Hip revision with impacted morselized allografts: unrestricted weight-bearing and restricted weight-bearing have similar effect on migration. A radiostereometry analysis.

Abstract:

BACKGROUND:No consensus exists as to whether to let patients bear weight or not after revision of a loosened hip prosthesis using morselized and impacted allograft bone and cement. In the original description of the method, the patients were advised not to bear weight for 3 months postoperatively. Theoretically, bone graft remodeling is enhanced by mechanical load, but an increased migration of the prosthesis within the graft can also be anticipated. In addition, practicing restricted weight-bearing is cumbersome for the patients. METHODS:The present study was initiated to evaluate the migration, as measured by radiostereometry analysis (RSA), in patients mobilized with unrestricted weight-bearing after a hip revision using the X-change Revision Instruments System. This group was compared with a previous series with restricted weight-bearing for the initial 3 months postoperatively. Seven stems and 12 sockets were evaluated by RSA over 2 years. Only patients without intraoperative complications were mobilized with unrestricted weight-bearing. RESULTS:All 7 stems migrated in the distal direction (median 2.6 mm; range 0.8-16.5 mm) and in the posterior direction (median 2.3 mm; range 0.7-22.1 mm). Eleven of the 12 sockets migrated in the proximal direction (median 2.5 mm; range 0.2-8.1 mm). The migration rate decreased gradually in all directions, but 3 stems and 5 sockets still migrated between the 1.5- and 2-year follow-ups. There were no significant differences in migration in any direction for either the stems or the sockets compared to the group with restricted weight-bearing. CONCLUSION:No increased migration occurred in the group free to bear weight as compared to restricted weight-bearing. We shall continue to allow unrestricted weight-bearing in cases where the femoral bone feels competent to withstand the initial load. It simplifies the postoperative mobilization, and we speculate that it might increase the remodeling of the graft.

authors

Ornstein E,Franzén H,Johnsson R,Stefánsdóttir A,Sundberg M,Tägil M

doi

10.1007/s00402-003-0499-7

subject

Has Abstract

pub_date

2003-07-01 00:00:00

pages

261-7

issue

6

eissn

0936-8051

issn

1434-3916

journal_volume

123

pub_type

杂志文章
  • Double or triple interlocking when nailing proximal tibial fractures? A biomechanical investigation.

    abstract:OBJECTIVES:To determine whether there are differences in stability between double and triple interlocked intramedullary nails used for the fixation of extraarticular proximal tibial fractures. DESIGN:Randomized in vitro biomechanical-experimental laboratory investigation. SETTING:Biomechanics laboratory of the Clinic...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-009-0954-1

    authors: Hansen M,Blum J,Mehler D,Hessmann MH,Rommens PM

    更新日期:2009-12-01 00:00:00

  • Human leukocyte antigen (HLA) phenotypes in siblings with osteosarcoma.

    abstract::Osteosarcoma was detected in two siblings. Their human leukocyte antigen (HLA) phenotypes were completely identical, although they were different from those of osteosarcoma patients in previous reports. Despite an extensive search of family and past history, no significant background related to the induction of cancer...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s004020050479

    authors: Shinozaki T,Watanabe H,Shimizu T,Yanagawa T,Takagishi K

    更新日期:2000-01-01 00:00:00

  • Preoperative templating of femoral components on plain X-rays. Rotational evaluation with synthetic X-rays on ORTHODOC.

    abstract:INTRODUCTION:Preoperative femoral templating for total hip arthroplasty (THA) has been performed by antero-posterior radiographs of both hips which should be taken with the femur rotated internally to reduce the effect of femoral anteversion. However, there is no criterion to evaluate the optimal rotated radiograph. He...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-007-0349-0

    authors: Hananouchi T,Sugano N,Nakamura N,Nishii T,Miki H,Yamamura M,Yoshikawa H

    更新日期:2007-07-01 00:00:00

  • A patient's perception of their hospital stay influences the functional outcome and satisfaction of total knee arthroplasty.

    abstract:INTRODUCTION:To assess whether patient satisfaction with their hospital stay influences the early outcome of total knee arthroplasty (TKA). METHODS:During a 5-year period patients undergoing primary TKA at the study centre had prospective outcome data recorded (n = 2264). The Oxford knee score (OKS) and the short form...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-017-2661-7

    authors: Clement ND,Macdonald D,Burnett R,Simpson AHRW,Howie CR

    更新日期:2017-05-01 00:00:00

  • Transosseous capsuloplasty improves the outcomes of Lindgren-Turan distal metatarsal osteotomy in moderate to severe hallux valgus deformity.

    abstract:INTRODUCTION:Lindgren-Turan osteotomy used in hallux valgus deformity is a subcapital, transverse displacement osteotomy of the first metatarsal without any additional capsular repair. The aims of this study are to describe a transosseous capsuloplasty technique in this procedure and evaluate whether capsuloplasty woul...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-009-0986-6

    authors: Ozkan NK,Güven M,Akman B,Cakar M,Konal A,Turhan Y

    更新日期:2010-10-01 00:00:00

  • Surgical correction of deformities of the distal radius due to fractures in pediatric patients.

    abstract:INTRODUCTION:The indication and treatment of malunited fractures of the distal radius in the growing skeleton differ from those for adults. The literature results are scarce. In this study we examined the results of surgical correction following fractures of the distal radius in infants. MATERIALS AND METHODS:Seven in...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-003-0585-x

    authors: Meier R,Prommersberger KJ,van Griensven M,Lanz U

    更新日期:2004-01-01 00:00:00

  • Intraoperative periprosthetic femur fracture during bipolar hemiarthroplasty for displaced femoral neck fractures.

    abstract:INTRODUCTION:We aim to review the incidence and risk factors for the development of intraoperative periprosthetic femur fractures while performing a bipolar hemiarthroplasty for displaced neck of femur fractures. Our secondary aim is to characterize the types of intraoperative periprosthetic fractures, the steps leadin...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-018-2952-7

    authors: Hong CC,Nashi N,Tan JH,Manohara R,Lee WT,Murphy DP

    更新日期:2018-09-01 00:00:00

  • 3D Computer graphical anatomy study of the femur: a basis for a new nail design.

    abstract:BACKGROUND:Current intramedullary nails with a radius of curvature (ROC) of 1500-2000 mm sometimes cause distal anterior cortical encroachment. Furthermore, clinical data indicate that the proximal nail end is too long for some Asian patients. The objective of our study was to develop a comprehensive 3D measurement pro...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-016-2621-7

    authors: Schmutz B,Kmiec S Jr,Wullschleger ME,Altmann M,Schuetz M

    更新日期:2017-03-01 00:00:00

  • Risk of neurological injury in posterior bone block surgery for recurrent glenohumeral instability: a cadaveric study.

    abstract:INTRODUCTION:Recurrent posterior glenohumeral instability poses a challenge for treatment. Bone block procedures have been advocated in cases where a bony defect is present. However, these techniques are not free of complications due to the proximity of neurovascular structures. The aim of this study is to measure the ...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-018-2986-x

    authors: Valencia Mora M,Martínez Menduiña A,Hernández Galera C,Pérez Expósito R,Aramberri Gutiérrez M

    更新日期:2018-12-01 00:00:00

  • Failed joint unloading implant system in the treatment of medial knee osteoarthritis.

    abstract::In the setting of end-stage osteoarthritis of the knee, total knee arthroplasty is the gold-standard treatment. Recently, a minimally invasive, joint preserving treatment option in the treatment of medial osteoarthritis of the knee has been developed. It is called the KineSpring(®) (Moximed(®) International GmbH, Zuri...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-013-1830-6

    authors: Citak M,Kendoff D,O Loughlin PF,Klatte TO,Gebauer M,Gehrke T,Haasper C

    更新日期:2013-11-01 00:00:00

  • Why does total elbow arthroplasty fail today? A systematic review of recent literature.

    abstract:BACKGROUND:Total elbow arthroplasty is a relatively uncommon type of arthroplasty, which has undergone several design changes in the past four decades. However, research on improvement requires knowledge of failure mechanisms that can be addressed. Therefore, we conducted a systematic review on modes of failure of tota...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s00402-017-2687-x

    authors: Prkic A,Welsink C,The B,van den Bekerom MPJ,Eygendaal D

    更新日期:2017-06-01 00:00:00

  • Changes in serum levels of receptor activator of nuclear factor-kappaB ligand, osteoprotegerin, IL-6 and TNF-alpha in patients with a concomitant head injury and fracture.

    abstract:INTRODUCTION:Several reports indicated that interleukin-6 (IL-6) and tumor necrosis factor alpha (TNF- alpha) play important regulatory roles in bone remodeling and homeostasis. In addition, receptor activator of nuclear factor-kappaB ligand (RANKL) and osteoprotegerin (OPG) have been shown to be important regulators o...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-008-0632-8

    authors: Lee JS,Ryu CH,Moon NH,Kim SJ,Park SY,Suh KT

    更新日期:2009-05-01 00:00:00

  • Locked plating for femoral fractures in polio patients.

    abstract:BACKGROUND:Femoral fractures in polio survivors present unique challenges; the bone is often small, deformed, osteoporotic and hypovascularized. Locked compression plating aided in achieving a better construct stability of osteoporotic fractures. METHODS:A total of 13 unilateral femoral fractures in adult polio patien...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-010-1126-z

    authors: El-Sayed Khalil A

    更新日期:2010-10-01 00:00:00

  • Changes in content and synthesis of collagen types and proteoglycans in osteoarthritis of the knee joint and comparison of quantitative analysis with Photoshop-based image analysis.

    abstract:INTRODUCTION:The different cartilage layers vary in synthesis of proteoglycan and of the distinct types of collagen with the predominant collagen Type II with its associated collagens, e.g. types IX and XI, produced by normal chondrocytes. It was demonstrated that proteoglycan decreases in degenerative tissue and a swi...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-009-0981-y

    authors: Lahm A,Mrosek E,Spank H,Erggelet C,Kasch R,Esser J,Merk H

    更新日期:2010-04-01 00:00:00

  • Spontaneous radioscapholunate fusion after septic arthritis of the wrist: a case report.

    abstract::Bacterial septic arthritis rarely occurs in the upper extremities. Yet, early diagnosis and treatment is important, as a delay in diagnosis results in pain, impaired hand function, and degenerative joint disease. Radioscapholunate (RSL) arthrodesis is a well-established procedure for treating inflammatory arthritis an...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-017-2659-1

    authors: Quadlbauer S,Pezzei C,Jurkowitsch J,Keuchel T,Hausner T,Leixnering M

    更新日期:2017-04-01 00:00:00

  • Heterotopic ossification in portal sites following hip arthroscopy.

    abstract::Heterotopic ossification (HO) is a well-known condition that usually occurs after head trauma, burns and open surgical procedures, most commonly around the hip and elbow joints. It is a well-documented complication occurring after open hip surgery; however, there exists limited information regarding its prevalence and...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-013-1750-5

    authors: Ozturk BY,Kelly BT

    更新日期:2013-07-01 00:00:00

  • Comparative study between thromboembolism and total knee arthroplasty with or without tourniquet in rheumatoid arthritis patients.

    abstract:INTRODUCTION:To investigate whether the occurrence of pulmonary embolism (PE) and/or deep vein thrombosis (DVT) are influenced by use of a tourniquet or not in the patients who underwent total knee arthroplasty for rheumatoid arthritis (RA). PATIENTS AND METHODS:The patients were randomly divided into a with-tournique...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s00402-002-0404-9

    authors: Wauke K,Nagashima M,Kato N,Ogawa R,Yoshino S

    更新日期:2002-11-01 00:00:00

  • Prevalence of posttraumatic arthritis following distal radius fractures in non-osteoporotic patients and the association with radiological measurements, clinician and patient-reported outcomes.

    abstract:INTRODUCTION:Outcomes of non-osteoporotic patients who sustained a distal radius fracture (DRF) have not gained much attention in recent literature. The aims of this study were to determine the prevalence of posttraumatic arthritis (PA), to analyze associations of radiological measurements, clinician-reported and patie...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-018-3046-2

    authors: Lameijer CM,Ten Duis HJ,Vroling D,Hartlief MT,El Moumni M,van der Sluis CK

    更新日期:2018-12-01 00:00:00

  • Fragility non-hip fracture patients are at risk.

    abstract:INTRODUCTION:Fragility fractures are a growing worldwide health care problem. Hip fractures have been clearly associated with poor outcomes. Fragility fractures of other bones are common reasons for hospital admission and short-term disability, but specific long-term outcome studies of non-hip fragility fractures are r...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-014-2115-4

    authors: Gosch M,Druml T,Nicholas JA,Hoffmann-Weltin Y,Roth T,Zegg M,Blauth M,Kammerlander C

    更新日期:2015-01-01 00:00:00

  • Asymptomatic acromioclavicular joint arthritis in arthroscopic rotator cuff tendon repair: a prospective randomized comparison study.

    abstract:HYPOTHESIS:Arthroscopic acromioclavicular joint (ACJ) resection for asymptomatic ACJ arthritis combined with rotator cuff repair leads to more satisfactory pain relief and decrease reoperation rate when inferiorly directed osteophytes present at the undersurface of ACJ. MATERIALS AND METHODS:Between January 2006 and M...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00402-010-1216-y

    authors: Kim J,Chung J,Ok H

    更新日期:2011-03-01 00:00:00

  • The longer pull-out suture as a transmission suture for early active motion of repaired flexor tendon at the proximal zone-2.

    abstract:OBJECTIVES:The purpose of the current study was to clinically evaluate the technique of longer pull-out suture as a transmission suture for early active motion after flexor tendon repair in the proximal zone-2. METHOD:Eleven patients (eight adult male, two adult female and one child) with 19 proximal zone II flexor te...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-010-1238-5

    authors: Okçesiz IE,Ege A,Turhan E,Songür M,Bayar A,Keser S

    更新日期:2011-04-01 00:00:00

  • Does a third condyle TKA restore normal gait kinematics in varus knees? In vivo knee kinematic analysis.

    abstract:INTRODUCTION:Patients with knee osteoarthritis tend to modify spatial and temporal parameters during walking to reduce the pain. Total knee arthroplasty (TKA) is considered the gold standard treatment for end-stage knee osteoarthritis. However, reduced physical function of the knee is partly, but apparently not fully, ...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-017-2629-7

    authors: Bytyqi D,Shabani B,Cheze L,Neyret P,Lustig S

    更新日期:2017-03-01 00:00:00

  • Hypothenar hammer syndrome: caused by a muscle anomaly? A case report with review of the literature.

    abstract::The hypothenar hammer syndrome (HHS) is a rare entity of secondary Raynaud's phenomenon. The blunt hypothenar trauma causes a lesion of the vessel wall with a consecutive thrombosis or aneurysm of the ulnar artery at the Guyon's canal. Different risk factors are discussed such as nicotine abuse, or a muscle anomaly in...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-018-2913-1

    authors: Estermann L,Ducommun P,Steurer-Dober I,Hug U

    更新日期:2018-05-01 00:00:00

  • No significant difference in clinical outcome and knee stability between patellar tendon and semitendinosus tendon in anterior cruciate ligament reconstruction.

    abstract:INTRODUCTION:ACL reconstruction with either patellar tendon or semitendinosus tendon autografts are standard procedures. Between these two grafts might be differences in stability, morbidity, or long-term changes. This study investigates outcomes of ACL reconstruction with patellar tendon versus semitendinosus tendon a...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00402-015-2386-4

    authors: Konrads C,Reppenhagen S,Plumhoff P,Hoberg M,Rudert M,Barthel T

    更新日期:2016-04-01 00:00:00

  • Reconstruction of acute anterior cruciate ligament injuries: a prospective, randomised study of 40 patients with 7-year follow-up. No advantage of synthetic augmentation compared to a traditional patellar tendon graft.

    abstract:BACKGROUND:In a prospective, randomised study, we compared the results of anterior cruciate ligament reconstruction using the conventional medial patellar tendon strip procedure with the Kennedy ligament augmentation device (LAD) over-the-top augmentation technique. The aim of the study was to see if the addition of th...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s00402-002-0457-9

    authors: Muren O,Dahlstedt L,Dalén N

    更新日期:2003-05-01 00:00:00

  • Comparison of various tendon repair techniques in extansor zone 3 injuries: an experimental biomechanical cadaver study.

    abstract:PURPOSE:To compare five different repair techniques for extensor tendon zone III modified Kessler (MK), double-modified Kessler (DMK), modified Kessler epitendinous (MKE), double-modified Kessler epitendinous (DMKE), and running-interlocking horizontal mattress (RIHM) in terms of shortening, stiffness, gap formation, a...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-020-03384-9

    authors: Uludağ A,Tosun HB,Çelik S,Serbest S,Kayalar M,Aytaç G,Sindel M,Erbay Elibol FK,Demir T

    更新日期:2020-04-01 00:00:00

  • Comparative survey of pain-alleviating effects between ultrasound-guided injection and blind injection of lidocaine alone in patients with painful shoulder.

    abstract:BACKGROUND:Complaints of shoulder pain are very frequent in clinical practice. To relieve this type of pain, intra-subacromial bursa (SAB) injection therapy is commonly employed. Injection procedures include blind and ultrasound-guided injection. In clinical practice, blind injection is routinely performed. However, th...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-009-0965-y

    authors: Hashiuchi T,Sakurai G,Sakamoto Y,Takakura Y,Tanaka Y

    更新日期:2010-07-01 00:00:00

  • New aspects of lumbar disc disease. MR imaging and histological findings.

    abstract::Magnetic resonance imaging (MRI) and plain X-ray and CT studies were performed in patients with a history of lumbar back pain due to spinal disc disease. Spin-echo pulse sequences (SE), phase-contrast techniques (partial saturation sequences with delayed readout, PS), and fat-suppressing inversion recovery sequences (...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/BF00439383

    authors: Lenz GP,Assheuer J,Lenz W,Gottschlich KW

    更新日期:1990-01-01 00:00:00

  • Risk of a complete exchange or failure in total knee arthroplasty and unicompartmental knee arthroplasty: a nationwide population-based cohort study from South Korea.

    abstract:PURPOSE:Few large-scale studies using adjusted data from national registries have explored the risk factors of subsequent revision in patients with unicompartmental knee arthroplasty (UKA) compared to those with total knee arthroplasty (TKA). We investigated the incidence rate and risk factors of subsequent revision in...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-020-03675-1

    authors: Han SB,Song SY,Shim JH,Shin YS

    更新日期:2020-11-13 00:00:00

  • Radial nerve location at the posterior aspect of the humerus: an anatomic study of 100 specimens.

    abstract:PURPOSE:Radial neuropathy represents a devastating complication in a posterior approach to the distal humerus. This study aimed to propose "safe zones" regarding the radial nerve (RN) location at the posterior aspect of the humerus to minimize the risk of iatrogenic injury. METHODS:In 100 embalmed specimens, the dista...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-015-2300-0

    authors: Hackl M,Damerow D,Leschinger T,Scaal M,Müller LP,Wegmann K

    更新日期:2015-11-01 00:00:00