Abstract:
:Trochanteric nonunion associated with total hip arthroplasty (THA) may result from 1 of 3 situations: 1) isolated fracture of the greater trochanter; 2) complication of trochanteric osteotomy; or 3) fracture secondary to cystic formation or osteolysis from wear debris post-THA. Isolated fracture of the greater trochanter can occur during primary or revision THA or as a result of trauma in the post-THA patient. It is estimated that approximately 5% of intraoperative femoral fractures involve just the greater trochanter. Perhaps the most common case is subsequent to trochanteric osteotomy. Although trochanteric osteotomy is more often used in revision THA, it may be used in primary THA where there is severe femoral deformity, developmental dysplasia of the hip, or in cases where previous intraosseous hardware is removed. Finally, trochanteric nonunion may be seen in subsequent to late fracture through an osteolytic lesion of the greater trochanter. Regardless of the etiology, nonunion of the greater trochanter can result in significant pain, Trendelenberg gait, and functional limitations, and additional surgery to reattach the trochanter may be required. Reattachment may be accomplished using various techniques, including abductor slide, trochanteric claw plate, Dalls-Miles cable grip system, and various wiring techniques. The nonunion rate following trochanteric osteotomy ranges up to 6%, and persistent nonunion following reattachment ranges up to 39%.
journal_name
Orthopedicsjournal_title
Orthopedicsauthors
Capello WN,Feinberg JRsubject
Has Abstractpub_date
2008-07-01 00:00:00pages
711issue
7eissn
0147-7447issn
1938-2367pii
orthopedics.28904journal_volume
31pub_type
杂志文章相关文献
ORTHOPEDICS文献大全abstract::The operative treatment of olecranon fractures is controversial. Proponents of open reduction and internal fixation cite restoration of anatomy and rigid fixation, while proponents of excision of fracture fragments with repair of the extensor mechanism cite few complications and a rapid return of motion and function. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1993-12-01 00:00:00
abstract::This study assesses femoral neck shortening and its effect on gait pattern and muscle strength in patients with femoral neck fractures treated with internal fixation. Seventy-six patients from a multicenter randomized controlled trial participated. Patient characteristics and Short Form 12 and Western Ontario and McMa...
journal_title:Orthopedics
pub_type: 杂志文章,随机对照试验
doi:10.3928/01477447-20130624-13
更新日期:2013-07-01 00:00:00
abstract::The herpes zoster virus is a rare but potential cause of acute motor weakness. This article describes 2 patients with drop foot secondary to an infection of varicella zoster who were incorrectly referred to an orthopedic clinic from their general practitioners. The first patient was a 74-year-old man who presented wit...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20111021-26
更新日期:2011-12-06 00:00:00
abstract::Arthroscopy is a valuable technique used by the majority of orthopedic surgeons in practice. Complications in arthroscopy have been compiled on a formal basis since 1983. Several studies on complications are reviewed and summarized. A recent prospective study on complications is reviewed in detail. The most frequent t...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1993-09-01 00:00:00
abstract::Though originally designed to facilitate the management of primary malignant bone tumors, the indications for the Howmedica Oncology modular endoprostheses have expanded to include the reconstruction of metastatic lesions, failed internal fixation of difficult trauma problems, and failed conventional and custom tumor ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1997-01-01 00:00:00
abstract::This article describes the clinical course of a patient with a resurfacing implant in a poor cup position in combination with elevated serum metal ions prior to implant failure. Following resurfacing, the patient had substantial improvement from baseline in pain and functional status. Postoperative radiographs indicat...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090922-22
更新日期:2009-11-01 00:00:00
abstract::This is a 1.2- to 5.3-year survival and clinicoradiologic study of patients with the Birmingham Mid-Head Resection (BMHR) device (Smith & Nephew Orthopaedics, Warwick, United Kingdom). Sixty consecutive hips implanted with this device between 2003 and 2007 were reviewed with hip outcome questionnaires, clinical examin...
journal_title:Orthopedics
pub_type: 临床试验,杂志文章
doi:
更新日期:2008-12-01 00:00:00
abstract::Dynamization of fracture fixation constructs provides early rigidity for primary bone healing and late motion for secondary healing. A review of laboratory, animal, and clinical studies investigating the impact, and optimal timing, of dynamization is limited by lack of standardization across studies. However, in anima...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:10.3928/01477447-20200213-08
更新日期:2020-05-01 00:00:00
abstract::Selective blocks of the tibial nerve with aqueous solution of 5% phenol, after localization of the nerve by electrical stimulation, were performed in 30 patients with acquired hemiplegia for treatment of severe spasticity of the foot plantar flexors and ankle clonus. Ankle clonus disappeared in all patients and resist...
journal_title:Orthopedics
pub_type: 社论
doi:10.3928/0147-7447-19800901-10
更新日期:1980-09-01 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::Malignant granular cell tumor is a rare neural tumor characterized by abundant granular-appearing tumor cells. These tumors account for <2% of all granular cell tumors. Unlike its benign counterpart, a malignant granular cell tumor presents primarily in the lower limb and is notably larger. Both the uncommon occurrenc...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20110627-31
更新日期:2011-08-08 00:00:00
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
更新日期:2012-06-01 00:00:00
abstract::Arthroscopic excision of os acromiale is a feasible alternative to open excision or fusion. This article describes the authors' experience with 28 patients (31 shoulders) who underwent arthroscopic excision of os acromiale and its effect on shoulder pain and function, with specific emphasis on deltoid strength measure...
journal_title:Orthopedics
pub_type: 临床试验,杂志文章
doi:10.3928/01477447-20121023-16
更新日期:2012-11-01 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::We report the 2-year follow-up results of a hemiarthroplasty in a 29-year-old patient with pigmented villonodular synovitis (PVNS) with extra-articular extension and severe bony destruction. The patient presented with diffuse pain and swelling of the right shoulder for several years. Radiographs showed severe osteolyt...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20111122-30
更新日期:2012-01-16 00:00:00
abstract::Endoprosthetic reconstructions of the hip and knee are currently reimbursed as primary hip and knee arthroplasty according to Current Procedural Terminology (CPT) coding guidelines. The purpose of this study was to compare hospital resources consumed by patients undergoing endoprosthetic reconstruction with those cons...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20201012-02
更新日期:2021-01-01 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::Orthopedic patients are often instructed on how much weight to bear on an injured or postoperative extremity. Although specific weight-bearing instructions are given to a majority of lower-extremity orthopedic patients, the ability of patients to comply with these instructions is questioned in the medical literature. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20111122-14
更新日期:2012-01-16 00:00:00
abstract::Six iliac crest bone biopsies were obtained from five patients with renal osteodystrophy and osteosclerotic lesions to investigate the mechanism of osteosclerosis in renal osteodystrophy. Each specimen was prepared in an undecalcified fashion and measured under light microscopy for routine analysis and histomorphometr...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2002-07-01 00:00:00
abstract::Acute traumatic anterior shoulder dislocations are associated with high recurrence rates in young athletic individuals. Arthroscopically assisted stabilization of acute initial traumatic anterior dislocation was carried out in 11 young athletes. The average age was 20 years, with nine males and two females. The anteri...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1993-09-01 00:00:00
abstract::Although there is no documented, objective evidence that symptomatic post-polio subjects are rapidly losing strength, they have a number of neuromuscular deficits related to a more severe poliomyelitis illness that may explain why they complain of problems with strength, endurance, and local muscle fatigue. Symptomati...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1991-12-01 00:00:00
abstract::Aseptic loosening of the glenoid component after total shoulder arthroplasty presents a considerable treatment challenge in the setting of substantial glenoid bone loss. Glenoid component explantation and bone grafting of defects have become common methods of recreating bone stock in hopes of preventing later fracture...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20110922-19
更新日期:2011-11-01 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::Distal femur fractures routinely heal by secondary bone healing, which relies on interfragmentary motion. Periarticular locking plates are commonly used for fixation in distal femur fractures but are associated with a high nonunion rate, likely due to the stiffness of the constructs. Far cortical locking (FCL) screws ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20150305-50
更新日期:2015-03-01 00:00:00
abstract::Sural nerve grafts have applicability in many facets of reconstructive surgery. A harvesting technique is described which utilizes a tendon stripper introduced through a single distal incision. This method provides adequate length of autogenous graft material without significant difficulty or morbidity. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1985-09-01 00:00:00
abstract::Acute compartment syndrome of the thigh is a serious although rare occurrence that was sparsely documented in the orthopedic literature until Schwartz et al reported on a series of 21 cases. Although classically associated with high-energy femur fracture, thigh contusion, or the use of military anti-shock trousers, co...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20091020-19
更新日期:2009-12-01 00:00:00
abstract::External fixation was employed in 33 open extremity fractures in 29 patients. These high energy injuries were characterized by massive soft tissue injury, contamination, instability, comminution, and/or segmental bone loss. Initial management consisted of irrigation and debridement, and application of the external fix...
journal_title:Orthopedics
pub_type: 社论
doi:10.3928/0147-7447-19810401-07
更新日期:1981-04-01 00:00:00
abstract::Ankylosing spondylitis is a disease in which inflammation of joints, most often in the axial skeleton, can lead to reactive fibrosis and eventual joint fusion with associated immobility and kyphosis. The disease often involves extra-articular features, such as uveitis and aortic regurgitation, as well as associated in...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20140124-27
更新日期:2014-02-01 00:00:00
abstract::The human medial cuneiform is incompletely characterized with regard to anatomical morphology, including mineral density and bone quality. Clinically, we have observed failures of fixation by pull-through of devices through relatively soft medial bone. Defining patterns of relative density may provide valuable informa...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20110317-07
更新日期:2011-05-18 00:00:00
abstract::Minimally invasive plate osteosynthesis (MIPO) has been used for humeral shaft fractures, but concerns exist about soft tissue injuries. The purpose of this study was to report the surgical technique and clinical outcomes of MIPO using a helical plate for metadiaphyseal complex humeral shaft fractures. Twelve patients...
journal_title:Orthopedics
pub_type: 临床试验,杂志文章
doi:10.3928/01477447-20140225-55
更新日期:2014-03-01 00:00:00