Abstract:
PURPOSE:Acute compartment syndrome is a condition whereby tissue ischaemia occurs due to increased pressure in a closed myofascial compartment. It is a surgical emergency, with rapid recognition and treatment-the keys to good outcomes. METHODS:The available literature on diagnostic aids was reviewed by one of the senior authors 15 years ago. Now, we have further reviewed the literature, to aim to ascertain what progress has been made. RESULTS:In this review, we present the evidence around a variety of available diagnostic options when investigating a potential case of acute compartment syndrome, including those looking at pressure changes, localised oxygenation, perfusion, metabolic changes and available blood serum biomarkers. CONCLUSIONS:A significant amount of work has been put into developing modalities of diagnosis for acute compartment syndrome in the last 15 years. There is a lot of promising outcomes being reported; however, there is yet to be any conclusive evidence to suggest that they should be used over intracompartmental pressure measurement, which remains the gold standard. However, clinicians should be cognizant that compartment pressure monitoring lacks diagnostic specificity, and could lead to unnecessary fasciotomy when used as the sole criterion for diagnosis. Therefore, pressure monitoring is ideally used in situations where clinical suspicion is raised.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
McMillan TE,Gardner WT,Schmidt AH,Johnstone AJdoi
10.1007/s00264-019-04386-ysubject
Has Abstractpub_date
2019-11-01 00:00:00pages
2429-2435issue
11eissn
0341-2695issn
1432-5195pii
10.1007/s00264-019-04386-yjournal_volume
43pub_type
杂志文章,评审abstract:PURPOSE:Studies on total knee arthroplasty (TKA) in Saudi Arabia are scarce, and none have reported the knowledge and attitude of the procedure in Saudi Arabia. Our study aims to measure the knowledge and attitude of TKA among the adult Saudi population. METHODS:To encompass a representative sample of this cross-secti...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3743-4
更新日期:2018-04-01 00:00:00
abstract::Two techniques are presented for atraumatic handling of tendon ends during repair of flexor and extensor tendons. If the tendon is cleanly transected, the suture is carried out by holding the tendon in nerve holding forceps. If debridement is needed, a slice is partly cut and used to handle the tendon; the slice is th...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050080
更新日期:1996-01-01 00:00:00
abstract:PURPOSE:Despite bilateral knee replacement being frequently performed, little data is available to inform on the relative outcomes of each knee for individual patients. The purpose of this study was to compare these outcomes in a series of bilateral total knee replacements (TKRs) performed either simultaneously or at a...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3122-6
更新日期:2016-10-01 00:00:00
abstract::The aim of this non-randomised prospective study was to evaluate the short-term outcome of Gamma nail and dynamic hip screw (DHS) fixation in the treatment of subtrochanteric hip fractures due to low-energy trauma in the elderly. All of the 1,624 femoral hip fractures in 1,511 patients of the Oulu Hospital, aged over ...
journal_title:International orthopaedics
pub_type: 临床试验,杂志文章
doi:10.1007/s00264-006-0088-9
更新日期:2007-02-01 00:00:00
abstract::Over a 4-year period, 55 consecutive knee arthroscopies were performed on 54 patients with symptomatic mild to moderate osteoarthritis. There were 30 female patients and the average patient age was 60.9 years. The average follow-up period was 29.6 months. All patients underwent diagnostic arthroscopy and washout. Furt...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640000212
更新日期:2001-01-01 00:00:00
abstract:PURPOSE:Intramedullary screw fixation is currently considered the gold standard treatment for Jones fractures in the athlete. Besides biological factors (i.e., poor vascularization), mechanical instability induced by the pull of the peroneus brevis tendon (PBT) contributes to deficient Jones fracture healing. This biom...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04581-2
更新日期:2020-07-01 00:00:00
abstract:PURPOSE:Deformation of the talus in idiopathic congenital clubfeet is a known problem after treatment. However evidence on types of talus deformation and clinical relevance is rare. The aims of this study were first to define different types of talus deformation, and second, to evaluate the impact of these types on lon...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3301-5
更新日期:2017-01-01 00:00:00
abstract::Fractures around a femoral prosthesis have been treated with plating and additional cement, but this leads to further reduction of bone stock in the proximal femur. Since February 1992, we have dealt with this problem in 12 patients by revision using a long uncemented stem and distal interlocking combined with homolog...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050112
更新日期:1997-01-01 00:00:00
abstract::We describe fives cases of an unusual type of injury to the wrist which has been seen in Sikhs, an ethnic population in India. It is caused by entrapment of the kara, an iron bangle, which is traditionally worn as one of five compulsory religious symbols. The injuries were an open transtriquetral palmar perilunar disl...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00210533
更新日期:1991-01-01 00:00:00
abstract:INTRODUCTION:The damage control orthopedics (DCO) concept is a sequential surgical management strategy indicated when ideal primary treatment is not possible or suitable. DCO principles are routinely applied to hand traumas in wartime practice, but could also be useful in a civilian setting when immediate specialized m...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3439-9
更新日期:2017-09-01 00:00:00
abstract:PURPOSE:The objective of this retrospective study was to evaluate the functional results of distal biceps tendon repair using suture anchors via a single-incision approach. METHODS:Forty-nine patients were re-examined at a mean follow-up of 44.2 ± 32.1 months (range, 12-119 months). Subjective and objective criteria i...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2200-2
更新日期:2014-04-01 00:00:00
abstract::We report three cases of para-articular chondroma and osteochondroma in the region of infrapatellar fat pad. All three lesions were resected and examined histologically. Two of them were primarily cartilaginous with a lobular pattern internally, and one uniformly osseous with peripheral cartilage. We conclude that the...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050322
更新日期:1999-01-01 00:00:00
abstract:PURPOSE:Pain in and around the metatarsal heads, the metatarsal phalangeal joints and the surrounding soft tissues is called metatarsalgia. Non-operative treatment of metatarsalgia includes foot orthoses. Foot orthoses may be classified as standard or custom-made. A systematic review was carried out to determine whethe...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3817-y
更新日期:2018-08-01 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:PURPOSE:This prospective, stratified, randomized, single-blind, placebo-controlled multicentre study investigated the safety and effectiveness of reducing blood loss and preventing venous thromboembolism (VTE) during posterior lumbar interbody fusion (PLIF) in patients with stenosis or spondylolisthesis using the combi...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04699-3
更新日期:2020-10-01 00:00:00
abstract::The load transmitted through fresh fractures of the tarsometatarsus of adult chickens was varied by 40% more, or less, than the body weight to determine the effect of load-bearing on fracture healing. The healing fracture was examined for size and strength at 14 days, but no significant differences were detected in an...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00268171
更新日期:1985-01-01 00:00:00
abstract:PURPOSE:The purpose of this study was to show that this two-stage procedure for ACL (anterior cruciate ligament) revision surgery could be straight-forward and provide satisfactory clinical and functional outcomes. MATERIALS:This is a five-year prospective analysis of clinical and functional data on 30 patients (19 me...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-1886-5
更新日期:2013-07-01 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:PURPOSE:Residual feeling of leg length discrepancy (LLD) is a common cause of patient dissatisfaction following total hip arthroplasty (THA). The purpose of this study is to propose a method for determining an optimal leg length correction goal in THA. METHODS:We conducted a retrospective study of 132 patients to exam...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-019-04411-0
更新日期:2020-03-01 00:00:00
abstract::We conducted a prospective study of the clinical and radiographic variables related to the survival of 114 cementless resurfacing double-cup hip replacements (RHR) with a mean follow-up of 9 (range: 1--16) years. Three patients died, and 22 were unavailable for the final review in 2003. Sixty-one RHRs had to be revise...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-005-0652-8
更新日期:2005-08-01 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:AIMS:Recently, the determination of biochemical markers has been intensely explored to better understand the mechanisms underlying knee OA. In this study, we aimed to explore the expression pattern of five biochemical markers in patients with knee OA. METHODS:After IRB approval and signed informed consent, 26 patients...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04829-x
更新日期:2020-10-01 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::A tentative classification of Perthes' disease according to the extent of epiphyseal and metaphyseal involvement in lateral radiographs of the hip was applied to 61 hips in 55 patients. Forty-four hips were treated by containment (Tachjian's trilateral socket hip abduction orthosis) and 17 hips were treated surgically...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266603
更新日期:1980-01-01 00:00:00
abstract:PURPOSE:Inadequate reconstruction of femoral offset after total hip arthroplasty (THA) is associated with unfavourable outcomes, but its importance following hemiarthroplasty for displaced femoral neck fracture is unknown. METHODS:Our study examined the correlation between reconstructed femoral offset and functional o...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2828-1
更新日期:2016-07-01 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::Eleven cases of extra-articular tuberculous osteomyelitis are presented. Eight of the patients were children. Ten were treated by curettage and chemotherapy and the diagnosis proved by histology or positive culture of the tubercle bacillus. One case was diagnosed because she also had tuberculous salpingitis, and she w...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050056
更新日期:1996-01-01 00:00:00
abstract::Acetabular retroversion may contribute to femoroacetabular impingement and lead to osteoarthritis of the hip. Retroversion has been measured on computed tomography scans. In recent years, assessment of acetabular version on anteroposterior pelvic views has gained increasing attention. We therefore aimed to determine t...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-010-1035-3
更新日期:2011-06-01 00:00:00
abstract:PURPOSE:Forty patients were enrolled in a prospective randomised study using conventional method or "Trabecular Metal Cone" (TM Cone) (Zimmer inc., Warsaw, USA) for reconstruction of bone loss of the proximal tibia during revision total knee arthroplasty (rTKA). The aim was to evaluate changes in bone mineral density (...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-012-1601-y
更新日期:2012-09-01 00:00:00
abstract::Eighty three cases of intertrochanteric flexion osteotomy of the hip for severe osteoarthritis are reported with a five year follow up. Osteotomy is performed in the sagittal plane with flexion of the proximal fragment. The anatomical, biomechanical and operative criteria for this procedure are discussed. The indicati...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266686
更新日期:1981-01-01 00:00:00