Three-year results of proximal tibia fractures treated with the LISS.

Abstract:

UNLABELLED:Proximal tibia fractures present a difficult treatment challenge with historically high complication rates. In a prospective study, we asked whether the Less Invasive Stabilization System (LISS) plate can adequately treat extraarticular and complex intraarticular proximal tibia fractures and provide low complication rates and acceptable long-term functional outcomes. We prospectively observed 25 patients with 26 proximal tibia fractures (AO type A2, A3, C1, C2, or C3) treated with the LISS. Consecutive 3-year followup included radiographs and clinical examinations using Knee Society scores and Hospital for Special Surgery scores for extraarticular and intraarticular fractures. No loss of reduction occurred in patients with extraarticular fractures, whereas varus malalignment occurred in one patient with an intraarticular fracture. Two patients with AO 41 C 3.3 fractures had severe knee arthrosis develop and had total knee replacements. The mean Knee Society scores and final average Hospital for Special Surgery scores were similar for extraarticular and intraarticular fractures. Complications related to the surgery included one delayed union and implant removal in two patients. The LISS provided stable fixation of extraarticular and intraarticular proximal tibia fractures and good functional outcomes with a low complication rate. In complex articular fractures additional screws should be used. LEVEL OF EVIDENCE:Therapeutic study, Level II (lesser quality randomized controlled trial [eg, < 80% followup, no blinding, or improper randomization]).

journal_name

Clin Orthop Relat Res

authors

Boldin C,Fankhauser F,Hofer HP,Szyszkowitz R

doi

10.1097/01.blo.0000203467.58431.a0

subject

Has Abstract

pub_date

2006-04-01 00:00:00

pages

222-9

eissn

0009-921X

issn

1528-1132

journal_volume

445

pub_type

杂志文章
  • Arthritis and arthrodesis of the hindfoot.

    abstract::Arthritic involvement of the subtalar, talonavicular, and calcaneocuboid joints is a common cause of pain in the mature hindfoot. Inflammatory, degenerative, and crystalline forms of arthritis may lead to deformity and instability of joints. When medical and nonoperative management fails, painful joints are stabilized...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:10.1097/00003086-199804000-00011

    authors: Donatto KC

    更新日期:1998-04-01 00:00:00

  • Glenohumeral osteoarthrosis after the Eden-Hybbinette procedure.

    abstract::Thirty-six patients (36 shoulders) who underwent the Eden-Hybbinette procedure for recurrent anterior dislocation of the shoulder with an average followup of 15 years were evaluated. Evaluation consisted of radiographic assessment in a true anteroposterior view and an axillary lateral view of both shoulders, physical ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-200004000-00016

    authors: Rachbauer F,Ogon M,Wimmer C,Sterzinger W,Huter B

    更新日期:2000-04-01 00:00:00

  • New universal instrumentation in spinal surgery.

    abstract::A new instrumentation for posterior spinal surgery consists of metallic rods carved with diamond-shaped asperities on which vertebral hooks or screws can be screwed in any position, level, or degree of rotation. The rods are interlocked by means of devices for transverse traction (DTTs), rectangular constructs with mu...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Cotrel Y,Dubousset J,Guillaumat M

    更新日期:1988-02-01 00:00:00

  • The Kerboull acetabular reinforcement device in major acetabular reconstructions.

    abstract::Sixty consecutive revision total hip arthroplasties were performed with bulk allograft bone supported by the Kerboull reinforcement acetabular device in 53 patients from 1980 to 1987. The average age of the patients at the time of hip revision was 57.7 years. Acetabular bone loss according to the American Academy of O...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-200009000-00025

    authors: Kerboull M,Hamadouche M,Kerboull L

    更新日期:2000-09-01 00:00:00

  • Magnetic resonance imaging in the diagnosis of aggressive villonodular synovitis.

    abstract::An aggressive and recurrent pigmented villonodular synovitis of the knee occurred in a 47-year-old man. Magnetic resonance imaging was an excellent noninvasive diagnostic aid that completely outlined the extent of the synovitis and correlated well with surgical findings. ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Weisz GM,Gal A,Kitchener PN

    更新日期:1988-11-01 00:00:00

  • Minimally invasive transforaminal lumbar interbody fusion for spondylolisthesis and degenerative spondylosis: 5-year results.

    abstract:BACKGROUND:Multiple studies have reported favorable short-term results after treatment of spondylolisthesis and other degenerative lumbar diseases with minimally invasive transforaminal lumbar interbody fusion. However, to our knowledge, results at a minimum of 5 years have not been reported. QUESTIONS/PURPOSES:We det...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-013-3241-y

    authors: Park Y,Ha JW,Lee YT,Sung NY

    更新日期:2014-06-01 00:00:00

  • Custom cementless stem improves hip function in young patients at 15-year followup.

    abstract:UNLABELLED:THA in young patients is challenging regarding restoration and survival because patients are young, active, and tend to have disturbed anatomy. We asked whether a three-dimensional custom cementless stem could restore hip function, decrease osteolysis and wear, and enhance stem survival in young patients. We...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-009-1045-x

    authors: Flecher X,Pearce O,Parratte S,Aubaniac JM,Argenson JN

    更新日期:2010-03-01 00:00:00

  • Scapular notching: Recognition and strategies to minimize clinical impact.

    abstract:BACKGROUND:Scapular notching is a unique complication of Grammont-style reverse total shoulder arthroplasty. While reverse total shoulder arthroplasty has revolutionized the treatment of pseudoparalysis secondary to cuff tear arthropathy, the implications of scapular notching with regard to patient function and implant...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:10.1007/s11999-010-1720-y

    authors: Nicholson GP,Strauss EJ,Sherman SL

    更新日期:2011-09-01 00:00:00

  • Total knee arthroplasty. Two- to four-year experience using an asymmetric tibial tray and a deep trochlear-grooved femoral component.

    abstract::The design features of an implant system can be crucial to the success of cementless total knee arthroplasty (TKA). The implant system described in this study incorporates anatomic features including an asymmetric tibial tray that is smaller laterally than medially, and a deep trochlear-grooved femoral component. Two ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Hofmann AA,Murdock LE,Wyatt RW,Alpert JP

    更新日期:1991-08-01 00:00:00

  • The evolving structure of orthopaedic residency education.

    abstract::Orthopaedic residency has undergone continual evolution since the early 1900s. Training has evolved from a preceptorship to a highly evolved and structured educational system which largely standardizes training throughout the United States. Approval and accreditation of training programs, as well as content, is now ov...

    journal_title:Clinical orthopaedics and related research

    pub_type: 历史文章,杂志文章

    doi:10.1097/01.blo.0000224022.11282.71

    authors: Kettelkamp DB

    更新日期:2006-08-01 00:00:00

  • Complex ankle arthrodesis using the Ilizarov method yields high rate of fusion.

    abstract:BACKGROUND:Ankle arthrodesis may be achieved using the Ilizarov method. Comorbidities, such as diabetes, Charcot neuroarthropathy, osteomyelitis, leg length discrepancy, and smoking, can make an ankle fusion complex and may be associated with lower rates of healing. QUESTIONS/PURPOSES:We asked if (1) smoking and other...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-012-2470-9

    authors: Fragomen AT,Borst E,Schachter L,Lyman S,Rozbruch SR

    更新日期:2012-10-01 00:00:00

  • Results of hip revision using the Exeter stem, impacted allograft bone, and cement.

    abstract::The Exeter stem and impacted, morselized allograft bone and cement were used in the revisions of 18 consecutive femoral components (17 patients). The primary arthroplasty had been done because of osteoarthritis. All of the femoral components were revised for the first time because of aseptic loosening. The migration p...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-200108000-00018

    authors: Ornstein E,Atroshi I,Franzén H,Johnsson R,Sandquist P,Sundberg M

    更新日期:2001-08-01 00:00:00

  • Surgical technique: development of an anatomic medial knee reconstruction.

    abstract:BACKGROUND:The main static stabilizers of the medial knee are the superficial medial collateral and posterior oblique ligaments. A number of reconstructive techniques have been advocated including one we describe here. However, whether these reconstructions restore function and stability is unclear. DESCRIPTION OF TEC...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-011-2061-1

    authors: Laprade RF,Wijdicks CA

    更新日期:2012-03-01 00:00:00

  • Certification and recertification. A consumer's view.

    abstract::The burgeoning of major research related to the effectiveness and appropriateness of clinical treatment methods as part of efforts to improve the quality of patient care provides added emphasis to consumer needs for certification and recertification. While there are multiple factors involved, the prime consumer questi...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Glasser MA

    更新日期:1990-08-01 00:00:00

  • Osteoarthropathy in congenital sensory neuropathy with anhidrosis.

    abstract::Osteoarthropathy in congenital sensory neuropathy with anhidrosis (CSNA) is not only a rare complication but also difficult to treat. Two patients with CSNA, a three-year-old boy and a 24-year-old woman, were treated as follows. The boy was affected in his left knee and left heel and required reduction of recurrent bi...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Hasegawa Y,Ninomiya M,Yamada Y,Hattori T

    更新日期:1990-09-01 00:00:00

  • Validity of preoperative demand matching as an indicator of activity after TKA.

    abstract::We questioned whether our current preoperative demand matching accurately predicted patient activity after TKA. From a prospective database we reviewed 511 patients who had unilateral, primary TKA from 1994 to 1999 and who were preoperatively assessed for five patient characteristics: age, weight, expected postoperati...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/01.blo.0000229361.12244.2d

    authors: Iorio R,Healy WL,Applegate T

    更新日期:2006-11-01 00:00:00

  • Pelvic dysplasia associated with arthrogrypotic changes in the lower extremities. A new syndrome.

    abstract::Two sisters exhibit arthrogrypotic changes in the lower extremities associated with a previously undescribed pelvic dysplasia. The pelvic dysplasia is characterized by: severe abnormalities of ossification with markedly widened triradiate cartilages; irregular, notched acetabulae; marked hypoplasia of the ilia; notchi...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Ray S,Peterson PD,Scott CI Jr

    更新日期:1986-06-01 00:00:00

  • Composite fixation of salvage prostheses for the hip and knee.

    abstract::A composite fixation method for a porous-coated modular segmental bone/joint prosthetic system was developed to improve fixation at revision surgery of the hip and knee after failure of the original implant with resulting massive bone loss. The porous coating is limited only to the segmental shoulder region of the pro...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Chao EY,Sim FH

    更新日期:1992-03-01 00:00:00

  • Operative hip arthroscopy.

    abstract::Twenty patients underwent operative arthroscopic procedures of the hip joint. All procedures were performed with the patient in the supine position on a standard fracture table using fluoroscopy through three arthroscopic portals (anterolateral, anterior paratrochanteric, and posterior paratrochanteric). The initial i...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-199808000-00018

    authors: Kim SJ,Choi NH,Kim HJ

    更新日期:1998-08-01 00:00:00

  • Preoperative evaluations in revision total knee arthroplasty.

    abstract:UNLABELLED:There are many causes of total knee arthroplasty failure, and an accurate preoperative diagnosis is essential to optimize the results of revision surgery. We discuss our standard pre-operative evaluation routine and we retrospectively reviewed the last 295 patients who underwent revision total knee arthropla...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/01.blo.0000218727.14097.d5

    authors: Baré J,MacDonald SJ,Bourne RB

    更新日期:2006-05-01 00:00:00

  • The humeroscapular motion interface.

    abstract::Motion between the humerus and scapula commonly is described as glenohumeral motion. However, humeroscapular motion occurs at two distinct sites. In addition to the motion at the diarthrodial glenohumeral joint, movement occurs between the proximal humerus and related structures and the surrounding sleeve of structure...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Romeo AA,Loutzenheiser T,Rhee YG,Sidles JA,Harryman DT 2nd,Matsen FA 3rd

    更新日期:1998-05-01 00:00:00

  • Preoperative planning for high tibial osteotomy. The effect of lateral tibiofemoral separation and tibiofemoral length.

    abstract::To calculate the tibial wedge size in preoperative planning of high tibial osteotomy, the weight-bearing line (center femoral head to center tibiotalar joint) is first restored to a selected position on the lateral tibial plateau. Ten full-standing roentgenograms were examined and used to derive mathematical formulas ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:

    authors: Dugdale TW,Noyes FR,Styer D

    更新日期:1992-01-01 00:00:00

  • Compassionate patient care and personal survival in orthopaedics. A 35-year perspective.

    abstract::Orthopaedic surgeons can enjoy good patient and physician relationships and be happy in the work setting. Here's how. It is important to know oneself. Explore one's spirituality. Maintain humor, humility, and humanity. Make only original mistakes. Attend to one's mental health. Invest time, thought, and energy in inte...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-199904000-00032

    authors: White AA 3rd

    更新日期:1999-04-01 00:00:00

  • A 20-year follow-up study of a case of surgically treated massive osteolysis.

    abstract::Massive osteolysis of the humerus occurred in a 19-year-old male. The lesion was successfully treated with an autogenous fibular shaft transplant. During the 20-year follow-up period, humerus function was restored. Roentgenograms showed incorporation of the graft without any recurrence of the disease. This experience ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Turra S,Gigante C,Scapinelli R

    更新日期:1990-01-01 00:00:00

  • Modified hybrid stem fixation in revision TKA is durable at 2 to 10 years.

    abstract:BACKGROUND:Hybrid revision knee component fixation, in which cement is placed in the metaphysis combined with a cementless diaphyseal engaging stem, provides ease of insertion, possibly improved component alignment, and easier removal if required, compared with fully cemented prostheses. The literature suggests the tec...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-010-1569-0

    authors: Sah AP,Shukla S,Della Valle CJ,Rosenberg AG,Paprosky WG

    更新日期:2011-03-01 00:00:00

  • Is a sliding hip screw or im nail the preferred implant for intertrochanteric fracture fixation?

    abstract:UNLABELLED:This study was performed to determine whether patients who sustain an intertrochanteric fracture have better outcomes when stabilized using a sliding hip screw or an intramedullary nail. A 20% sample of Part A and B entitled Medicare beneficiaries 65 years or older was used to generate a cohort of patients w...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s11999-008-0285-5

    authors: Aros B,Tosteson AN,Gottlieb DJ,Koval KJ

    更新日期:2008-11-01 00:00:00

  • Bone marrow aspirate concentrate and platelet-rich plasma enhanced bone healing in distraction osteogenesis of the tibia.

    abstract:BACKGROUND:During lower limb lengthening, poor bone regeneration is a devastating complication. Several local or systemic applications have been used to promote osteogenesis, and biologic stimulations are gaining attention, but their utility has not been proven in this setting. QUESTIONS/PURPOSES:In patients undergoin...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11999-014-3548-3

    authors: Lee DH,Ryu KJ,Kim JW,Kang KC,Choi YR

    更新日期:2014-12-01 00:00:00

  • Does dual antibiotic prophylaxis better prevent surgical site infections in total joint arthroplasty?

    abstract:INTRODUCTION:It is unclear which antibiotic regimen provides the best prophylaxis against surgical site infection (SSI) in patients undergoing hip and knee surgery. QUESTIONS/PURPOSES:Therefore, we determined whether dual antibiotic prophylaxis (1) reduced the rate of SSI compared to single antibiotic prophylaxis and ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-012-2255-1

    authors: Sewick A,Makani A,Wu C,O'Donnell J,Baldwin KD,Lee GC

    更新日期:2012-10-01 00:00:00

  • The Otto Aufranc Award. Strut allograft healing to the femur with recombinant human osteogenic protein-1.

    abstract::Allograft struts are used to reinforce the deficient proximal femur in hip arthroplasty or for fixation of a periprosthetic fracture. Although the use of strut grafts wired or cabled to the proximal femur generally has been successful, the time for healing is slow. The purpose of the current study was to determine whe...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-200012000-00006

    authors: Cook SD,Barrack RL,Santman M,Patron LP,Salkeld SL,Whitecloud TS 3rd

    更新日期:2000-12-01 00:00:00

  • Depression and Non-modifiable Patient Factors Associated with Patient Satisfaction in an Academic Orthopaedic Outpatient Clinic: Is it More Than a Provider Issue?

    abstract:BACKGROUND:Patient satisfaction surveys play an increasingly important role in United States healthcare policy and serve as a marker of provided physician services. In attempts to improve the patient's clinical experience, focus is often placed on components of the healthcare system such as provider interaction and oth...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/CORR.0000000000000927

    authors: Tisano BK,Nakonezny PA,Gross BS,Martinez JR,Wells JE

    更新日期:2019-12-01 00:00:00