Abstract：
:Varus knee deformity is very common, and it can be classified according to the severity and reducibility of the deformity. Pre-operative planning is mandatory to obtain a good result. Both clinical and radiological planning should be carefully performed, particularly focused on collateral ligament deficiency. In most of the cases, a postero-stabilized implant is necessary, but in the presence of a varus thrust, a midlevel constrained (MLC) implant may be necessary. Rarely, if a severe extra-articular deformity is present, a femoral osteotomy and a high constrain implant may be necessary. In most of the cases, a standard midline approach can be performed. Soft tissue balancing is crucial, avoiding excessive releases of the medial collateral ligament (MCL). In the presence of severe deformity, more aggressive procedure such as tibial reduction osteotomy or sliding medial epicondyle osteotomy can be performed. In literature, good outcomes are reported for total knee arthroplasty (TKA) in varus deformity. In this manuscript, the available literature on TKA in varus deformity is analyzed, and the preferred surgical techniques of the authors are described.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Rossi R,Cottino U,Bruzzone M,Dettoni F,Bonasia DE,Rosso Fdoi
10.1007/s00264-018-4116-3subject
Has Abstractpub_date
2019-01-01 00:00:00pages
151-158issue
1eissn
0341-2695issn
1432-5195pii
10.1007/s00264-018-4116-3journal_volume
43pub_type
杂志文章,评审abstract：:This paper is based on an invited lecture given at the SICOT 87 meeting in Munich. The topics discussed include: selective spinal arteriography in the management of tumours, which enables definition of the vascular supply of the cord and of the tumour and may facilitate preoperative embolisation; MRI, which allows vis...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/BF00266367
更新日期：1989-01-01 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：: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：:We report on two cases of patients in whom hypocalcemic seizures during hemodialysis led to right scapular body fracture in one and bilateral femoral neck fractures in the other. ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640050377
更新日期：1999-01-01 00:00:00
abstract：:The aim of our study was to evaluate clinical, radiological and functional outcomes of selected cases of percutaneous fixation of scaphoid fractures via a dorsal approach. Percutaneous fixation by dorsal approach was done in 32 patients (mean age 32.2 years) involving both fresh and late scaphoid fracture presentation...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-009-0891-1
更新日期：2010-10-01 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：: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：: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
abstract：:Twenty-eight (11 cemented and 17 noncemented) total hip arthroplasties (THA) were performed in 20 patients with rheumatoid arthritis (RA). The average age at operation was 42.1 years and the average follow-up was 10.8 years. There were two deep infections requiring removal of the prosthesis. Three cemented acetabular ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s002640000214
更新日期：2001-01-01 00:00:00
abstract：:The purpose of this study was to evaluate concentrated autologous bone marrow aspirate transplantation (CABMAT) treatment for corticosteroid-induced osteonecrosis of the femoral head (ONFH) in systemic lupus erythematosus (SLE). Bone marrow was aspirated from iliac crests, concentrated on a conventional manual blood b...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-010-1048-y
更新日期：2011-06-01 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：:Pyogenic spondylitis is a neurological and life threatening condition. It encompasses a broad range of clinical entities, including pyogenic spondylodiscitis, septic discitis, vertebral osteomyelitis, and epidural abscess. The incidence though low appears to be on the rise. The diagnosis is based on clinical, radiolog...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-011-1384-6
更新日期：2012-02-01 00:00:00
abstract：BACKGROUND:Previous studies of soft tissue infiltration in hip arthroplasty present variable results. The purpose of this study is to identify whether injection of an analgesic mixture improves pain management during the immediate post-operative period. MATERIALS AND METHODS:This cohort study compared 129 patients tha...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-018-3788-z
更新日期：2018-08-01 00:00:00
abstract：:Periprosthetic fractures of the acetabulum represent a rare incident in primary and revision total hip arthroplasty. The management of these fractures can be challenging. At present, there are no reliable guidelines for the treatment of periprosthetic acetabular fractures. Periprosthetic acetabular fractures can occur...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-015-2968-3
更新日期：2015-10-01 00:00:00
abstract：INTRODUCTION:Fracture neck of femur (hip fracture) is a very common problem among old age group. Such elderly patients usually have some comorbidities for which they may use anti-platelet therapy (such as clopidogrel, aspirin, or others) for long duration (chronic use). These anti-platelet medications might make the bl...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-020-04633-7
更新日期：2020-09-01 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：PURPOSES:We investigated sequential levels of C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) in uncomplicated ACDF (anterior cervical discectomy and fusion) using allograft and DBM (demineralised bone matrix) for primary cervical spondylosis and/or disc herniation. To our knowledge, there has been no...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-012-1645-z
更新日期：2012-11-01 00:00:00
abstract：:We carried out a retrospective review of 32 consecutive patients (30 adults and two children) with total or partial lesions of the brachial plexus who had surgical repair using nerve grafting, neurotisation, and neurolysis between January 1991 and December 2003. The outcome measures of muscular strength were correlate...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-005-0017-3
更新日期：2005-12-01 00:00:00
abstract：:A case of bilateral habitual dislocation of the patella associated with cleft lip and palate, and short metatarsals, metacarpals and phalanges is reported. The possible cause of habitual dislocation is discussed in the light of 20 cases which have been seen by the author. ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00183358
更新日期：1990-01-01 00:00:00
abstract：PURPOSE:Patient-specific instrumentation (PSI) was usually applied in total knee arthroplasty (TKA) to acquire a favourable alignment. We hypothesized that using PSI had a potential risk of notching in the anterior femoral cortex, because the femoral component may be placed in an overextension position due to the dista...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-020-04779-4
更新日期：2020-12-01 00:00:00
abstract：:Joint thickness was assessed using three-dimensional modelling techniques before and after the Bombelli intertrochanteric valgus-extension osteotomy. Before operation, the average thickness of the entire hemispherical surface was 2.3 mm, which was significantly thinner than that of the controls. After operation, 11 of...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00185229
更新日期：1995-01-01 00:00:00
abstract：:The purpose of the study was to determine whether isolated revision of the acetabular component can be successfully performed without disturbing the femoral stem and to determine the fate of the unrevised femoral stem following revision. Fifty-seven hips in 55 patients underwent isolated acetabular revision without re...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-005-0674-2
更新日期：2005-10-01 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：:We have reviewed 29 cases of very unstable diaphyseal fractures of the femur in children and adolescents treated by Kuntscher nailing. Follow up was for at least 5 years, and in most cases until after the end of growth. There were no postoperative complications, and the mean overgrowth of the femur was 7.06 mm. There ...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00186377
更新日期：1993-01-01 00:00:00
abstract：:Twenty children with grade IV supracondylar fractures of the humerus had an open reduction 11 to 17 days after injury. The delay was due to swelling and blisters. Most patients recovered a useful range of movement and there were no complications. A posterior approach with V-Y plasty of the triceps makes it easy to ali...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/BF00192291
更新日期：1991-01-01 00:00:00
abstract：PURPOSE:The hypothesis of our study is that a routine tibial cut during cruciate retaining TKA may result in a partial or a total removal of the PCL footprint. Therefore providing a reliable landmark is essential to estimate the probability of PCL damage with a tibial cut and to enable the surgeon to decide pre-operati...
journal_title：International orthopaedics
pub_type： 杂志文章
doi：10.1007/s00264-013-2100-5
更新日期：2014-02-01 00:00:00
abstract：:Dislocation of the elbow associated with radial head and coronoid fracture, the so-called "terrible triad" of the elbow, is challenging to treat and has a history of complicated outcomes. However, advances in the knowledge of elbow kinematics combined with improved implants and surgical techniques during the past few ...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-010-1024-6
更新日期：2011-06-01 00:00:00
abstract：:A new twisted plate has been designed for biplane fixation of diaphyseal fractures of long bones. Comparative mechanical testing of the new twisted plate and conventional flat plates showed that the twisted plate was 40% stronger when a bending moment was applied and 132% stronger to a twisting moment. The overall imp...
journal_title：International orthopaedics
pub_type： 临床试验,杂志文章
doi：10.1007/BF00182708
更新日期：1992-01-01 00:00:00
abstract：:Osteosarcoma, the most common type of primary malignant tumour that develops in bone, can be classified into several different sub-types. While the majority of osteosarcomas are highly malignant, there are some low-grade variants. Since the introduction of chemotherapy into the multi-modal treatment regimen of high-gr...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/s00264-006-0192-x
更新日期：2006-12-01 00:00:00
abstract：:Four cases of the anterior interosseous nerve syndrome, which were treated by neurolysis, are added to the sixty-five already described in the literature. The onset of symptoms is usually spontaneous and electrophysiological examination is of value in making the diagnosis. The most frequent cause of the entrapment is ...
journal_title：International orthopaedics
pub_type： 杂志文章,评审
doi：10.1007/BF00268047
更新日期：1989-01-01 00:00:00
