Current practice with chymopapain for treatment of herniated nucleus pulposus.

Abstract:

:Chemonucleolysis is found to compare favorably with laminectomy (71% good to excellent results versus 63% good to excellent) in the treatment of herniated nucleus pulposus. From a base of over 400 chemonucleolysis cases, recommendations for equipment and patient selection are developed. Disc space narrowing did not correlate with the end results.

journal_name

Orthopedics

journal_title

Orthopedics

authors

Dabezies E,Beck C,Shoji H

doi

10.3928/0147-7447-19831201-12

subject

Has Abstract

pub_date

1983-12-01 00:00:00

pages

1621-3

issue

12

eissn

0147-7447

issn

1938-2367

journal_volume

6

pub_type

社论
  • Antifibrinolytic therapy in complex spine surgery: a case-control study comparing aprotinin and tranexamic acid.

    abstract::A case-control study was performed to determine the impact of aprotinin or tranexamic acid use on reducing intraoperative blood loss and transfusion needs in complex spine surgery. Sixty-nine patients undergoing complex spine surgery received aprotinin or tranexamic acid. The aprotinin group contained 30 patients (8 m...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Colomina MJ,Bagó J,Vidal X,Mora L,Pellisé F

    更新日期:2009-02-01 00:00:00

  • Medial clavicle physis fracture with posterior displacement and vascular compromise: the value of three-dimensional computed tomography and duplex ultrasound.

    abstract::Fractures of the medial clavicle are rare, and most usually displace anterior or superior. Due to the structures in the mediastinum, accurate diagnosis of posterior fractures or dislocations is vital, but diagnosis can be difficult and delayed. Duplex ultrasound and three-dimensional computed tomography can be helpful...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Hanby CK,Pasque CB,Sullivan JA

    更新日期:2003-01-01 00:00:00

  • Process optimization in navigated total knee arthroplasty.

    abstract::Although navigation achieves better alignment results in total knee arthroplasty (TKA), it is generally assumed that navigation also needs more time and effort than conventional surgeries. After optimizing the treatment procedure of navigated TKA, the operation times needed for navigated surgeries were documented and ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Walde TA,Burgdorf D,Walde HJ

    更新日期:2005-10-01 00:00:00

  • Avascular necrosis of the femoral head in children with acute lymphoblastic leukemia: a 4- to 9-year follow-up study.

    abstract::Avascular necrosis of the femoral head is usually seen in children aged 1.5 to 10 years, reaching a peak incidence between the ages of 4 and 9. Avascular necrosis of the femoral head is a known complication of corticosteroid therapy in acute lymphoblastic leukemia. There are few reports in the literature regarding the...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20110826-07

    authors: Madadi F,Shamsian BS,Alavi S,Madadi F,Eajazi A,Aslani A

    更新日期:2011-10-05 00:00:00

  • Cost comparison of cementless versus cemented hemiarthroplasty for displaced femoral neck fractures.

    abstract::Hip hemiarthroplasties are frequently performed for displaced femoral neck fractures. The purpose of this study was to identify the costs associated with cementless and cemented hemiarthroplasties, compare operative times, and identify complications. The hypothesis was that cementless hemiarthroplasties cost less than...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20120919-12

    authors: Tripuraneni KR,Carothers JT,Junick DW,Archibeck MJ

    更新日期:2012-10-01 00:00:00

  • Postoperative Compliance and Return to Work After Rotator Cuff Repair: Value of an Interactive Online Rehabilitation Program Among Patients Treated Under Workers' Compensation.

    abstract::Outcomes after rotator cuff repair (RCR) typically are poorer for workers' compensation (WC) than for patients with private insurance. This study examined augmentation of the traditional rehabilitation protocol with an online exercise program. Between March 2016 and July 2018, 48 WC patients who underwent RCR were int...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20201119-07

    authors: Anderson L,Kinsman S,Oberlander M

    更新日期:2020-11-25 00:00:00

  • Relationship Between Posterior-Inferior Tibial Slope and Bilateral Noncontact ACL Injury.

    abstract::Is there a correlation between increased posterior-inferior tibial slope angle and noncontact anterior cruciate ligament (ACL) injury? Does increasing the posterior-inferior tibial slope angle increase the risk of bilateral ACL injury? A computerized relational database (Access 2007; Microsoft Inc, Redmond, Washington...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20161013-06

    authors: Hendrix ST,Barrett AM,Chrea B,Replogle WH,Hydrick JM,Barrett GR

    更新日期:2017-01-01 00:00:00

  • Proximal humeral nonunion treated with an intramedullary tantalum cylinder.

    abstract::Nonunion is uncommon after proximal humerus fracture surgery. There is no agreement about preferred method of treatment. Traditional approaches have included laterally based locking plates, autogenous grafting, and endosteal support to provide improved biomechanical stability. Open reduction and internal fixation (ORI...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20131120-22

    authors: Georgiadis GM,Georgiadis AG

    更新日期:2013-12-01 00:00:00

  • Total hip arthroplasty with acetabular fixation: an unexpected complication.

    abstract::The incidence of vascular injuries associated with total hip arthroplasty (THA) is low. However, several vascular structures are at risk of injury within the pelvis. These include the external iliac, femoral, and obturator vessels. Both reaming of the acetabulum and drilling of the acetabular screw holes may place the...

    journal_title:Orthopedics

    pub_type: 杂志文章,收录出版

    doi:10.3928/01477447-20140401-66

    authors: Khoriati AA

    更新日期:2014-04-01 00:00:00

  • Once Annealed Highly Cross-Linked Polyethylene Exhibits Low Wear at 9 to 15 Years.

    abstract::A once annealed highly cross-linked polyethylene (HXLPE) was introduced in 1998. Concerns regarding its long-term performance and oxidative resistance exist because of the presence of retained free radicals. The authors studied 48 patients with 50 hip implants having an average age of 62 years. They were followed for ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20160414-03

    authors: D'Antonio J,Capello WN,Ramakrishnan R

    更新日期:2016-05-01 00:00:00

  • Two-Stage Revision Anterior Cruciate Ligament Reconstruction.

    abstract::The number of primary anterior cruciate ligament (ACL) tears is rapidly increasing. In patients who wish to return to their preoperative level of function, specifically as it pertains to participation in sports, the gold standard of treatment following an ACL tear remains an anterior cruciate ligament (ACL) reconstruc...

    journal_title:Orthopedics

    pub_type: 杂志文章,评审

    doi:10.3928/01477447-20160324-01

    authors: Erickson BJ,Cvetanovich G,Waliullah K,Khair M,Smith P,Bach B Jr,Sherman S

    更新日期:2016-05-01 00:00:00

  • Unilateral carpal tunnel syndrome caused by an occult palmar lipoma.

    abstract::Carpal tunnel syndrome usually presents bilaterally and space-occupying lesions should be suspected in patients with unilateral symptoms, especially with a long history and when the symptomatic hand shows severe neurophysiologic impairment, while the contralateral hand is neurophysiologically intact. Approximately hal...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20090818-20

    authors: Bagatur AE,Yalcinkaya M

    更新日期:2009-10-01 00:00:00

  • Atraumatic avulsion of the distal iliopsoas tendon: an unusual cause of hip pain.

    abstract::While uncommon, isolated avulsion fractures of the lesser trochanter occur in children and adolescents prior to the fusion of this apophysis as a result of athletic activities. In the elderly, isolated fractures of the lesser trochanter are rare but can occur as a result of trauma. They have been identified in patient...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20100625-25

    authors: DePasse JM,Varner K,Cosculluela P,Incavo S

    更新日期:2010-08-11 00:00:00

  • Application of Hazard Analysis Critical Control Points to control surgical site infections in hip and knee arthroplasty.

    abstract::This study examined critical points linked to the increase of surgical site infections in patients undergoing joint replacement. With this type of infection, it is not always possible to detect specific causes, and it often is necessary to perform a systematic review of assistance processes. Using Hazard Analysis Crit...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20080201-27

    authors: Quattrin R,Brusaferro S,Turello D,Faruzzo A,Calligaris L,Causero A

    更新日期:2008-02-01 00:00:00

  • Recombinant human erythropoietin therapy for autologous blood donation in rheumatoid arthritis patients undergoing total hip or knee arthroplasty.

    abstract::The effect of recombinant human erythropoietin on autologous blood donation was investigated in 73 rheumatoid arthritis patients who underwent hip or knee arthroplasty. Autologous blood donation of 400 mL was successful with recombinant human erythropoietin (12,000 U per week), and no homologous blood was required. Th...

    journal_title:Orthopedics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Matsuda S,Kondo M,Mashima T,Hoshino S,Shinohara N,Sumida S

    更新日期:2001-01-01 00:00:00

  • Chronic Antiplatelet Use Associated With Increased Blood Loss in Lumbar Spinal Surgery Despite Adherence to Protocols.

    abstract::There are conflicting reports regarding postoperative bleeding risks associated with discontinuation of antiplatelet therapy at least 7 days preoperatively. Most of the studies in the spine literature are based on surveys or anecdotal evidence. The majority of surgeons discontinue therapy 7 days preoperatively, but th...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20160419-04

    authors: McCunniff PT,Young ES,Ahmadinia K,Kusin DJ,Ahn UM,Ahn NU

    更新日期:2016-07-01 00:00:00

  • Amputated Lower Limb Fixation to the Fracture Table.

    abstract::Fractures of the proximal and diaphyseal femur are frequently internally fixed using a fracture table with fracture reduction obtained by traction and adequate rotation exerted on the slightly abducted extremity. Although rare, these fractures may occur on an amputated limb. If so, standard use of a fracture table is ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20151016-04

    authors: Gamulin A,Farshad M

    更新日期:2015-11-01 00:00:00

  • Thoracoscopic sympathectomy in the management of vasomotor disturbances and complex regional pain syndrome of the hand.

    abstract::Complex regional pain syndrome, vasospastic disorders, and hyperhidrosis are chronic and debilitating upper extremity problems. Twenty-nine consecutive patients treated with thoracoscopic sympathectomy are presented. Diagnoses included complex regional pain syndrome, hyperhidrosis, Buerger's disease, Raynaud's disease...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Rizzo M,Balderson SS,Harpole DH,Levin LS

    更新日期:2004-01-01 00:00:00

  • The use of cement forms to control methylmethacrylate in immediate posterior stabilization of the cervical spine. A technical note.

    abstract::Under certain clinical conditions, posterior stabilization of the cervical spine, supplemented with polymethylmethacrylate (PMMA), is an accepted method of achieving stability. A technique is described in which "cement forms" are used to limit the spread of PMMA and to allow bone graft placement in the lateral paraspi...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Dugdale TW,Raycroft JF

    更新日期:1988-05-01 00:00:00

  • Anterior C1-C2 screw fixation and bony fusion through an anterior retropharyngeal approach.

    abstract::We present a case that demonstrates an occasion where an alternative method of C1-C2 fusion may be used when a posterior approach limited to the atlantoaxial level is not desirable. A 22-year-old man presented with a symptomatic nonunited Brooks posterior atlantoaxial fusion following a chronically displaced type II o...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Vaccaro AR,Lehman AP,Ahlgren BD,Garfin SR

    更新日期:1999-12-01 00:00:00

  • The post-discharge prophylactic management of the orthopedic patient with low-molecular-weight heparin: enoxaparin.

    abstract::ABSTRACTThis prospective, double-blind trial was performed to determine whether 4 weeks' prophylaxis with enoxaparin after total hip replacement (THR) is more effective in protecting against deep vein thrombosis (DVT) than prophylaxis during hospitalization. Two hundred sixty-two patients undergoing THR were given eno...

    journal_title:Orthopedics

    pub_type: 社论

    doi:10.3928/0147-7447-19970202-09

    authors: Nilsson PE,Bergqvist D,Benoni G,Björgell O,Fredin H,Hedlund U,Nicolas S,Nylander G

    更新日期:1997-02-01 00:00:00

  • Patient Satisfaction Reporting After Total Hip Arthroplasty: A Systematic Review.

    abstract::This review evaluated the quality of patient satisfaction reporting after total hip arthroplasty. The initial search of the MEDLINE database yielded 755 studies. Twenty-four met the inclusion criteria. Most studies provided level III or IV evidence (n=15, 62.5%). The most common method used to assess satisfaction was ...

    journal_title:Orthopedics

    pub_type: 杂志文章,评审

    doi:10.3928/01477447-20170120-04

    authors: Kahlenberg CA,Nwachukwu BU,Schairer WW,Steinhaus ME,Cross MB

    更新日期:2017-05-01 00:00:00

  • Bankart operation for recurrent anterior dislocation of the shoulder using suture anchor.

    abstract::Between June 1989 and December 1994, a total of 19 patients (20 shoulders) underwent open repair of Bankart lesions using suture anchors. Subscapularis muscle and anterior capsule were cut as one layer and sutured end to end without overlap. Coracoid osteotomy was not necessary. Average follow-up was 53.6 months (rang...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Bhagia SM,Ali MS

    更新日期:2000-06-01 00:00:00

  • National Trends in Operative Treatment of Pediatric Fractures in the Ambulatory Setting.

    abstract::This study evaluated the expanding role of freestanding ambulatory surgery centers in pediatric fracture care based on the only national ambulatory surgery database within the United States. Released by the Centers for Disease Control and Prevention in 1996 and again in 2006, these reports were used to estimate the vo...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20151002-52

    authors: Bernstein DT,Chen C,Zhang W,McKay SD

    更新日期:2015-10-01 00:00:00

  • Long-term results of dorsally displaced distal radius fractures treated with the pi-plate: is hardware removal necessary?

    abstract::The purpose of this study was to evaluate the outcome of patients treated with open reduction and internal fixation (ORIF) using dorsal plates and screws (AO/ASIF pi-plate) for dorsally displaced fractures of the distal radius. Although extensor tendon rupture is a recognized complication of all distal radial fracture...

    journal_title:Orthopedics

    pub_type: 临床试验,杂志文章

    doi:10.3928/01477447-20110526-10

    authors: Tyllianakis ME,Panagopoulos AM,Saridis A

    更新日期:2011-07-07 00:00:00

  • Ultrasound vs pointer palpation based method in THA navigation: a comparative study.

    abstract::Intraoperative registration of the anterior pelvic plane is necessary for navigation during total hip arthroplasty (THA). Ultrasound referencing of bony landmarks was implemented in a THA navigation system (OrthoPilot, B. Braun Aesculap; Tuttlingen, Germany) as an alternative to pointer palpation. This study compared ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Kiefer H,Othman A

    更新日期:2007-10-01 00:00:00

  • Comparison of intramedullary nailing of distal third tibial shaft fractures: before and after traumatologists.

    abstract::We hypothesized that less malalignment and complications occur with intramedullary nailing of distal third tibia fractures (42A, B, C) after the implementation of orthopedic trauma surgeons to this level II community hospital. We also hypothesized that patients with < or =5 degrees of malalignment have poorer function...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Obremskey WT,Medina M

    更新日期:2004-11-01 00:00:00

  • Distal femoral osteotomy for valgus deformity of the knee.

    abstract::Distal femoral varus osteotomy and blade-plate fixation for valgus deformity of the knee proved effective in restoring axial alignment in 18 of 36 knees (34 patients). Patients were followed for an average of 5.4 years (range: 2 to 19 years). The osteotomies were performed on 14 men and 22 women (average age: 44 years...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Terry GC,Cimino PM

    更新日期:1992-11-01 00:00:00

  • Polyaxial Screws in Locked Plating of Tibial Pilon Fractures.

    abstract::This study examined the axial and torsional stiffness of polyaxial locked plating techniques compared with fixed-angle locked plating techniques in a distal tibia pilon fracture model. The effect of using a polyaxial screw to cross the fracture site was examined to determine its ability to control relative fracture si...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20150804-51

    authors: Yenna ZC,Bhadra AK,Ojike NI,Burden RL,Voor MJ,Roberts CS

    更新日期:2015-08-01 00:00:00

  • Posterior atlantoaxial fixation: the Magerl screw technique.

    abstract::Atlantoaxial transarticular fixation is a proven stabilization technique used to augment conventional sublaminar fusion. Along with its superior biomechanical profile comes the inherent risk of neurovascular injury and potential compromised fixation during its application. This article presents a detailed systematic g...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Silveri CP,Vaccaro AR

    更新日期:1998-04-01 00:00:00