Abstract:
PURPOSE:Our aim was to evaluate the results of short-segment pedicle instrumentation with screw insertion in the fracture level and find factors predicting kyphosis recurrence in thoracolumbar burst fractures. METHODS:We retrospectively analysed 122 patients with thoracolumbar burst fracture who were divided into two groups: kyphosis recurrence and no kyphosis recurrence. Pre-operative radiographic data comprising Cobb angle (CA), regional angle, anterior vertebra height (AVH), upper intervertebral angle, vertebral wedge angle (VWA), pre-anteroposterior A/P approach, superior endplate fracture, load-sharing classification (LSC) score and clinical data including age, visual analogue scale (VAS) score, thoracolumbar injury classification and severity score were compared between groups. T test, Pearson's chi-square and multivariate logistic regression were calculated for variables. RESULTS:CA, VWA and AVH were significantly corrected after surgery. CA changed from 23.7 to 3.0 (p <0.001), VWA from 38.7 to 9.6 (p <0.001) and AVH from 48.8 % to 91.2 % (p <0.001). These parameters were well maintained during the follow-up period with a mild, tolerant loss of correction. Neurological function and pain were significantly improved without deterioration. Age, pre-A/P and pre-AVH < 50 % influenced kyphosis recurrence (p = 0.032, 0.026, 0.011, respectively). CONCLUSIONS:Short-segment pedicle instrumentation including the fractured vertebra was effective in treating thoracolumbar burst fractures. The loss of correction at follow-up after implant removal was associated with age, A/P ratio and anterior vertebral height < 50 %.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Chen JX,Xu DL,Sheng SR,Goswami A,Xuan J,Jin HM,Chen J,Chen Y,Zheng ZM,Chen XB,Wang XYdoi
10.1007/s00264-016-3180-9subject
Has Abstractpub_date
2016-06-01 00:00:00pages
1253-60issue
6eissn
0341-2695issn
1432-5195pii
10.1007/s00264-016-3180-9journal_volume
40pub_type
杂志文章abstract:PURPOSE:Treatment of focal full-thickness chondral or osteochondral defects of the talus remains a challenge. The aim of this study was to evaluate the postoperative success and the long-term efficacy of matrix associated autologous chondrocyte implantation in these defects. METHODS:Matrix associated autologous chondr...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1635-1
更新日期:2012-11-01 00:00:00
abstract::We give details of seven children with the TAR syndrome, Thrombocytopenia with absence of the radius. Two of the children were siblings. The TAR syndrome is characterised by hypomegakaryocytic thrombocytopenia and bilateral absence of the radius. It is inherited as an autosomal recessive trait. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00179704
更新日期:1991-01-01 00:00:00
abstract:PURPOSE:To assess functional outcomes in patients undergoing total knee arthroplasty (TKA) without previous corrective osteotomy for treatment of knee osteoarthritis associated with extra-articular deformity. METHODS:From January to December 2016, patients with knee osteoarthritis with extra-articular deformities who ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-4147-9
更新日期:2019-09-01 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
abstract::The purpose of this work was to document eleven years of experience in knee replacement for fixed knee valgus through a lateral approach with special emphasis on the balancing procedures. At a mean follow-up of seven years, only one revision for sepsis was required in this series of 63 knee replacements. The mean knee...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-008-0698-5
更新日期:2009-12-01 00:00:00
abstract:PURPOSE:The purpose of this study was to quantify limitations in sagittal ankle range of motion (ROM) at least two years after lateral column lengthening osteotomy of the calcaneus (LLC) and their implications regarding quality of life. METHODS:Fifteen patients with a mean follow-up of 80 ± 27 months after LLC and 15 ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04526-9
更新日期:2020-06-01 00:00:00
abstract::Thirty six patients with a chronic slip of the capital femoral epiphysis and a femoral headneck angle of more than 30 degrees, as measured in a lateral radiograph, were treated by intertrochanteric osteotomy. The patients had an abnormal gait, an average age of 14.1 years and symptoms for an average of 14.5 months. Th...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00180203
更新日期:1992-01-01 00:00:00
abstract::A prospective randomised trial of treatment of ruptured ankle ligaments was carried out at our institute. Two hundred patients were randomly assigned to 4 treatment groups. The results at 1 and 2 years after injury showed that functional treatment with a newly designed brace appeared to be the method of choice. This g...
journal_title:International orthopaedics
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/BF00192302
更新日期:1991-01-01 00:00:00
abstract:PURPOSE:The increase in methicillin-resistant Staphylococcus aureus (MRSA) infections is currently a major health care problem. Vancomycin is still often the first-line anti-microbiological agent for treating such infections; however, a recent decline in efficacy of vancomycin in MRSA infections has raised concerns and...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2149-1
更新日期:2014-04-01 00:00:00
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journal_title:International orthopaedics
pub_type: 临床试验,杂志文章
doi:10.1007/s00264-009-0809-y
更新日期:2010-03-01 00:00:00
abstract:PURPOSE:The aim of the present study was to evaluate functional and quality of life outcomes after transosseous equivalent (TOE) double row suture technique for massive rotator cuff (RTC) tear repair using validated subjective and objective measures. This technique has shown promising preliminary results in RTC repair;...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2720-z
更新日期:2015-06-01 00:00:00
abstract::The objective of this study was to confirm the presence and frequency of a bifurcation of the popliteus tendon. The popliteus tendon has received attention due to its important function as a knee stabiliser. Several anatomical variants have recently been reported, one of them being a bifurcated tendon. However, the ac...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-008-0685-x
更新日期:2009-12-01 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:PURPOSE:Although injuries sustained during ice skating have been reported to be more serious than other forms of skating, the potential injury risks are often underestimated by skating participants. The purpose of this study was to give a descriptive overview of injury patterns occurring during ice skating. Special emp...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2488-6
更新日期:2015-01-01 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::A new twisted plate has been designed for biplane fixation of diaphyseal fractures of long bones. Comparative mechanical testing of the new twisted plate and conventional flat plates showed that the twisted plate was 40% stronger when a bending moment was applied and 132% stronger to a twisting moment. The overall imp...
journal_title:International orthopaedics
pub_type: 临床试验,杂志文章
doi:10.1007/BF00182708
更新日期:1992-01-01 00:00:00
abstract::The incidence of the major complications of operation have been studied prospectively in 1,722 patients with a proximal femoral fracture treated by either insertion of a hemiarthroplasty, internal fixation with a Dynamic Hip Screw (DHS) or multiple parallel screws. Major complications occurred in 8.0%. A special surgi...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00192477
更新日期:1994-06-01 00:00:00
abstract::To evaluate the effects of aggressive early rehabilitation on the clinical outcome of anterior cruciate ligament reconstruction using semitendinosus (and gracilis) tendon, 103 of 110 consecutive patients who underwent ACL reconstruction using multistrand semitendinosus tendon (ST) or the central one-third of patellar ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050276
更新日期:1998-01-01 00:00:00
abstract::The purpose of this study was to determine if the cartilage from loose osteochondral fragments remains viable. Five patients with OCD of the knee who had undergone surgical treatment (arthroscopic reduction and internal fixation of the loose body) were included. The average age of patients was 13 years (range 10-14 ye...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-010-0951-6
更新日期:2010-08-01 00:00:00
abstract::We measured the size and volume of the femoral broaches and stems supplied with three commercial total hip replacement (THR) systems (JRI Furlong, Biomet Stanmore, and Howmedica Exeter). Using an in vitro method, we created cement mantles that could be directly measured. The broaches supplied with the Biomet Stanmore ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-003-0509-y
更新日期:2004-02-01 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::Myeloscopy has been undertaken in a series of 208 patients without any serious complications. Observations have been made of changes in blood flow in the vessels accompanying the cauda equina during Lasègue's test and in some pathological states. Direct observation of the nucleus pulposus has been achieved and the pos...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266074
更新日期:1981-01-01 00:00:00
abstract::From 1996 to 2000, we reoperated nine patients totally dissatisfied after previous surgery for cubital tunnel syndrome. All patients had simple external neurolysis in situ of the transposed ulnar nerve. Only the anterior aspect of the ulnar nerve was dissected and released. Dense scarring around the ulnar nerve was fo...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-004-0589-3
更新日期:2004-12-01 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::Incorporation of massive cortical bone allografts in the human is slow and remains incomplete. Late biopsies of implanted allografts or histological studies of explanted allografts always show the partial substitution of necrotic bone by new bone from the host. The aim of the present study was to evaluate the value of...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00183550
更新日期:1993-01-01 00:00:00
abstract::The aim of this prospective study was to determine the effect of screening for methicillin-resistant Staphylococcus aureus (MRSA), in patients undergoing total hip and knee replacements, on reducing hospital-acquired infections and the length of hospital stay. We included 395 patients admitted to the elective orthopae...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-005-0649-3
更新日期:2005-06-01 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
abstract::We have undertaken a meta-analysis of the English literature, to assess the component alignment outcomes after imageless computer assisted (CAOS) total knee arthroplasty (TKA) versus conventional TKA. We reviewed 23 publications that met the inclusion criteria. Results were summarised via a Bayesian hierarchical rando...
journal_title:International orthopaedics
pub_type: 杂志文章,meta分析
doi:10.1007/s00264-010-1008-6
更新日期:2011-03-01 00:00:00
abstract:PURPOSE:Short-stem hip arthroplasty preserves femoral bone stock which includes the femoral neck. This implies that the stem has to follow the anatomy of the femoral neck. Therefore, it has been questioned whether biomechanical reconstruction of the hip can be safely achieved with SHA. METHODS:Biomechanical reconstruc...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1477-2
更新日期:2012-07-01 00:00:00
abstract:PURPOSE:The mortality rate in patients with haemodynamically unstable pelvic fractures is as high as 40-60%. Despite the new advances in trauma care which are in phase in trauma centres in Hong Kong, the management of haemodynamically unstable pelvic fracture is still heterogeneous. The aim of this study is to review t...
journal_title:International orthopaedics
pub_type: 杂志文章,多中心研究
doi:10.1007/s00264-018-3842-x
更新日期:2018-10-01 00:00:00