Abstract：
PURPOSES:We performed a retrospective, cohort study to compare uncemented tibial fixation with cemented tibial fixation in distal femoral replacement (DFR). METHODS:Sixty-two cases with uncemented tibial fixation and 58 cases with cemented tibial fixation were included. Inter-group comparisons were performed for baseline data, oncological and prosthetic outcomes, and changes of cortical thickness of tibial diaphysis. Radiological signs of bone adaptations around the uncemented tibial stem were identified through evaluation of plain films during follow-up. RESULTS:Uncemented tibial fixation shortened operative duration by 26 minutes, achieved equivalent oncological and prosthetic outcomes, and helped preserve anterior cortical thickness of tibia compared with the cemented counterpart after a mean follow-up of over 40 months. Radiological signs of osseointegration and reactive line were observed in 64.3 and 17.9% cases with uncemented tibial fixation. The two signs had different patterns of distribution and no significant predisposing factors could be identified. CONCLUSIONS:For DFR, the uncemented tibial fixation was safe and effective in functional reconstruction and in preservation of anterior cortex of tibial diaphysis. It could achieve osseointegration and might permit adaptive micromotion of the tibial stem post-operatively. LEVEL OF EVIDENCE:level III Therapeutic.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Liang H,Guo W,Yang R,Tang X,Yan Tdoi
10.1007/s00264-018-3847-5subject
Has Abstractpub_date
2018-09-01 00:00:00pages
2249-2261issue
9eissn
0341-2695issn
1432-5195pii
10.1007/s00264-018-3847-5journal_volume
42pub_type
杂志文章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：:Patients who cannot walk, particularly those with orthopaedic deformities, need more than a simple wheelchair; they require a special seating system. Since the early 1970's many different systems have been introduced to the field of orthotics and prescribed through "Seating Clinics" in many centres in North America an...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00266517
更新日期：1985-01-01 00:00:00
abstract：PURPOSE:Information on Magnetic Resonance (MR) features of active and healed lesions in tuberculosis (TB) spine are lacking. We evaluated MRI findings in active and healed proven TB spine to establish the diagnostic features. MATERIALS AND METHOD:Forty-nine consecutive spinal TB patients (20 male; 29 female) diagnosed...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-011-1380-x
更新日期：2012-02-01 00:00:00
abstract：:Pure alumina ceramic has been in clinical use in orthopaedics since 1971 and, currently, up to 5 million components have been implanted. Alumina offers advantages like stability, biocompatibility and low wear; however, it has limited strength. Applications are limited by design considerations. Engineers in biomaterial...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-007-0484-9
更新日期：2009-04-01 00:00:00
abstract：PURPOSE:To identify potential risk factors and micro-organisms associated with prosthetic joint infection following primary total knee replacement surgery. HYPOTHESIS OF STUDY:Our hypothesis is that body mass index (BMI), operative time, type of surgery, and order of surgery especially in bilateral simultaneous cases ...
journal_title：International orthopaedics
pub_type： 杂志文章,多中心研究
doi：10.1007/s00264-019-04472-1
更新日期：2020-02-01 00:00:00
abstract：:We compared the incidence of anterior thigh pain retrospectively following primary uncemented total hip replacement in 70 patients (78 hips) with osteoarthritis. In one group (38 hips), an Endoplus porous-coated, canal-filling prosthesis was inserted through an anterolateral approach. In the other group (40 hips), a F...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-005-0642-x
更新日期：2005-06-01 00:00:00
abstract：PURPOSE:There is evidence showing that mesenchymal stromal cells (MSC) may constitute a potential therapeutic strategy to induce bone regeneration. In this work, we investigate the capacity of autologous bone marrow (BM) MSC loaded on collagen microspheres (CM) and included into autologous platelet-rich plasma (PRP) cl...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-016-3130-6
更新日期：2016-05-01 00:00:00
abstract：:The purpose of the study was to analyse the clinical results of an open Bankart repair for anterior instability in patients with a glenoid defect and those without a glenoid defect, and to identify factors related to the glenoid defect associated with anterior instability. The prospective study involved 20 patients wi...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-006-0234-4
更新日期：2007-10-01 00:00:00
abstract：PURPOSE:Despite previous studies the management of Rockwood type III acromioclavicular (AC) dislocations remains controversial and the debate continues about whether patients with Rockwood type III AC injuries should be treated conservatively or operatively. In this study, we will review the current literature and pres...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-013-2143-7
更新日期：2014-04-01 00:00:00
abstract：:The original publication of this paper contain an error for the first name and last name of the second author have been mixed up as "Wenliang, Z.". ...
journal_title：International orthopaedics
pub_type： 杂志文章,已发布勘误
doi：10.1007/s00264-018-3948-1
更新日期：2018-07-01 00:00:00
abstract：PURPOSE:The present study was designed to address whether osteoblasts play a synergistic role in promoting mesenchymal stem cell (MSC) osteogenesis in a direct cell-cell contact co-culture model. METHODS:Murine C3H10T1/2 and MC3T3-E1 cell lines were mixed and plated onto 12-well culture plates and co-cultured at vario...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-011-1259-x
更新日期：2012-01-01 00:00:00
abstract：:We have developed a method to promote longitudinal bone growth at the level of a specific growth-plate (GP) in young rabbits. Insulin-like growth factor-I (IGF-I) was continuously infused by means of an osmotic pump into the bone marrow cavity of the proximal epiphysis of the tibia. Radiological measurement showed a 2...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-007-0336-7
更新日期：2008-06-01 00:00:00
abstract：PURPOSE:To compare the results of two groups of patients affected by osteochondritis dissecans (OCD) of the knee and treated with either osteochondral autologous transplantation (OAT) or bone-cartilage paste grafting (PG). METHODS:A total of 27 patients affected by OCD lesions of the femoral condyles were included: 15...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-020-04804-6
更新日期：2021-02-01 00:00:00
abstract：PURPOSE:Management of proximal humeral tumours remains a surgical challenge. No study to date has assessed the quality of life scores following the composite reverse shoulder arthroplasty for this indication. We, therefore, evaluated function and quality of life following reconstruction with allograft for malignant tum...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-017-3538-7
更新日期：2017-12-01 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：PURPOSE:Femoroacetabular impingement is a new disease concept for hip disorders in young adults suggested as a major cause of primary hip osteoarthritis in Western countries. However, significant controversy exists regarding the prevalence and contribution of impingement deformities to osteoarthritis in Japan, owing to...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-014-2393-z
更新日期：2014-08-01 00:00:00
abstract：PURPOSE:The purpose of this study was to compare and evaluate the safety and efficacy of percutaneous vertebroplasty at a hyperextension position (PVPHP) and percutaneous kyphoplasty at a hyperextension position (PKPHP) for the treatment of osteoporotic Kümmell's disease. METHODS:This study was a retrospective, single...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-3832-z
更新日期：2018-06-01 00:00:00
abstract：PURPOSE:We reviewed our experience with the management of B2 and B3 femoral periprosthetic fractures using a distally fixed modular femoral stem in 55 patients. METHODS:All periprosthetic fractures were managed immediately after injury without using allograft; 53 hips were available for a mean follow up of 67 months. ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-011-1371-y
更新日期：2012-05-01 00:00:00
abstract：:Since 1975 we have treated 36 infected hip replacements by a two stage procedure in which the prosthesis and cement were first removed. Gentamicin impregnated beads were left at the sites of the prosthesis. Not less than 45 days later a fresh prosthesis was inserted into the hip. In two hips revision was not undertake...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00181860
更新日期：1995-01-01 00:00:00
abstract：:A series of 49 pilon fractures in a tertiary referral centre treated definitively by open reduction and internal fixation have been assessed and the complications of such injuries examined. A retrospective analysis of case notes, radiographs and computerised tomographs over a seven-year period from 1999-2006 was perfo...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-010-1005-9
更新日期：2011-03-01 00:00:00
abstract：:We conducted a prospective, randomised study on primary total knee replacements to evaluate the effects of tourniquet use on total calculated blood loss using Gross formula, post-operative measured blood loss, operating time, need for blood transfusion, post-operative pain, analgesia requirement and knee flexion. Fort...
journal_title：International orthopaedics
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1007/s00264-002-0360-6
更新日期：2002-01-01 00:00:00
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 pr...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-016-3339-4
更新日期：2017-05-01 00:00:00
abstract：:Adduction of the forefoot diagnosed in the young child generally corrects spontaneously. Resistant forefoot adduction is usually combined with a degree of supination of the forefoot and described as congenital metatarsus varus. In true congenital metatarsus varus there is a contraction or shortening of the abductor ha...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00266025
更新日期：1980-01-01 00:00:00
abstract：PURPOSE:The purpose of this study was to examine the effect of subperiosteal injection of chondroinductive growth factors on the histological and biomechanical outcome of autologous osteoperiosteal grafts. METHODS:Thirty six standardised osteochondral defects were created in the trochlear groove of 18 Göttinger Minipi...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-013-1827-3
更新日期：2013-06-01 00:00:00
abstract：PURPOSE:It is an established fact that post-operative (p.o.) soft-tissue swelling and lymphoedema after total knee arthroplasty (TKA) have a major influence on the p.o. early functional outcome. Kinesio taping has a proven clinical effect in increasing lymph drainage. Despite the decades of experience gained and the as...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-016-3295-z
更新日期：2017-02-01 00:00:00
abstract：PURPOSE:Dual mobility (DM) socket has been associated with a low rate of dislocation following both primary and revision total hip arthroplasty (THA). However, little is known about the long-term efficiency of DM in the treatment of THA instability. The purpose of this retrospective study was to evaluate the outcome of...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-016-3343-8
更新日期：2017-03-01 00:00:00
abstract：:Ten patients with clinical and radiological evidence of herniated discs at lower lumbar levels were treated with partial discectomy by a lateral percutaneous approach. Eight patients had complete relief from radicular pain and were discharged within four days. They returned to normal daily activity within one month. ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00271309
更新日期：1987-01-01 00:00:00
abstract：BACKGROUND:Phemister procedure is an effective treatment for early stage osteonecrosis of femoral head (ONFH). Since the long-term results of the Phemister procedure are less reported in the literature, the purpose of this study was to investigate the long-term outcomes of this bone grafting technique in patients with ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-4013-9
更新日期：2019-03-01 00:00:00
abstract：PURPOSE:To determine the most common injury patterns, root cause, and the frequency with which unrecognized contralateral posterior ring injury occurs in patients presenting with surgically treated pelvic fractures. METHODS:The medical records of 73 patients presenting to our level I trauma center (52 male and 21 fema...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-4268-1
更新日期：2019-10-01 00:00:00
abstract：:This transtrochanteric approach to the hip maintains continuity between the greater trochanter and the vastus lateralis muscle, thereby preventing the gross displacement of the greater trochanter and preserving the branches of the lateral circumflex vessels to it. The procedure offers the advantages of easy exposure a...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00265739
更新日期：1988-01-01 00:00:00
