Abstract:
PURPOSE:For complex proximal humeral fractures, severe displacement and comminuted fragments lead to poor clinical outcomes. Despite considerable management, the locking plate fixation is still a preference and the proper selection of its strategy for each individual seems to be essential. METHOD:The available classification system of the fracture, determination of surgical intervention, the common complications and related causes, and the latest critical surgical strategies with locking plate fixation were discussed in this review. RESULTS:The frequent complications with complex proximal humeral fractures after operative treatment present a great challenge to orthopedic surgeons. In order to maintain the stability of locking plate fixation, several options including calcar screw, bone graft, bone cement augmentation, dual plate fixation, and fracture impaction were available for restoration of medial support. CONCLUSION:Restoration of medial support seems of importance to provide solid stability and reduced complication for the complex fractures with fixation of locking plates.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Sun Q,Wu X,Wang L,Cai Mdoi
10.1007/s00264-020-04544-7subject
Has Abstractpub_date
2020-09-01 00:00:00pages
1785-1795issue
9eissn
0341-2695issn
1432-5195pii
10.1007/s00264-020-04544-7journal_volume
44pub_type
杂志文章,评审abstract::Three different lateral approaches for a Charnley total hip replacement were studied in 264 operations. The transtrochanteric approach was used in 94, the Liverpool in 88 and the Hardinge in 82. The mean follow up was 2.6 years (range 2 to 3 years). The clinical result was the same in each group. Radiographs showed th...
journal_title:International orthopaedics
pub_type: 临床试验,杂志文章
doi:10.1007/s002640050193
更新日期:1997-01-01 00:00:00
abstract::Trauma, infection, local injections and even acupuncture may cause fibrosis of the muscles of the first web space of the hand, leading to severe malposition and loss of function of the thumb and index finger. The authors present the anatomical basis for the deformity and the results of surgical treatment by tenotomy o...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266837
更新日期:1984-01-01 00:00:00
abstract::The authors present 43 cases of comminuted intertrochanteric fracture, treated by replacement with a Leinbach prosthesis. The average age of the patient was 81 years, the average time of operation was 70.8 min, and the average blood loss was 502 cc. 88% of the patients were walking within 4-10 days. One deep infection...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266327
更新日期:1979-03-01 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::After division of the tendo achilles in rats heterotopic bone forms in the muscle and in the tendon stumps. Tenotomy was performed in 26 male rats. Thirteen received Verapamil (36 mm/Kg) for six days per week for five months, and the remainder were not given this drug. The onset of heterotopic ossification was monitor...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00182655
更新日期:1990-01-01 00:00:00
abstract::Although a variety of surgical techniques are available for the surgical treatment of early degenerative disease of the ankle, arthrodesis remains the preferred treatment for severe cases. We studied 126 ankles with an average follow up of 39 months of whom 25 with early disease underwent debridement and cheilectomy, ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050009
更新日期:2000-01-01 00:00:00
abstract:PURPOSE:Morphologic data of the knee is very important in the design of total knee prostheses. Generally, the designs of the total knee prostheses are based on the knee anatomy of Caucasian population. Moreover, in forensic medicine, a person's age and sex might be estimated by the shape of their knees. The aim of this...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3826-x
更新日期:2018-10-01 00:00:00
abstract:AIM OF THE STUDY:The aim of this study was to evaluate the radiographic effect of sagittal tibial osteotomy (STO), flexion tibial osteotomy (FTO) and deflexion tibial osteotomy (DTO) around the knee. It has been hypothesized that proximal STO modifies patellar height and could cause varus/valgus changes of the anatomic...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04580-3
更新日期:2020-11-01 00:00:00
abstract::A distinction must be drawn between the older constrained prostheses, in which load was transferred via metal-coated hinges, and later models using the low-friction principle, where the axle is not load bearing. The latter show good long-term results. The greater stability of constrained prosthesis allows earlier and ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:
更新日期:1993-08-01 00:00:00
abstract::Subluxation of the patella may produce pain and instability in young people. However its classification, diagnosis and treatment are controversial. We have used computerized tomography (CT) to measure the amount of lateral shift of the patella and the angle of tilt to the femur in patients with subluxation. The mean l...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00267752
更新日期:1986-06-01 00:00:00
abstract::Bony defects caused by trauma, tumors, infection or congenital anomalies can present a significant surgical challenge. Free vascularised fibular bone grafts (FVFGs) have proven to be extremely effective in managing larger defects (longer than 6 cm) where other conventional grafts have failed. FVFGs also have a role in...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-014-2281-6
更新日期:2014-06-01 00:00:00
abstract::Between 1991 and 2002 we treated 48 patients surgically for thoracolumbar burst fractures associated with flexion-distraction injury of the posterior elements. The degree of kyphotic deformity and the degree of vertebral wedging deformity were measured on plain lateral radiographs. The spinal canal compromise was meas...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-005-0005-7
更新日期:2005-12-01 00:00:00
abstract:PURPOSE:Diagnosing periprosthetic infection remains a challenge. Multiplex-PCR and biomarkers such as alpha-defensin are potentially useful and fast methods for detecting periprosthetic infection. This study compared these new methods with clinical assessment, conventional microbiological methods and histo-pathological...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3412-7
更新日期:2017-07-01 00:00:00
abstract:PURPOSE:The purpose of this study was to compare bone healing of experimental osteotomies applying either piezosurgery or two different oscillating saw blades in a rabbit model. METHODS:The 16 rabbits were randomly assigned into four groups to comply with observation periods of one, two, three and five weeks. In all a...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-1908-3
更新日期:2013-08-01 00:00:00
abstract::To evaluate the effects of aggressive early rehabilitation on the clinical outcome of anterior cruciate ligament reconstruction using semitendinosus (and gracilis) tendon, 103 of 110 consecutive patients who underwent ACL reconstruction using multistrand semitendinosus tendon (ST) or the central one-third of patellar ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050276
更新日期:1998-01-01 00:00:00
abstract:PURPOSE:The aim of this study was to conduct a randomised, clinical trial comparing stemmed hemiarthroplasty and resurfacing hemiarthroplasty in the treatment of glenohumeral osteoarthritis. METHODS:A total of 40 shoulders (35 patients) were randomised to stemmed hemiarthroplasty or resurfacing hemiarthroplasty and ev...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-014-2505-9
更新日期:2015-02-01 00:00:00
abstract:PURPOSE:Computed tomography (CT) is widely used to assess component rotation in patients with poor results after total knee arthroplasty (TKA). The purpose of this study was to simultaneously determine the accuracy and reliability of CT in measuring TKA component rotation. METHODS:TKA components were implanted in dry-...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2917-1
更新日期:2016-04-01 00:00:00
abstract::The contamination of drinking water by organic acids, selenium deficiency and the ingestion of fungal mycotoxins are the three main aetiological factors in the development of Kashin-Beck disease. An avian tibial chondrodysplasia induced by mycotoxins has been reported. Deoxynivalenol (DON) is one of many mycotoxins pr...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640100235
更新日期:2001-01-01 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: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: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::The reliability and validity of the Hartofilakidis et al. classification system in adults with congenital hip disease (CHD) were examined. The radiographs of 102 adult patients (158 hips) with CHD were independently assessed by three senior surgeons. Interobserver variability was assessed by examining the agreement be...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-007-0472-0
更新日期:2009-04-01 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:In order to test the validity of the selected surgical technique as a way to manage persistent synovitis of the knee joint, as well as to slow down the cartilage and bone destruction, we studied the dynamics of biomarkers of inflammatory conditions, and bone and cartilage destruction after total arthroscopic sy...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3634-8
更新日期:2017-11-01 00:00:00
abstract:PURPOSE:To compare post-operative pain relief with peri-articular injection (PI) versus interscalene brachial plexus block (IBPB) after arthroscopic rotator cuff repair (ARCR) surgery. METHODS:We retrospectively reviewed 121 consecutive patients undergoing ARCR surgery divided into two groups: the PI group and the IBP...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-4096-3
更新日期:2019-06-01 00:00:00
abstract:PURPOSE:Management of the unexplained, painful large diameter metal-on-metal (MOM) hip replacement is difficult. Although there are guidelines for surgeons, there is no clear documented evidence describing the overall threshold for revision surgery. The 2010 product recall of the DePuy Articular Surface Replacement (AS...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2369-z
更新日期:2014-10-01 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::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::Cementless acetabular components require good initial fixation to allow bony in-growth. The initial press-fit stability, important for designs that do not rely on supplemental fixation, was examined for three designs with different porous coating systems: beads, fiber mesh, and plasma spray. The ability to withstand t...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-001-0314-4
更新日期:2002-01-01 00:00:00
abstract::We used scanning electron microscopy to perform an ultrastructural analysis and two optical interferometric profilers to measure roughness on 40 prosthetic femoral heads. We expressed roughness as Ra (roughness average) value and Rsk (roughness skewness) value. Our results show that in order to obtain an ideal surface...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640000129
更新日期:2000-01-01 00:00:00