Abstract:
PURPOSE:Acetabular bone loss is a challenging problem in revision total hip arthroplasty (rTHA). Severe bone loss is not uncommon especially in periprosthetic joint infection. Surgical options, including revision shells, rings, and cages-with or without bone allograft-are affected by high complication rates and unsatisfactory clinical results. We report our mid-term results of non-flanged, custom-made acetabular components in staged rTHA. METHODS:We retrospectively reviewed all patients undergoing two-stage revision with acetabular custom-made implants between 2014 and 2016 at a single institution. Harris Hip Scores, Oxford Hip Scores, and Visual Analogue Scales for pain were obtained, and radiographical follow-up was performed. Complications were reported and analysed. RESULTS:We included 19 patients (19 hips) with an average follow-up of 42.3 ± 11.8 months. At the time of re-implantation, significant acetabular bone loss according to Paprosky classification (IIC, IIIA-B, and pelvic discontinuity) was detected in our patients. Clinical outcomes showed statistically significant improvement from pre-operative visit to last follow-up (p < 0.01). All custom-made implants had radiological osseointegration, and we did not find any implant complications, such as loosening or malposition. No mismatch between pre-operative planning and intra-operative findings was observed. To date, we report one septic failure managed with second staged revision, and one re-operation for recurrent THA dislocation. CONCLUSIONS:Custom-made acetabular implants showed excellent clinical and radiographic mid-term outcomes with a low rate of related complications, providing implant stability on residual host bone, restoring hip biomechanics, and allowing biological osseointegration. Further long-term studies are needed to confirm preliminary results.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Burastero G,Cavagnaro L,Chiarlone F,Zanirato A,Mosconi L,Felli L,de Lorenzo FDRdoi
10.1007/s00264-020-04623-9subject
Has Abstractpub_date
2020-10-01 00:00:00pages
1957-1964issue
10eissn
0341-2695issn
1432-5195pii
10.1007/s00264-020-04623-9journal_volume
44pub_type
杂志文章abstract:BACKGROUND:Controversies regarding the treatment of advanced tuberculosis of the knee still exist. We retrospectively investigated protocols of total knee arthroplasty (TKA) and their efficacy in patients with advanced tuberculosis. METHODS:Nine TKAs associated with advanced tuberculosis were performed at our institut...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-3050-x
更新日期:2016-07-01 00:00:00
abstract:PURPOSE:Despite previous studies the management of Rockwood type III acromioclavicular (AC) dislocations remains controversial and the debate continues about whether patients with Rockwood type III AC injuries should be treated conservatively or operatively. In this study, we will review the current literature and pres...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-013-2143-7
更新日期:2014-04-01 00:00:00
abstract::Two matched groups of 28 patients each, with femoral neck fractures treated by primary internal fixation or by secondary total hip replacement after a complication of primary treatment, were evaluated and compared five years or more after primary pin fixation or secondary total hip replacement. The Nottingham Health P...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00186868
更新日期:1991-01-01 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: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 seni...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-019-04386-y
更新日期:2019-11-01 00:00:00
abstract::The expectations of both the patient and surgeon have been greatly revised in the last 10 years with the introduction of pedicle screws (PS) in spinal surgery. In this study, we have retrospectively evaluated and compared the results of PS instrumentation and the Hybrid System (HS), the latter consists of pedicle scre...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-007-0359-0
更新日期:2008-08-01 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:PURPOSE:Our aim was to investigate whether serum and synovial-fluid (SF) concentrations of interleukin-6 (IL-6), leptin, adiponectin, resistin or visfatin are associated with joint pain in hip and knee in end-stage osteoarthritis (OA). METHODS:A cross-sectional study assessing patients with hip and knee OA undergoing ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2416-9
更新日期:2014-12-01 00:00:00
abstract:PURPOSE:Hamstring tendon grafts are a popular choice for anterior cruciate ligament (ACL) reconstruction. Typical morbidity reported after hamstring tendon harvest is muscle weakness in flexion, and whilst still a matter for debate, this morbidity may be greater if the gracilis tendon is harvested in addition to the se...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1672-9
更新日期:2013-02-01 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::We have successfully treated a middle aged woman with long-standing posterior dislocations of the knee, using two stage external fixation and arthrodesis. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050259
更新日期:1998-01-01 00:00:00
abstract:PURPOSE:The mortality rate in patients with haemodynamically unstable pelvic fractures is as high as 40-60%. Despite the new advances in trauma care which are in phase in trauma centres in Hong Kong, the management of haemodynamically unstable pelvic fracture is still heterogeneous. The aim of this study is to review t...
journal_title:International orthopaedics
pub_type: 杂志文章,多中心研究
doi:10.1007/s00264-018-3842-x
更新日期:2018-10-01 00:00:00
abstract:PURPOSE:Knee pain after total knee arthroplasty may be caused by an unresurfaced patella. Secondary isolated resurfacing of the previously unresurfaced patella in total knee arthroplasty remains controversial. The aim of this retrospective study was to evaluate the outcome after patellar resurfacing as a second stage p...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1463-8
更新日期:2012-06-01 00:00:00
abstract:PURPOSE:Humero-ulnar external fixation has been proposed to treat complex supracondylar humeral fractures in children. It facilitates fracture reduction and reduces the risk of ulnar nerve lesion, which can occur after cross pinning. METHODS:In a ten year period, 28 children have been operated on in our centre by hume...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3251-y
更新日期:2016-11-01 00:00:00
abstract::There is no evidence surrounding the benefits, effects or clinical outcomes treating asymptomatic urinary tract colonisation. A series of 558 patients undergoing elective admission for orthopaedic surgery were recruited prior to surgery and were screened for urinary tract infection (UTI). Patients had their urine dips...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-008-0573-4
更新日期:2009-06-01 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: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::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:PURPOSE:Peri-radicular injection is a widely used procedure for treating lumbar radicular pain, but it remains unclear what types of lumbar pathologies respond well to this treatment. We aimed to investigate the efficacy of peri-radicular injection for degenerative lumbar disorders and to determine what types of pathol...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2761-3
更新日期:2015-07-01 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: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 ex...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-018-4246-7
更新日期:2019-04-01 00:00:00
abstract:PURPOSE:Percutaneous endoscopic discectomy is an effective minimally invasive spine surgery (MISS) for soft disc herniations. The objective of this review was to describe the current indications, surgical techniques, and clinical outcomes of endoscopic spine surgery. METHODS:A narrative review was performed with a foc...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-018-04283-w
更新日期:2019-04-01 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:PURPOSE:Limited data exist for the reconstructive potential of short bone-preserving stems in THA using a minimal invasive posterolateral approach. Our study aim was to assess the effect of stem design on the reconstruction of hip offset and leg length in MIS posterolateral THA. METHODS:This retrospective consecutive ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2299-9
更新日期:2014-07-01 00:00:00
abstract::Bone lengthening is a surgical method which requires meticulous technique, continuous attention, and satisfactory cooperation on the part of the patient. The absence of common criteria makes it difficult both to classify the complications which arise, and to compare them with those of other authors. We report the comp...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00180230
更新日期:1994-10-01 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: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: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::Ten cases of histologically proven chondromyxoid fibroma (CMF) of the foot and ankle with a mean follow-up of 6.1 years were retrospectively reviewed using the Scottish Bone Tumour Registry. The patients' mean age was 19 years; there were six males and four females. The anatomical locations were five phalangeal, three...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-005-0046-y
更新日期:2006-06-01 00:00:00
abstract:PURPOSE:Several studies have reported a risk of dislocation in obese patients after total hip arthroplasty. In this study, we evaluated the interaction between obesity and dislocation by kinematic analysis using a navigation system. METHODS:The intraoperative range of motion (ROM) and postoperative impingement-free RO...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1701-8
更新日期:2012-12-01 00:00:00