Abstract：
OBJECTIVE:To examine the results of an anular closure device for prevention of lumbar disc reherniation in daily routine practice. METHODS:Fifty patients with large anular defects were treated with limited discectomy and a bone-anchored anular closure device. The device physically occludes the defect in the anulus fibrosus and is intended for prevention of lumbar disc reherniation. Pain scores on a visual analogue scale, back function on the Oswestry Disability Index, and neurological status were noted. Symptomatic reherniation and reoperation rates were assessed at each follow-up. Surgical findings and complications, device-related and/or procedure-related, were recorded. Follow-up was 6, 12, 26, and 52 weeks. RESULTS:Mean anular defect height/width was 4.6 mm/10.1 mm. The overall symptomatic reherniation and reoperation rate was 2%. During the 1-year follow-up period, mean back pain decreased from 43 to 8 (P < 0.001), leg pain decreased from 71 to 4 (P < 0.001), and the Oswestry Disability Index decreased from 46 to 5 (P < 0.001). Among 15 patients with preoperative neurological deficits, improvements in neurological function were noted in 14 (93%). There were no serious device-related complications. CONCLUSIONS:The presented study shows promising early results in using the anular closure device. The procedure is safe with significantly fewer reherniations than for patients with large anular defects without anular closure. Further studies with longer follow-up periods are warranted to prove these findings for long-term outcomes.
journal_name
Orthop Surgjournal_title
Orthopaedic surgeryauthors
Ardeshiri A,Miller LE,Synowitz M,Jadik Sdoi
10.1111/os.12495subject
Has Abstractpub_date
2019-06-01 00:00:00pages
431-437issue
3eissn
1757-7853issn
1757-7861journal_volume
11pub_type
杂志文章abstract：OBJECTIVE:To evaluate the clinical effect of the minimally invasive transforaminal lumbar interbody fusion combined with posterolateral fusion and unilateral fixation using a tubular retractor in the management of degenerative lumbar disease. METHODS:A retrospective analysis was conducted to analyze the clinical outco...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12345
更新日期：2017-08-01 00:00:00
abstract：BACKGROUND:Femoral avulsion fracture of the posterior cruciate ligament (PCL) in association with meniscus tear is extremely rare in children, and similar cases are not available in the existing literature. CASE PRESENTATION:In this paper, we present a case of a 9-year-old boy treated by an arthroscopic repair techniq...
journal_title：Orthopaedic surgery
pub_type：
doi：10.1111/os.12636
更新日期：2020-04-01 00:00:00
abstract：OBJECTIVE:To quantitatively describe the stress of the ligamentum flavum (LF) using the finite element method and to compare the stress at different parts of the healthy LF. METHODS:Based on the high resolution computed tomography imaging data of a healthy 22-year-old man, three-dimensional nonlinear L4-5 lumbar finit...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12675
更新日期：2020-06-01 00:00:00
abstract：:In the realm of orthopaedics, the terrible triad of the elbow is infamous, not simply because the prognosis is poor for most patients, but also, maybe to a greater extent, because the unique name of this malady attracts considerable attention and interest in both doctors and patients. The adjective terrible is bestowe...
journal_title：Orthopaedic surgery
pub_type： 杂志文章,评审
doi：10.1111/os.12149
更新日期：2015-02-01 00:00:00
abstract：OBJECTIVE:To assess the difference between drainage and non-drainage after total hip arthroplasty (THA) in Chinese subjects by evaluating post-operative complications and joint function. METHODS:One hundred and sixty-eight patients undergoing THA were randomly allocated into drainage (83 patients) and non-drainage gro...
journal_title：Orthopaedic surgery
pub_type： 杂志文章,随机对照试验
doi：10.1111/os.12092
更新日期：2014-02-01 00:00:00
abstract：OBJECTIVE:To investigate the methods for, and clinical outcome of, the operative treatment of thoracolumbar fractures through an approach via the paravertebral muscle (PVM). METHODS:From June 2005 to August 2006, 62 patients, comprising 48 men and 14 women with an average age of 45.2 years (range, 21-58) with thoracol...
journal_title：Orthopaedic surgery
pub_type： 杂志文章,随机对照试验
doi：10.1111/j.1757-7861.2009.00032.x
更新日期：2009-08-01 00:00:00
abstract：OBJECTIVE:"Lisfranc joint injury" is comprised of a tarsometatarsal joint-complex injury. The Lisfranc complex injury is always a challenge for orthopedists, and the optimum treatment is still up for debate. Anatomic reduction and stable internal fixation prove to have no satisfactory outcomes. This research aims to co...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12316
更新日期：2017-02-01 00:00:00
abstract：OBJECTIVE:To evaluate the results of treatment of osteonecrosis of the femoral head by structural augmentation through a routine core decompression procedure combined with insertion of cannulated bone screws incorporating autogenous bone graft and biomaterial containing decalcified bone matrix. METHODS:From February 2...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/j.1757-7861.2008.00008.x
更新日期：2009-02-01 00:00:00
abstract：OBJECTIVE:To assess the benefits of use of a tourniquet in one limb in patients undergoing simultaneous bilateral total knee arthroplasty (TKA). METHODS:A prospective randomized trial was designed to evaluate the outcomes of unilateral tourniquet use during simultaneous bilateral TKA. A total of 52 (36 women and 16 me...
journal_title：Orthopaedic surgery
pub_type： 杂志文章,随机对照试验
doi：10.1111/os.12329
更新日期：2017-05-01 00:00:00
abstract：OBJECTIVE:To investigate the efficiency of anterior decompression on the proximal-type cervical spondylotic amyotrophy patients. METHODS:This was a retrospective analysis. From January 2014 to November 2017, 21 patients with proximal-type cervical spondylotic amyotrophy (CSA) underwent anterior decompression. There we...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12654
更新日期：2020-06-01 00:00:00
abstract：OBJECTIVE:To develop a novel screw positioning method to improve the treatment of unstable thoracolumbar fractures. METHODS:A total of 72 patients with unstable thoracolumbar fractures who were treated with anterior screw-rod interfixation from January 2011 to October 2015 were included in this clinical study. Those p...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12506
更新日期：2019-08-01 00:00:00
abstract：OBJECTIVE:To compare the biomechanical properties of single- and two-segment fusion for Denis type B spinal fracture. METHODS:Two female patients with Denis type B L1 vertebral fractures were studied. Both patients had achieved intervertebral fusion by 1 year postoperatively, at which time CT data were collected, incl...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12068
更新日期：2013-11-01 00:00:00
abstract：OBJECTIVE:To assess the clinical efficacy of mini-invasive transforaminal lumbar interbody fusion (TLIF) through the Wiltse approach for treating lumbar spondylolytic spondylolisthesis. METHODS:In this retrospective controlled study, 69 cases with lumbar spondylolytic spondylolisthesis treated in Qilu hospital from Ap...
journal_title：Orthopaedic surgery
pub_type： 杂志文章,随机对照试验
doi：10.1111/os.12224
更新日期：2016-02-01 00:00:00
abstract：:To observe the morphology character of the anterior epidural space at the L4-5 disc level and to provide an anatomical basis for safely and accurately performing a percutaneous endoscopic lumbar discectomy (PELD). Fifty-five cases with L5 S1 lumbar disc herniation were included in this study, and cases with L4-5 disea...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12325
更新日期：2017-05-01 00:00:00
abstract：OBJECTIVE:To review the long-term clinical results after revision surgery and the relationship between the different clinical variables involved with a failed total knee arthroplasty (TKA) and its evolution to provide a better understanding of the current treatment methods. METHODS:The present study involved 89 subjec...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12593
更新日期：2020-02-01 00:00:00
abstract：BACKGROUND:The arcuate foramen is a complete or partial bony bridge over the vertebral artery groove of atlas. The mechanism of the arcuate foramen is not clearly understood. Omission of the arcuate foramen sometimes causes lethal iatrogenic injury during spinal surgery. CASE PRESENTATION:We describe a patient who was...
journal_title：Orthopaedic surgery
pub_type：
doi：10.1111/os.12868
更新日期：2020-12-03 00:00:00
abstract：:Pure tibiotalar dislocation without an associated fracture is an extremely rare injury. We present three cases of closed posteromedial tibiotalar dislocation without any associated fractures to the foot, ankle, or leg. All patients were treated conservatively with immediate closed reduction under general or local anae...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12049
更新日期：2013-08-01 00:00:00
abstract：:Gouty arthritis is an extremely painful condition that causes functional impairment. Gouty arthritis has become increasingly complex because of multiple comorbidities, iatrogenic factors and hyperuricemia that is refractory to treatment. In this review, we present a general overview of gouty arthritis including its pa...
journal_title：Orthopaedic surgery
pub_type： 杂志文章,评审
doi：10.1111/os.12024
更新日期：2013-02-01 00:00:00
abstract：:Historically, a simple approach centered on palliation was applicable to the majority of patients with metastatic spinal disease. With advances in diagnosis and treatment, a more complicated algorithm has devolved requiring a multidisciplinary approach with institutional commitment and support. We performed a database...
journal_title：Orthopaedic surgery
pub_type： 杂志文章,评审
doi：10.1111/os.12334
更新日期：2017-05-01 00:00:00
abstract：OBJECTIVE:To explore the effect of kartogenin (KGN) on proliferation and chondrogenic differentiation of human umbilical cord mesenchymal stem cells (hUCMSC) in vitro, and the synergistic effects of KGN and transforming growth factor (TGF)-β3 on hUCMSC. METHODS:Human umbilical cord mesenchymal stem cells were isolated...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12691
更新日期：2020-06-01 00:00:00
abstract：OBJECTIVES:Occipitocervical fusion (OCF) is an effective treatment for instability of occipitocervical junction (OCJ). The occipital condyle screw serves as a novel surgical technique for occipitocervical fixation. However, the intraoperative procedures for the occipital condyle screw technique have relied on surgeons'...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12700
更新日期：2020-06-01 00:00:00
abstract：OBJECTIVE:The present retrospective study was performed to assess the anatomical features of the pedicle in isthmic spondylolisthesis and to correlate this with degree of slip. METHODS:Twenty-six patients with isthmic spondylolytic spondylolisthesis were studied. Relevant patient variables, length, width, height of th...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12173
更新日期：2015-05-01 00:00:00
abstract：OBJECTIVE:Knee arthroscopy is a commonly performed orthopedic procedure. Post-operatively, adequate pain relief reduces the surgical stress response and patient's morbidity and facilitates rehabilitation. The analgesic effect of dexmedetomidine (2 μg/kg body weight) as an adjunct to ropivacaine in knee arthroscopic kne...
journal_title：Orthopaedic surgery
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1111/os.12182
更新日期：2015-08-01 00:00:00
abstract：:The objective of this systematic review and meta-analysis was to evaluate the efficacy and safety of i.v. tranexamic acid (TXA) in simultaneous bilateral total knee arthroplasty (TKA). Potentially relevant published reports were identified from the following electronic databases: Medline, PubMed, Embase, ScienceDirect...
journal_title：Orthopaedic surgery
pub_type： 杂志文章,meta分析,评审
doi：10.1111/os.12256
更新日期：2016-08-01 00:00:00
abstract：OBJECTIVE:To evaluate the clinical efficacy of internal fixation versus hemiarthroplasty in the treatment of unstable intertrochanteric fractures in the elderly. METHODS:A search was conducted in PubMed, Web of Science, Embase, and Cochrane Library databases up to April 2020. The present study compared internal fixati...
journal_title：Orthopaedic surgery
pub_type： 杂志文章,评审
doi：10.1111/os.12736
更新日期：2020-08-01 00:00:00
abstract：:Atlantoaxial transarticular facet screw fixation (Magerl technique) and C1 lateral mass screws combined with C2 pedicle screws fixation (Harms technique) are the most commonly used techniques for posterior internal fixation in the upper cervical spine. Upper cervical spinal surgery is a technically demanding and chall...
journal_title：Orthopaedic surgery
pub_type： 杂志文章,实务指引
doi：10.1111/os.12454
更新日期：2019-04-01 00:00:00
abstract：OBJECTIVE:To investigate a stem-adjusted preparation of the femur with a kinked reamer and to determine whether this approach results in higher primary stability of a kinked stem than straight reaming of the intramedullary canal. METHODS:Ten cementless stems with a kinked design were implanted in synthetic femurs afte...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12490
更新日期：2019-08-01 00:00:00
abstract：:Stem cell research has been a popular topic in the past few decades. This review aims to discuss factors that help regulate, induce, and enhance mesenchymal stem cell (MSC) differentiation into osteoblasts for bone regeneration. The factors analyzed include bone morphogenic protein (BMP), transforming growth factor β ...
journal_title：Orthopaedic surgery
pub_type： 杂志文章,评审
doi：10.1111/os.12304
更新日期：2017-02-01 00:00:00
abstract：OBJECTIVE:To describe the technique and analyze the outcomes of joint-preserving surgical treatments which included anatomical reconstruction or alignment correction for talar malunions or nonunions, and avoid development of degenerative changes in the adjacent joints. METHODS:Eight patients who had painful talar malu...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12301
更新日期：2017-02-01 00:00:00
abstract：:Herein is described cortical bone trajectory (CBT), a new path for pedicle screw insertion for lumbar vertebral fusion. Because the points of insertion are under the end of the inferior articular process, and because the screws are inserted toward the lateral side, there is less soft tissue development than with the c...
journal_title：Orthopaedic surgery
pub_type： 杂志文章
doi：10.1111/os.12122
更新日期：2014-08-01 00:00:00
