Abstract:
PURPOSE:Acetabular component position is important for stability and wear. Fluoroscopy can improve the accuracy of acetabular component placement in the posterior approach and the direct anterior approach (DAA). The purpose of this study was to determine if the direct anterior approach in the supine position facilitates the accurate use of fluoroscopy and improves acetabular component position. METHODS:This retrospective, comparative study of 60 THAs with fluoroscopic guidance (30 in posterior approach group and 30 in DAA group) was performed by one surgeon from 2012 to 2014 at a single institution. Demographic and perioperative data were compared using the Kolmogorov-Smirnov test to determine if they were statistically different. The difference between the measured intra-operative and postoperative values for both inclination and anteversion were analysed respectively. RESULTS:In the posterior approach group we found an average inclination on intra-operative fluoroscopy (IFluoro) of 36.8° ± 3.72°, an average anteversion on intra-operative fluoroscopy (AFluoro) of 25.6° ± 3.64°, an average inclination on postoperative standing AP pelvis X-ray (IAP X-ray) of 39.29° ± 4.58° and an average anteversion on postoperative standing AP pelvis X-ray (AAP X-ray) of 21.31° ± 4.04°. In the DAA group we found an average DAA IFluoro of 42.32° ± 1.91°, an average DAA AFluoro of 22.3° ± 1.41°, an average DAA IAP X-ray of 42.98° ± 1.81° and an average DAA AAP X-ray of 22.88° ± 1.38°. A difference was seen in variability using Kolmogorov-Smirnov test for inclination and anteversion with significant higher variation of measurements in the posterior approach group (p = 0.022 and p < 0.001 respectively). No statistically significant difference was seen in the DAA group using the fluoroscopy for inclination and anteversion. CONCLUSION:Using fluoroscopy in the direct anterior approach, we achieved better intra-operative assessment of cup orientation resulting in decreased variability of acetabular cup anteversion than when used in the posterior approach. At least some of the improvement was due to the fact that the fluoroscopic image in the supine position was more accurate as measured against the postoperative standing AP pelvis. This study may influence the choice of approach in total hip replacement.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Ji W,Stewart Ndoi
10.1007/s00264-015-2803-xsubject
Has Abstractpub_date
2016-01-01 00:00:00pages
21-7issue
1eissn
0341-2695issn
1432-5195pii
10.1007/s00264-015-2803-xjournal_volume
40pub_type
杂志文章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::Olecranisation of the patella was described and first used by Grammont (1984) to maintain reduction of the knee joint after posterior cruciate repair and reconstruction. Since 1985 we used this technique in 18 acute posterior ruptures and knee dislocations which did not undergo surgery. Knee laxity is assessed under g...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00181106
更新日期:1995-01-01 00:00:00
abstract:PURPOSE:To evaluate a novel sequential internal fixation strategy using a reinforced spacer for infected bone defect reconstruction by the induced membrane technique (IMT). METHODS:A retrospective case study was performed among patients treated for infected bone defects by applying this strategy. Following radical deb...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04735-2
更新日期:2020-09-01 00:00:00
abstract::Over the last two centuries, treatment of hip pathology has evolved from joint excision and osteotomies to modern total hip arthroplasty (THA), which is considered one of the most successful surgical interventions ever developed. We here review the history of hip procedures that preceded Themistocles Glück. This evalu...
journal_title:International orthopaedics
pub_type: 传,历史文章,杂志文章
doi:10.1007/s00264-013-2004-4
更新日期:2013-11-01 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::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: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
abstract::The purpose of this study was to assess the referral system, clinical notes and radiographs of patients presenting with metastatic disease of long bones. The study demonstrated that 93% of oncologists did not use a reliable scoring system to assess risk of pathological fracture, and 60% felt an improvement in communic...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-008-0556-5
更新日期:2009-04-01 00:00:00
abstract:PURPOSE:Indications for amputation in natural disasters are not the same compared to our daily practice. They must be determined by those with great surgical experience and good knowledge of military or disaster surgical doctrine. Unfortunately, nowadays few surgeons have this experience. In fact, some volunteer surgeo...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1548-z
更新日期:2012-10-01 00:00:00
abstract:INTRODUCTION:Several recent studies have reported accurate and reliable use of patient-specific cutting guides (PSCG) for medial opening-wedge high tibial osteotomy (OW-HTO); however, a majority of these are small cases series or ex-vivo reports. The hypothesis of this study was that performing an OW-HTO with PSCG resu...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-019-04372-4
更新日期:2019-12-01 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
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::Sixty consecutive patients (60 hips) were allocated in two matched-pair groups. Patients were matched for age, gender, body mass index, level of activity, and bone stock. Both groups received an uncemented total hip arthroplasty with a modular press-fit cup and an alumina femoral head. In the first group, an acetabula...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-002-0422-9
更新日期:2003-01-01 00:00:00
abstract::The expectations of both the patient and surgeon have been greatly revised in the last 10 years with the introduction of pedicle screws (PS) in spinal surgery. In this study, we have retrospectively evaluated and compared the results of PS instrumentation and the Hybrid System (HS), the latter consists of pedicle scre...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-007-0359-0
更新日期:2008-08-01 00:00:00
abstract:BACKGROUND:The internet is increasingly being used as a resource for health-related information by the general public. We sought to establish the authorship, content and accuracy of the information available online regarding computer-assisted total knee arthroplasty (CA-TKA). METHODS:One hundred fifty search results f...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3215-2
更新日期:2016-10-01 00:00:00
abstract::Hyperostosis of the spine, Forestier's disease, is a rare, but well defined entity which results from silent, extensive paraspinal calcification. It has been regarded as an asymptomatic ankylosis requiring no medical or surgical treatment. Two patients with Forestier's disease are presented who show severe stenosis of...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00267561
更新日期:1983-01-01 00:00:00
abstract:PURPOSES:Post arthroplasty gait analysis has up till now been performed on subjects walking slowly on flat ground rather than challenging them at faster speeds or walking uphill. We therefore asked: (1) Is there a measurable difference in the performance of hip resurfacing arthroplasty (HRA) and total hip arthroplasty ...
journal_title:International orthopaedics
pub_type: 临床试验,杂志文章
doi:10.1007/s00264-013-1819-3
更新日期:2013-05-01 00:00:00
abstract:PURPOSE:Approximately 5% of patients with spinal tuberculosis will develop a severe kyphotic deformity resulting in increased potential for pain, spinal cord compression, cardiopulmonary dysfunction, costopelvic impingement and cosmetic concerns. This manuscript reviews the evaluation and surgical management of tubercu...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-011-1292-9
更新日期:2012-02-01 00:00:00
abstract::In the treatment of osteochondritis dissecans involving the elbow, we have used a bone-peg graft taken from the proximal part of the ulna and inserted into the defect. Thirty-two patients were followed from 2 to 10.5 years. The graft was utilised in 20 elbows, and 6 of these also had concomitant removal of a loose bod...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050304
更新日期:1999-01-01 00:00:00
abstract::We carried out experiments in rabbits to determine whether treating nerve transplants with gradually increasing concentrations of ethanol, ether and ficin would inhibit the graft-host immune reaction to the allograft. After treatment with ethanol, the basal laminar scaffold of the Schwann cell remained intact and ther...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00183371
更新日期:1990-01-01 00:00:00
abstract::We aimed to discover whether there is a difference in incidence of growth disturbances of the proximal femoral epiphysis and final results in two similar groups of children with developmental dislocation of the hip (DDH) treated with (107 hips) and without (48 hips) overhead traction. The only variable between the gro...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-006-0080-4
更新日期:2006-08-01 00:00:00
abstract::An osteosarcoma developed in a boy, 16 years of age, 9 years after staples had been inserted in the region of the lower femoral epiphysis. The possible association between the implant and the tumour is discussed. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050090
更新日期:1996-01-01 00:00:00
abstract:PURPOSE:The aim of this study was to conduct a randomised, clinical trial comparing stemmed hemiarthroplasty and resurfacing hemiarthroplasty in the treatment of glenohumeral osteoarthritis. METHODS:A total of 40 shoulders (35 patients) were randomised to stemmed hemiarthroplasty or resurfacing hemiarthroplasty and ev...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-014-2505-9
更新日期:2015-02-01 00:00:00
abstract:PURPOSE:The aim of this study is to describe the influence of sitting and standing posture on sagittal pelvic inclination in total hip replacement patients to assist with correct acetabular component positioning. METHODS:Lateral radiographs of the pelvis and lumbar spine in sitting and standing positions were extracte...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2491-y
更新日期:2015-03-01 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: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 h...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-014-2342-x
更新日期:2014-09-01 00:00:00
abstract:PURPOSE:The procedure of bone allografting associated with a reinforcement device is widely used for acetabulum revision. However in absence of biologic fixation of the allograft, failure of the reconstruction may occur. We made the hypothesis that it would be possible to load these grafts with bone marrow derived mese...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2285-2
更新日期:2014-09-01 00:00:00
abstract::This report is based upon a retrospective study of a consecutive series of twenty patients who had tuberculosis of the hip in quiescent state. Two patients had only a short history but were included in this study. An interesting feature at the time of operation was that in many cases the bone showed old features of tu...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266330
更新日期:1979-01-01 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:PURPOSE:Unreamed nails have revolutionised the treatment of tibial shaft fractures. Many authors, however, have reported increasing bone healing complications with these implants. Unfortunately, few studies have addressed the factors affecting bone healing after unreamed tibial nailing. METHODS:One-hundred and sixty t...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1505-x
更新日期:2012-07-01 00:00:00