Abstract：
PURPOSE:Traditional classification systems for tibial plateau fractures (TPF) are based on simple radiographs, and intra- and inter-observer variability is low. The aim was to assess intra- and inter-observer variability using traditional systems and some recently described classification systems of TPF in the interpretation of standard radiographs and bidimensional (2D) and tridimensional (3D) computed tomography (CT). METHODS:We studied all patients at two centres who underwent TPF surgery over a three-year period. Demographic data (age, sex, BMI) and mechanism of injury were recorded. Four observers classified each TPF according to the Schatzker, AO, Luo, modified Duparc and Khan classification systems. We calculated intra- and inter-observer variability using the Kappa test. RESULTS:A total of 112 (71 males) patients were included. Mean age was 47.1 years (range 21-86) and mean BMI was 25.2 ± 3.6. Intra- and inter-observer variability was 0.95 and 0.62 for AO, 0.87 and 0.65 for Schaztker, 0.86 and 0.73 for Luo, 0.56 and 0.37 for the modified Duparc, and 0.43 and 0.25 for Khan classifications. CONCLUSIONS:Although previous training could be needed, AO, Schatzker and Luo classifications showed a good reproducibility of TPF assessment from a combination of standard radiographs and 2D and 3D CT images. The results using the Modified Duparc and Khan classifications were less favourable and their use is not therefore recommended.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Millán-Billi A,Gómez-Masdeu M,Ramírez-Bermejo E,Ibañez M,Gelber PEdoi
10.1007/s00264-017-3462-xsubject
Has Abstractpub_date
2017-06-01 00:00:00pages
1251-1256issue
6eissn
0341-2695issn
1432-5195pii
10.1007/s00264-017-3462-xjournal_volume
41pub_type
杂志文章abstract：PURPOSE:The aim of the present study was to compare the daily activity and functionality in a patient cohort 12 months after total hip arthroplasty (THA) using a direct anterior approach with a healthy non-operated control population. METHODS:Sixty-four patients who underwent THA and 59 healthy individuals (control) w...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-017-3541-z
更新日期：2018-02-01 00:00:00
abstract：:Periprosthetic infections following total knee arthroplasty (TKA) are diagnostically challenging. We evaluated the sensitivity and specificity of ESR and CRP, false negative rates, whether false negative rates differed between early post-operative and late infections, and the predictive ability of ESR and CRP to diffe...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-010-1175-5
更新日期：2011-11-01 00:00:00
abstract：:Manipulation under anaesthesia (MUA) has been used to speed up recovery. However, the outcome of frozen shoulder after MUA in patients with diabetes has not been well documented in the past. A higher prevalence of frozen shoulder has been reported in diabetes mellitus (DM) patients. In this study, we revealed the shor...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-010-0968-x
更新日期：2010-12-01 00:00:00
abstract：PURPOSE:Lumbar disc surgery is a common procedure in the USA. It is frequently performed with good or excellent results in most patients. This article reviews common causes of persistent radiculopathy after surgical intervention. METHODS:We performed an extensive review of the literature as well as applying our own ex...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-018-4246-7
更新日期：2019-04-01 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：AIM OF THE STUDY:The aim of the study was to investigate functional and patient-rated outcome parameters after endoscopic assisted release of the ulnar nerve for cubital tunnel syndrome. METHODS:One hundred of 204 consecutive patients between 2006 and 2011 met the inclusion/exclusion criteria. Fifty-one of these patie...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-3760-y
更新日期：2018-06-01 00:00:00
abstract：PURPOSE:The aim of our study was to evaluate the effect of the S3 (spatial subchondral support) humeral plate and to compare the clinical outcomes and complications after ORIF (open reduction and internal fixation) of proximal humeral fractures using either a S3 plate or a PHLP (proximal humeral locking plate). METHOD...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-015-2705-y
更新日期：2015-06-01 00:00:00
abstract：:We used scanning electron microscopy to perform an ultrastructural analysis and two optical interferometric profilers to measure roughness on 40 prosthetic femoral heads. We expressed roughness as Ra (roughness average) value and Rsk (roughness skewness) value. Our results show that in order to obtain an ideal surface...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640000129
更新日期：2000-01-01 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：:Osteonecrosis of the femoral head (ONFH) is a significant cause of both pain and disability that often affects young adults during what ought to be their most productive age. Two broad categories of ONFH exist: traumatic and non-traumatic. Traumatic ONFH results from acute mechanical disruption of the femoral head's b...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-018-3956-1
更新日期：2018-07-01 00:00:00
abstract：:Following manipulation of frozen shoulders under general anaesthesia, we reviewed 74 shoulders at an average of 3 weeks and again at an average of 33 months following the manipulation. We used an adjusted Constant score by excluding the abduction strength measurement. The maximum score was therefore 75 points. The ave...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-002-0348-2
更新日期：2002-01-01 00:00:00
abstract：PURPOSE:The platelet-to-lymphocyte ratio (PLR) has been extensively studied in various diseases. However, the relationship between PLR and hip fracture remains unknown. The aim of this study was to evaluate whether PLR would be an independent prognostic factor in elderly hip fracture patients. METHODS:Between January ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-020-04833-1
更新日期：2021-01-01 00:00:00
abstract：:Sixty consecutive patients (60 hips) were allocated in two matched-pair groups. Patients were matched for age, gender, body mass index, level of activity, and bone stock. Both groups received an uncemented total hip arthroplasty with a modular press-fit cup and an alumina femoral head. In the first group, an acetabula...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-002-0422-9
更新日期：2003-01-01 00:00:00
abstract：:Between 1971 and 1987, we treated 26 patients with congenital absence of the radius which had produced a club hand; 37 hands were affected. Treatment before the age of 8 months was by gentle manipulation and serial plasters. If a functional position was not obtained, and in patients over 8 months, surgical reduction w...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00194186
更新日期：1993-01-01 00:00:00
abstract：PURPOSE:We prospectively compared two types of dressing (conventional gauze-based versus absorbing hydrofibre) after primary total hip (THA) or knee (TKA) arthroplasties. METHODS:Eighty candidates for THA (n = 40) or TKA (s = 40) were randomized: gauze-based versus hydrofibre absorbing (Aquacel®, ConvaTec). The two gr...
journal_title：International orthopaedics
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00264-015-2726-6
更新日期：2015-07-01 00:00:00
abstract：:Infection in prosthesis surgery is very dangerous because it changes the patient's prognosis. Differential diagnosis between septic and aseptic loosening is fundamental in order to apply the correct treatment. The correct diagnostic approach is still debated in literature. The aim of this study was to perform a review...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-008-0575-2
更新日期：2009-02-01 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：PURPOSE:Quality-of-life (QOL) assessments in patients with osteonecrosis of the femoral head (ONFH) have rarely been reported. This multicentre study aimed to elucidate the relationship between disease severity, including necrotic lesion type and radiological staging, and QOL, as well as between patients' characteristi...
journal_title：International orthopaedics
pub_type： 杂志文章,多中心研究
doi：10.1007/s00264-018-3897-8
更新日期：2018-07-01 00:00:00
abstract：:A woman aged 31 had an ameloblastoma of the inferior part of the maxilla treated by excision and a bone graft from the iliac crest. Nine years later she presented with a metastasis from the tumour at the donor site. Metastases from an ameloblastoma are rarely encountered. In this case there might have been contaminati...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00180180
更新日期：1994-02-01 00:00:00
abstract：BACKGROUND:Pubic bone nonunion and delayed union are reported as post-operative complications after peri-acetabular osteotomy (PAO). However, few studies have determined the incidence of delayed union using computed tomography (CT) scans. This study aimed to determine the incidence of delayed union at one year after PA...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-017-3656-2
更新日期：2018-05-01 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 purpose of this study was to examine the effect of anabolic steroid hormones and exercise training on skeletal tendons. Female mice were exercised for 1 and 10 weeks in an endurance running programme on a treadmill. The altered ultrastructure of tendons caused by simultaneously administered anabolic steroid hormon...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00266702
更新日期：1987-01-01 00:00:00
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:Residual feeling of leg length discrepancy (LLD) is a common cause of patient dissatisfaction following total hip arthroplasty (THA). The purpose of this study is to propose a method for determining an optimal leg length correction goal in THA. METHODS:We conducted a retrospective study of 132 patients to exam...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-019-04411-0
更新日期：2020-03-01 00:00:00
abstract：:We conducted a prospective study of the clinical and radiographic variables related to the survival of 114 cementless resurfacing double-cup hip replacements (RHR) with a mean follow-up of 9 (range: 1--16) years. Three patients died, and 22 were unavailable for the final review in 2003. Sixty-one RHRs had to be revise...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-005-0652-8
更新日期：2005-08-01 00:00:00
abstract：PURPOSE:Although diabetes mellitus (DM) has an adverse effect on complication rates in orthopaedic surgery, neither the effect of DM nor the association between haemoglobin A1C (HbA1C) and outcomes after shoulder arthroplasty (SA) has been studied. METHODS:A retrospective review of 406 SAs (70 HAs, 188 total shoulder ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-3874-2
更新日期：2018-08-01 00:00:00
abstract：PURPOSE:The benefits of minimally invasive surgical techniques in total hip arthroplasty (THA) are well known, but concerns about applying those techniques in obese patients are controversial. We prospectively compared patients with increased body mass index (BMI ≥ 30) undergoing THA with normal weight patients. METHO...
journal_title：International orthopaedics
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00264-013-1833-5
更新日期：2013-06-01 00:00:00
abstract：:The healing of flexor tendons was studied in chickens using transmission electron microscopy. After resecting the flexor sheath between the proximal and distal pulleys in zone II, the profundus tendon was severed and sutured. Intermittent passive motion was carried out 35 times daily immediately afterwards. The chicke...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00189620
更新日期：1992-01-01 00:00:00
abstract：PURPOSE:Our aim was to elucidate the pooled outcome of the CementLess Spotorno (CLS) system in total hip arthroplasty (THA). METHODS:We compared the outcome of clinical inventor studies, independent clinical studies, and worldwide register data. The main endpoints for analysis were revision rates. RESULTS:Twenty clin...
journal_title：International orthopaedics
pub_type： 杂志文章,meta分析
doi：10.1007/s00264-013-1867-8
更新日期：2013-06-01 00:00:00
abstract：:Two cases of septic loosening due to a tuberculosis infection occurred 18 months and 14 years after total hip arthroplasties. The primary source was pulmonary tuberculosis. Treatment was by removal of the prosthesis and radical debridement with the local implantation of gentamicin PMMA beads, followed by antituberculo...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00184916
更新日期：1995-01-01 00:00:00
