Abstract:
PURPOSE:This prospective randomized trial is to determine the effectiveness of treating lumbar facet syndrome with oral diclofenac, methylprednisolone facet joint injection or both. METHODS:We enrolled lumbar facet syndrome patients treated at Srinagarind Hospital. Enrolled patients were randomly assigned to receive 100 mg/day oral diclofenac, an 80 mg injection of methylprednisolone into each symptomatic facet joint, or both. Endpoints were the Oswestry disability index (ODI) and visual analogue scale (VAS) before treatment, and at four and 12 weeks after treatment. RESULTS:Of the 99 patients, the mean age was 46.4 years and 48 were men. The initial ODI (mean ± SD) for the diclofenac, methylprednisolone and combined treatment was 45.1 ± 9.3, 42.9 ± 15.6, and 42.2 ± 11.5, respectively. The respective four week ODI was 30.1 ± 8.1, 20.2 ± 8.0, and 15.1 ± 5.5. The 12-week ODI was 42.4 ± 9.0, 32.2 ± 15.6, and 26.2 ± 11.7. The initial VAS was 7.1 ± 1.2, 7.6 ± 1.1, and 7.3 ± 1.0. The four week VAS was 5.3 ± 1.4, 3.6 ± 0.7, and 3.3 ± 1.1. The 12-week VAS was 6.1 ± 1.1, 5.8 ± 1.4, and 5.1 ± 0.9. The four week ODI and VAS for the combined treatment and the methylprednisolone treatment were significantly less than the diclofenac alone. The combined treatment also showed better scores than the methylprednisolone injection. Within each treatment, the best treatment effect was found at four weeks after which the ODI and VAS gradually increased but were still less than the initial scores. CONCLUSIONS:The combined treatment was more effective in reducing lumbar facet pain and improving the functional index than either treatment alone. This approach should be the preferred treatment.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Sae-Jung S,Jirarattanaphochai Kdoi
10.1007/s00264-016-3154-ysubject
Has Abstractpub_date
2016-06-01 00:00:00pages
1091-8issue
6eissn
0341-2695issn
1432-5195pii
10.1007/s00264-016-3154-yjournal_volume
40pub_type
杂志文章,随机对照试验abstract::Synovial fluid from a loose prosthesis may act as a vehicle for factors that regulate bone turnover. The effect of such synovial fluid on osteoblasts has been studied. Synovial fluid obtained from patients who underwent revision hip arthroplasty because of aseptic prosthesis loosening was studied regarding the effect ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-008-0533-z
更新日期:2009-06-01 00:00:00
abstract:PURPOSE:The aim of the study was to investigate risk factors for metastasis at diagnosis. METHODS:We collected patients diagnosed with conventional chondrosarcoma between 1983 and 2014 from the Surveillance, Epidemiology, and End Results (SEER) database. Each patient was classified as having metastatic or localized di...
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
abstract::There is no evidence surrounding the benefits, effects or clinical outcomes treating asymptomatic urinary tract colonisation. A series of 558 patients undergoing elective admission for orthopaedic surgery were recruited prior to surgery and were screened for urinary tract infection (UTI). Patients had their urine dips...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-008-0573-4
更新日期:2009-06-01 00:00:00
abstract:BACKGROUND:Previous studies of soft tissue infiltration in hip arthroplasty present variable results. The purpose of this study is to identify whether injection of an analgesic mixture improves pain management during the immediate post-operative period. MATERIALS AND METHODS:This cohort study compared 129 patients tha...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3788-z
更新日期:2018-08-01 00:00:00
abstract:PURPOSE:Despite previous studies the management of Rockwood type III acromioclavicular (AC) dislocations remains controversial and the debate continues about whether patients with Rockwood type III AC injuries should be treated conservatively or operatively. In this study, we will review the current literature and pres...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-013-2143-7
更新日期:2014-04-01 00:00:00
abstract:BACKGROUND:Phemister procedure is an effective treatment for early stage osteonecrosis of femoral head (ONFH). Since the long-term results of the Phemister procedure are less reported in the literature, the purpose of this study was to investigate the long-term outcomes of this bone grafting technique in patients with ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-4013-9
更新日期:2019-03-01 00:00:00
abstract:PURPOSE:The management of calcaneal fractures remains challenging and often controversial. Open reduction and internal fixation with a lateral plate has been established as a standard therapy for displaced articular fractures. However, accurate subtalar joint reduction, while mandatory, is difficult to achieve, require...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1249-z
更新日期:2011-07-01 00:00:00
abstract:PURPOSE:We will test the hypothesis that ultrasound supported by polymerase chain reaction (PCR) could improve bacterial identification in non-infected prosthetic joint loosening. The aim was to detect bacterial species in non-infected prosthetic joint loosening using ultrasound and 16S rRNA gene sequencing. METHODS:A...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-1955-9
更新日期:2013-10-01 00:00:00
abstract::We measured cytokine secretion patterns in peripheral blood and granulation tissue by flow cytometry in 16 human immunodeficiency virus (HIV) positive and 26 HIV negative patients with spinal tuberculosis. Anti-retroviral therapy was not prescribed. There were no significant differences in the postoperative morbidity ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640000125
更新日期:2000-01-01 00:00:00
abstract::Synovial oedema is a frequent complication in arthroscopic procedures performed with normal saline as the irrigating fluid. The authors have studied the effect of saline solution, Ringer lactate, 5% Dextran and 10% Dextran in normal saline on 12 specimens of human synovial membrane. They found that 10% Dextran in norm...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:
更新日期:1986-01-01 00:00:00
abstract::Seventy-four cases of tuberculosis of the upper limb joints (sterno-clavicular 1; shoulder 12; elbow 42; wrist 10 and fingers 9), treated by two of the authors, were reviewed. Eighty-seven percent presented at an advanced stage of destruction. The diagnosis was proved in 71 our of 74 cases. In most, the treatment was ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266268
更新日期:1986-01-01 00:00:00
abstract:PURPOSE:There remains controversy as to whether computer-navigated total knee replacement (TKR) improves the overall prosthesis alignment and patient function. The aim of this study was to determine whether computer-assisted total knee arthroplasty provides superior prosthesis positioning when compared to a conventiona...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-013-1996-0
更新日期:2014-02-01 00:00:00
abstract::Twenty-one patients having proximal ulna nonunion were treated with contoured plating. The most proximal hole received an intramedullary 6.5-mm cancellous lag screw that extends fixation of the nonunion site. Mean age of the patients was 41.7 years. Average follow-up period was 22 months. Union occurred in 19 cases af...
journal_title:International orthopaedics
pub_type: 临床试验,杂志文章
doi:10.1007/s00264-009-0809-y
更新日期:2010-03-01 00:00:00
abstract:PURPOSE:Hamstring tendon grafts are a popular choice for anterior cruciate ligament (ACL) reconstruction. Typical morbidity reported after hamstring tendon harvest is muscle weakness in flexion, and whilst still a matter for debate, this morbidity may be greater if the gracilis tendon is harvested in addition to the se...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1672-9
更新日期:2013-02-01 00:00:00
abstract::In a prospective and randomised clinical study, acetabular cups were implanted free-hand (control group n=22) or with computer assistance using an image-free navigation system (study group n=23). The cup position was determined postoperatively on pelvic CT. An average inclination of 42.3 degrees (range: 30 degrees -53...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-005-0671-5
更新日期:2005-10-01 00:00:00
abstract::The immunogenicity of a virus-induced rat osteosarcoma was studied utilizing the lymphocyte microcytoxicity test. Lymphocytes from "progressor" animals (in which the tumour progressed and metastasized) demonstrated an ability to kill osteosarcoma cells in vitro, while serum from these animals abrogated or blocked the ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00268153
更新日期:1980-01-01 00:00:00
abstract:PURPOSE:We have previously reported that a cylindrical bioabsorbable synthetic polymer scaffold made of poly (DL-lactide-co-glycolide) (PLG) can be used to repair osteochondral defects without using cultured cells in a rabbit model. This cylindrical scaffold has a solid and pre-formed design, which limits its widesprea...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2253-2
更新日期:2014-11-01 00:00:00
abstract::Subluxation of the patella may produce pain and instability in young people. However its classification, diagnosis and treatment are controversial. We have used computerized tomography (CT) to measure the amount of lateral shift of the patella and the angle of tilt to the femur in patients with subluxation. The mean l...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00267752
更新日期:1986-06-01 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:In prosthetic joint infections (PJIs) of the knee, debridement with implant retention is associated with a high risk of recurrence. METHODS:A single-centre cohort study was performed with extensive analysis of the literature covering 1980-2012. RESULTS:In 21 patients (mean age 80.4 years, 19 immunosuppressed)...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-013-1923-4
更新日期:2013-08-01 00:00:00
abstract::The normal characteristics of the hallux sesamoid bones were studied in 200 toes (100 dissections and 100 radiographs from patients with hallux valgus), and pathological changes were recorded. Normally each sesamoid articulated with a separate groove on the plantar surface of the first metatarsal head. A bony ridge on...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00267743
更新日期:1984-01-01 00:00:00
abstract:PURPOSE:Pelvic ring fractures, occurring in elderly patients are a challenging problem. Little known is about the patient-related outcome after these injuries. The primary objective of this study is to evaluate the quality of life after pelvic ring injuries in patients aged over 60 years. METHODS:Patients (≥ 60 years)...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-4030-8
更新日期:2019-02-01 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::The haematological and orthopaedic complications of patients with sickle cell disease from two different regions of Arabia are presented. Nineteen patients from the South-western region were matched for age and sex with an equal number from the Eastern region. The mean sickle cell haemoglobin was 75.95% in those from ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00182718
更新日期:1992-01-01 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::A description is given of an unusual case of a 13 year old girl who showed complete regression of neurogenically induced heterotopic ossification following recovery from her head injury. The case report indicates that heterotopic ossification is not necessarily permanent following neurological disturbance, but may be ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00267736
更新日期:1984-01-01 00:00:00
abstract:PURPOSE:While as many as 50% of revision shoulder arthroplasties are culture positive, a consistent, clinically useful definition of a "periprosthetic shoulder infection" is lacking. We conducted a systematic review of the published literature with respect to (1) the definition of a "periprosthetic shoulder infection",...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-017-3421-6
更新日期:2017-04-01 00:00:00
abstract::In order to clarify the association between mycotoxin-producing fungi in food and Kashin-Beck disease (KBD), we examined the occurrence and contamination levels of fungi in samples of barley grain, from KBD-affected families and from unaffected families in endemic areas. A control area without the occurrence of KBD se...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640000218
更新日期:2001-01-01 00:00:00
abstract:PURPOSE:Cup positioning is important for optimum hip stability, avoiding component impingement and decreasing both bearing surface wear and revision rate. Transitioning from posterior approach in a lateral position to direct anterior approach (DAA) in a supine presents unique challenges for surgeons. The aim of this st...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04583-0
更新日期:2020-09-01 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