Abstract：
:The results of primary Bateman-Leinbach bipolar prosthetic replacement for comminuted intertrochanteric fractures of the hip in the elderly are examined. In an effort to avoid the postoperative complications seen in open reduction and internal fixation of severely comminuted fractures with osteoporotic bone, and to avoid postoperative restrictions when fixation is suboptimal, a group of 58 patients were treated with a bipolar Bateman-Leinbach prosthesis. They were followed for an average of 28 months. Surgery was performed using an anterolateral approach, which is recommended. A detailed description of the surgical approach and operative technique are provided. Eighty-eight percent of patients were able to ambulate within the first week, weight bearing as tolerated with no postoperative restrictions, except for a simple abduction pillow for 2 weeks while in bed. Ninety-one percent of patients ambulated prior to discharge. Morbidity and mortality was no greater in this group than in groups treated by open reduction and internal fixation for these types of fractures. Complications were few. Primary Bateman-Leinbach bipolar prosthetic replacement is recommended as the preferred treatment of selected unstable comminuted intertrochanteric fractures in the elderly.
journal_name
Orthopedicsjournal_title
Orthopedicsauthors
Harwin SF,Stern RE,Kulick RGsubject
Has Abstractpub_date
1990-10-01 00:00:00pages
1131-6issue
10eissn
0147-7447issn
1938-2367journal_volume
13pub_type
杂志文章相关文献
ORTHOPEDICS文献大全abstract：:Enchondroma of the hand is a common lesion with a recurrence rate of up to 13.3% after curettage and bone grafting. Pathologic fractures often occur. Although allograft bone chips are widely used in the surgical treatment of enchondroma, the use of structural allograft bone has not been reported before. This case repo...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20150701-92
更新日期：2015-07-01 00:00:00
abstract：:ABSTRACTPatients undergoing arthroplastic surgery of the lower limbs and those with multiple injuries have a high risk of thromboembolism. Enoxaparin is a highly effective antithrombotic drug that is well tolerated and without the need for monitoring. Numerous controlled trials in these patient groups have demonstrate...
journal_title：Orthopedics
pub_type： 社论
doi：10.3928/0147-7447-19970202-07
更新日期：1997-02-01 00:00:00
abstract：:The Neer I (polyethylene glenoid), Neer II (plastic glenoid surface with metal backing), Cofield, and Gristina monospherical total shoulder prostheses were tested for joint subluxation resistance and glenoid component fixation strength. Synthetic glenoid models with consistent structural properties and standard under-...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1988-01-01 00:00:00
abstract：:Giant cell tumor of bone is an uncommon benign tumor that frequently recurs locally. Spontaneous malignant transformation of conventional giant cell tumor of bone is rare and usually occurs with irradiation.This article describes a case of malignant transformation of a giant cell tumor 41 years after initial curettage...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20120919-32
更新日期：2012-10-01 00:00:00
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
更新日期：2016-05-01 00:00:00
abstract：:The purpose of this study was to determine the influence of orthopedic surgeons' tying techniques on knot security using 2-0 and 4-0 monofilament and multifilament nylon sutures. Using an Instron Tensile Tester and a portable tensiometer, knot security was achieved with these sutures using four-throw square knots (1 =...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1995-06-01 00:00:00
abstract：:With the increasing duration of follow up on total knee arthroplasties, more revision arthroplasties are being performed. When revision is not advisable, a salvage procedure such as arthrodesis or resection arthroplasty is indicated. This article provides a comprehensive review of the literature regarding arthrodesis ...
journal_title：Orthopedics
pub_type： 杂志文章,meta分析
doi：
更新日期：1995-04-01 00:00:00
abstract：:One hundred seventy-five threaded titanium alloy prostheses (TTAP) acetabular cups and 125 cemented cups were evaluated clinically and radiographically at 1 to 3 years postoperatively. The series was statistically different in that there were more women in the cemented group than in the non-cemented group (P less than...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1989-09-01 00:00:00
abstract：:Total knee arthroplasty is a safe last-resort treatment for osteoarthritis that has excellent results in low-function-demand elderly patients. Current implants offer the same results in high-function-demand patients. However, supportive data do not exist.One-year Krackow Activity Scores (KAS) of 552 patients from 2 pr...
journal_title：Orthopedics
pub_type： 杂志文章,多中心研究
doi：10.3928/01477447-20120426-22
更新日期：2012-05-01 00:00:00
abstract：:Venous thromboembolism is an important complication in patients undergoing major orthopedic surgery. Without prophylaxis, there is a 50% to 60% incidence of deep vein thrombosis (DVT), a 10% to 30% incidence of proximal vein thrombosis, and a 1% to 2% rate of fatal pulmonary embolism after total hip replacement. The i...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1995-07-01 00:00:00
abstract：:We examined a consecutive group of patients who had undergone either open (34 patients) or single portal endoscopic (12 patients) carpal tunnel release performed by one surgeon over a period of 3 years. Fifty-seven total procedures were performed. There were no operative complications. Retrospective evaluation was don...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1996-12-01 00:00:00
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：
更新日期：2009-02-01 00:00:00
abstract：:We have presented the major advantages of using femoral components that have porous coating over the entire stemmed portion and have a cylindrical distal shape. The advantages of a stem with these design features also are reflected in the changing pattern of hip implant usage. A decade ago, the most frequently used po...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1997-09-01 00:00:00
abstract：:Calcium sulfate (OsteoSet, Wright Medical Technology, Inc, Arlington, Tenn) and calcium sulfate/demineralized bone matrix (DBM) pellets (OsteoSet DBM, Wright Medical Technology, Inc) have been evaluated preclinically in a bilateral medullary defect model of a canine humerus. In this model, both short (6 week) and long...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：2003-05-01 00:00:00
abstract：:Maryland implemented the all-payer, rater-setting Global Budget Revenue (GBR) payment model in 2014 to reduce cost and improve quality. This study assessed the effect of GBR on total knee arthroplasty (TKA) outcomes by sex. Specifically, the authors assessed (1) demographics and (2) outcomes of males and females under...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20201216-02
更新日期：2020-12-29 00:00:00
abstract：:In spinal decompression and fusion surgery, a high speed burr is often used to remove bony material. The generated bone shavings are typically washed away and discarded. This study histologically examined the content of burr shavings to determine whether the collected tissue has the potential to augment local autograf...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20090101-17
更新日期：2009-01-01 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：: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
更新日期：2017-03-01 00:00:00
abstract：:Sixty-two (11 women and 51 men) of 76 consecutive patients treated between January 1960 and December 1979 with percutaneous pinning, traction, and ambulation in Thomas splints for slipped capital femoral epiphyses (physiolysis colli femoris; PCF) were re-examined radiologically and clinically to evaluate long-term res...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1991-02-01 00:00:00
abstract：:Aspirin and unfractionated heparin (UH) are accepted options for venous thromboembolism (VTE) prophylaxis after total joint arthroplasty (TJA). The use of aspirin in addition to UH in preventing VTE after TJA has yet to be studied. The primary objective of this study was to determine VTE rates in patients receiving as...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20180320-08
更新日期：2018-05-01 00:00:00
abstract：:Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many diffe...
journal_title：Orthopedics
pub_type： 杂志文章,评审
doi：10.3928/01477447-20130122-51
更新日期：2013-02-01 00:00:00
abstract：:The reported incidence of complications following medial open-wedge high tibial osteotomy (MOWHTO) varies. The authors sought to assess the complications, additional surgeries, and joint survival following MOWHTO in patients with isolated medial compartment arthrosis during a mean follow-up of 10 years. This retrospec...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20200819-01
更新日期：2020-09-01 00:00:00
abstract：:Osteomyelitis is caused by bacterial pathogens and, less frequently, by other infectious agents. Treatment of osteomyelitis should include a course of antimicrobial therapy with a batericidal agent. This therapy should be directed at the causative bacteria isolated by bone biopsy and culture, not by wound swab culture...
journal_title：Orthopedics
pub_type： 社论
doi：10.3928/0147-7447-19830201-10
更新日期：1983-02-01 00:00:00
abstract：:The performance of TKA through less than traditional visualization presents a new set of problem areas. ...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：2005-11-01 00:00:00
abstract：:A 40-year-old male weightlifter presented with a 6-month history of a painless mass in the right deltoid. He had no history of trauma to the shoulder other than an arthroscopic rotator cuff repair a few weeks earlier. Physical examination showed a firm, nontender mass located longitudinally and coinciding with the del...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20140825-92
更新日期：2014-09-01 00:00:00
abstract：:This study assessed the outcome of pediatric both-bone forearm fractures treated with operative intervention. A retrospective review was conducted of 31 patients treated over a 40-month period. Fifteen patients were treated with flexible intramedullary nailing and 16 treated with open reduction and internal fixation. ...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20070501-08
更新日期：2007-05-01 00:00:00
abstract：:The optimum management for recurrent glenohumeral instability with significant humeral head defects remains controversial. The purpose of this study was to compare outcomes and recurrence rates between patients who underwent osteochondral substitute grafting and patients who underwent remplissage to treat recurrent sh...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20121217-16
更新日期：2013-01-01 00:00:00
abstract：:Documentation, coding, and billing for physician-patient encounters have evolved over time and have significant variability. Appropriate and complete documentation of these encounters can contribute to the financial viability of private and academic medical centers. The objectives of this study were to assess the fina...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20121023-26
更新日期：2012-11-01 00:00:00
abstract：:Staphylococcus aureus is the most common causative organism in pediatric septic arthritis, with methicillin-resistant Staphylococcus aureus (MRSA) being responsible for a significant portion of these infections. Early identification and initiation of proper treatment may improve outcomes by minimizing potential morbid...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20180213-04
更新日期：2018-03-01 00:00:00
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
更新日期：2013-03-01 00:00:00
