Computer-assisted total knee arthroplasty after prior femoral fracture without hardware removal.

Abstract:

:This study presents a consecutive series of patients who underwent total knee arthroplasty (TKA) after prior distal femoral fracture without hardware removal. The purpose of this study was to determine the effectiveness of computer-assisted TKA in patients with posttraumatic arthritis, specifically those with retained hardware after prior distal femoral fracture. The study group included a consecutive series of 16 patients who had developed posttraumatic knee arthritis after a distal femoral fracture with retention of hardware (group A). Patients in the study group were matched with patients who had undergone a computer-assisted TKA using the same implant and software (group B). The indication for TKA in all group B patients was atraumatic arthritis, and surgery was performed during the same period as that in the study group. Patients were matched for age, sex, preoperative range of motion, preoperative severity of arthritis, type and grade of deformity, and implant features. No statistically significant differences existed between the 2 study groups in terms of operative time, duration of hospital stay, or intra- and postoperative complications. At last follow-up, no statistically significant differences existed in Knee Society Scores and Western Ontario and McMaster Universities Arthritis Index scores. Implant alignment and radiological parameters were similar in both groups. This study demonstrated that posttraumatic knee arthritis after prior distal femoral fracture can be safely managed using a computer-assisted TKA without hardware removal. Comparison between the study group and a matched group with atraumatic arthritis showed similar postoperative results and complication rates.

journal_name

Orthopedics

journal_title

Orthopedics

authors

Manzotti A,Chemello C,Pullen C,Cerveri P,Confalonieri N

doi

10.3928/01477447-20120919-55

subject

Has Abstract

pub_date

2012-10-01 00:00:00

pages

34-9

issue

10 Suppl

eissn

0147-7447

issn

1938-2367

journal_volume

35

pub_type

临床试验,杂志文章
  • Use of a continuous external tissue expander in the conversion of a type IIIB fracture to a type IIIA fracture.

    abstract::Various methods have been used for soft tissue coverage of Gustilo-Anderson type IIIB open fractures. These injuries are often contaminated and, by definition, are associated with extensive periosteal stripping and inadequate soft tissue coverage. These characteristics predispose the patient to infection, delayed unio...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20130122-31

    authors: Formby P,Flint J,Gordon WT,Fleming M,Andersen RC

    更新日期:2013-02-01 00:00:00

  • Radiologic case study. Rupture of the long head of the biceps tendon.

    abstract::Rupture of the long head of the biceps tendon frequently is encountered in the setting of coexisting rotator cuff pathology and chronic impingement, but traumatic rupture is occasionally seen, as in this case. Signs and symptoms are not always diagnostic, and MRI or MR arthrography can be a useful tool for evaluation ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Khanna G,Glockner JF,Sundaram M

    更新日期:2000-08-01 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 approach in THA improves outcomes: opposes.

    abstract::Total hip arthroplasty (THA) can be performed through multiple surgical approaches, including anterior, anterolateral, lateral, transtrochanteric, posterolateral, posterior, and the 2-incision technique. The overwhelming majority of THAs today are performed through a posterolateral approach, which has many advantages:...

    journal_title:Orthopedics

    pub_type: 评论,杂志文章

    doi:10.3928/01477447-20110714-29

    authors: Sculco TP

    更新日期:2011-09-09 00:00:00

  • Perthes-like disease and the tricho-rhino-phalangeal syndromes: the first black patient.

    abstract::The TRPS I has been reported in European, Asian, Australian, and North American populations. To the best of our knowledge, this is the first case reported in the black population. Like many patients with this syndrome, it was the presence of "Perthes-like" disease that eventually lead to the diagnosis. This hip compli...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Stearns ZR,Lacassie Y,MacEwen GD

    更新日期:1990-04-01 00:00:00

  • Diagnosis and Management of Distal Clavicle Osteolysis.

    abstract::Distal clavicle osteolysis is an uncommon condition that most commonly affects weight lifters and other athletes who perform repetitive overhead activity. Although this condition most commonly presents in young active men, it is becoming increasing more common in women with the rise in popularity of body building and ...

    journal_title:Orthopedics

    pub_type: 杂志文章,评审

    doi:10.3928/01477447-20161128-03

    authors: DeFroda SF,Nacca C,Waryasz GR,Owens BD

    更新日期:2017-03-01 00:00:00

  • Radiologic case study. Fractures of the foot masquerading as ankle injuries.

    abstract::An ankle radiographic series frequently is obtained when a patient presents with an acute ankle and foot injury. Although many fractures are confined to the ankle and are readily apparent, fractures of the foot can mimic ankle injuries. It is important to differentiate these fractures of the foot from the more common ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Sadowski E,Demos TC,Lomasney LM,Rabin SI

    更新日期:1999-03-01 00:00:00

  • Mechanical Augmentation With Absorbable Alginate Sheet Enhances Healing of the Rotator Cuff.

    abstract::For anatomical restoration of a repaired rotator cuff, mechanical augmentation of the repaired structure is essential. Using histological and biomechanical evaluation in a rat model, the authors sought to determine the efficacy of an absorbable alginate sheet at the supraspinatus tendon-to-bone repair site for healing...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20181206-04

    authors: Kim DH,Min SG,Yoon JP,Park GY,Choi JH,Jung JW,Lee HJ,Kim HJ,Chung SW,Kim JY

    更新日期:2019-01-01 00:00:00

  • Rifamycin SV in the Treatment of Knee Synovitis.

    abstract::Rifamycin SV, injected intraarticularly at dosages of 500 mg weekly, induced a complete removal of persistent knee effusions in 57 of 60 rheumatoid patients, and in all patients with effusions due to juvenile rheumatoid arthritis (three), ankylosing spondylitis (three), psoriatic arthritis (10), intermittent hydrarthr...

    journal_title:Orthopedics

    pub_type: 社论

    doi:10.3928/0147-7447-19821001-10

    authors: Caruso I,Montrone F,Fumagalli M,Patrono C,Boselli P,Scrollini F

    更新日期:1982-10-01 00:00:00

  • Effects of altered crystalline structure and increased initial compressive strength of calcium sulfate bone graft substitute pellets on new bone formation.

    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:

    authors: Urban RM,Turner TM,Hall DJ,Infanger SI,Cheema N,Lim TH,Moseley J,Carroll M,Roark M

    更新日期:2004-01-01 00:00:00

  • Experience with a large-frame, disposable external fixator.

    abstract::External fixation is a temporizing measure that has a long history in the treatment of fractures. Thirty-eight newly designed large-frame external fixators were applied for acute lower-limb fractures and pelvis injuries in a level I trauma center. In 75% of cases, the frames were used for first-stage skeletal stabiliz...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20100129-12

    authors: Seligson D,Douglas L

    更新日期:2010-03-01 00:00:00

  • Quality of information on the Internet about carpal tunnel syndrome: an update.

    abstract::The use of the Internet for health-related information has increased significantly. In 2000, the current authors examined the source and content of orthopedic information on the Internet. At that time, Internet information regarding carpal tunnel syndrome was found to be of limited quality and poor informational value...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20130724-20

    authors: Lutsky K,Bernstein J,Beredjiklian P

    更新日期:2013-08-01 00:00:00

  • Calcium carbonate powder containing gentamicin for mixing with bone grafts.

    abstract::Bone grafts are used for reconstructing bone defects caused by implant-associated complications, trauma, and tumors. Surgery with bone allografts is complex and time consuming; therefore, it is prone to a higher infection rate (2.0%-2.5%). In the case of site infection, systemically administered antibiotics cannot rea...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20140728-50

    authors: Coraça-Huber D,Hausdorfer J,Fille M,Nogler M,Kühn KD

    更新日期:2014-08-01 00:00:00

  • Serum and Synovial Biomarkers for the Diagnosis of Implant-Associated Infection After Orthopedic Surgery.

    abstract::Implant-associated infection is one of the most devastating complications following orthopedic surgery. Early identification is crucial for treatment. Currently, however, a reliable diagnostic tool is lacking, partly due to disparate bacteria colonies (virulent vs non-virulent), difficulty in distinguishing infection ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20210104-07

    authors: Liu X,Jiang N,Wang T,Yu B

    更新日期:2021-01-07 00:00:00

  • Allografting in uncemented acetabular revision.

    abstract::From 1987 to 1991, a total of 43 acetabular revisions were performed in 39 patients aged 36 to 79 years. In group A (26 revisions in 24 patients), morselized allograft was used to fill in cavitary acetabular defects, and in group B (17 revisions in 15 patients), a solid (bulk) allograft was used to reconstruct defects...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Reikeraas O,Folleraas G,Winge JF

    更新日期:1998-11-01 00:00:00

  • Pulmonary Embolism After Application of a Sterile Elastic Exsanguination Tourniquet.

    abstract::Sterile elastic exsanguination tourniquets (HemaClear; OHK Medical Devices, Haifa, Israel) are relatively new on the market but are widely used because of the ease and speed of their application. The sterile elastic exsanguination tourniquet consists of a silicon ring wrapped in a stockinet sleeve with pull straps. Th...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20151123-08

    authors: Feldman V,Biadsi A,Slavin O,Kish B,Tauber I,Nyska M,Brin YS

    更新日期:2015-12-01 00:00:00

  • Three-Year Follow-up of Conservative Treatments of Shoulder Osteoarthritis in Older Patients.

    abstract::Little is known about the mid-term results of nonsurgical treatment for shoulder osteoarthritis (OA), especially in a Chinese population. This study sought to determine the efficacy of nonsurgical management in older patients with shoulder OA. A total of 129 conservatively treated unilateral shoulder OA patients who w...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20160606-02

    authors: Guo JJ,Wu K,Guan H,Zhang L,Ji C,Yang H,Tang T

    更新日期:2016-07-01 00:00:00

  • Removal of broken syndesmotic screws: a technical tip.

    abstract::A simple method of extracting broken distal tibial-fibular syndesmotic or cross-locking screws for intramedullary nails is illustrated. After extraction of the head portion of the broken screw, a blunt impactor is introduced through the vacant screw hole and abutted to the remaining portion of the screw tip. The screw...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Henley MB,Law MD Jr,Henry SL

    更新日期:1994-07-01 00:00:00

  • Degenerative changes of the lumbar spine: assessment by computed tomography.

    abstract::Degenerative changes of the lumbar spine may occur in either the anterior or posterior intervertebral articulations. Computed tomography is an ideal modality in evaluating these processes because of its optimal plane of section and its ability to image both osseous and soft tissue structures. ...

    journal_title:Orthopedics

    pub_type: 社论

    doi:10.3928/0147-7447-19810201-13

    authors: Raskin SP

    更新日期:1981-02-01 00:00:00

  • Surface Aneurysmal Bone Cyst: Clinical and Imaging Features in 10 New Cases.

    abstract::Aneurysmal bone cyst originating from the surface of the bone, either within the cortex or subperiosteally, is an uncommon anatomic subtype. This article reports the clinical and radiologic evaluations and treatment outcomes of 10 patients with surface aneurysmal bone cysts that were surgically treated between 1982 an...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20160623-02

    authors: Yalcinkaya M,Lapcin O,Arikan Y,Aycan OE,Ozer D,Kabukcuoglu YS

    更新日期:2016-09-01 00:00:00

  • Arthroscopic treatment of symptomatic paralabral cysts in the hip.

    abstract::Acetabular labral tears or paralabral cysts in the hip are frequently detected using magnetic resonance imaging or arthrography. Unlike parameniscal cysts in the knee and paralabral cysts in the shoulder, reports of the outcomes of surgical treatment for paralabral cysts in the hip recalcitrant to conservative managem...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20130222-29

    authors: Lee KH,Park YS,Lim SJ

    更新日期:2013-03-01 00:00:00

  • Dorsal approach for open reduction of complex metacarpophalangeal joint dislocations.

    abstract::The metacarpophalangeal (MP) joint is resistant to injury due to its strong capsuloligamentous structures, which include the volar plate and deep transverse metacarpal and collateral ligaments. Complex MP joint dislocations are, by definition, irreducible by closed means and require open reduction, as the volar plate ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20081101-22

    authors: Patterson RW,Maschke SD,Evans PJ,Lawton JN

    更新日期:2008-11-01 00:00:00

  • Musculoskeletal trauma in tobacco farming.

    abstract::The incidence of musculoskeletal injury sustained during tobacco farming has been poorly documented. Using the trauma registry for all farm-related injuries occurring during a 16-month period, hospital charts, radiographs, and clinic charts were reviewed to identify those patients sustaining tobacco farming-related in...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Pugh KJ,Pienkowski D,Gorczyca JT

    更新日期:2000-02-01 00:00:00

  • Capitated reimbursement for medical services returns control of the patient to the surgeon.

    abstract::Limiting the spending on healthcare services is a societal necessity, whether externally budget-driven with reduced fee for service or salary, or internally controlled through prospective payment capitation. No reimbursement system is inherently good or bad. Ethical physicians will place patient well-being first and f...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Schmalzried TP,Luck JV Jr

    更新日期:1998-06-01 00:00:00

  • Dynamic electromyography in active and limited walking below-knee amputees.

    abstract::Walking electromyography was performed in 12 below-knee amputees, who were amputated for peripheral vascular insufficiency. All were at least 1 year post-surgery and had no problems with the fit of their prostheses. Seven were community walkers and five were limited household ambulators. The quadriceps and hamstring m...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Pinzur MS,Asselmeier M,Smith D

    更新日期:1991-05-01 00:00:00

  • Major injuries occurring during use of a golf cart.

    abstract::Major trauma following a mishap with a golf cart is an unreported problem. This study details injury types and the various mechanisms by which the accidents occurred. Recommendations are made regarding preventive measures that should be observed for safe operation of a golf cart. Two hundred eighty orthopedic surgeons...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Kelly EG

    更新日期:1996-06-01 00:00:00

  • Rivaroxaban, an oral, direct factor Xa inhibitor: a new option for thromboprophylaxis.

    abstract::Patients undergoing major orthopedic surgery, including total hip arthroplasty (THA) and total knee arthroplasty (TKA), are at high risk for developing venous thromboembolism (VTE). Although largely a preventable complication, VTE develops in a significant proportion of patients, highlighting the need for improved met...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20120525-38

    authors: Kwong LM

    更新日期:2012-06-01 00:00:00

  • Isolated acute dislocation of the proximal tibiofibular joint.

    abstract::Lesions of knee's lateral side are less common than medial injuries. The anatomy of the lateral ligaments and the presence of additional structures (eg, fibula head) can cause diagnostic problems. Isolated dislocation of the proximal tibiofibular joint is unusual; therefore, it may be overlooked in the emergency depar...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Iosifidis MI,Giannoulis I,Tsarouhas A,Traios S

    更新日期:2008-06-01 00:00:00

  • Arthroscopic transosseous rotator cuff repair: technical note, outcomes, and complications.

    abstract::The goal of this study was to review the authors' initial experience with arthroscopic transosseous rotator cuff repair. Thirty-one patients with full-thickness rotator cuff tears underwent arthroscopic transosseous rotator cuff repair over a 15-month period. Preoperatively, demographics and subjective scores were rec...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20150504-50

    authors: Black EM,Lin A,Srikumaran U,Jain N,Freehill MT

    更新日期:2015-05-01 00:00:00

  • Operative decisions for endoscopic treatment of cubital tunnel syndrome.

    abstract::The authors review the relevant anatomy and provide technical tips for endoscopic decompression of the cubital tunnel. Cubital tunnel syndrome is the second most common nerve compression syndrome in the upper extremity. Until recently, surgeons focused on open decompression combined with submuscular or subcutaneous tr...

    journal_title:Orthopedics

    pub_type: 杂志文章,评审

    doi:10.3928/01477447-20130426-04

    authors: Damert HG,Altmann S,Infanger M,Kraus A

    更新日期:2013-05-01 00:00:00