Management of the spastic upper extremity in the neurologically impaired adult.

abstract：BACKGROUND:Bisphosphonates reduce the risk of fractures associated with osteoporosis but increase the risk of atypical subtrochanteric femur fractures. After unilateral atypical femur fracture, there is risk of contralateral fracture, but the indications for prophylactic fixation are controversial. QUESTIONS/PURPOSES:...

journal_title：Clinical orthopaedics and related research

authors： Jiang SY,Kaufman DJ,Chien BY,Longoria M,Shachter R,Bishop JA

更新日期：2019-03-01 00:00:00

abstract：:Modification of the implant surface with the Arg-Gly-Asp tripeptide (RGD) putatively facilitates osteoblast attachment for improved implant fixation in the laboratory. We compared the histomorphometric and mechanical performance of titanium implants coated with RGD using a novel interface of self-assembled monolayers ...

journal_title：Clinical orthopaedics and related research

authors： Heijink A,Schwartz J,Zobitz ME,Nicole Crowder K,Lutz GE,Sibonga JD

更新日期：2008-04-01 00:00:00

abstract：:It has been reported that flexibility of the neck decreases after cervical laminoplasty. It also is known that kyphosis can be an unfavorable result after posterior decompression surgery of the cervical spine. To examine whether a decrease in cervical mobility resulting from contracture of the cervical spine helps pre...

journal_title：Clinical orthopaedics and related research

authors： Maeda T,Arizono T,Saito T,Iwamoto Y

更新日期：2002-08-01 00:00:00

abstract：:We review a series of empirical studies on the use of simulators and bench models in training technical skills and subsequent retention of those skills. We discuss recent research on the transfer of training from bench models and simulators to the clinical setting and provide a theoretical structure to organize the fi...

journal_title：Clinical orthopaedics and related research

authors： Hamstra SJ,Dubrowski A,Backstein D

更新日期：2006-08-01 00:00:00

abstract：:The pathogenic potential of Propionibacterium acnes in implant-associated spine infections is increasingly recognized. However, the clinical findings and outcomes associated with this pathogen in nonimplant-associated spine infections are unknown. We retrospectively reviewed nine male patients who met our strict case ...

journal_title：Clinical orthopaedics and related research

authors： Kowalski TJ,Berbari EF,Huddleston PM,Steckelberg JM,Osmon DR

更新日期：2007-08-01 00:00:00

abstract：:A prospective study of the sensitivity, specificity, and predictive values for frozen sections against cultures obtained at the time of revision total joint replacement was done. One hundred twenty-one revision total joint replacements were done in 92 men and 29 women. A positive frozen section with more than 10 polym...

journal_title：Clinical orthopaedics and related research

authors： Banit DM,Kaufer H,Hartford JM

更新日期：2002-08-01 00:00:00

abstract：:The influence of suturing on cell infiltration into the meniscus and surrounding tissue is not well known. Histologic changes in the meniscus after suturing and prediction of histologic changes using magnetic resonance imaging were studied. Forty knees in 20 mongrel dogs were studied using four types of 4-0 suture mat...

journal_title：Clinical orthopaedics and related research

authors： Yasunaga T,Kimura M,Kikuchi S

更新日期：2001-06-01 00:00:00

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

authors： Ray S,Peterson PD,Scott CI Jr

更新日期：1986-06-01 00:00:00

abstract：:Radiocarpal fracture-dislocation was associated with fracture of the distal articular surface of the radius in five patients (six extremities). Closed manipulation resulted in satisfactory reduction of both the dorsal dislocation of the carpus on the distal radius and displaced articular fracture fragment(s) in two of...

journal_title：Clinical orthopaedics and related research

authors： Schoenecker PL,Gilula LA,Shively RA,Manske PR

更新日期：1985-07-01 00:00:00

abstract：:Pathologic fractures of the proximal femur secondary to benign bone tumors often are difficult to treat because of specific anatomic features of this region and the aggressiveness of the tumors. Between 1986 and 1996, 11 patients presented with a pathologic fracture of the proximal femur secondary to a benign bone tum...

journal_title：Clinical orthopaedics and related research

authors： Wai EK,Davis AM,Griffin A,Bell RS,Wunder JS

更新日期：2001-12-01 00:00:00

abstract：BACKGROUND:Total joint arthroplasty is widely performed in patients of all races with severe osteoarthritis. Prior studies have reported that African American patients tend to receive total joint arthroplasties in low-volume hospitals compared with Caucasian patients, suggesting potential racial disparity in the qualit...

journal_title：Clinical orthopaedics and related research

authors： Cai X,Cram P,Vaughan-Sarrazin M

更新日期：2012-04-01 00:00:00

abstract：:Ten patients with femoral head fractures were evaluated with conventional hip radiographs, computed axial tomography (CT), and pelvic oblique radiographs. The CT scan was used to determine the plane of the fracture within the femoral head. The patient was then positioned with the fracture line parallel to the radiogra...

journal_title：Clinical orthopaedics and related research

authors： Moed BR,Maxey JW

更新日期：1993-11-01 00:00:00

abstract：BACKGROUND:A 10-point Surgical Apgar Score, based on patients' estimated blood loss, lowest heart rate, and lowest mean arterial pressure during surgery, was developed to rate patients' outcomes in general and vascular surgery but has not been tested for patients having orthopaedic surgery. QUESTIONS/PURPOSES:For pati...

journal_title：Clinical orthopaedics and related research

authors： Wuerz TH,Regenbogen SE,Ehrenfeld JM,Malchau H,Rubash HE,Gawande AA,Kent DM

更新日期：2011-04-01 00:00:00

abstract：:We identified changes in proapoptotic and extracellular matrix-related gene expression with prolonged storage of fresh osteochondral allografts using gene array analysis to better understand the process of graft degradation during storage. Six human distal femurs were obtained according to standard organ harvesting pr...

journal_title：Clinical orthopaedics and related research

authors： Robertson CM,Allen RT,Pennock AT,Bugbee WD,Amiel D

更新日期：2006-01-01 00:00:00

abstract：:Avascular necrosis of the femoral head affects 10,000 to 20,000 people every year and often these patients are in their 30s and 40s. The natural history of this disease is important to understand because the rate of femoral head collapse and treatment options are related to multiple factors including the cause of the ...

journal_title：Clinical orthopaedics and related research

authors： Shannon BD,Trousdale RT

更新日期：2004-01-01 00:00:00

abstract：:Onset of firing for the quadriceps, hamstrings, and gastroc soleus groups during running, both on a treadmill and over ground, was determined in seven normal adult male subjects. Surface and wire electrode data were collected simultaneously from 959 individual gait cycles. The mean velocity over ground was 274 +/- 38 ...

journal_title：Clinical orthopaedics and related research

authors： Schwab GH,Moynes DR,Jobe FW,Perry J

更新日期：1983-06-01 00:00:00

abstract：BACKGROUND:Many patients change hospitals for revision total joint arthroplasty (TJA). The implications of changing hospitals must be better understood to inform appropriate utilization strategies. QUESTIONS/PURPOSES:(1) How frequently do patients change hospitals for revision TJA? (2) Which patient, community, and ho...

journal_title：Clinical orthopaedics and related research

authors： Dy CJ,Bozic KJ,Padgett DE,Pan TJ,Marx RG,Lyman S

更新日期：2014-07-01 00:00:00

abstract：UNLABELLED:The anterolateral approach in the supine position provides excellent visualization of the acetabulum. The main advantage of the approach, a low dislocation rate, has been demonstrated in the literature, while the purported disadvantage of abductor dysfunction has not been clearly delineated in the literature...

journal_title：Clinical orthopaedics and related research

authors： Austin MS,Rothman RH

更新日期：2009-01-01 00:00:00

abstract：BACKGROUND:Socioeconomic variables influence various healthcare issues in different ways. The effect of socioeconomic variables on the shoulder has not been well studied. Because activity level, defined by how much a patient actually does, is an important patient outcome measure and prognostic factor for the shoulder, ...

journal_title：Clinical orthopaedics and related research

authors： Brophy RH,Lin KM,Skillington SA,Hepper CT,Smith MV

更新日期：2016-10-01 00:00:00

abstract：:The commonly used classification systems of hip dislocation are based on the direction of the dislocation and the presence of associated lesions. However, no rating system can reliably predict the patient's outcome and prognosis based on the initial presentation and classification. In general, patients with anterior d...

journal_title：Clinical orthopaedics and related research

authors： Goddard NJ

更新日期：2000-08-01 00:00:00

abstract：:Rheumatoid arthritis frequently involves the hindfoot. It may produce a proliferative synovial hypertrophy around the tendons and a gradual destruction of the joints. Unfortunately, this part of the foot frequently is overlooked when caring for these patients who often have multiple areas of involvement giving pain an...

journal_title：Clinical orthopaedics and related research

authors： Cracchiolo A 3rd

更新日期：1997-07-01 00:00:00

abstract：:Recombinant human bone morphogenetic protein-2 is an osteoinductive protein that plays a pivotal role in bone growth and regeneration. Several hundred studies were conducted in the past 7 years in numerous animal models to establish unequivocally the efficacy, safety, mechanism of action, pharmacokinetics, and surgica...

journal_title：Clinical orthopaedics and related research

authors： Valentin-Opran A,Wozney J,Csimma C,Lilly L,Riedel GE

更新日期：2002-02-01 00:00:00

abstract：:Glomus tumors are benign vascular tumors composed of round to oval uniform cells associated with vascular structures, usually found in the soft tissue of the nail bend. A 24-year-old woman with a two-year history of progressive right elbow pain and swelling was found to have a histologically characteristic intraosseou...

journal_title：Clinical orthopaedics and related research

authors： Rozmaryn LM,Sadler AH,Dorfman HD

更新日期：1987-07-01 00:00:00

abstract：:A massive solitary tophus containing calcium pyrophosphate dihydrate (CPPD) crystals was resected from the distal clavicle and proximal acromion of a 62-year-old man who presented with a painful shoulder mass. The diagnosis was confirmed histologically and by X-ray diffraction. CPPD crystal deposition was found within...

journal_title：Clinical orthopaedics and related research

authors： Marcove RC,Wolfe SW,Healey JH,Huvos AG,Boskey A,Fleisher M

更新日期：1988-02-01 00:00:00

abstract：:The acute and repetitive impact and torsional joint loading that occurs during participation in sports can damage articular surfaces causing pain, joint dysfunction, and effusions. In some instances, this articular surface damage leads to progressive joint degeneration. Three classes of chondral and osteochondral inju...

journal_title：Clinical orthopaedics and related research

authors： Buckwalter JA

更新日期：2002-09-01 00:00:00

abstract：:The etiology of aseptic loosening of prosthetic joint replacement components is unclear. Implant materials have been considered biologically inert, but recently studies indicate that inflammatory reactions directed against the implanted materials may contribute to aseptic loosening. Data suggesting a progression from ...

journal_title：Clinical orthopaedics and related research

authors： Wooley PH,Nasser S,Fitzgerald RH Jr

更新日期：1996-05-01 00:00:00

abstract：:To update the status of chymopapain in the treatment of herniated intervertebral discs, a review of the current literature and data from an unpublished Texas study are presented. Studies in animals and humans have consistently demonstrated that chymopapain can dissolve the nucleus pulposus. Twenty-eight uncontrolled a...

journal_title：Clinical orthopaedics and related research

authors： Simmons JW,Stavinoha WB,Knodel LC

更新日期：1984-03-01 00:00:00

abstract：:Both cost effectiveness and safety can be realized in the operation of a community bone bank by adoption of the following measures: deep freezing, rather than freeze drying; allogenic bone is collected from femoral heads excised from total hip arthroplasties; and careful donor and graft selection controls ensure an al...

journal_title：Clinical orthopaedics and related research

authors： Hart MM,Campbell ED Jr,Kartub MG

更新日期：1986-05-01 00:00:00

abstract：:From 1980 until 1989, 69 patients with lumbar fractures resulting in incomplete paraparesis were admitted to the authors' medical center for treatment. Thirty had anterior vertebrectomy, including 18 who had posterior instrumentation and four who had anterior instrumentation. Twenty-two patients were treated with a po...

journal_title：Clinical orthopaedics and related research

authors： Hu SS,Capen DA,Rimoldi RL,Zigler JE

更新日期：1993-03-01 00:00:00

abstract：:In this literature review, 30 reports provided outcome data on 37 direct exchange arthroplasties, 530 open debridements, and 23 arthroscopic debridements. The average followup was approximately 4 years, but the range was broad (range, 0.02-14 years). Infection was controlled in 33 of the 37 infected total knee arthrop...

journal_title：Clinical orthopaedics and related research

authors： Silva M,Tharani R,Schmalzried TP

更新日期：2002-11-01 00:00:00