Abstract：
INTRODUCTION:Implant removal because of pain after posterior fusion in the thoracic and lumbar spine is a widely performed operation. We conducted a retrospective study to examine whether patients benefit from implant removal. PATIENTS AND METHODS:57 patients (29 males, 28 females, mean age 46.5 years) who have undergone removal of pedicle screws because of pain and discomfort were interviewed 6-24 months postoperatively. Fracture was the initial diagnosis in 40% of the patients and degenerative spine disease in 58%. The following factors were evaluated: patient satisfaction and postoperative outcome, patients' native language and psychological background, operative data, hospital stay and complications. RESULTS:Pain decreased significantly from 62 to 48 on visual analogue scale postoperatively. Complications occurred in five patients (8.8%). 36 patients (61%) stated they had some benefit from the operation, but only seven patients (12%) were free of pain completely. 36 patients (63%) would undergo the same procedure again. Outcome in the subgroup of foreigners was significantly worse, though the psychological background did not affect the outcome. Preoperative diagnostic infiltration was helpful in 9 of 13 patients. CONCLUSION:Removal of pedicle screws because of back pain may be effective, but complete remission of symptoms could be achieved in only 12% of patients. However, 63% of patients would undergo hardware removal again. Preoperative diagnostic infiltration can help to predict the outcome but results are inconsistent. Communication difficulties may worsen the outcome. Surgeons should consider these results when planning implant removal and patients should be informed thoroughly to avoid too high expectations.
journal_name
Arch Orthop Trauma Surgjournal_title
Archives of orthopaedic and trauma surgeryauthors
Stavridis SI,Bücking P,Schaeren S,Jeanneret B,Schnake KJdoi
10.1007/s00402-009-0962-1subject
Has Abstractpub_date
2010-01-01 00:00:00pages
119-23issue
1eissn
0936-8051issn
1434-3916journal_volume
130pub_type
杂志文章abstract：BACKGROUND AND PURPOSE:There is still conflicting evidence about the true benefit of minimally invasive (MI) techniques in total hip replacement (THR). The aim of this prospective study was to evaluate the safeness of a MI approach during the learning curve of a single surgeon. Second, clinical and radiographic results...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-010-1174-4
更新日期：2011-05-01 00:00:00
abstract：INTRODUCTION:Hip and knee arthroplasties are frequently complicated by the need for allogeneic blood transfusions. This survey was conducted to assess the current use of perioperative blood-saving measures and to compare it with prior results. MATERIALS AND METHODS:All departments of orthopaedic surgery at Dutch hospi...
journal_title：Archives of orthopaedic and trauma surgery
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journal_title：Archives of orthopaedic and trauma surgery
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abstract：INTRODUCTION:The application of interference screws for the fixation of bone-patellar tendon-bone (BPTB) grafts is a well-established technique in anterior-cruciate ligament reconstruction. Interference screws derived from bovine compact bone are a biological alternative to metallic or biodegradable polymer interferenc...
journal_title：Archives of orthopaedic and trauma surgery
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doi：10.1007/s00402-010-1052-0
更新日期：2010-08-01 00:00:00
abstract：INTRODUCTION:Entrapment of the medial heel region nerves is often mentioned as a possible cause of heel pain. Some authors have suggested that the medial and inferior calcaneal nerves may be involved in such heel pain, including plantar fasciitis, heel pain syndrome and fat pad disorders. The aim of this study was to g...
journal_title：Archives of orthopaedic and trauma surgery
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doi：10.1007/s00402-005-0088-z
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doi：10.1007/s00402-013-1729-2
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journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/BF00443818
更新日期：1994-01-01 00:00:00
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journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-004-0668-3
更新日期：2004-07-01 00:00:00
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journal_title：Archives of orthopaedic and trauma surgery
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journal_title：Archives of orthopaedic and trauma surgery
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journal_title：Archives of orthopaedic and trauma surgery
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更新日期：1992-01-01 00:00:00
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journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章,评审
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更新日期：2012-05-01 00:00:00
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pub_type： 杂志文章,评审
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更新日期：2011-12-01 00:00:00
abstract：:Non-ossifying fibroma with a pathological fracture of the radius in a 10-year-old girl was successfully treated by curettage and autogenous bone marrow graft. The lesion was completely replaced by normal bone at 1 year after the operation. Autogenous bone-marrow graft was considered to be a useful method for the treat...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
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更新日期：2000-01-01 00:00:00
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journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-005-0800-z
更新日期：2005-06-01 00:00:00
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journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-020-03380-z
更新日期：2020-07-01 00:00:00
abstract：:The purpose of our study was to evaluate the value of MRI for preoperative arthroscopical planning in patients with osteochondritis dissecans. Based on the experience from 136 patients with osteochondritis dissecans of the knee or the ankle who were arthroscopically operated by retrograde drilling a follow-up study wa...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s004020050235
更新日期：1998-01-01 00:00:00
abstract：:A 56-year-old female patient suffered a bimalleolar ankle fracture with an additional proximal fibular fracture. This is an unusual fracture type, seldom reported in literature. It was operatively treated by open reduction and internal fixation of the lateral malleolar fracture. The proximal fibular fracture was initi...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-005-0035-z
更新日期：2005-10-01 00:00:00
abstract：INTRODUCTION:Great toe dislocation frequently occurs at the metatarsophalangeal joint. However, an irreducible dislocation of the great toe interphalangeal (IP) joint due to an accessory sesamoid bone is relatively unusual. CASE REPORT:A 23-year-old woman suffered a dislocated IP joint of the left great toe. The dista...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-015-2379-3
更新日期：2016-04-01 00:00:00
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journal_title：Archives of orthopaedic and trauma surgery
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journal_title：Archives of orthopaedic and trauma surgery
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journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-018-2872-6
更新日期：2018-04-01 00:00:00
abstract：:Knee joint is the most common site of synovial chondromatosis with the prevalence in middle-aged male. The following is the description of a 14-year-old girl presented with a knocking sensation during the motion of her joint, which is a less common occurrence at her age. Loose bodies in the left knee joint were excise...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
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更新日期：2007-05-01 00:00:00
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journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章,meta分析
doi：10.1007/s00402-020-03487-3
更新日期：2020-08-01 00:00:00
abstract：:Spondylitis/spondylodiscitis is still an uncommon diagnosis often with a delay in diagnosis and treatment due to the uncharacteristic symptoms. The aim of this study is to increase the awareness and outline a pattern of investigation and treatment. We present six children with an average age of 23 months (19-33 months...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-007-0316-9
更新日期：2007-08-01 00:00:00
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journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-015-2349-9
更新日期：2016-02-01 00:00:00
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journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-015-2377-5
更新日期：2016-02-01 00:00:00
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journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-013-1706-9
更新日期：2013-05-01 00:00:00
abstract：:To clarify the role of concomitant carpal lesions in dislocated distal radius fractures (DRF), 104 consecutive patients with DRF underwent a preoperative morphological examination using CT and MRI. The study was performed between 2004 and 2006 with the aim of recording all types of concomitant carpal lesions as well a...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-019-03186-8
更新日期：2019-06-01 00:00:00
abstract：BACKGROUND:This study evaluated the incidence, amount, morphology and clinical significance of bone tunnel widening (TW) at a mean 5-year period after anterior cruciate ligament reconstruction (ACLR) with a transtibial drilling technique. METHODS:Fifty-nine patients undergoing primary ACLR using quadrupled hamstring a...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-012-1596-2
更新日期：2012-11-01 00:00:00
