Abstract:
:Human immunodeficiency virus (HIV) infection has radically changed African orthopaedic practice within a decade. In Lusaka, a third of adults are infected, but most have no physical signs of the disease. Early experience showed that closed fractures healed normally, the risk of sepsis during osteosynthesis was increased and most open fractures became septic. Major orthopaedic surgery in HIV-positive patients has increased risks of sepsis which rise steeply in those with physical signs of HIV disease. Musculoskeletal infections such as tropical pyomyositis, adult haematogenous long-bone osteomyelitis, and late haematogenous infection of implants, appear as immune competence wanes. There is a dual epidemic of tuberculosis and HIV, and bone and joint tuberculosis is now common. Atypical features suggest that traditional diagnostic criteria for spinal tuberculosis may be inadequate. Rheumatoid diseases, especially reactive arthritis, are common and serious complications of HIV disease. The risk of transmission of HIV between patient and surgeon is small, especially if recommended precautions are universally applied.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Jellis JEdoi
10.1007/s002640050074subject
Has Abstractpub_date
1996-01-01 00:00:00pages
253-6issue
4eissn
0341-2695issn
1432-5195journal_volume
20pub_type
杂志文章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::In achondroplasts limb lengthening can restore the normal proportion of the body. The Ilizarov method of limb lengthening has been used in 37 patients, 23 of whom have had an adequate follow-up after operation. In this technique the cortex of the bone is partially cut, leaving the medulla intact; the two bone segments...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00547160
更新日期:1988-01-01 00:00:00
abstract::A 21 year old Japanese male of normal intelligence with severe athetosis, scoliosis with pelvic obliquity, and a positive Galant's reflex was seen with complaint of difficulty in maintaining a sitting posture. After release of the soft tissues around the hip and axilla, followed by physiotherapy, he underwent ipsilate...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00271094
更新日期:1980-01-01 00:00:00
abstract:PURPOSE:The review aims to provide a summary of the current literature regarding common medications prescribed in orthopaedic surgery and their potential implications in COVID-19 patients. METHODS:A systematic review was performed using the PRISMA guidelines. All clinical studies, reviews, consensus and guidelines rel...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04643-5
更新日期:2020-08-01 00:00:00
abstract::From October 2005 to September 2006, 20 patients with an acute thoracolumbar burst fracture underwent posterior instrumentation with transpedicular intracorporeal calcium sulphate grafting. The mean age of the patients at surgery was 41.8 years; 14 were men and six were women. The mean follow-up period was 28.5 months...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-008-0677-x
更新日期:2009-12-01 00:00:00
abstract::We assessed the anti-rheumatic effects of radical multiple synovectomy (RaMS) in patients with rheumatoid arthritis (RA) who did not respond to intensive medical treatment. The selection of patients into three groups, A, B or C, was randomised. Patients assigned to group A (n = 28) continued the prescribed pre-operati...
journal_title:International orthopaedics
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/s002640000168
更新日期:2000-01-01 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:The aim of this study is to describe the influence of sitting and standing posture on sagittal pelvic inclination in total hip replacement patients to assist with correct acetabular component positioning. METHODS:Lateral radiographs of the pelvis and lumbar spine in sitting and standing positions were extracte...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2491-y
更新日期:2015-03-01 00:00:00
abstract:PURPOSE:The goal of total hip endoprosthesis is to achieve painless and functional hip for long term. Accurate reconstruction of hip anatomy largely depends on the implant design. In order to select an implant in correspondence with the native hip, the proximal femoral morphology has been in focus of many studies in th...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-021-04942-5
更新日期:2021-01-13 00:00:00
abstract:PURPOSE:Tibial fractures are the most common lower limb fractures. Some criteria such as open fractures and increasing open stage are known to be associated with high delayed union and pseudarthrosis rate. In cases of delayed or nonunion, classical treatment is autologous cancelous bone graft which is associated with h...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-014-2342-x
更新日期:2014-09-01 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::The common peroneal nerves of 15 male rats were severed and the rats were divided into four groups: immediate grafting (I group); grafting delayed one month (IM group); grafting delayed for three months (3M group) and 5 healthy rats were used as controls (control group). All the rats were sacrificed 5 months after gra...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266515
更新日期:1985-01-01 00:00:00
abstract:PURPOSE:The anterior cruciate ligament (ACL) is known to have a poor healing ability, especially in comparison with the medial collateral ligament (MCL) which can heal relatively well. Interleukin-1beta (IL-1β) is considered to be an important chemical mediator in the acute inflammatory phase of ligament injury. The ro...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1549-y
更新日期:2013-03-01 00:00:00
abstract:PURPOSE:The objective of this report was to analyse injury patterns and definitive management of local casualties with multiple blast extremity injuries in the Kabul International Airport Combat Support Hospital. METHODS:A clinical prospective study was performed from July 2012 to January 2013. Afghan victims of a bla...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2532-6
更新日期:2014-12-01 00:00:00
abstract::Between 1991 and 1998, we treated 72 patients with fusion of the lumbar spine using posterior pedicle screw fixation followed by anterior retroperitoneal insertion of a titanium cage filled with autogenous bone graft. All patients had chronic low back pain after failed conservative treatment. We were able to review 54...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-004-0577-7
更新日期:2004-10-01 00:00:00
abstract:PURPOSE:Aseptic loosening is a serious complication after total joint arthroplasty. Plain radiography, along with clinical signs of prosthesis loosening, is the technique of first choice to evaluate loosening of joint replacements. Nevertheless, radiographical signs of osteolysis may not be apparent until progressed st...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2471-2
更新日期:2014-12-01 00:00:00
abstract::Reverse total shoulder arthroplasty (RTSA) has been reported to be associated with a complication rate that is four times that of conventional total shoulder arthroplasty. It is the purpose of this article to identify and understand the most common and most serious complications of RTSA and to review current methods o...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-010-1125-2
更新日期:2010-12-01 00:00:00
abstract::Twenty-one patients having proximal ulna nonunion were treated with contoured plating. The most proximal hole received an intramedullary 6.5-mm cancellous lag screw that extends fixation of the nonunion site. Mean age of the patients was 41.7 years. Average follow-up period was 22 months. Union occurred in 19 cases af...
journal_title:International orthopaedics
pub_type: 临床试验,杂志文章
doi:10.1007/s00264-009-0809-y
更新日期:2010-03-01 00:00:00
abstract:PURPOSES:We investigated sequential levels of C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) in uncomplicated ACDF (anterior cervical discectomy and fusion) using allograft and DBM (demineralised bone matrix) for primary cervical spondylosis and/or disc herniation. To our knowledge, there has been no...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1645-z
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND:Phemister procedure is an effective treatment for early stage osteonecrosis of femoral head (ONFH). Since the long-term results of the Phemister procedure are less reported in the literature, the purpose of this study was to investigate the long-term outcomes of this bone grafting technique in patients with ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-4013-9
更新日期:2019-03-01 00:00:00
abstract::A key to the analysis of function after total hip replacement (THR) is the ability to identify gait adaptations specific to design features and surgical procedures. In a randomised controlled design, we evaluated the mechanics of gait after THR with a hip resurfacing system or conventional prosthesis. We also investig...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-010-1040-6
更新日期:2011-05-01 00:00:00
abstract::As part of the international campaign of the bone and joint decade, we aimed to present epidemiological data on the prevalence of major joint complaints in a Central European region. Ten thousand subjects aged between 14 and 65, selected randomly by the Hungarian central office of statistics from three counties in sou...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-005-0033-3
更新日期:2006-04-01 00:00:00
abstract:PURPOSE:Traditionally and since Neer, the humeral side of shoulder arthroplasty consisted of a stemmed component but the real need for stem fixation in total shoulder arthroplasty (TSA) has barely been investigated. The current study evaluated the clinical and radiological outcomes with a stemless TSA. METHODS:Forty-s...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3371-4
更新日期:2017-05-01 00:00:00
abstract::Incorporation of massive cortical bone allografts in the human is slow and remains incomplete. Late biopsies of implanted allografts or histological studies of explanted allografts always show the partial substitution of necrotic bone by new bone from the host. The aim of the present study was to evaluate the value of...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00183550
更新日期:1993-01-01 00:00:00
abstract::We have studied the incidence of deep wound infection after hip fracture surgery and its relationship to urinary catheterisation. Infection after hemiarthroplasty occurred in 16/949 cases and 10/1,143 sliding hip screw fixations. No cases of deep sepsis were seen for the 203 patients treated with an intramedullary nai...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-006-0227-3
更新日期:2007-08-01 00:00:00
abstract:PURPOSE:Information on Magnetic Resonance (MR) features of active and healed lesions in tuberculosis (TB) spine are lacking. We evaluated MRI findings in active and healed proven TB spine to establish the diagnostic features. MATERIALS AND METHOD:Forty-nine consecutive spinal TB patients (20 male; 29 female) diagnosed...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1380-x
更新日期:2012-02-01 00:00:00
abstract::The purpose of this study was to investigate the effects of addition of antibiotics into cement powder on the shear properties of the cement-metal interface. The approach involved adding 800 mg of teicoplanin to 40 g bone cement powder in the t-800 group, 1,600 mg teicoplanin in the t-1,600 group, and no antibiotic in...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-007-0347-4
更新日期:2008-08-01 00:00:00
abstract:INTRODUCTION:The aim of paper is to check how many preliminary reports (PR) reach a long-term publication (LT), and analyse differences in outcomes and complications between them. METHODS:A literature search was performed to identify shoulder preliminary or early reports. Fifty one papers fulfilled criteria and were c...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-016-3228-x
更新日期:2017-05-01 00:00:00
abstract::In this study the authors present the results of 44 patients with 49 interfascicular nerve grafting procedures necessitated by gunshot wounds. The aim was to establish the effectiveness of microsurgical interfascicular nerve grafting for war injuries. The 49 interfascicular nerve grafting procedures were performed bet...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050036
更新日期:1996-01-01 00:00:00
abstract:PURPOSE:Stromal vascular fraction (SVF) as an injectable regenerative therapy for knee osteoarthritis (OA) has gained recent popularity. However, there is no clear consensus on the outcomes of such treatment. We systematically reviewed available evidence on the use of SVF injection in the treatment of knee OA. METHODS...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04926-x
更新日期:2021-01-12 00:00:00