 00:00:00
abstract：INTRODUCTION:The aim of this study was to determine whether an above-elbow cast (AEC) is better than a below-elbow cast (BEC) at maintaining the initial reduction in the orthopaedic management of a distal radius fracture (DRF). METHODS:It is a prospective randomized study carried out in a single emergency trauma depar...
journal_title：International orthopaedics
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00264-017-3518-y
更新日期：2017-09-01 00:00:00
abstract：PURPOSE:Reconstruction of the medial patellofemoral ligament (MPFL) has become a popular procedure for patients with patellofemoral instability. Nevertheless, complication rates of up to 26 % have been reported. This study presents the analysis of failure and clinical outcome of subsequent revision surgery in young pat...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-014-2437-4
更新日期：2014-11-01 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
abstract：PURPOSE:The purpose of this study was to evaluate whether femoral antetorsion affects the range of motion (ROM) following total hip arthroplasty (THA) using 3D dynamic analysis. METHODS:Using 3D computed tomography (CT) data of 71 patients (71 hips) who underwent THA, we calculated antetorsion of the femoral neck, fle...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-014-2452-5
更新日期：2015-01-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-010-1035-3
更新日期：2011-06-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-016-3313-1
更新日期：2017-01-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-015-2712-z
更新日期：2015-06-01 00:00:00
abstract：:Osteonecrosis of the femoral head (ONFH) is a devastating condition affecting relatively young patients whereby the femoral head is necrotic, resulting in significant pain, articular surface collapse, and eventual osteoarthritis. This condition has been highly associated with chronic steroid use, alcoholism, and hip t...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-018-3917-8
更新日期：2018-07-01 00:00:00
abstract：INTRODUCTION:The relapse rate after Ponseti method of correction has reduced in recent years which is attributable to the better appreciation of the need to achieve the correct degree of abduction. Ponseti recommended clinical 'overcorrection' of the foot to 700 of abduction. However, no scientific basis for this figur...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-017-3603-2
更新日期：2017-11-01 00:00:00
abstract：:Old age is frequently associated with a poorer functional outcome after THA. This might be based upon muscular damage resulting from surgical trauma. Minimally invasive approaches have been widely promoted on the basis of the muscle sparing effect. The aim of the study was to evaluate of the functional outcome and the...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-010-1166-6
更新日期：2011-02-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640050093
更新日期：1996-01-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-017-3477-3
更新日期：2017-06-01 00:00:00
abstract：BACKGROUND:Pubic bone nonunion and delayed union are reported as post-operative complications after peri-acetabular osteotomy (PAO). However, few studies have determined the incidence of delayed union using computed tomography (CT) scans. This study aimed to determine the incidence of delayed union at one year after PA...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-017-3656-2
更新日期：2018-05-01 00:00:00
abstract：INTRODUCTION:The most common reason for removal of well-fixed radial head prostheses is painful loosening. We hypothesised that short-stemmed prostheses, used for radial head arthroplasty, are not associated with an increased risk of implant loosening. METHODS:From 2002 to 2014, 65 patients were enrolled in a retrospe...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-017-3644-6
更新日期：2018-01-01 00:00:00
abstract：:In a prospective study, 33 patients with recurrent anterior dislocation of the shoulder were treated by a modified Bristow-Latarjet operation using a biodegradable poly-L-lactide expansion plug to fix the transferred coracoid bone block. The mean follow up was 12 months. No redislocations occurred. To assess incorpora...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF02484413
更新日期：1994-04-01 00:00:00
abstract：PURPOSE:This study was undertaken to prospectively analyse, at a mean five-year follow-up, the clinical, functional, and radiographic outcomes in patients who developed postoperative acute septic knee arthritis following anterior cruciate ligament (ACL) reconstruction using hamstring autograft. We also assessed the eff...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-013-2123-y
更新日期：2014-01-01 00:00:00
abstract：PURPOSE:Donor site pain affects 32-43 % of patients after anterior cruciate ligament surgery when the autograft is freshly harvested bone-patellar tendon-bone tissue. Our aim was to compare functional and morphological differences between donor sites with and without serum albumin-coated bone allograft filling. METHOD...
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pub_type： 杂志文章
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更新日期：2016-10-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
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更新日期：2008-06-01 00:00:00
abstract：:The aim of this study was to determine the diagnostic value of systemic biochemical markers of bone turnover in aseptic loosening in hip arthroplasty, namely the urine levels of three bone resorption peptides - crosslinked n-telopeptides (NTX), c-telopeptides (CTX I) and deoxypyridinoline (DPD). We compared 52 patient...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-007-0477-8
更新日期：2009-02-01 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
