Abstract:
PURPOSE:Reverse shoulder arthroplasty (RSA) is often indicated in elderly patients with displaced proximal humerus fractures (PHF). The rate of greater tuberosity (GT) healing varies from 37 to 90% in this population. The aim of this study was to assess greater and lesser tuberosity (LT) fixation and healing on CT scan after RSA for PHF. Our hypothesis was that both GT and LT healing leads to better functional results after RSA for fracture. METHODS:Our retrospective cohort consisted of 28 patients treated with an RSA for a four-part PHF during the inclusion period. The mean age at surgery was 77 years. Clinical examination and CT scan were performed at a minimum one year follow-up to assess tuberosity position and healing. RESULTS:The GT healed in 22 patients (78.5%), the LT in 24 patients (87.5%) and both tuberosities were healed in 20 patients (71.5%). Constant score was significantly improved with GT, LT and both tuberosity healing (p = 0.05, p = 0.04 and p = 0.02 respectively). Motion in anterior elevation was improved with GT and both tuberosity healing (p = 0.01 and p = 0.04 respectively). Motion in external rotation was improved with GT and both tuberosity healing (p = 0.01 and p = 0.02 respectively). CONCLUSION:GT and LT healing was associated with better functional results and active motion. Anatomical reduction and consolidation of both tuberosities is beneficial with a cumulative effect for functional recovery.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Gunst S,Louboutin L,Swan J,Lustig S,Servien E,Nove-Josserand Ldoi
10.1007/s00264-020-04928-9subject
Has Abstractpub_date
2021-01-09 00:00:00eissn
0341-2695issn
1432-5195pii
10.1007/s00264-020-04928-9pub_type
杂志文章abstract:PURPOSE:This study reports a case series of 44 primary total knee arthroplasties (TKAs) using autogenous morcellised bone grafting for large (≥10-mm-deep) medial tibial defects, which are generally repaired using metal augmentation. The bone-grafting technique is described in detail and the radiological outcomes are pr...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3339-4
更新日期:2017-05-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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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
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abstract::Fixed multiplane deformities around the hip representing a combination of rotational, angular, and leg-length discrepancies are disabling for the patient and pose a challenge for the orthopaedic surgeon. We describe a joint-preserving, one-stage procedure to address these complex problems using an intertrochanteric os...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640100282
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00180118
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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...
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2012-10-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:1985-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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journal_title:International orthopaedics
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journal_title:International orthopaedics
pub_type: 杂志文章
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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::Lower lumbar spinal fusion was carried out in 72 patients by a technique which involved screw fixation of the facet joints. Stability was achieved and mobilisation was allowed immediately. Radiographs after operation showed bony fusion in 94.5%. Pain was diminished and 76% of the patients would undergo the same treatm...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00182698
更新日期:1992-01-01 00:00:00
abstract::Measurement of leg length discrepancy is an important part in planning a successful total hip arthroplasty (THA). Many clinical and radiological methods with variable degrees of accuracy have been advocated to carry out this measurement. We studied the accuracy of a commonly used clinical method by comparing it to a w...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-008-0633-9
更新日期:2009-10-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3407-4
更新日期:2017-03-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1325-4
更新日期:2012-03-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00547171
更新日期:1988-01-01 00:00:00
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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:The purpose of this review was to assess the ten to 15-year outcomes of metal-on-metal hip resurfacing (MoM HR) when performed at designing and independent centres, and make recommendations for the future use of MoM HR. METHODS:Studies reporting ten to 15-year outcomes for modern MoM HR devices from both desig...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-015-2692-z
更新日期:2015-10-01 00:00:00
abstract::The effect of a low dose of diclofenac sodium, administered locally, on heterotopic bone formation in rats was investigated. Heterotopic bone was induced by implantation of demineralised bone matrix into the gluteal muscles. Diclofenac was released continuously for 2 weeks from micro-osmotic pumps for each demineralis...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00178357
更新日期:1995-01-01 00:00:00
abstract::We evaluated the pre- and postoperative neurological state of 3 patients with lumbar intradural lipoma. Total resection of the lipoma in the cauda equina was impossible, and partial resection and expansive laminoplasty was carried out. Subsequent neural involvement may depend on the duration of symptoms rather than th...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050147
更新日期:1997-01-01 00:00:00
abstract:PURPOSE:We investigated if patient-reported outcomes (PROMs) one year after total hip replacement (THR) can predict the risk of re-operation using data from the Swedish Hip Arthroplasty Register. METHODS:A total of 75,899 patients with THR due to osteoarthritis operated in 2002-2014 were included. We used Kaplan-Meier...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3711-z
更新日期:2018-02-01 00:00:00
abstract::A prospective study was carried out to test the sensitivity and specificity of stress radiography in detecting anterior cruciate ligament deficiency in both knees of 116 patients using the Telos device. In 47 of these a total or partial rupture of the anterior cruciate ligament was diagnosed by arthroscopy, while the ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00179966
更新日期:1995-01-01 00:00:00
abstract:PURPOSE:The aim of this study was to compare angiogenic cytokine levels in knee osteoarthritis (OA) patients and healthy controls and to investigate the relationships between angiogenic cytokines and the OA severity. METHODS:Thirty-one knee OA patients and 15 healthy controls were recruited. Nine angiogenic cytokines ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2406-y
更新日期:2014-09-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2980-7
更新日期:2015-11-01 00:00:00
abstract:PURPOSE:In reconstruction of congenital hip dislocation by total hip arthroplasty (THA), positioning of the acetabular component in the true acetabulum is sometimes accompanied by shortening of the femur. Shortening of the femur is of importance for minimising risk of damaging neurovascular structures due to excessive ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1293-8
更新日期:2012-03-01 00:00:00
abstract:OBJECTIVE:The object of the present meta-analysis is to compare the effectiveness of transforaminal epidural steroid injection (TFESI) and interlaminar epidural steroid injection (ILESI) for treating patients with low back pain (LBP) secondary to lumbosacral radicular pain. METHODS:A systematic search was performed in...
journal_title:International orthopaedics
pub_type: 杂志文章,meta分析
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更新日期:2016-12-01 00:00:00
abstract::We have reviewed 20 cases of synovial sarcoma. The main clinical and pathological features of these cases are outlined. Typically these tumours arise in the leg in young adults with a long history before presentation and diagnosis. Clinical and radiological findings are unhelpful in making an early diagnosis. The five...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00192303
更新日期:1991-01-01 00:00:00
abstract::Osteonecrosis of the femoral head (ONFH) is a significant cause of both pain and disability that often affects young adults during what ought to be their most productive age. Two broad categories of ONFH exist: traumatic and non-traumatic. Traumatic ONFH results from acute mechanical disruption of the femoral head's b...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-018-3956-1
更新日期:2018-07-01 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