Abstract：
:Osteonecrosis of the femoral head in the setting of alcohol abuse is a potential important cause of symptomatic hip disease in young patients. All cases of uncemented primary total hip arthroplasty (THA) with a primary operative diagnosis of osteonecrosis of the femoral head secondary to alcohol abuse treated at our institution from January 1990 to February 2002 were identified. Twenty-three patients with 28 hips were identified; all patients had advanced disease (subchondral collapse) that was unresponsive to conservative treatment modalities. Within 5 years of index THA, 2 patients were lost to follow-up, and 2 patients died from causes unrelated to their surgery. The remaining 19 patients underwent 24 THAs. Unilateral THA was performed in 14 patients, and bilateral THA was performed in 5 patients. Seventeen men and 2 women with an average age of 41.8 years (range, 30-59 years) at the time of THA were included in the study. The average duration to clinical follow-up was 7.6 years. There was significant improvement in hip pain and hip function scores. Seven THAs were revised at a mean 6.7 years following index THA. Five- and 10-year implant survivorship free of revision was 96% and 64%, respectively (Kaplan-Meier Survivorship Analysis). The continued use of alcohol was associated with a slightly increased risk of failure (61% implant survivorship at 10 years in those with continued alcohol intake vs 75% 10-year survivorship in those without).
journal_name
Orthopedicsjournal_title
Orthopedicsauthors
Yuan B,Taunton MJ,Trousdale RTdoi
10.3928/01477447-20090511-06subject
Has Abstractpub_date
2009-06-01 00:00:00pages
400issue
6eissn
0147-7447issn
1938-2367pii
orthopedics.40073journal_volume
32pub_type
杂志文章相关文献
ORTHOPEDICS文献大全abstract：:Halo-vest orthoses have been associated with complications. Previous reports have suggested increased complications in elderly patients; however, data are limited. This study reviewed 75 patients =/>65 years with cervical spine fractures treated with halo-vest orthoses. Forty-one patients (55%) experienced at least 1 ...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20080501-35
更新日期：2008-05-01 00:00:00
abstract：:Synthetic femurs were used to assess the initial bone-implant interface stability of three total hip systems: Wright Medical Technology's Infinity smooth trochanteric module (S-TM), Infinity porous-coated trochanteric module (PC-TM), and Johnson and Johnson S-ROM with a porous surface. The hips were implanted into syn...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1998-08-01 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：:The bacterium Pasteurella haemolytica is resident in the oral cavities of dogs and cats and is often a cause of zoonotic infection. However, it is rare for it to be the pathogenic bacteria behind pyogenic spondylitis, and few studies have been conducted on it. This article reports a case of pyogenic cervical spondylit...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20110922-32
更新日期：2011-11-09 00:00:00
abstract：:This article describes a case of late locking mechanism failure and disassociation of a Pinnacle acetabular cup (DePuy, Warsaw, Indiana) and Marathon polyethylene liner (DePuy) 53 months after routine primary total hip arthroplasty in an active patient. Following an uncomplicated initial postoperative recovery, the pa...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20120327-29
更新日期：2012-04-01 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：: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
更新日期：2015-05-01 00:00:00
abstract：:Effective pedicle diameter (EPD), the maximal cancellous diameter of the spinal pedicle, demonstrates the maximal diameter available for transpedicular screw placement. The pedicles of 16 spines from T6 to L5 were measured directly with a graduated mean increase in the EPD ranging from 4.8 mm at T6 to 5.9 mm at L5. Th...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1989-07-01 00:00:00
abstract：:This article examines a rare association of carpal tunnel syndrome and trigger finger produced by a single flexor tendon tumor. Examination and treatment is also discussed. ...
journal_title：Orthopedics
pub_type： 社论
doi：10.3928/0147-7447-19810301-07
更新日期：1981-03-01 00:00:00
abstract：:The anterior cruciate ligament (ACL) is a major ligament that helps maintain the stability of the knee joint. Injury to the ACL can be treated by replacing the torn ligament. This study determined the optimal flexor tendon length in the bone tunnel in ACL reconstruction.Autologous ACL reconstruction was performed usin...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20130426-20
更新日期：2013-05-01 00:00:00
abstract：:The value of primary knee radiographs was examined in 144 cases with acute anterior cruciate ligament rupture to determine the ability of the films to reveal or confirm the correct diagnosis. In 15% of the patients, the radiographs were found to give significant diagnostic help by revealing typical avulsion fractures ...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1988-11-01 00:00:00
abstract：:Partial weight bearing is often prescribed for patients with orthopedic injuries. Patients’ ability to accurately reproduce partial weight bearing orders is variable, and its impact on clinical outcomes is unknown. This observational study measured patients’ ability to reproduce partial weight bearing orders, factors ...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20131219-10
更新日期：2014-01-01 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：:Hip fracture surgery carries a high risk of venous thromboembolism and, until recently, was poorly investigated. The efficacy and safety of fondaparinux, a new synthetic antithrombotic, were investigated in two large, thromboprophylaxis studies. Results of the Penthifra study, which was a randomized, double-blind phas...
journal_title：Orthopedics
pub_type： 杂志文章,评审
doi：
更新日期：2003-08-01 00:00:00
abstract：:Antibiotics are commonly mixed with polymethylmethacrylate (PMMA) cement to suppress severe periprosthetic infections associated with total joint arthroplasty. The relationship between antibiotic concentration and the resulting elution kinetics remains unclear. The purpose of this study was to characterize the release...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20120327-19
更新日期：2012-04-01 00:00:00
abstract：:Fractures of the medial clavicle are rare, and most usually displace anterior or superior. Due to the structures in the mediastinum, accurate diagnosis of posterior fractures or dislocations is vital, but diagnosis can be difficult and delayed. Duplex ultrasound and three-dimensional computed tomography can be helpful...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：2003-01-01 00:00:00
abstract：:Pain control after total knee arthroplasty (TKA) is integral in the immediate postoperative period for early rehabilitation. Numerous different methods of postoperative analgesia are available, but each has its own risk of adverse side effects. This study was performed to prospectively evaluate the benefits of an intr...
journal_title：Orthopedics
pub_type： 杂志文章,随机对照试验
doi：10.3928/01477447-20110317-11
更新日期：2011-05-18 00:00:00
abstract：:A single stage procedure for correction of congenital vertical talus using a medial approach is described. The operation was performed on 14 feet with good initial anatomical results in all cases. No wound healing complications were observed. ...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1990-11-01 00:00:00
abstract：:Perioperative blood loss after total knee arthroplasty (TKA) affects postoperative recovery. Tranexamic acid is safe and efficient in reducing blood loss without increasing thromboembolic events. Epsilon-aminocaproic acid (ε-ACA) is less expensive than and as safe as tranexamic acid. Its efficiency when locally applie...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20170925-07
更新日期：2017-11-01 00:00:00
abstract：:Twenty-two patients with fibrous dysplasia in the femoral neck or trochanteric area were treated with curettage and bone grafting with a sliding hip compression screw and plate. Follow-up ranged from 2 to 6 years (average: 4 years). Fourteen patients had monostotic and 8 had polyostotic disease. Four patients had path...
journal_title：Orthopedics
pub_type： 临床试验,杂志文章
doi：
更新日期：1998-12-01 00:00:00
abstract：:Civil Liability and the Investigational Device Exemptions. ...
journal_title：Orthopedics
pub_type： 社论
doi：10.3928/0147-7447-19801201-13
更新日期：1980-12-01 00:00:00
abstract：:The degree to which subjective patient-reported measures reflects objective findings or how well subjective and objective measures reflect patient satisfaction is not well established. The purpose of this study was to determine the correlation between such measures before and after shoulder arthroplasty. A group of 17...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20130523-29
更新日期：2013-06-01 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：: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：:Since its inception, arthroscopic surgery has become widely adopted among orthopedic surgeons. It is therefore important to have an understanding of the basic principles of arthroscopy. Compared with open techniques, arthroscopic procedures are associated with smaller incisions, less structural damage, improved intra-...
journal_title：Orthopedics
pub_type： 杂志文章,评审
doi：10.3928/01477447-20160427-01
更新日期：2016-05-01 00:00:00
abstract：:Thirty-five unicondylar knee arthroplasties were performed on 32 patients. In the unresurfaced compartments, degenerative cartilaginous changes were observed intraoperatively and recorded. The Outerbridge grading scale was used to assess the degree of arthritic change. In addition, the surface area involved was estima...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1990-03-01 00:00:00
abstract：:A combination of external and internal fixation techniques for a fibular lengthening procedure using the Ilizarov method is described. The technique is minimally invasive, allows precise deformity correction, enables early weight bearing, and minimizes the time that the patient wears the external fixator. ...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：2002-11-01 00:00:00
abstract：:Deep venous thrombosis (DVT) of the upper extremity is uncommon compared with DVT of the lower extremity. Exertional DVT has been described in some athletes, especially in the dominant arm of baseball players. It is important for health care professionals to recognize the signs and symptoms of upper-extremity DVT, whi...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20141124-92
更新日期：2014-12-01 00:00:00
abstract：:Hemiarthroplasty (HA) of the shoulder has several potential advantages over total shoulder arthroplasty (TSA), particularly in the elderly population. This study reviewed long-term results of HA and TSA in patients older than 70 years with glenohumeral osteoarthritis. During a 30-year period, 403 shoulders had undergo...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20180621-03
更新日期：2018-07-01 00:00:00
abstract：:Anterior cruciate ligament (ACL) tears are commonly seen injuries. Initially, these injuries are routinely evaluated with radiographs, followed by magnetic resonance imaging (MRI). The altered kinematics at the time of injury or for the duration of a chronic tear can create indirect findings on radiographs and MRI. Th...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20141023-06
更新日期：2014-11-01 00:00:00
