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 experience. RESULTS:Common causes of persistent leg pain following operative intervention include re-herniation, epidural fibrosis, biochemical/physiologic changes in the nerve root, and psychosocial issues. CONCLUSIONS:Patients with persistent leg pain after surgical treatment of lumbar disc herniation can pose a challenging clinical problem. Summary of these topics and available treatment options are reviewed.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Rogerson A,Aidlen J,Jenis LGdoi
10.1007/s00264-018-4246-7subject
Has Abstractpub_date
2019-04-01 00:00:00pages
969-973issue
4eissn
0341-2695issn
1432-5195pii
10.1007/s00264-018-4246-7journal_volume
43pub_type
杂志文章,评审abstract:PURPOSE:Since the introduction of autologous chondrocyte implantation (ACI) for the treatment of cartilage defects, the initial technique has undergone several modifications. Whereas an autologous periosteum flap was used for defect coverage in first generation ACI, a standardized collagen membrane was utilized in seco...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2368-0
更新日期:2014-10-01 00:00:00
abstract:PURPOSE:To evaluate the influence of stem offset and neck shaft angles on the range of motion before component impingement (ROMCI) and bony impingement (ROMBI), and the types of impingement in total hip arthroplasty (THA). METHODS:Using the computed tomography data of 101 patients who underwent THA, three-dimensional ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2826-3
更新日期:2016-02-01 00:00:00
abstract:PURPOSE:Diabetes mellitus is associated with an increased risk of intervertebral disc degeneration (IDD). Reactive oxygen species (ROS), oxidative stressors, play a key role in autophagy of diabetes-associated diseases. Mitochondria are known to be the main source of endogenous ROS in most mammalian cell types. The aut...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2037-8
更新日期:2013-12-01 00:00:00
abstract:PURPOSE:The purpose of this study was to determine the location of the anterior humeral circumflex artery and axillary nerve based on bony landmarks, and to provide anatomical information that enables a safe approach when treating a proximal humeral fractures. METHODS:Thirty cadavers were included. The distances of bo...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1394-4
更新日期:2012-04-01 00:00:00
abstract::Measurement of leg length discrepancy is an important part in planning a successful total hip arthroplasty (THA). Many clinical and radiological methods with variable degrees of accuracy have been advocated to carry out this measurement. We studied the accuracy of a commonly used clinical method by comparing it to a w...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-008-0633-9
更新日期:2009-10-01 00:00:00
abstract::Fifty patients with thoracolumbar fractures were treated operatively between July 2000 and December 2001. The average age of the patients was 33.6 years (range: 20-50 years), 36 were males and 14 were females and the follow-up averaged 59 months (range: 49-68 months). A fall from a height, usually a tree, was the most...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-006-0161-4
更新日期:2007-04-01 00:00:00
abstract::Osteonecrosis of the femoral head (ONFH) is a significant cause of both pain and disability that often affects young adults during what ought to be their most productive age. Two broad categories of ONFH exist: traumatic and non-traumatic. Traumatic ONFH results from acute mechanical disruption of the femoral head's b...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-018-3956-1
更新日期:2018-07-01 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:Coracoclavicular joint (CCJ) is a rare anomalous joint occasionally found between the coracoid process of scapula and the conoid tubercle of clavicle. The articulation has been extensively studied by means of anatomical, osteological and radiological investigations. Most cases are discovered incidentally, with ...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-011-1309-4
更新日期:2011-12-01 00:00:00
abstract::To measure the strength of the juxta-articular trabecular bone in knee replacement, an osteopenetrometer was developed. The principle of its function is tha a needle penetrates the bony tissue and during this penetration the pressure on and the displacement of the needle is registered. The instrument was tested on cad...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00271079
更新日期:1981-01-01 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
abstract:PURPOSE:The acetabular reinforcement ring with a hook (ARRH) has been designed for acetabular total hip arthroplasty (THA) revision. Additionally, the ARRH offers several advantages when used as a primary implant especially in cases with altered acetabular morphology. The implant facilitates anatomic positioning by pla...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-04284-9
更新日期:2019-12-01 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:PURPOSE:Sciatic nerve palsy after periacetabular osteotomy (PAO) is a serious complication. The purpose of this study was to determine whether a multimodal sciatic monitoring technique allows for identification of surgical steps that place the sciatic nerve at risk. METHODS:Transcranial electrical motor evoked potenti...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3394-x
更新日期:2017-08-01 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:PURPOSE:The aim of this study was to compare angiogenic cytokine levels in knee osteoarthritis (OA) patients and healthy controls and to investigate the relationships between angiogenic cytokines and the OA severity. METHODS:Thirty-one knee OA patients and 15 healthy controls were recruited. Nine angiogenic cytokines ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2406-y
更新日期:2014-09-01 00:00:00
abstract:PURPOSE:Humans differ from other great ape species in their propensity to develop tears of the rotator cuff. The aim of this study was to compare the anatomical risk factors for subacromial impingement and rotator cuff tears amongst the great apes and to determine which features may be accentuated in humans and therefo...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2204-y
更新日期:2014-03-01 00:00:00
abstract::We treated 19 patients with piriformis muscle syndrome. All patients complained of pain in the buttocks and the posterior thigh. Clinically the buttock was tender and passive stretching increased the pain. In ten patients skin sensation was reduced and three had a limp. All patients were treated with tenotomy. At foll...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-001-0319-z
更新日期:2002-01-01 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:PURPOSE:Because of the improvement of medical therapy and the corresponding increase in life expectancy, orthopaedic surgeons are obliged to perform more wide resections rather than intramedullary stabilization nailing for patients affected by tumours of the hip compared to the past. Wide resection often causes joint i...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3407-4
更新日期:2017-03-01 00:00:00
abstract::Over 10 years, 842 consecutive autopsies on patients dying from a malignant neoplasm were evaluated microscopically to determine the incidence of spinal and skeletal metastases. Vertebral wedging, sclerosis and areas of osteolysis were defined as features of spinal metastases. The incidence was 30.6%, 65% of which aro...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00181116
更新日期:1995-01-01 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::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::Postoperative infection is a regular complication in coccygectomy. The authors propose the use of a topical skin adhesive on the postoperative wound as a contribution to the prevention of this complication. It was used on the first 56 patients in this study. The rate of infection was 3.6% compared with the 14% rate of...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-010-1058-9
更新日期:2011-06-01 00:00:00
abstract:PURPOSE:The aim of this study is to describe the influence of sitting and standing posture on sagittal pelvic inclination in total hip replacement patients to assist with correct acetabular component positioning. METHODS:Lateral radiographs of the pelvis and lumbar spine in sitting and standing positions were extracte...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2491-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::A computerised instrumentation system which measures the distribution of vertical load under the foot has been used to measure and record the loading under 148 normal feet during walking. The correlations and variations with load, contact time, sex, age and angle of the toe out are discussed. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266887
更新日期:1979-01-01 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::This study investigated the relationship of bone porosity and bone-cement interface shear strength. One hundred forty-six samples were taken from the distal metaphysis of 20 bovine femora. After cementation, the shear strength of the bone-cement interface was tested. According to the porosity, the samples were divided...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-008-0558-3
更新日期:2009-06-01 00:00:00
abstract::Recently, patellofemoral arthroplasty has attracted increased interest as a salvage treatment for isolated patellofemoral arthritis. However, there are very few reports of the experience with modern generation patellofemoral arthroplasties. This investigation describes a collective experience of four centres reporting...
journal_title:International orthopaedics
pub_type: 杂志文章,多中心研究
doi:10.1007/s00264-008-0692-y
更新日期:2009-12-01 00:00:00