Abstract：
PURPOSE:The optimum treatment for periprosthetic fractures in the region of the distal femur is undefined. Although internal fixation for prostheses which are stable is commonly utilised, this can lead to very prolonged morbidity and failure of the fracture to unite. Where the prosthesis is either loose or infected, revision surgery is required and a 'tumour type' prosthesis can be successfully utilised. METHODS:The outcome of 27 patients treated by an endoprosthetic replacement for periprosthetic fracture of the distal femur between 1988 and 2013 are reported. Two cases were treated by two-stage revision due to persistent infection. Clinical outcomes were assessed by Knee Society score and Knee Society pain scores. RESULTS:All 27 patients mobilised rapidly in the post-operative period and infection where present was eradicated by the technique. There have been no cases of further revision in the patients where clinical follow-up is available. Knee Society scores following treatment averaged 88 and pain scores 43 at six months post-operatively. Eight patients have died during the long study period reflecting the age of the study population. CONCLUSIONS:The use of a tumour-type endoprosthesis in situations of comminuted periprosthetic fractures associated with a loose prosthesis shows favourable results with low complication rates and rapid mobilisation.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Cannon SRdoi
10.1007/s00264-015-2969-2subject
Has Abstractpub_date
2015-10-01 00:00:00pages
1945-50issue
10eissn
0341-2695issn
1432-5195pii
10.1007/s00264-015-2969-2journal_volume
39pub_type
杂志文章abstract：PURPOSE:To compare the radiological and clinical outcomes of interlocking nail (ILN) and locking plate fixation (LCP) for humeral shaft fractures. METHODS:A total of 63 patients with displaced humeral shaft fractures between October 2014 and January 2017 were evaluated prospectively. They were divided randomly into tw...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-020-04696-6
更新日期：2020-10-01 00:00:00
abstract：PURPOSE:Several studies have reported a risk of dislocation in obese patients after total hip arthroplasty. In this study, we evaluated the interaction between obesity and dislocation by kinematic analysis using a navigation system. METHODS:The intraoperative range of motion (ROM) and postoperative impingement-free RO...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-012-1701-8
更新日期：2012-12-01 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
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640050322
更新日期：1999-01-01 00:00:00
abstract：PURPOSE:The hypothesis of our study is that a routine tibial cut during cruciate retaining TKA may result in a partial or a total removal of the PCL footprint. Therefore providing a reliable landmark is essential to estimate the probability of PCL damage with a tibial cut and to enable the surgeon to decide pre-operati...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-013-2100-5
更新日期：2014-02-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00210533
更新日期：1991-01-01 00:00:00
abstract：PURPOSE:The aim of this study was to compare angiogenic cytokine levels in knee osteoarthritis (OA) patients and healthy controls and to investigate the relationships between angiogenic cytokines and the OA severity. METHODS:Thirty-one knee OA patients and 15 healthy controls were recruited. Nine angiogenic cytokines ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-014-2406-y
更新日期：2014-09-01 00:00:00
abstract：PURPOSE:For complex proximal humeral fractures, severe displacement and comminuted fragments lead to poor clinical outcomes. Despite considerable management, the locking plate fixation is still a preference and the proper selection of its strategy for each individual seems to be essential. METHOD:The available classif...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-020-04544-7
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/BF00181106
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/s00264-017-3430-5
更新日期：2017-07-01 00:00:00
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journal_title：International orthopaedics
pub_type： 临床试验,杂志文章
doi：10.1007/s002640050193
更新日期：1997-01-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-020-04623-9
更新日期：2020-10-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-013-2071-6
更新日期：2013-09-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-013-1993-3
更新日期：2013-10-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00182984
更新日期：1992-01-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-008-0714-9
更新日期：2009-12-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-020-04804-6
更新日期：2021-02-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-3817-y
更新日期：2018-08-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-3942-7
更新日期：2018-12-01 00:00:00
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journal_title：International orthopaedics
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doi：10.1007/s00264-009-0915-x
更新日期：2011-04-01 00:00:00
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pub_type： 杂志文章
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更新日期：2012-11-01 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：2017-08-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00194186
更新日期：1993-01-01 00:00:00
abstract：BACKGROUND:Severe glenoid bone loss remains a surgical challenge. This condition is known to be associated with high rates of glenoid component failure. PURPOSE:The objective of this study was to evaluate clinical and radiological outcomes of a lateralized metal-backed 15.2-mm keeled baseplate prolonged by a thin 24.8...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-4249-4
更新日期：2019-09-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-019-04373-3
更新日期：2019-11-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-020-04531-y
更新日期：2020-06-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-005-0033-3
更新日期：2006-04-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-008-0677-x
更新日期：2009-12-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00264-012-1601-y
更新日期：2012-09-01 00:00:00
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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
