Abstract：
OBJECTIVE:To investigate delay in diagnosis by both patients and doctors, and to evaluate its effect on outcomes of high-grade sarcoma of bone in a single-referral oncological center. METHODS:Fifty-four patients with osteosarcoma, 29 with Ewing sarcoma and 19 with chondrosarcoma were enrolled in this retrospective study. Delay in diagnosis was defined as the period between initial clinical symptoms and histopathological diagnosis at our center. The delays were categorized as patient- or doctor-related. Short total delays were defined as <4 months; prolonged delays >4 months were assumed to have prognostic relevance. RESULTS:Total delay in diagnosis was 688.0 days in patients with chondrosarcoma, which is significantly longer than the 163.3 days for osteosarcoma (P < 0.01) and 160.2 days for Ewing sarcoma (P < 0.01). Most doctor-related delays were at the pre-hospital stage, occurring at the general practitioner (GP)'s office. However, prolonged total delays (≥4 months) did not result in lower survival rates. Five-year-overall survival rates were 67.0% for osteosarcoma, 49.0% for Ewing sarcoma and 60.9% for chondrosarcoma. Survival was significantly lower for patients with metastatic disease for all three types of sarcoma. CONCLUSION:Prolonged delay in diagnosis does not result in lower survival. Metastatic disease has a pronounced effect on survival. Aggressive tumor behavior results in shorter delays. Minimizing GP-related delays could be achieved by adopting a lower threshold for obtaining plain radiographs at the pre-hospital stage.
journal_name
Orthop Surgjournal_title
Orthopaedic surgeryauthors
Goedhart LM,Gerbers JG,Ploegmakers JJ,Jutte PCdoi
10.1111/os.12239subject
Has Abstractpub_date
2016-05-01 00:00:00pages
122-8issue
2eissn
1757-7853issn
1757-7861journal_volume
8pub_type
杂志文章abstract：OBJECTIVE:To present the use of an intermediate dorsal neurocutaneous flap for the reconstruction of defects on the distal foot. METHODS:From September 2016 to October 2018, five patients (mean age at operation 33.8 years; range, 7-70 years; female/male = 2/3) with skin defects on one of their feet caused by road-traf...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12623
更新日期：2020-04-01 00:00:00
abstract：OBJECTIVE:To compare the superior-level facet joint violations (FJV) between robot-assisted (RA) percutaneous pedicle screw placement and conventional open fluoroscopic-guided (FG) pedicle screw placement in a prospective cohort study. METHODS:This was a prospective cohort study without randomization. One-hundred pati...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12534
更新日期：2019-10-01 00:00:00
abstract：OBJECTIVE:To investigate the utility and medium-term results of a new intra-operative classification system for distal tibiofibular syndesmosis injury in ankle fractures. METHODS:Between January 2010 and January 2015, 116 patients diagnosed with displaced closed Weber B and C ankle fractures were treated in our depart...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12355
更新日期：2017-11-01 00:00:00
abstract：OBJECTIVE:To investigate the efficiency of anterior decompression on the proximal-type cervical spondylotic amyotrophy patients. METHODS:This was a retrospective analysis. From January 2014 to November 2017, 21 patients with proximal-type cervical spondylotic amyotrophy (CSA) underwent anterior decompression. There we...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12654
更新日期：2020-06-01 00:00:00
abstract：OBJECTIVE:To summarize the indications and the clinical effects of a transfibular neck osteotomy approach and a combined anterolateral and posterolateral approach in the treatment of fractures of the lateral tibial plateau involving the posterolateral column. METHODS:Eleven patients with lateral tibial plateau fractur...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12544
更新日期：2019-12-01 00:00:00
abstract：OBJECTIVE:To evaluate the efficacy and safety of hip replacement and intramedullary nails for treating unstable intertrochanteric fractures in elderly patients. METHODS:Randomized clinical trials (RCTs) to compare hip replacement with intramedullary nail in the management of elderly patients with unstable intertrochan...
journal_title：Orthopaedic surgery
pub_type： 杂志文章,meta分析
doi：10.1111/os.12532
更新日期：2019-10-01 00:00:00
abstract：BACKGROUND:Femoral avulsion fracture of the posterior cruciate ligament (PCL) in association with meniscus tear is extremely rare in children, and similar cases are not available in the existing literature. CASE PRESENTATION:In this paper, we present a case of a 9-year-old boy treated by an arthroscopic repair techniq...
journal_title：Orthopaedic surgery
pub_type：
doi：10.1111/os.12636
更新日期：2020-04-01 00:00:00
abstract：OBJECTIVE:To compare the clinical efficacy of intramedullary nail fixation for intertrochanteric fractures assisted by orthopaedic robot navigation and the traditional intramedullary nail fixation in elderly patients, and to investigate the application advantages of intramedullary nail fixation for femoral intertrochan...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12447
更新日期：2019-04-01 00:00:00
abstract：OBJECTIVE:Accurate understanding of the cause of the underlying pathology in children with diastrophic dysplasia would help in designing targeted management of their locomotion. METHODS:Diastrophic dysplasia was diagnosed in twelve patients (nine girls and three boys; age range 1-14 years), all of whom presented with ...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12146
更新日期：2014-11-01 00:00:00
abstract：:In the realm of orthopaedics, the terrible triad of the elbow is infamous, not simply because the prognosis is poor for most patients, but also, maybe to a greater extent, because the unique name of this malady attracts considerable attention and interest in both doctors and patients. The adjective terrible is bestowe...
journal_title：Orthopaedic surgery
pub_type： 杂志文章,评审
doi：10.1111/os.12149
更新日期：2015-02-01 00:00:00
abstract：OBJECTIVE:Lumbar spinal stenosis is a medical condition characterized by the narrowing of the spinal canal as a consequence of bone and soft tissue degeneration, including disc herniation, facet and ligamentum flavum hypertrophy, and osteophyte formation. The percutaneous transforaminal endoscopic discectomy (PTED) tec...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12559
更新日期：2019-12-01 00:00:00
abstract：OBJECTIVE:Although contributions to sagittal alignment have been characterized for anterior, posterior and transforaminal lumbar interbody fusion, sagittal alignment after lateral transpsoas interbody fusion (LTIF) has not yet been characterized. This study examined the ability of LTIF to restore lumbar lordosis and id...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/j.1757-7861.2012.00175.x
更新日期：2012-05-01 00:00:00
abstract：OBJECTIVE:To examine the results of an anular closure device for prevention of lumbar disc reherniation in daily routine practice. METHODS:Fifty patients with large anular defects were treated with limited discectomy and a bone-anchored anular closure device. The device physically occludes the defect in the anulus fib...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12495
更新日期：2019-06-01 00:00:00
abstract：OBJECTIVE:To evaluate the functional outcomes of arthroscopic anatomical repair of anterior talofibular ligament (ATFL) in the treatment of chronic lateral ankle instability (CLAI) during medium- and long-term follow-up. METHODS:From September 2014 to August 2017, the data of 37 patients (23 males, 14 females; 12 left...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12651
更新日期：2020-04-01 00:00:00
abstract：OBJECTIVE:To investigate the compensatory mechanism of maintaining the sagittal balance in degenerative lumbar scoliosis patients with different pelvic incidence (PI). METHODS:This was a retrospective imaging observation study. Patients in our department with degenerative lumbar scoliosis between 2017 and 2019 were re...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12805
更新日期：2020-12-01 00:00:00
abstract：OBJECTIVE:To analyze the approach and feasibility of one-stage anterior release and reduction with posterior fusion for irreducible atlantoaxial dislocation. METHODS:Ten male and 6 female patients, with an average age of 36 years, including 13 patients with old trauma, 2 with rheumatoid disease, and 1 with os odontoid...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/j.1757-7861.2009.00049.x
更新日期：2009-11-01 00:00:00
abstract：OBJECTIVE:To evaluate the clinical efficacy of internal fixation versus hemiarthroplasty in the treatment of unstable intertrochanteric fractures in the elderly. METHODS:A search was conducted in PubMed, Web of Science, Embase, and Cochrane Library databases up to April 2020. The present study compared internal fixati...
journal_title：Orthopaedic surgery
pub_type： 杂志文章,评审
doi：10.1111/os.12736
更新日期：2020-08-01 00:00:00
abstract：BACKGROUND:The arcuate foramen is a complete or partial bony bridge over the vertebral artery groove of atlas. The mechanism of the arcuate foramen is not clearly understood. Omission of the arcuate foramen sometimes causes lethal iatrogenic injury during spinal surgery. CASE PRESENTATION:We describe a patient who was...
journal_title：Orthopaedic surgery
pub_type：
doi：10.1111/os.12868
更新日期：2020-12-03 00:00:00
abstract：OBJECTIVE:The present retrospective study was performed to assess the anatomical features of the pedicle in isthmic spondylolisthesis and to correlate this with degree of slip. METHODS:Twenty-six patients with isthmic spondylolytic spondylolisthesis were studied. Relevant patient variables, length, width, height of th...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12173
更新日期：2015-05-01 00:00:00
abstract：:A 66-year-old woman had sustained crush injury 3 hours prior to her presentation to our hospital. The diagnosis was defined as lateral tibial plateau fracture of the right knee (Schatzker III). Supine position was set up and a pad was put under the affected hip. After sterilization of the surgical field the sterilized...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12205
更新日期：2015-11-01 00:00:00
abstract：OBJECTIVE:To investigate a stem-adjusted preparation of the femur with a kinked reamer and to determine whether this approach results in higher primary stability of a kinked stem than straight reaming of the intramedullary canal. METHODS:Ten cementless stems with a kinked design were implanted in synthetic femurs afte...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12490
更新日期：2019-08-01 00:00:00
abstract：OBJECTIVE:To evaluate the safety and effectiveness of osteotomy adjacent to the articular surface of the metatarsal head combined with basal opening wedge osteotomy for severe hallux valgus. METHODS:The double osteotomy procedure was carried out in 56 patients (72 feet) with severe hallux valgus deformity, with an ave...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12505
更新日期：2019-08-01 00:00:00
abstract：OBJECTIVE:The prevention and treatment of the common complication of cerebrospinal fluid leakage (CSFL) during anterior approach cervical spine surgery for severe ossification of the posterior longitudinal ligament (OPLL) is documented. METHOD:A retrospective analysis of 47 patients with severe cervical OPLL aged 39 t...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12007
更新日期：2012-11-01 00:00:00
abstract：OBJECTIVE:To evaluate the clinical effect of the minimally invasive transforaminal lumbar interbody fusion combined with posterolateral fusion and unilateral fixation using a tubular retractor in the management of degenerative lumbar disease. METHODS:A retrospective analysis was conducted to analyze the clinical outco...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12345
更新日期：2017-08-01 00:00:00
abstract：OBJECTIVE:To investigate the effect of residual varus and valgus deformity on the stress distribution of the knee joint after tibial fracture malunion. METHODS:Fourteen adult cadaver specimens were selected to establish the models of tibial fractures, which were fixed subsequently at neutral position (anatomical reduc...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12668
更新日期：2020-06-01 00:00:00
abstract：:Gouty arthritis is an extremely painful condition that causes functional impairment. Gouty arthritis has become increasingly complex because of multiple comorbidities, iatrogenic factors and hyperuricemia that is refractory to treatment. In this review, we present a general overview of gouty arthritis including its pa...
journal_title：Orthopaedic surgery
pub_type： 杂志文章,评审
doi：10.1111/os.12024
更新日期：2013-02-01 00:00:00
abstract：OBJECTIVE:To retrospectively investigate the experience at one urban level one trauma center with gunshot femoral fractures with vascular injury and to examine the implication of surgical sequence with regards to short-term complications and ischaemia time. METHODS:We performed a retrospective study of 24 patients tre...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/j.1757-7861.2012.00186.x
更新日期：2012-08-01 00:00:00
abstract：OBJECTIVES:A series of constant anatomical structures were used as guide targets for screw placement to improve the accuracy of cortical screw placement and reduce surgical injury and fluoroscopy radiation. The most commonly used angles and distances between the cortical bone screw insertion point and the lateral margi...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12775
更新日期：2020-12-01 00:00:00
abstract：OBJECTIVE:To assess the difference between drainage and non-drainage after total hip arthroplasty (THA) in Chinese subjects by evaluating post-operative complications and joint function. METHODS:One hundred and sixty-eight patients undergoing THA were randomly allocated into drainage (83 patients) and non-drainage gro...
journal_title：Orthopaedic surgery
pub_type： 杂志文章,随机对照试验
doi：10.1111/os.12092
更新日期：2014-02-01 00:00:00
abstract：:Pure tibiotalar dislocation without an associated fracture is an extremely rare injury. We present three cases of closed posteromedial tibiotalar dislocation without any associated fractures to the foot, ankle, or leg. All patients were treated conservatively with immediate closed reduction under general or local anae...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12049
更新日期：2013-08-01 00:00:00
