Abstract:
PURPOSE:There is no consensus regarding systematic screening for infection in aseptic revision total hip arthroplasty (THA). The rationale for systematic intra-operative samples is to increase the sensitivity of latent infections detection, which may require specific treatment. However, the incidence of occult infection in revision THAs is not precisely known. As such, the aim of the study was to evaluate the incidence of occult infection in presumed aseptic revision THAs and identify associated risk factors. METHOD:Bacteriological samples from 523 aseptic THA revisions performed for five years were analyzed. Revisions performed for periprosthetic joint infection (PJI) or clinical suspicion of PJI were excluded. Microbiological cultures were performed using tissue samples in 505 cases (97%), synovial fluid in blood culture vials in 158 (30%), and in dry tubes in 263 (50%). Implants were sent for sonication in 12 cases (2.6%). The mean number of microbiological samples per patient was 3.6 (range, 1-15). Histology samples were collected for 300 patients (57%). RESULTS:The incidence of occult infection was 7% (36 cases) and contamination 8% (42 cases). Among occult infections, the primary reasons for revision were dislocation (42%), aseptic loosening (25%), fracture (19%), and others (14%). The infection rate in the dislocation group was significantly higher than that of other reasons for revision (p < 0.001). Among the patients determined with PJI, the revision THA was performed less than a year after primary in 19 (53%). CONCLUSION:The incidence of occult PJI justifies systematic intraoperative sampling. A short time between primary arthroplasty and revision or an early postoperative dislocation is a factor to suspect infections.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Renard G,Laffosse JM,Tibbo M,Lucena T,Cavaignac E,Rouvillain JL,Chiron P,Severyns M,Reina Ndoi
10.1007/s00264-019-04366-2subject
Has Abstractpub_date
2020-04-01 00:00:00pages
735-741issue
4eissn
0341-2695issn
1432-5195pii
10.1007/s00264-019-04366-2journal_volume
44pub_type
杂志文章abstract:BACKGROUND:Periprosthetic tissue cultures, sonication and synovial fluid cultures remain the gold standard for prosthetic joint infection (PJI) diagnosis. However, some 15-20% culture-negative PJI are still reported. Therefore, there is the need for other diagnostic criteria. One point of concern relative to the differ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3430-5
更新日期:2017-07-01 00:00:00
abstract:PURPOSE:The purpose of this study was to introduce a novel method of percutaneous achievement and maintenance of reduction for acute displaced scaphoid fractures and evaluate the feasibility of this method in treating acute displaced scaphoid fractures as well as explore its indications. METHODS:From February 2012 to ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3758-5
更新日期:2018-08-01 00:00:00
abstract:PURPOSE:Occult intra-operative periprosthetic acetabular fracture is a seldom-reported complication of primary total hip arthroplasty (THA). It may potentially be associated with cup instability and implant loosening. The present study aimed to investigate clinical consequences of this complication. METHODS:Between 20...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-4084-7
更新日期:2019-07-01 00:00:00
abstract::Following amputation of a limb for osteosarcoma, the tumour was serially transferred to nude mice. The rate of growth was determined and the inhibitory effect of Cyclophosphamide, Adriamycin and 5-Fluorouracil was assessed in three separate experimental animal groups. In the tumour studied. Cyclophosphamide produced t...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00267728
更新日期:1982-01-01 00:00:00
abstract:BACKGROUND:Cementless femoral stems are currently used in revision total hip arthroplasty (THA) with the surgeon choosing between various fixation modes. The outcomes are good in the medium term; however, some failures have been attributed to technical errors during implantation. When the decision has been made to use ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-4265-4
更新日期:2019-10-01 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:The aim of the study was to investigate risk factors for metastasis at diagnosis. METHODS:We collected patients diagnosed with conventional chondrosarcoma between 1983 and 2014 from the Surveillance, Epidemiology, and End Results (SEER) database. Each patient was classified as having metastatic or localized di...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3942-7
更新日期:2018-12-01 00:00:00
abstract::In this study, 22 women patients with adult idiopathic scoliosis treated surgically with Cotrel-Dubousset instrumentation (CDI) or Texas Scottish Rite Hospital instrumentation (TSRHI) were followed up for 56.2+/-4.0 months. The overall immediate and final corrections were respectively 21.5+/-40 (58%) and 26.6+/-2.90 (...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-002-0346-4
更新日期:2002-01-01 00:00:00
abstract:PURPOSE:The rotator cuff concept refers to the four scapulohumeral muscles that stabilize and rotate the humerus relative to the scapula. To date, the first description of the rotator cuff remained unidentified. METHOD:In light of the 500th birthday of Andreas Vesalius (1515-1564) we searched his 1543 masterwork "Fabr...
journal_title:International orthopaedics
pub_type: 古典文章,历史文章,杂志文章
doi:10.1007/s00264-015-2823-6
更新日期:2015-12-01 00:00:00
abstract:PURPOSE:Elastofibroma dorsi (ED) is a rare soft-tissue tumour. Diagnosis is made using imaging, mainly magnetic resonance due to its higher sensitivity and specificity in soft tissues. No agreement exists when deciding which imaging test must be used. Often multiple tests are made in the same patient, increasing time a...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2740-8
更新日期:2015-06-01 00:00:00
abstract:PURPOSE:This systematic literature review analysed the change in range of knee flexion from pre-operative values, following conventional posterior stabilised (PS) and high-flexion (H-F) PS total knee arthroplasty (TKA). METHODS:We calculated the weighted mean differences of pre- and postoperative flexion using meta-an...
journal_title:International orthopaedics
pub_type: 杂志文章,meta分析
doi:10.1007/s00264-011-1228-4
更新日期:2011-09-01 00:00:00
abstract:INTRODUCTION:Since 1962, the low friction arthroplasty developed by Sir John Charnley has given us very good long terms results at more than 40 years follow up, but dislocation remains a major complication. The dislocation rate is a permanent risk during the life of the patient and the prosthesis, defined by J. Caton a...
journal_title:International orthopaedics
pub_type: 古典文章,历史文章,杂志文章
doi:10.1007/s00264-016-3361-6
更新日期:2017-03-01 00:00:00
abstract:PURPOSES:Acetabular fractures are more and more common in the elderly. Open reduction and internal fixation (ORIF) may lead to poor outcomes and high revision rates. Primary total hip arthroplasty (THA) combined with internal fixation, also known as the combined hip procedure (CHP), associated with dual mobility cup (D...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04757-w
更新日期:2020-10-01 00:00:00
abstract:PURPOSE:The prevalence of joint hypermobility (JH) in patients with femoroacetabular impingement (FAI) and its association with outcomes is yet widely unknown. This study aimed to validate a self-reported version of the Beighton score for FAI patients, and to determine possible associations between JH and clinical and ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2424-9
更新日期:2014-11-01 00:00:00
abstract::We reviewed a consecutive series of 19 patients with comminuted periprosthetic fractures, loosening of the femoral stem (Vancouver type B3) and significant loss of bone stock (Paprosky type III and IV). Sixteen porous-coated long stems and three Exeter stems, all with impaction grafting, were used. Large femoral onlay...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-002-0423-8
更新日期:2003-01-01 00:00:00
abstract::Reverse total shoulder arthroplasty (RTSA) has been reported to be associated with a complication rate that is four times that of conventional total shoulder arthroplasty. It is the purpose of this article to identify and understand the most common and most serious complications of RTSA and to review current methods o...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-010-1125-2
更新日期:2010-12-01 00:00:00
abstract:PURPOSE:Leg-length changes at total hip arthroplasty (THA) may result from too proximal position of the femoral component, i.e. not being sunk deep enough into the femoral canal due to the size and shape of both medullary canal and implant. Some femoral implants are designed to achieve such fixation in the mediolateral...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-020-04671-1
更新日期:2020-06-22 00:00:00
abstract::Seventy-four cases of tuberculosis of the upper limb joints (sterno-clavicular 1; shoulder 12; elbow 42; wrist 10 and fingers 9), treated by two of the authors, were reviewed. Eighty-seven percent presented at an advanced stage of destruction. The diagnosis was proved in 71 our of 74 cases. In most, the treatment was ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266268
更新日期:1986-01-01 00:00:00
abstract:PURPOSE:The purpose of this study was to evaluate the impact of a preoperative myocardial infarction (MI) on outcomes of inpatient orthopaedic operations. METHODS:The National Surgical Quality Improvement Program database was used to identify patients who underwent common orthopaedic operations from 2006 to 2010. Pati...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2001-7
更新日期:2013-12-01 00:00:00
abstract:PURPOSE:The aim of this meta-analysis was to compare the results of arthroscopic single-bundle and double-bundle anterior cruciate ligament (ACL) reconstruction. METHODS:We systematically searched electronic databases to identify randomised controlled trials (RCTs) in which arthroscopic single-bundle was compared with...
journal_title:International orthopaedics
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s00264-012-1651-1
更新日期:2013-02-01 00:00:00
abstract:INTRODUCTION:Although consensus has been reached regarding the main aspects of intralesional surgery for giant cell tumour of the bone (GCTB), debates continue about the most effective combination of local adjuvants. The purpose of study was to analyze the previous experience and determine the most effective curettage ...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-020-04860-y
更新日期:2020-10-22 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:INTRODUCTION:Literature on the potential release of trace elements following implantation of Zirconia-platelet toughened alumina (ZPTA) ceramic components is scant. The present study therefore analysed the in vitro and in vivo potential release of ions from ZPTA bearings. MATERIAL AND METHODS:An in vitro and in vivo s...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3568-1
更新日期:2018-01-01 00:00:00
abstract:PURPOSE:The rapidly growing and emerging nature of biologics have made indications for regenerative and reparative hip therapies ever changing, with at times only early-stage evidence for their use. The purpose of this study was to review and summarize the currently available data on the management of hip cartilage inj...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04789-2
更新日期:2021-02-01 00:00:00
abstract::An osteosarcoma developed in a boy, 16 years of age, 9 years after staples had been inserted in the region of the lower femoral epiphysis. The possible association between the implant and the tumour is discussed. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050090
更新日期:1996-01-01 00:00:00
abstract::Between 1991 and 1998, we treated 72 patients with fusion of the lumbar spine using posterior pedicle screw fixation followed by anterior retroperitoneal insertion of a titanium cage filled with autogenous bone graft. All patients had chronic low back pain after failed conservative treatment. We were able to review 54...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-004-0577-7
更新日期:2004-10-01 00:00:00
abstract::Humeral shaft fractures respond well to conservative treatment and unite without much problem. Since it is uncommon, there is not much discussion regarding the management of nonunion in the literature, and hence this is a challenge to the treating orthopaedic surgeon. Osteoporosis of the fractured bone and stiffness o...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-008-0596-x
更新日期:2009-08-01 00:00:00
abstract:PURPOSE:Recently, endoprosthesis reconstruction has been used for scapular malignant tumours. Our aim is to present and evaluate the clinical indications, peri-operative technique, and mid-term clinical results. METHODS:Scapular hemiarthroplasty after total scapulectomy has been performed in 15 patients between 2011 a...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3429-y
更新日期:2017-05-01 00:00:00
abstract::We describe a patient with acute compression of the spinal cord by a spontaneous extra-dural haematoma. This rare condition is often misdiagnosed. We believe that an urgent MRI scan is indicated in patients presenting with progressive neurological deficit following spinal trauma. This allows the diagnosis of extra-dur...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050103
更新日期:1996-01-01 00:00:00
abstract:PURPOSE:Rheumatoid arthritis has been associated with poor clinical outcomes in hemiarthroplasty and unconstrained total shoulder arthroplasty. The reverse shoulder arthroplasty can be utilized to address the shortcomings of hemiarthroplasty and unconstrained total shoulder arthroplasty in the inflammatory arthritis pa...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-019-04373-3
更新日期:2019-11-01 00:00:00