Abstract：
:This article describes the case of a 69-year-old patient with an occult acetabular fracture complicated by an ipsilateral femoral neck fracture occurring within 2 months. The acetabular fracture remained undiagnosed at examination due to insufficient clinical and radiographic data interpretation. The patient was assured of early mobilization that led to a fall and subsequent hip fracture. We focus on the potential reasons for the nondiagnosis of the acetabular fracture. Acetabular fractures in the elderly may occur after low-energy injuries. The lack of history of violent injury may lead to an incorrect diagnosis. Plain anteroposterior (AP) pelvis radiographs alone may prove an insufficient tool, especially in the hands of inexperienced personnel. As is characteristic, a retrospective review of the AP pelvis radiograph obtained after the first fall in our case revealed the undisplaced fracture of the anterior column that was missed initially. Combined fractures of the hip and the acetabulum are rarely described in the literature and are usually addressed by total hip arthroplasty (THA) alone. Similar fracture patterns that develop in 2 stages (2 injuries), as the 1 presented herein, are even more rare. The uniqueness of this combined fracture required a unique surgical treatment. The senior surgeon (P.V.G.) addressed the acetabular fracture separately to graft the anterior column fracture and facilitate union, as it was already 8 weeks old and the second fall had generated a further gap between the fragments. Stable fixation was felt appropriate prior to the THA. Thus, a double surgical approach was used. Six weeks postoperatively, the patient was able to perform full weight-bearing mobilization without an antalgic gait pattern. At 6-month follow-up, radiographs showed the metalwork to be in place with no displacement, and the fracture had progressed to union.
journal_name
Orthopedicsjournal_title
Orthopedicsauthors
Lasanianos N,Kanakaris N,Giannoudis PVdoi
10.3928/01477447-20090624-28subject
Has Abstractpub_date
2009-08-01 00:00:00issue
8eissn
0147-7447issn
1938-2367pii
orthopedics.41935journal_volume
32pub_type
杂志文章相关文献
ORTHOPEDICS文献大全abstract：:Clinical examination of the knee to determine the presence of ACL injury presents a challenge to many clinicians. The prone Lachman test offers many advantages in enhancing patient relaxation, improving psychomotor proficiency, and improving the clinician's interpretation of the results. ...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20110505-07
更新日期：2008-07-01 00:00:00
abstract：:The authors prospectively assessed long-term anticoagulation outcomes (≥3 years) for 9 patients meeting 4 inclusion criteria: pretreatment Ficat stage I or II primary hip osteonecrosis (ON), factor V Leiden or prothrombin G20210A heterozygosity, no contraindication to anticoagulation, and 90-day participation in an in...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20200404-06
更新日期：2020-07-01 00:00:00
abstract：:The congenital vs acquired etiology of pediatric trigger thumb is the subject of considerable debate. Existing case reports of bilateral presentation in identical twins and first-degree familial association support the congenital hypothesis. However, prospective studies have yet to report a neonate presenting with thi...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20120525-48
更新日期：2012-06-01 00:00:00
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
更新日期：2010-03-01 00:00:00
abstract：:Vigorous treatment is not always necessary to eradicate late postoperative infection after total knee implantation. Aspiration of the pus and intravenous antibiotic administration was enough to eradicate the infection in the case reported. ...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1978-05-01 00:00:00
abstract：:Locked intramedullary nailing is the current standard of treatment for femoral shaft fractures and has low complication rates. Bent femoral intramedullary nails resulting from secondary trauma are rare and technically challenging. This article describes a case of a 36-year-old man who presented with a bent femoral int...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20120222-32
更新日期：2012-03-07 00:00:00
abstract：:Lateral epicondylitis is a commonly made diagnosis for general practitioners and orthopedic surgeons. Corticosteroid injection is a mainstay of early treatment. However, conflicting evidence exists to support the use of steroid injection, and no evidence in the literature supports an injection technique. Nineteen pati...
journal_title：Orthopedics
pub_type： 杂志文章,随机对照试验
doi：10.3928/01477447-20110922-13
更新日期：2011-11-09 00:00:00
abstract：:Sacrectomy is intended to resect aggressive local and life-threatening disease. Reconstruction can be difficult. This article reports on the use of sacrectomy for tumor and tumor-like conditions. Procedures included 9 partial, 7 subtotal, 7 hemi-, and 4 total sacrectomies. Of 22 patients with primary malignant disease...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：2005-03-01 00:00:00
abstract：:The authors analyzed bone mineral density (BMD) in 283 postmenopausal and senile women using dual energy x-ray absorptiometry from March 1990 to April 1992. Bone mineral density of the vertebral body in the osteoporotic fracture group was compared with that in the osteoporotic group to investigate the correlation amon...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1996-11-01 00:00:00
abstract：:Spine stabilization after C3-C7 laminectomy can be accomplished with many instrumentation options. A hybrid construct using lateral mass screws from C3 to C5 and pedicle screws at C7 can potentially maximize strength and solve the spatial constraints introduced by the placement of C6 lateral mass screws and C7 pedicle...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20130327-27
更新日期：2013-04-01 00:00:00
abstract：:Total knee arthroplasty (TKA) is an effective treatment for arthritic knee pain, but patients may not return to their desired recreational or functional activity level post-TKA. The difference in functional outcome between patients who underwent TKA and patients with normal (nonarthritic) knees may be related to diffe...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：2007-08-01 00:00:00
abstract：:Bulk allograft reconstruction plays an important role in limb-salvage reconstructive surgery but is complicated by nonunion in up to one-third of cases. Because allograft-host healing is mediated via creeping substitution, intimate bone contact is desirable. Intraoperative assessment and optimization of the allograft-...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20120123-30
更新日期：2012-02-01 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：: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：: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
更新日期：1981-02-01 00:00:00
abstract：:Tumor excision surgeries of the spine present a distinct challenge regarding the maintenance of spinal cord blood supply because they often require preoperative embolization of segmental arteries, ligation of the corresponding nerve roots, and circumferential exposure of the dural sac. The authors present a case of de...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20181023-07
更新日期：2019-01-01 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：: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：:Fragility fractures of the distal radius represent an opportunity to diagnose and treat osteoporosis before further fractures occur. The goal of this study was to determine the prevalence of prescriptions for calcium/vitamin D supplementation and the prevalence of dual-energy x-ray absorptiometry (DEXA) scans in patie...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20141124-53
更新日期：2014-12-01 00:00:00
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
更新日期：1982-10-01 00:00:00
abstract：:Since its introduction more than 30 years ago, wrist arthroscopy has become an essential diagnostic and therapeutic tool in hand surgery. This procedure minimizes exposures and allows access to otherwise remotely located anatomic regions with minimal morbidity. Advances in anatomic understanding and wrist scope techno...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20140401-07
更新日期：2014-04-01 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 objective of this study was to determine the effectiveness of 2% glutaraldehyde as a sterilant for arthroscopes that had been used in septic joints. The first part of the experiment determined the minimum inhibitory concentration and the minimum lethal concentration of the disinfectant for five organisms frequentl...
journal_title：Orthopedics
pub_type： 社论
doi：10.3928/0147-7447-19840201-09
更新日期：1984-02-01 00:00:00
abstract：:A technique for recording the myoelectric activity of electrically stimulated muscle through its motor nerve without the interference of stimuli artifacts has been developed and tested. The technique consists of a wide band differential amplifier with fine intramuscular wire electrodes. The amplified signal is passed ...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1985-04-01 00:00:00
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：:The use of a mobile-bearing knee system is routine in modern total knee arthroplasty (TKA). There are indications for use of a mobile-bearing TKA for a growing number of patients. The design, however, was not always well appreciated. Fears of perioperative difficulties and lack of understanding of the design principle...
journal_title：Orthopedics
pub_type： 历史文章,杂志文章
doi：
更新日期：2006-09-01 00:00:00
abstract：:When conservative measures fail to alleviate pain and disability of ankle joint disease, tibiotalar arthrodesis is the present accepted surgical treatment. Unfortunately, ankle arthrodesis also carries a significant rate of complications and the success rate does not parallel the results of hip and knee joint arthropl...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1987-01-01 00:00:00
abstract：:Between 1982 and 1986, 56 femoral fractures associated with cementless total hip arthroplasty (THA) were evaluated and compared to a randomly selected cementless THA control group without fractures. Depending upon the femoral shaft location, these fractures were classified as Types I, II or III. There were 45 (80%) Ty...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1989-02-01 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：: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
