Abstract：
INTRODUCTION:The aim of this study was to determine whether an above-elbow cast (AEC) is better than a below-elbow cast (BEC) at maintaining the initial reduction in the orthopaedic management of a distal radius fracture (DRF). METHODS:It is a prospective randomized study carried out in a single emergency trauma department. There were 72 patients older than 55 years of age (55-96) with a distal radius fracture treated orthopaedically. They were randomized into two groups: group B (AEC 32 patients) and group A (BEC 40 patients). Randomization was done by a computer program. Four subgroups were constituted according to the instability criteria: subgroup 4 the most instable fractures. Main outcome was reduction loss from initial reduction to cast removal: it was measured using the volar tilt, radial tilt and radial length on plain radiographs. RESULTS:No differences were observed between group A and B when analysed globally (volar tilt loss p = 0.89 radial tilt loss p = 0.08 ulnar variance p = 0.19). Subgroups analysis revealed less radial tilt reduction loss in group A in patients within subgroup 3 (p = 0.02) and 4 (p = 0.003). DISCUSSION:Results are in contrast to what was expected. Limiting prono-supination AEC is supposed to better maintain initial fracture reduction. Effect of pronation and supination as well as distraction of brachioradialis muscle could have been overestimated until now. CONCLUSION:The above-elbow cast is not better than the below-elbow cast in terms of loss reduction. However, the below-elbow cast more efficiently controls radial tilt reduction.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Gamba C,Fernandez FAM,Llavall MC,Diez XL,Perez FSdoi
10.1007/s00264-017-3518-ysubject
Has Abstractpub_date
2017-09-01 00:00:00pages
1723-1727issue
9eissn
0341-2695issn
1432-5195pii
10.1007/s00264-017-3518-yjournal_volume
41pub_type
杂志文章,随机对照试验abstract：PURPOSE:Hip-joint empyema is a severe local infection that can cause general illness and, in the worst-case scenario, death by septic complications. For severe hip-joint infections, the Girdlestone arthroplasty has been an established treatment option for many decades. We describe functional midterm results after treat...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-011-1351-2
更新日期：2012-05-01 00:00:00
abstract：:We have reviewed the clinical features, together with the radiographs and computerised tomography, in 9 patients with tuberculosis of the vertebral body and neural arch. All presented with paraparesis or paraplegia. The morbidity associated with this disease is so serious that it is essential to have an accurate means...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/BF00179971
更新日期：1995-01-01 00:00:00
abstract：PURPOSE:Antibiotic prophylaxis is routinely used in the surgical management of proximal femur fractures. The role of bacterial colonization of the skin and urine in the development of deep surgical site infections (SSI) is yet to be elucidated. This study aimed to evaluate the role of previous skin and urine colonizati...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-020-04525-w
更新日期：2020-06-01 00:00:00
abstract：PURPOSE:Patients who undergo hip hemiarthroplasty (HHA) due to traumatic femoral neck fracture frequently require red blood cell (RBC) transfusion. Although post-operative autologous blood transfusion (ABT) is well established in elective arthroplasty, its role in trauma patients remains unclear. METHODS:Two hundred t...
journal_title：International orthopaedics
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00264-016-3143-1
更新日期：2016-12-01 00:00:00
abstract：:We describe the results of a retrospective analysis of patients with microbiologically proven infection, who underwent revision TKA between 1994 and 2008. Of the 121 patients included in the study, 61 (50%) were male and 60 (50%) were female. The mean age was 71 (range 42-88) years. The most common organisms identifie...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-009-0797-y
更新日期：2010-04-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-020-04580-3
更新日期：2020-11-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00183553
更新日期：1993-01-01 00:00:00
abstract：:The common peroneal nerves of 15 male rats were severed and the rats were divided into four groups: immediate grafting (I group); grafting delayed one month (IM group); grafting delayed for three months (3M group) and 5 healthy rats were used as controls (control group). All the rats were sacrificed 5 months after gra...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00266515
更新日期：1985-01-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00266025
更新日期：1980-01-01 00:00:00
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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
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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：PURPOSE:Degenerative disc disease involves sequential events that lead to the loss of cells, a decrease in disc matrix production, disc dehydration, and alteration of its biomechanical properties. The aim of this study was to determine whether cryoinjury of the nucleus pulposus performed through endplate perforation co...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-3971-2
更新日期：2018-09-01 00:00:00
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00183361
更新日期：1990-01-01 00:00:00
abstract：:The aim of this non-randomised prospective study was to evaluate the short-term outcome of Gamma nail and dynamic hip screw (DHS) fixation in the treatment of subtrochanteric hip fractures due to low-energy trauma in the elderly. All of the 1,624 femoral hip fractures in 1,511 patients of the Oulu Hospital, aged over ...
journal_title：International orthopaedics
pub_type： 临床试验,杂志文章
doi：10.1007/s00264-006-0088-9
更新日期：2007-02-01 00:00:00
abstract：:We describe fives cases of an unusual type of injury to the wrist which has been seen in Sikhs, an ethnic population in India. It is caused by entrapment of the kara, an iron bangle, which is traditionally worn as one of five compulsory religious symbols. The injuries were an open transtriquetral palmar perilunar disl...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00210533
更新日期：1991-01-01 00:00:00
abstract：:The expectations of both the patient and surgeon have been greatly revised in the last 10 years with the introduction of pedicle screws (PS) in spinal surgery. In this study, we have retrospectively evaluated and compared the results of PS instrumentation and the Hybrid System (HS), the latter consists of pedicle scre...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-007-0359-0
更新日期：2008-08-01 00:00:00
abstract：PURPOSE:Ankle sprains are the most common athletic injury. One of five chronic lateral ankle instability patients will require surgery, making operative outcomes crucial. The purpose of this study is to determine if operative method influences failure and complication rates in chronic lateral ankle ligament repair surg...
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
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: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：:In Japan, the main reason for osteoarthritis of the hip joint is caused by dysplastic deformities. The implantation technique of cementless press-fit cup with multi-screw fixation and acetabular bone graft to reconstruct the true acetabular center is described. In addition, special design aspects of the BiCONTACT-N st...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：
更新日期：2003-01-01 00:00:00
abstract：PURPOSE:Surgical treatment of acetabular fractures with plate fixation is challenging for orthopaedic surgeons because of variations of the surface curvature and complex fracture patterns of the acetabulum. We present our experience with pre-operative computer-assisted virtual simulation and three-dimensional (3D) prin...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-4111-8
更新日期：2019-08-01 00:00:00
abstract：PURPOSE:Endothelial dysfunction is a risk factor for osteonecrosis of femoral head (ONFH) and venous thromboembolism (VTE) [defined as deep venous thrombosis (DVT) or pulmonary embolism (PE)]. However, the risk of unprovoked VTE in non-traumatic ONFH patients remains unclear. METHODS:We investigated the relationship b...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-3866-2
更新日期：2018-07-01 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
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journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-3988-6
更新日期：2019-03-01 00:00:00
abstract：:Eighty three cases of intertrochanteric flexion osteotomy of the hip for severe osteoarthritis are reported with a five year follow up. Osteotomy is performed in the sagittal plane with flexion of the proximal fragment. The anatomical, biomechanical and operative criteria for this procedure are discussed. The indicati...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00266686
更新日期：1981-01-01 00:00:00
abstract：PURPOSE:Prosthetic joint infections (PJI) are a serious and challenging complication after total joint arthroplasty. According to the literature, most PJI are monomicrobial infections caused by gram-positive cocci. The number of polymicrobial PJI might be underrepresented in the literature and only limited data are ava...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-015-2871-y
更新日期：2016-07-01 00:00:00
abstract：PURPOSE:To review available approaches and fixation methods for posterolateral fracture fragment (PLF) in tibial plateau fracture, and to propose an algorithm to treat various types of plateau fractures which all involve the PLF. METHODS:This article reviews multiple surgical approaches for PLF and suggests an algorit...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-017-3563-6
更新日期：2017-09-01 00:00:00
abstract：:The purpose of this study was to evaluate the outcome of subcoracoid pectoralis major transfer for the treatment of irreparable anterosuperior rotator cuff tears. This type of tear involves complete rupture of the subscapularis in combination with either the supraspinatus alone or the supraspinatus and infraspinatus. ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-009-0799-9
更新日期：2010-06-01 00:00:00
abstract：:Thirty-seven femoral shaft fractures occurred in 2360 cemented hip arthroplasties carried out between 1971 and 1989 at varying intervals after operation (average 3.7 years). Three types of fracture were recognised and treatment depended on the type, as did the prognosis. Good results were obtained in 70% of the cases....
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00182995
更新日期：1992-01-01 00:00:00
abstract：PURPOSE:To evaluate the effects of rotator cuff tear (RCT) and its severity on shoulder proprioception. METHODS:We studied 132 consecutive patients (67 M-65 F; mean age ± SD, 66.03 ± 9.04; range, 43-78) who underwent arthroscopic rotator cuff repair. Tear size was determined intra-operatively. The control group includ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-4150-1
更新日期：2019-01-01 00:00:00
