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 were performed in 39 patients between 1992 and 2012. Minimum follow-up was 20 months. Massive allografts have a high complication rate. RESULTS:Excluding infection and nonunion, five acute fractures were found. All fractures occurred after the graft-host junction was united. Local factors-such as graft preservation, weight bearing, fixation to the host or systemic factors such as adjuvant treatments (chemotherapy or radiotherapy)-influence fracture rate. In our study, four patients achieved consolidation with internal fixation and autologous iliac-crest graft, whilst only one required graft exchange. DISCUSSION:There is no general consensus as to when to treat fractures using open reduction and internal fixation or by exchanging the allograft. Higher fracture rate in relation to systemic treatment was found. CONCLUSIONS:Massive structural allograft reconstruction still has a place in limb-preserving surgery, with an acceptable fracture rate and a durable solution.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Garcia-Coiradas J,Garcia-Maroto R,Cebrian JL,Lopez-Duran Ldoi
10.1007/s00264-015-2980-7subject
Has Abstractpub_date
2015-11-01 00:00:00pages
2261-5issue
11eissn
0341-2695issn
1432-5195pii
10.1007/s00264-015-2980-7journal_volume
39pub_type
杂志文章abstract：PURPOSE:This study reports a case series of 44 primary total knee arthroplasties (TKAs) using autogenous morcellised bone grafting for large (≥10-mm-deep) medial tibial defects, which are generally repaired using metal augmentation. The bone-grafting technique is described in detail and the radiological outcomes are pr...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-016-3339-4
更新日期：2017-05-01 00:00:00
abstract：:The tendon sheaths of extensor pollicis brevis (EPB) and abductor pollicis longus (APL), obtained from four patients with de Quervain's disease were studied by light and electron microscopy. Three different layers were identified in the sheath which was much thicker than normal. Both the outer and the middle layers ha...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00267036
更新日期：1985-01-01 00:00:00
abstract：:The subtle diagnosis of widening of the mortice requires special radiographs which also make possible the recognition and extent of shortening of the fibula. With the help of a special compression/distraction device, a lengthening osteotomy can be carried out more easily then by conventional means. a reconstructive le...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00266071
更新日期：1981-01-01 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：:The aim of this non-randomised prospective study was to evaluate the short-term outcome of Gamma nail and dynamic hip screw (DHS) fixation in the treatment of subtrochanteric hip fractures due to low-energy trauma in the elderly. All of the 1,624 femoral hip fractures in 1,511 patients of the Oulu Hospital, aged over ...
journal_title：International orthopaedics
pub_type： 临床试验,杂志文章
doi：10.1007/s00264-006-0088-9
更新日期：2007-02-01 00:00:00
abstract：:The authors describe the technique and results obtained by a derotation osteotomy of the tibia in children. The method is simple, reliable and does not require internal fixation. It is suitable for dealing with deformity following poliomyelitis, and may also be used to treat tibial torsion which fails to correct with ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00266870
更新日期：1985-01-01 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：:Between 1991 and 1998, we treated 72 patients with fusion of the lumbar spine using posterior pedicle screw fixation followed by anterior retroperitoneal insertion of a titanium cage filled with autogenous bone graft. All patients had chronic low back pain after failed conservative treatment. We were able to review 54...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-004-0577-7
更新日期：2004-10-01 00:00:00
abstract：PURPOSE:To assess whether reaction time (RT) and movement time (MT), as the two components of the total brake response time (TBRT) and brake force (BF) are different in patients with a foot joint arthrodesis in comparison to controls. METHODS:The study was a comparative case series in a driving simulator under realist...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-015-2789-4
更新日期：2015-07-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00266517
更新日期：1985-01-01 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
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-011-1289-4
更新日期：2012-03-01 00:00:00
abstract：PURPOSE:The objective of this report was to analyse injury patterns and definitive management of local casualties with multiple blast extremity injuries in the Kabul International Airport Combat Support Hospital. METHODS:A clinical prospective study was performed from July 2012 to January 2013. Afghan victims of a bla...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-014-2532-6
更新日期：2014-12-01 00:00:00
abstract：:Chondromyxoid fibroma of the scapula occurring in a 23 year old woman is of interest because of its unusual site and the extensive invasion of the soft tissues. ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00180217
更新日期：1992-06-01 00:00:00
abstract：:Humeral shaft fractures respond well to conservative treatment and unite without much problem. Since it is uncommon, there is not much discussion regarding the management of nonunion in the literature, and hence this is a challenge to the treating orthopaedic surgeon. Osteoporosis of the fractured bone and stiffness o...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-008-0596-x
更新日期：2009-08-01 00:00:00
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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：INTRODUCTION:The damage control orthopedics (DCO) concept is a sequential surgical management strategy indicated when ideal primary treatment is not possible or suitable. DCO principles are routinely applied to hand traumas in wartime practice, but could also be useful in a civilian setting when immediate specialized m...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-017-3439-9
更新日期：2017-09-01 00:00:00
abstract：PURPOSE:There is no consensus regarding systematic screening for infection in aseptic revision total hip arthroplasty (THA). The rationale for systematic intra-operative samples is to increase the sensitivity of latent infections detection, which may require specific treatment. However, the incidence of occult infectio...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-019-04366-2
更新日期：2020-04-01 00:00:00
abstract：:The effect of a low dose of diclofenac sodium, administered locally, on heterotopic bone formation in rats was investigated. Heterotopic bone was induced by implantation of demineralised bone matrix into the gluteal muscles. Diclofenac was released continuously for 2 weeks from micro-osmotic pumps for each demineralis...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00178357
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/BF00268506
更新日期：1989-01-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-016-3365-2
更新日期：2017-07-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-014-2592-7
更新日期：2015-02-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640050259
更新日期：1998-01-01 00:00:00
abstract：PURPOSE:Treating acetabular fractures with open reduction and internal fixation (ORIF) may lead to poorer outcomes in older patients. As data for osteoporotic acetabular fractures are limited, we compared primary total hip replacement (THR) with ORIF for treating osteoporotic acetabular fractures, including those with ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-016-3260-x
更新日期：2017-09-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-005-0005-7
更新日期：2005-12-01 00:00:00
abstract：PURPOSE:Since the introduction of autologous chondrocyte implantation (ACI) for the treatment of cartilage defects, the initial technique has undergone several modifications. Whereas an autologous periosteum flap was used for defect coverage in first generation ACI, a standardized collagen membrane was utilized in seco...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-014-2368-0
更新日期：2014-10-01 00:00:00
abstract：:In this retrospective case series 80 patients divided in 40 matched pair groups with an arthroscopically proven ACL insufficiency were followed up for 15 years. One half was reconstructed using an autologous BTB patella graft, the other half was treated by a conservative physiotherapeutic based rehabilitation program....
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-010-1174-6
更新日期：2011-04-01 00:00:00
abstract：PURPOSE:The study compared the impact of the Kirschner wires versus Herbert screw fixation on the rate of union, time to union, correction of deformity, and clinical outcome in adults with unstable scaphoid waist fracture nonunions without avascular necrosis. METHODS:We prospectively randomized 122 patients to undergo...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-020-04730-7
更新日期：2020-11-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1007/s00264-018-4061-1
更新日期：2019-05-01 00:00:00
abstract：:Three different lateral approaches for a Charnley total hip replacement were studied in 264 operations. The transtrochanteric approach was used in 94, the Liverpool in 88 and the Hardinge in 82. The mean follow up was 2.6 years (range 2 to 3 years). The clinical result was the same in each group. Radiographs showed th...
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
