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 arthroplasties [TSAs], 148 reverse total shoulder arthroplasties [RSAs]) with HbA1Cs within 90 days of surgery was conducted. The average age was 70 years (range 27-97) and 55% were female. The average peri-operative HbA1C was 6.4% (range 4.7-9.8%), with 104 (26%) having a HbA1C of 7.0% or greater. Kaplan-Meier curves were constructed to determine complication, re-operation, and revision rates at two, five and ten years post-operatively. RESULTS:At mean follow-up of four years, 58 (16.5%) SAs were associated with post-operative complications including six (1.5%) infections. Kaplan-Meier two and five year survivorship free of any complication was 87.3 and 82.6% and of infection was 95.8 and 90.9%, respectively. Thirty-two (7.9%) SAs required reoperation with 26 (6.4%) of these being revisions. Survivorship at two and five years post-operatively was 97.1 and 92.7% for re-operation and 98.6 and 98.2% for revision, respectively. No increased risk of complications, re-operation, revision, or infection was seen with increased HbA1C analyzed as a continuous variable (hazard ratio = 0.97-1.11, 95% CI = 0.28-3.94, p = 0.5882-0.9445) or as a dichotomous variable with a cutoff of 7.0% (hazard ratio = 1.02-1.47, 95% CI = 0.20-7.48, p = 0.3253-0.9544). CONCLUSIONS:A collaborative and comprehensive approach to the pre-operative medical evaluation of patients with DM is critical, as is future investigation into alternative methods associated with outcomes after shoulder arthroplasty in patients with DM. LEVEL OF EVIDENCE:Level IV.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Statz JM,Wagner ER,Sperling JW,Cofield RHdoi
10.1007/s00264-018-3874-2subject
Has Abstractpub_date
2018-08-01 00:00:00pages
1923-1934issue
8eissn
0341-2695issn
1432-5195pii
10.1007/s00264-018-3874-2journal_volume
42pub_type
杂志文章abstract：INTRODUCTION:This review was done to find the trend for orthopaedic publications from Egypt in the last 5 years, detailing the specialties that are most published and comparing this with the surrounding Middle East region. METHODS:The search included orthopaedic-related articles published in journals that are listed i...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-018-4152-z
更新日期：2018-11-01 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：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：:In the treatment of osteochondritis dissecans involving the elbow, we have used a bone-peg graft taken from the proximal part of the ulna and inserted into the defect. Thirty-two patients were followed from 2 to 10.5 years. The graft was utilised in 20 elbows, and 6 of these also had concomitant removal of a loose bod...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640050304
更新日期：1999-01-01 00:00:00
abstract：INTRODUCTION:The restoration of acetabular bone stock during revision hip arthroplasty remains a challenge. There have been no clinical series reporting the efficacy of bone morphogenic protein-2 (rhBMP-2) in the revision hip setting. METHODS:We retrospectively reviewed the radiographs and records of 15 patients who r...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-017-3671-3
更新日期：2018-04-01 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：:A randomized, double blind study of low level laser treatment of chondromalacia of the patella in 40 patients has been undertaken. Chondromalacia was established by arthroscopy and was related to subjective symptoms. Eight treatments were given during five weeks by a physiotherapist with the use of a GAAS pulsed laser...
journal_title：International orthopaedics
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1007/BF00186879
更新日期：1991-01-01 00:00:00
abstract：:We followed prospectively 27 patients with severe acetabular bone-stock deficiencies due to developmental dysplasia of the hip. Mean preoperative patient age was 56 (34-78) years, mean Harris hip score was 31 (16-66) points and pre-operative mean acetabular angle of Sharp was 47 degrees (34 degrees - 61 degrees). Oper...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-004-0559-9
更新日期：2004-08-01 00:00:00
abstract：PURPOSE:To compare the radiological and clinical outcomes of interlocking nail (ILN) and locking plate fixation (LCP) for humeral shaft fractures. METHODS:A total of 63 patients with displaced humeral shaft fractures between October 2014 and January 2017 were evaluated prospectively. They were divided randomly into tw...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-020-04696-6
更新日期：2020-10-01 00:00:00
abstract：PURPOSE:Our aim was to evaluate quality of life (QoL) and functional outcome of patients with tibial nonunions after completion of surgical treatment with an average follow-up of five years. METHODS:The following data of 64 patients were retrospectively evaluated: fracture type, type and duration of surgical therapy, ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-014-2629-y
更新日期：2015-03-01 00:00:00
abstract：:Osteofibrous dysplasia of the tibia in children will commonly recur after surgical resection. The use of a leg brace until puberty offers a useful method of conservative management. Seven female patients, age three months to nine years at the time of brace treatment, have been followed for 3.5 to 18 years, an average ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00180213
更新日期：1992-01-01 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：:This experimental study was undertaken in mice to investigate the procedures for storage of allogenic cancellous bone. Cancellous grafts were were stored at -80 degrees C, -196 degrees C or freeze dried. Grafts were implanted into a defect in the recipient's femur and after one week the cellular kinetic activity was a...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00178753
更新日期：1990-01-01 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：INTRODUCTION:Medial valgus-producing tibial osteotomy (MVTO) is classically used to treat early medial femorotibial osteoarthritis. Long-term results depend on the mechanical femorotibial angle (HKA) obtained at the end of the procedure. A correction goal between 3 and 6° valgus is commonly accepted. Several planning m...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-020-04777-6
更新日期：2020-12-01 00:00:00
abstract：PURPOSE:To determine the optimal position of reduction clamps applied to reduce transtectal transverse acetabular fractures approached through the anterior intrapelvic route. METHODS:Transtectal transverse fractures were created in sawbone hemipelvis models. Fractures were reduced and held with a large pointed reducti...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-019-04430-x
更新日期：2020-02-01 00:00:00
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 depar...
journal_title：International orthopaedics
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00264-017-3518-y
更新日期：2017-09-01 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：:Five cases of fracture of the lateral tibial condyle of the split-depression type were treated by elevation of the depressed fragment, bone grafting and cancellous bone screws. During the operation, tantalum markers were inserted into the depressed fragment and the tibial metaphysis for radiographic stereophotogrammet...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00192467
更新日期：1994-06-01 00:00:00
abstract：:The objective was to assess whether time to diagnosis is influenced by patient/tumour-related factors and whether or not duration of symptoms has any impact on survival in soft tissue sarcoma. The study was an analysis of prospectively collected data for patients treated at our centre over a 20-year period. Risk facto...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-007-0319-8
更新日期：2008-06-01 00:00:00
abstract：PURPOSE:The mortality rate in patients with haemodynamically unstable pelvic fractures is as high as 40-60%. Despite the new advances in trauma care which are in phase in trauma centres in Hong Kong, the management of haemodynamically unstable pelvic fracture is still heterogeneous. The aim of this study is to review t...
journal_title：International orthopaedics
pub_type： 杂志文章,多中心研究
doi：10.1007/s00264-018-3842-x
更新日期：2018-10-01 00:00:00
abstract：BACKGROUND:Heterotopic ossification (HO) may lead to complete elbow ankylosis, resulting in severe disability. The prognostic factors that may be valuable in guiding treatment of this condition have not yet been evaluated. The goals of this study were to describe the outcomes of open release for ankylosed elbow caused ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-016-3395-9
更新日期：2017-08-01 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：: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：:This study evaluates the role of arthroscopy in the diagnosis of acute injuries to the knee. One hundred and fifty four patients with a suspected ligament injury or effusion of the knee joint underwent arthroscopy. A haemarthrosis was present in 82% and a bloodless effusion in 10%. Meniscal tears were found in 19% of ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00317825
更新日期：1988-01-01 00:00:00
abstract：:Lesions produced by splinters of wood in the soft tissues and bones of the limbs are not uncommon and may be difficult to diagnose. A detailed history and a high index of suspicion are the key to making the correct diagnosis. Investigations are usually inconclusive. Complete excision results in prompt resolution. ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00183364
更新日期：1990-01-01 00:00:00
abstract：PURPOSE:The aim of this study was to compare total knee arthroplasty (TKA) procedures between different countries with regard to epidemiological data and surgical technique by reference to the worldwide arthroplasty registers. METHODS:A systematic search was carried out using the EFORT website to identify the relevant...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-013-1933-2
更新日期：2013-08-01 00:00:00
abstract：INTRODUCTION:Several recent studies have reported accurate and reliable use of patient-specific cutting guides (PSCG) for medial opening-wedge high tibial osteotomy (OW-HTO); however, a majority of these are small cases series or ex-vivo reports. The hypothesis of this study was that performing an OW-HTO with PSCG resu...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-019-04372-4
更新日期：2019-12-01 00:00:00
abstract：PURPOSE:To compare post-operative pain relief with peri-articular injection (PI) versus interscalene brachial plexus block (IBPB) after arthroscopic rotator cuff repair (ARCR) surgery. METHODS:We retrospectively reviewed 121 consecutive patients undergoing ARCR surgery divided into two groups: the PI group and the IBP...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-4096-3
更新日期：2019-06-01 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
