Abstract:
PURPOSE:Inadequate reconstruction of femoral offset after total hip arthroplasty (THA) is associated with unfavourable outcomes, but its importance following hemiarthroplasty for displaced femoral neck fracture is unknown. METHODS:Our study examined the correlation between reconstructed femoral offset and functional outcome 12 months after post traumatic hemiarthroplasty in 126 prospectively enrolled elderly patients. Rotation-corrected femoral offset (FORC), relative femoral offset (FORL) and contralateral femoral offset (FOC) were measured on anteroposterior radiographs. The Harris Hip Score (HHS) was the primary outcome measure; the timed up and go (TUG) test and Lawton instrumental activities of daily living (IADL) score were secondary outcomes. Correlations were sought using the Spearman correlation coefficient (r). Sample size was calculated using an Altman nomogram, with the power set at 80 %, the significance level of 0.05 and a standardised difference of 0.75. RESULTS:The mean reconstructed FORC was 41 mm (17-67 mm) and showed a linear relationship and excellent correlation with the FOC. At 12 months, we found a significant positive correlation between FORC and HHS (r = 0.303, p = 0.025) and IADL (r = 0.325, p = 0.013), but not TUG (r = -0.026, p = 0.863). These findings were confirmed by bivariate and multivariate correlation between FORL and functional outcome parameters. CONCLUSIONS:We found a clinically relevant relationship between femoral offset and functional outcome after hemiarthroplasty in elderly patients, comparable with that of THA, for treating osteoarthritis.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Buecking B,Boese CK,Bergmeister VA,Frink M,Ruchholtz S,Lechler Pdoi
10.1007/s00264-015-2828-1subject
Has Abstractpub_date
2016-07-01 00:00:00pages
1515-21issue
7eissn
0341-2695issn
1432-5195pii
10.1007/s00264-015-2828-1journal_volume
40pub_type
杂志文章abstract::Twenty three patients with lumbar spondylolisthesis (6 Grade I, 14 Grade II and 3 Grade III) with low back pain, and radicular pain in 14, were treated surgically when they failed to respond to conservative treatment. Their average age was 33.2 years. Bilateral posterolateral spinal fusions with autologous iliac bone ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050249
更新日期:1998-01-01 00:00:00
abstract:PURPOSE:Dual mobility (DM) socket has been associated with a low rate of dislocation following both primary and revision total hip arthroplasty (THA). However, little is known about the long-term efficiency of DM in the treatment of THA instability. The purpose of this retrospective study was to evaluate the outcome of...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3343-8
更新日期:2017-03-01 00:00:00
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journal_title:International orthopaedics
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doi:10.1007/s002640000186
更新日期:2001-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/BF00179971
更新日期:1995-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04757-w
更新日期:2020-10-01 00:00:00
abstract::A 21 year old Japanese male of normal intelligence with severe athetosis, scoliosis with pelvic obliquity, and a positive Galant's reflex was seen with complaint of difficulty in maintaining a sitting posture. After release of the soft tissues around the hip and axilla, followed by physiotherapy, he underwent ipsilate...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00271094
更新日期:1980-01-01 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
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1549-y
更新日期:2013-03-01 00:00:00
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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
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:1999-01-01 00:00:00
abstract:PURPOSE:Extracorporeal shockwave therapy (ESWT) has become a common practice for treating knee osteoarthritis (OA). However, the effectiveness and safety of this treatment are still questionable. This meta-analysis is aimed at determining the degree of pain reduction and functional outcome after ESWT for knee OA. METH...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-020-04489-x
更新日期:2020-05-01 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:2020-10-01 00:00:00
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journal_title:International orthopaedics
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更新日期:2015-03-01 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:2012-10-01 00:00:00
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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
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050223
更新日期:1998-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2334-x
更新日期:2014-08-01 00:00:00
abstract::A woman aged 31 had an ameloblastoma of the inferior part of the maxilla treated by excision and a bone graft from the iliac crest. Nine years later she presented with a metastasis from the tumour at the donor site. Metastases from an ameloblastoma are rarely encountered. In this case there might have been contaminati...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00180180
更新日期:1994-02-01 00:00:00
abstract::A man, aged 52 years, who had a secondary Raynaud phenomenon affecting the left hand and index finger had been treated unsuccessfully with intravenous prostaglandin E1 and amputation of the finger was proposed. He was given intra-arterial prostaglandin E1 for 10 days and amputation was not necessary. He recovered almo...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00187085
更新日期:1994-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
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更新日期:2012-09-01 00:00:00
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journal_title:International orthopaedics
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doi:10.1007/s00264-017-3429-y
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/BF00267839
更新日期:1981-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-006-0158-z
更新日期:2007-04-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266837
更新日期:1984-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-019-04381-3
更新日期:2019-12-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04785-6
更新日期:2020-12-01 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:2021-01-23 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:2006-10-01 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,meta分析,评审
doi:10.1007/s00264-014-2455-2
更新日期:2015-04-01 00:00:00