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 (ORIF) of proximal humeral nonunion has been performed with various methods, including blade plates and bone grafting, as well as intramedullary support with autologous or allogenic grafts. Both malunion and nonunion have occurred after ORIF with locking plates. Endosteal support in the form of a fibular allograft incorporated into the locking plate construct can increase mechanical stability in selected cases. An ideal implant for proximal humeral nonunion provides medial column mechanical support and osteoconductive and osteoinductive properties. Porous intramedullary tantalum metal may play a role in nonunion surgery as an alternative to fibular allograft because of its versatility of use and salutary biological effects. It offers many material advantages for use in nonunion surgery. Tantalum is extensively porous (75%-80%), has a stiffness close to that of native bone, and offers the possibility of being a carrier for osteoinductive materials. It may also be suitable for patients who refuse allograft material. This article describes a 65-year-old woman with recalcitrant proximal humeral nonunion who was successfully treated with revision ORIF with intramedullary tantalum cylinder augmentation with a lateral-based locking plate and autogenous cancellous bone grafting. At 5-year follow-up, she had excellent motion and clinical and radiographic union.
journal_name
Orthopedicsjournal_title
Orthopedicsauthors
Georgiadis GM,Georgiadis AGdoi
10.3928/01477447-20131120-22subject
Has Abstractpub_date
2013-12-01 00:00:00pages
e1555-8issue
12eissn
0147-7447issn
1938-2367journal_volume
36pub_type
杂志文章相关文献
ORTHOPEDICS文献大全abstract::Displaced femoral neck fractures in physiologically young patients are best treated with anatomic reduction and stable fixation. Several surgical approaches to the femoral neck have previously been described, although they are fraught with disadvantages such as poor visualization, the need for 2 incisions, and risk of...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20150701-03
更新日期:2015-07-01 00:00:00
abstract::Fourteen hip arthroscopies between January 1985 and May 1988 were reviewed. Included were ten women and four men with an age ranging from 12 to 76 years. Indications were avascular necrosis; loose bodies; osteoarthrosis, arthritis, or pain; and snapping hip. The diagnosis was verified in five cases, including arthrosc...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1989-03-01 00:00:00
abstract::This study reviewed the clinical history and management of acquired growth arrest in the upper extremity in pediatric patients. The records of all patients presenting from 1996 to 2012 with radiographically proven acquired growth arrest were reviewed. Records were examined to determine the etiology and site of growth ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20160926-07
更新日期:2017-01-01 00:00:00
abstract::The purpose of this study is to demonstrate that the percentage of obese individuals initially presenting to total joint arthroplasty clinics in a public, tertiary hospital is greater than the proportion of obese individuals in the general population. In a retrospective, comparative study of patients seen in total joi...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20151222-12
更新日期:2016-01-01 00:00:00
abstract::Inserting pins at a single location of the iliac crest temporarily provides an effective splint for emergency patients with pelvic ring fractures. For a longer application, however, this procedure frequently causes infection and pin loosening and does not effectively stabilize the pelvic construct. We presumed biplana...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090511-21
更新日期:2009-06-01 00:00:00
abstract::The significant complication rate associated with harvesting autologous iliac bone or fibula has encouraged development of alternative graft substitutes. In this study, the authors investigated the efficacy and safety of synthetic porous hydroxyapatite (HA) combined with local vertebral bone graft for use in anterior ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20161208-02
更新日期:2017-03-01 00:00:00
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
更新日期:1997-02-01 00:00:00
abstract::A new, modified calcium sulfate has been developed with a different crystalline structure and a compressive strength similar to many calcium phosphate materials, but with a resorption profile only slightly slower than conventional surgical-grade calcium sulfate. A canine bilateral defect model was used to compare rest...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2004-01-01 00:00:00
abstract::Electromyographic biofeedback is a therapeutic modality used along with other interventions in the treatment of pain. This article presents a brief review of the effectiveness of electromyographic biofeedback in treating musculoskeletal pain. Electromyographic biofeedback may provide pain relief for chronic musculoske...
journal_title:Orthopedics
pub_type: 杂志文章,meta分析
doi:
更新日期:2008-10-01 00:00:00
abstract::Polyhydroxyacids are a promising class of bioresorbable materials withpotential applications in spinal surgery. One such polymer, MacroPore (MacroPore Biosurgery Inc, San Diego, Calif), offers a balance of strength, predictable degradation, lack of stimulus of foreign body reaction, and biocompatibility with neural ti...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:
更新日期:2002-10-01 00:00:00
abstract::The goal of this study was to compare the biomechanical stability of cannulated locking screws and noncannulated cortical locking screws in a periarticular locking plate. Twelve fresh-frozen porcine tibias with a 1-cm gap created distal to the tibial plateau were used to simulate an unstable proximal tibial fracture. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20130920-26
更新日期:2013-10-01 00:00:00
abstract::Our paper presents three new cases of chondrosarcoma of the foot and a clinical analysis of all the known cases of similar tumors. We feel that surgery is still the treatment of choice and recurrence and metastases are uncommon following adequate surgical treatments. ...
journal_title:Orthopedics
pub_type: 社论
doi:10.3928/0147-7447-19780901-05
更新日期:1978-09-01 00:00:00
abstract::Autologous collagen-induced chondrogenesis is a novel, single-staged arthroscopic cartilage repair technique using microdrilling and atelocollagen or fibrin gel application under carbon dioxide insufflation. Atelocollagen is a highly purified type I collagen obtained following the treatment of skin dermis with pepsin ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20130426-30
更新日期:2013-05-01 00:00:00
abstract::The purpose of this study was to compare the results of anterior approach vs posterior approach in the treatment of chronic thoracolumbar fractures. A total of 36 patients with chronic thoracolumbar fractures were divided into 2 groups. Group A was treated by an anterior approach and group B was treated by a posterior...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20120123-05
更新日期:2012-02-17 00:00:00
abstract::Clavicle hook plate is a common implant for treating distal clavicle fracture. Although high bone union rate and good functional outcome have been reported, so have several complications, such as osteolysis and fracture of the acromion, loss reduction, hook impingement, and rotator cuff tear. Peri-implant fracture ove...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20200619-01
更新日期:2020-09-01 00:00:00
abstract::A case of metaphyseal cupping of bone that probably occurred as the result of an impaired blood supply to the leg of an infant is reported. Avascularity and premature closure of the central segment of the growth plate is the proposed pathogenesis. The blood supply, growth and development of the ends of growing bones a...
journal_title:Orthopedics
pub_type: 社论
doi:10.3928/0147-7447-19810601-06
更新日期:1981-06-01 00:00:00
abstract::In addition to consultation with an experienced hematologist, the following are recommendations regarding compartment syndrome in a patient with an inherited bleeding disorder. Von Willebrand's Disease. Humate-P (rich in von Willebrand factor) is the replacement therapy of choice for surgical procedures in patients wi...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:
更新日期:1997-08-01 00:00:00
abstract::This article describes a case of a 23-year-old man who sustained a far medial fracture dislocation of the medial clavicle. We performed an open reduction and internal fixation of the fragment back to the remaining medial fragment using a small locking plate. This fracture can be problematic and usually requires reduct...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090501-08
更新日期:2009-05-01 00:00:00
abstract::Operative treatment of thoracolumbar burst fractures or fracture dislocations is a relatively modern development. Anterior decompression and stabilization play a significant role in the treatment of thoracolumbar burst fractures. This article reviews the clinical indications and describes a one-staged operative techni...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1997-10-01 00:00:00
abstract::The degree to which subjective patient-reported measures reflects objective findings or how well subjective and objective measures reflect patient satisfaction is not well established. The purpose of this study was to determine the correlation between such measures before and after shoulder arthroplasty. A group of 17...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20130523-29
更新日期:2013-06-01 00:00:00
abstract::Hallux valgus is a common disorder of the forefoot that results from medial deviation of the first metatarsal and lateral deviation and/or rotation of the great. The management of hallux valgus is usually focused on the malalignment of the first ray, however, some patients report that pain at the plantar aspect of sec...
journal_title:Orthopedics
pub_type: 临床试验,杂志文章
doi:10.3928/01477447-20091020-08
更新日期:2009-12-01 00:00:00
abstract::This article describes a new alternative technique for stabilization of unstable sacroiliac injuries using the Texas Scottish Rite Hospital (TSRH) instrumentation. The TSRH instrumentation was applied in 14 consecutive patients with unstable posterior pelvic ring disruptions. All patients underwent follow-up for an av...
journal_title:Orthopedics
pub_type: 临床试验,杂志文章
doi:
更新日期:2000-04-01 00:00:00
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
更新日期:2015-11-01 00:00:00
abstract::In many communities the orthopedic surgeon who also functions as the rheumatologist may have the best opportunity to make an early diagnosis of hemochromatosis by recognizing the characteristic features of this form of arthritis, which is associated with skin pigmentation, liver disease, or diabetes. Elevated serum ir...
journal_title:Orthopedics
pub_type: 社论
doi:10.3928/0147-7447-19800501-08
更新日期:1980-05-01 00:00:00
abstract::The carpometacarpal joint of the thumb is a frequent site of pain and disability secondary to arthritis. Surgical treatment for this disease has included arthrodesis, excision, total joint replacement, ligament reconstruction, and tendon or synthetic interposition arthroplasty. The aim of treatment is a functional, pa...
journal_title:Orthopedics
pub_type: 社论
doi:10.3928/0147-7447-19840601-10
更新日期:1984-06-01 00:00:00
abstract::The hospital course and clinical outcomes of 14 joint replacement surgeries in 13 patients with dementia syndromes were evaluated. Eight patients were disoriented postoperatively. Complications included slow progress in physical therapy, getting out of bed unattended, aggressive behavior, pulling out an intravenous or...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2004-05-01 00:00:00
abstract::Hemiarthroplasty (HA) of the shoulder has several potential advantages over total shoulder arthroplasty (TSA), particularly in the elderly population. This study reviewed long-term results of HA and TSA in patients older than 70 years with glenohumeral osteoarthritis. During a 30-year period, 403 shoulders had undergo...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20180621-03
更新日期:2018-07-01 00:00:00
abstract::Magnetic resonance imaging (MRI) has been shown to be sensitive in identifying ligamentous injury to the cervical spine. The major drawbacks to its routine use are cost and availability. The purpose of this study was to compare the cost of using MRI to rule out ligamentous injury of the cervical spine with the cost of...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20140124-16
更新日期:2014-02-01 00:00:00
abstract::This study compares the results of the locking compression plate (LCP) and the dynamic compression plate (DCP) in the treatment of diaphyseal forearm fractures in adults and defines the indications for the use of the LCP. Forty-two patients with diaphyseal forearm fractures were retrospectively analyzed. Of those, 22 ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20130624-23
更新日期:2013-07-01 00:00:00
abstract::This study evaluated patients who were given transcutaneous electrical nerve stimulation (TENS) compared with a matched group without TENS prior to intervention and at 1-year follow-up. Patients who were treated with TENS had significantly fewer hospital and clinic visits, used less diagnostic imaging (31 vs 46 events...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20131120-04
更新日期:2013-12-01 00:00:00