Abstract：
:To observe the morphology character of the anterior epidural space at the L4-5 disc level and to provide an anatomical basis for safely and accurately performing a percutaneous endoscopic lumbar discectomy (PELD). Fifty-five cases with L5 S1 lumbar disc herniation were included in this study, and cases with L4-5 disease were excluded. When the puncture needle reached the epidural space at the L5 S1 level, iohexol was injected at the pressure of 50 cm H2 O during the PELD, then C-Arm fluoroscopy was used to obtain standard lumbar frontal and lateral images. The widths of epidural space at the level of the L4 lower endplate, the L5 upper endplate, as well as the middle point of the L4-5 disc were measured from the lumbar lateral X-ray film. Epidural space at the L4-5 disc plane performs like a trapezium chart with a short side at the head end and a long side at the tail end in the lumbar lateral X-ray radiograph, while the average widths of epidural space were 10.2 ± 2.5, 12.3 ± 2.3, and 13.8 ± 2.6 mm at the upper, middle, and lower level of the L4-5 disc. Understanding the morphological characteristics of epidural space will contribute to improving the safety of the tranforaminal percutaneous endoscopy technique.
journal_name
Orthop Surgjournal_title
Orthopaedic surgeryauthors
Xu RS,Wu JS,Lu HD,Zhu HG,Li X,Dong J,Yuan FLdoi
10.1111/os.12325subject
Has Abstractpub_date
2017-05-01 00:00:00pages
237-240issue
2eissn
1757-7853issn
1757-7861journal_volume
9pub_type
杂志文章abstract：OBJECTIVE:To evaluate the effects of surgery and rehabilitation on patients undergoing total knee arthroplasty (TKA). METHODS:Twelve patients and 12 healthy controls were enrolled and their clinical scores evaluated by a doctor. Gait data, including walking velocity, stride length, single support time, foot fall and s...
journal_title：Orthopaedic surgery
pub_type： 临床试验,杂志文章
doi：10.1111/os.12270
更新日期：2016-08-01 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：OBJECTIVES:This research aimed to investigate the relative level of Runt-related transcription factor 2 (RUNX2) in giant cell tumor of bone (GCTB). Through the histopathological similarities between osteoporosis and GCTB, the biological functions of exogenous RUNXS were demonstrated in GCTB cell lines. This generated a...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12568
更新日期：2020-04-01 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：OBJECTIVES:To analyze the curative effect of TiRobot surgical robotic navigation and location system-assisted percutaneous sacroiliac screw fixation and percutaneous sacroiliac screw by traditional fluoroscopy, and to summarize the safety and benefits of TiRobot. METHODS:A total of 91 patients with pelvic posterior ri...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12461
更新日期：2019-06-01 00:00:00
abstract：OBJECTIVE:Total knee arthroplasty (TKA) is one of the most universal and effective means for treating terminal stage osteoarthritis (OA) of knee. Accurate intramedullary guide of femur is the basis for the distal femoral cuts. Determining the surgical transepicondylar axis (sTEA) is the key to reconstruction of the fem...
journal_title：Orthopaedic surgery
pub_type： 杂志文章,随机对照试验
doi：10.1111/os.12619
更新日期：2020-04-01 00:00:00
abstract：OBJECTIVE:We analyzed chondrosarcomas in long bones to assess whether Grade I and II chondrosarcomas should both be grouped as low grade malignant tumors (musculoskeletal Tumor Society Stage I or Stage II), and to explore rational surgical treatment for Grade I and II chondrosarcomas. METHODS:We retrospectively review...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/j.1757-7861.2009.00020.x
更新日期：2009-05-01 00:00:00
abstract：OBJECTIVE:To describe the technique and analyze the outcomes of joint-preserving surgical treatments which included anatomical reconstruction or alignment correction for talar malunions or nonunions, and avoid development of degenerative changes in the adjacent joints. METHODS:Eight patients who had painful talar malu...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12301
更新日期：2017-02-01 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：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：: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
abstract：OBJECTIVE:Relatively few studies have reported on the morphology of the supracondylar femur, which is a fundamental factor affecting prosthetic reconstruction. The objectives of the present study were to measure the morphological parameters of the supracondylar femur, to classify the supracondylar femur, and to provide...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12443
更新日期：2019-04-01 00:00:00
abstract：OBJECTIVE:To investigate the bone hardness of different anatomical regions of the human radius and its impact on the pullout strength of screws. METHODS:Fresh radius bones were obtained from three donated cadavers. They were divided into three parts: proximal metaphysis, shaft, and distal metaphysis. The proximal meta...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12436
更新日期：2019-04-01 00:00:00
abstract：OBJECTIVE:To develop a novel screw positioning method to improve the treatment of unstable thoracolumbar fractures. METHODS:A total of 72 patients with unstable thoracolumbar fractures who were treated with anterior screw-rod interfixation from January 2011 to October 2015 were included in this clinical study. Those p...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12506
更新日期：2019-08-01 00:00:00
abstract：OBJECTIVE:The aim of the present study was to evaluate the effect of patellar denervation (PD) in preventing anterior knee pain (AKP) and improving knee function after total knee arthroplasty (TKA) without patellar resurfacing, and to help surgeons decide whether or not to use PD in TKA. METHODS:The electronic databas...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12815
更新日期：2020-12-01 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: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 establish a three-dimensional finite element model of the L(5)/S(1) motion segment with percutaneous axial lumbosacral screw and analyze the biomechanical stress on the screw. METHODS:With the help of related software and the Mechanical Virtual Human of China, a three-dimensional finite element model was ...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/j.1757-7861.2010.00088.x
更新日期：2010-08-01 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 introduce an iliosacral screw fixation guide and evaluate its efficacy in fixation of sacroiliac joint fracture-dislocations. METHODS:Between January 2011 and May 2011, eight patients (five men, three women) with sacroiliac joint fracture-dislocation underwent percutaneous iliosacral screw fixation with t...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/j.1757-7861.2011.00162.x
更新日期：2012-02-01 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: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 discuss the methods, timing and clinical outcomes of surgical treatment for open pilon fractures. METHODS:From April 2003 to July 2008, 28 patients with open pilon fractures were treated. All had type C fractures according to the Arbeitsgemeinschaft für osteosynthesefragen-Association for the Study of Int...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/j.1757-7861.2010.00113.x
更新日期：2011-02-01 00:00:00
abstract：:The study of bone tissue regeneration in orthopaedic diseases has stimulated great interest among bone tissue engineering specialists and orthopaedic surgeons. Combinations of biomaterials, growth factors and stem cells for repairing bone have been much studied and researched, yet remain a challenge for both scientist...
journal_title：Orthopaedic surgery
pub_type： 杂志文章,评审
doi：10.1111/os.12112
更新日期：2014-08-01 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：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：: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：:Because current therapies have not always been successful and effective, the possibility of regenerating the nucleus pulposus (NP) through a tissue-engineered construct offers a novel therapeutic possibility for symptomatic degenerative disc diseases (DDDs). However, more research is necessary to identify the optimal ...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12020
更新日期：2013-02-01 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 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
