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 presented. METHODS:A total of 44 TKAs were followed up for a mean period of 58 months (range 24-139 months). Multiple drill holes were made in the sclerotic floor of the defect, followed by the impaction of morcellised cancellous bone grafts to fill the defects. Tibial components were fixed using the cemented or noncemented technique and no internal fixation devices were used. Stem extension of the tibial component was only used in one TKA. RESULTS:Radiograms revealed that the grafted bone was completely incorporated into the host bone within one year post-operatively. No grafted bone absorption or collapse was detected. A clear zone between the tibial component and grafted bone was observed in six knees, but it did not become enlarged thereafter. CONCLUSIONS:The presented technique provided favourable radiological outcomes and had several advantages: (1) it enables preservation of as much bone as possible for future revision surgery; (2) it is cost effective and simple because metal augments, internal fixation devices and stem extension are not needed; (3) it can be used in the same manner any defect to a depth ≥3 mm. Thus, this is an acceptable and reproducible alternative technique.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Sugita T,Aizawa T,Miyatake N,Sasaki A,Kamimura M,Takahashi Adoi
10.1007/s00264-016-3339-4subject
Has Abstractpub_date
2017-05-01 00:00:00pages
931-937issue
5eissn
0341-2695issn
1432-5195pii
10.1007/s00264-016-3339-4journal_volume
41pub_type
杂志文章abstract::Eleven cases of extra-articular tuberculous osteomyelitis are presented. Eight of the patients were children. Ten were treated by curettage and chemotherapy and the diagnosis proved by histology or positive culture of the tubercle bacillus. One case was diagnosed because she also had tuberculous salpingitis, and she w...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050056
更新日期:1996-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00265739
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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
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abstract::One hundred fractures of the tibial shaft were treated by early weight-bearing in a below knee patellar tendon bearing plaster cast. The rate of union, and the range of knee and ankle motion were assessed. Ninety-five per cent had good or excellent results. This method of treatment is particularly valuable in the thir...
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doi:10.1007/BF00268506
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journal_title:International orthopaedics
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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
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journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
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更新日期:2015-07-01 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:1985-01-01 00:00:00
abstract:AIMS:This study was aimed to study the arthrodesis of the first metatarsophalangeal joint using an oblique interfragmentary lag screw and dorsal plate as an effective option for the treatment of hallux rigidus. Few researchers have studied the outcome of this surgical method over a long follow-up period. PATIENTS AND ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3277-1
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pub_type: 杂志文章,评审
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更新日期:2017-01-01 00:00:00
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doi:10.1007/s00264-014-2488-6
更新日期:2015-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3617-9
更新日期:2017-11-01 00:00:00
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journal_title:International orthopaedics
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:1998-01-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2010-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:2019-09-01 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:2019-02-01 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:1996-01-01 00:00:00
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journal_title:International orthopaedics
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journal_title:International orthopaedics
pub_type: 杂志文章
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