Abstract：
:This article describes a patient in whom total knee arthroplasty was performed for neuropathic joint disease secondary to diabetes mellitus after severe bone destruction eroded the tibial tuberosity. At initial examination, radiographs of the knee showed bone destruction in the medial and anterior regions of the tibia, and fine bone fragments were seen in the joint. Conservative therapy was performed using a brace. However, bone destruction gradually advanced, and 10 months after the initial examination, radiographs of the knee showed bone destruction in the lateral condyle of the femur and advanced bone destruction of the anterior tibia; the tibial tuberosity was missing. It is rare for the tibial tuberosity in the anterior tibia to disappear. If this happens, reconstruction is difficult and total knee arthroplasty becomes complicated. For the bone defect in the tibia, cement was used to recreate the shape of the anterior surface of the tibia. It was possible to minimize the volume of bone resection and morphologically reconstruct the tibial tuberosity. The patient recovered quickly. At postoperative week 5, the patient was able to walk using a cane. Thirty-six months after total knee arthroplasty, knee extension was 0°, flexion was 120°, extension lag was 5°, knee score improved from 40 points to 94 points, and functional score improved from 20 points to 75 points. However, long-term implant stability needs to be carefully monitored.
journal_name
Orthopedicsjournal_title
Orthopedicsauthors
Sugitani K,Arai Y,Takamiya H,Minami G,Higuchi T,Kubo Tdoi
10.3928/01477447-20120621-32subject
Has Abstractpub_date
2012-07-01 00:00:00pages
e1108-11issue
7eissn
0147-7447issn
1938-2367journal_volume
35pub_type
杂志文章相关文献
ORTHOPEDICS文献大全abstract：:Obtaining complete medication histories from patients and reinitiating home medications on hospital admission or when clinically appropriate will help prevent unnecessary complications secondary to abrupt discontinuation. ...
journal_title：Orthopedics
pub_type： 杂志文章,评审
doi：10.3928/01477447-20060501-16
更新日期：2006-05-01 00:00:00
abstract：:This study sought to postoperatively compare femoral cortical button (FCB) placement in anterior cruciate ligament (ACL) reconstruction performed using an adjustable loop cortical femoral fixation button under direct arthroscopic visualization vs indirect methods. The authors conducted a retrospective review of postop...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20200129-03
更新日期：2020-05-01 00:00:00
abstract：:Unicompartmental knee arthroplasty (UKA) for the treatment of single-compartment osteoarthritis has been associated with polyethylene wear and progression of osteoarthritis into adjacent compartments, leading to revision. In this study, damage and clinical failure modes of retrieved UKA implants were investigated and ...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20190424-06
更新日期：2019-05-01 00:00:00
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
更新日期：2010-08-11 00:00:00
abstract：:This study investigated the posterior movement of the spinal cord after posterior decompression surgery and evaluated factors affecting postoperative functional recovery in patients with cervical spondylotic myelopathy (CSM). Thirty-two patients with CSM underwent posterior decompression from C3 to C7 through laminect...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20111021-03
更新日期：2011-12-06 00:00:00
abstract：:Total hip arthroplasty (THA) infection imposes a significant burden on the patient and the health care system. Two-stage revision with interval placement of an antibiotic-cement spacer is the standard of care for chronic periprosthetic infections. This treatment allows for the direct delivery of antibiotics to the inf...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20100722-21
更新日期：2010-09-07 00:00:00
abstract：:We performed 560 minimally invasive unicompartmental knee arthroplasties in patients with osteoarthritis using the Oxford phase 3 prosthesis since January 2002. For the prospective analysis, clinical and radiographic assessments were carried out preoperatively and regularly followed after surgery. Ninety-five cases we...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：2007-05-01 00:00:00
abstract：:Hemipelvectomy is a rare procedure performed for tumor resection or trauma. The limb may be spared, and the patients often require extensive rehabilitation. We report the outcome of a total hip arthroplasty (THA) in a patient with endstage hip arthritis in a high dislocated hip contralateral to a remote, traumatic hem...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：2009-02-01 00:00:00
abstract：:The diagnosis coding system for health care providers that is used in the United States recently converted from the International Classification of Diseases, 9th Revision (ICD-9), to the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM). The authors are unaware of any studies s...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20200107-02
更新日期：2020-03-01 00:00:00
abstract：:The Charité III (DePuy Spine, Inc, Raynham, Massachusetts) and ProDisc II (Synthes Spine, West Chester, Pennsylvania) artificial disk replacements were approved for use by the United States Food and Drug Administration in October 2004 and January 2006, respectively. The purpose of this study was to retrospectively rev...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20090624-08
更新日期：2009-08-01 00:00:00
abstract：:Instability is one of the most common causes of failure of total knee arthroplasty (TKA). The presentation can vary from pain to frank dislocation with the etiologies just as varied. Instability after TKA can be classified by where the instability occurs in the knee's arc of motion as well as the chronicity of the pro...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20110714-46
更新日期：2011-09-09 00:00:00
abstract：:This experimental cadaver study assessed computer navigation for the arthroscopic measurement of full-thickness cartilage defects in the knee joint. Cartilage defects were measured during arthroscopy using three cartilage defect-managing modules to compare fixed (invasive) and noninvasive rigid-body fixations. The com...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：2007-10-01 00:00:00
abstract：:Fractures of the most distal part of the olecranon process differ from more proximal fractures because a plane of instability exists between the humerus and the radial head. Thus, the fixation of these fractures must resist the deforming forces of the forearm flexor muscles. The investigators fixed 10 paired cadaver u...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1989-11-01 00:00:00
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：
更新日期：1999-12-01 00:00:00
abstract：:In the current era of total hip arthroplasty (THA), orthopedic surgeons have several fixation options at their disposal. The modern monoblock prosthesis, introduced by Dr. Sir John Charnley, has seen many modifications since its inception in the 1970s and continues to be the most commonly used prosthesis style for pri...
journal_title：Orthopedics
pub_type： 杂志文章,评审
doi：10.3928/01477447-20130624-33
更新日期：2013-07-01 00:00:00
abstract：:This study reviews the results of 94 computed tomography (CT)-guided Craig needle biopsies of the spine and sacrum performed at one center. An indication for biopsy in this study was prompted by abnormal findings identified by one or more of the following diagnostic modalities: radiography, CT, magnetic resonance imag...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1997-12-01 00:00:00
abstract：:The mini C-arm has become increasingly popular in the practice of orthopedics. To the authors' knowledge, its use in the pediatric orthopedic outpatient clinic has not been reported. The purpose of this study was to evaluate the practice efficiency and radiation exposure to the patient when the mini C-arm was used in ...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20160808-01
更新日期：2016-11-01 00:00:00
abstract：:This case presented a 17-year-old patient with persistent complaints localized to the right patellofemoral joint. Clinical examination demonstrated increased medial translation of the patella on manual stress. In contrast to previous published reports on medial patellar subluxation, this patient had not undergone prio...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1998-07-01 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：:Chondroblastoma is a rare, benign primary bone tumor that usually occurs at the epiphysis of long bones. The authors present an example of the diagnosis and successful treatment of this neoplasm in an exceedingly rare location in the distal phalanx. Clinical and radiographic outcomes after 68 months of follow-up are p...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20140430-64
更新日期：2014-05-01 00:00:00
abstract：:A new biomaterial made of nickel and titanium with its shape-memory characteristics has been manufactured, investigated, and used in Shanghai, China. Since 1981, this biomaterial has been used in 265 cases clinically, among which 71 involved orthopedic surgery. Results are satisfactory without failure in our short-ter...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1989-01-01 00:00:00
abstract：:The purpose of this study was to examine the acute outcomes and mortality rates of an Advanced Trauma Life Support guideline approach for managing hemodynamically unstable pelvic ring injuries. We retrospectively reviewed the acute outcomes of 48 consecutive patients with hemodynamically unstable pelvic fractures. Pat...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20120222-29
更新日期：2012-03-07 00:00:00
abstract：:The literature on distal humeral supracondylar fractures does not systematically define relationships between patient characteristics and the severity or complications of these injuries. This study evaluated age, sex, height, and body mass index (BMI) in relation to fracture severity and posttreatment complications in...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20130523-12
更新日期：2013-06-01 00:00:00
abstract：:Free vascularized fibular grafting (FVFG) is an effective method to treat corticosteroid-induced osteonecrosis of the femoral head (ONFH). Some patients continued to receive maintenance doses of corticosteroids to treat the primary disease postoperatively. This study was performed to evaluate outcomes of FVFG for cort...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20140401-56
更新日期：2014-04-01 00:00:00
abstract：:Marijuana use among orthopedic patients has not been extensively studied. The purpose of this study was to investigate the prevalence of marijuana use among orthopedic surgery patients. Additionally, the authors sought to better characterize how and why their patients use marijuana. Patients presenting at 3 institutio...
journal_title：Orthopedics
pub_type： 杂志文章,多中心研究
doi：10.3928/01477447-20191212-07
更新日期：2020-03-01 00:00:00
abstract：:High-pressure water injection injuries of the hand are uncommon, and there is limited literature to guide their treatment. The ideal management of these injuries, whether nonoperative with close observation or early surgical debridement, remains unknown. The authors retrospectively identified a cohort of patients with...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20180123-04
更新日期：2018-03-01 00:00:00
abstract：:Soft tissue balance during total knee arthroplasty (TKA) procedures may be challenging to achieve in knees with severe valgus or varus deformities. The purpose of this study was to evaluate the role of navigation in predicting soft tissue release during 90 computer-assisted TKA procedures performed within a 2-year per...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：2006-10-01 00:00:00
abstract：:This study examined the forces during motion across human meniscal tears. Longitudinal cuts were created in 6 human cadaveric knees at the red-white junction of the medial and lateral menisci into which a pressure transducer was placed. Pressure data were gathered with the knees at neutral, internal rotation, and exte...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20080401-32
更新日期：2008-04-01 00:00:00
abstract：:In the United States, demand for total hip arthroplasty (THA) and THA revision procedures are increasing due to an aging population, a longer life expectancy, and an increasing prevalence of osteoarthritis. This retrospective cohort study identified patients 65 years and older in the Medicare 5% Standard Analytic File...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20181120-03
更新日期：2019-01-01 00:00:00
abstract：:Osteoarticular infections (OAIs) in the setting of infective endocarditis (IE) are uncommon. Although morbidity and mortality have been widely studied, details of the characteristics of patients with concurrent IE and OAI are limited. Therefore, the purpose of this study was to determine the (1) incidence, (2) mortali...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20191031-02
更新日期：2020-01-01 00:00:00
