Conservative treatment of low velocity gunshot wounds.

Abstract:

:A retrospective study of gunshot wounds of the extremities present 148 patients who had sufficient clinical and radiological follow-up data to assess the results. The routine treatment for this injury consisted mainly of cleansing the wound, introduction of systemic antibiotics in the emergency room followed by hospitalization. More extensive treatment and surgical debridement were done only when intraarticular or vascular injury occurred. Two patients developed infected wounds. In 6 displaced humeral shaft fractures, there were 2 non-unions and one delayed union. In 11 comminuted, displaced fractures of the femoral shaft, one non-union occurred.

journal_name

Clin Orthop Relat Res

authors

Brettler D,Sedlin ED,Mendes DG

subject

Has Abstract

pub_date

1979-05-01 00:00:00

pages

26-31

issue

140

eissn

0009-921X

issn

1528-1132

pub_type

杂志文章
  • Locked plating of proximal humeral fractures: is function affected by age, time, and fracture patterns?

    abstract:BACKGROUND:Locking plate fixation of proximal humeral fractures improves biomechanical stability. It has expanded the indications of traditional open reduction internal fixation and become increasingly common for treating unstable, displaced proximal humeral fractures. Despite improved stability it is unclear whether t...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-011-1935-6

    authors: Jones CB,Sietsema DL,Williams DK

    更新日期:2011-12-01 00:00:00

  • Total hip arthroplasty using two different cementless tapered stems.

    abstract::The authors report their 15-year experience with primary total hip arthroplasty using collarless, tapered, porous-coated femoral stems (Trilock and Taperloc) in patients with osteoarthritis, rheumatoid arthritis, and in octogenarians. Excellent clinical results were achieved in all groups at latest followup. For the p...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-200112000-00014

    authors: Purtill JJ,Rothman RH,Hozack WJ,Sharkey PF

    更新日期:2001-12-01 00:00:00

  • Hypertrophic ulnar styloid nonunions.

    abstract::Eleven patients with chronic pain on the ulnar side of the wrist and roentgenographic evidence of a hypertrophic ulnar styloid nonunion were treated with subperiosteal excision of the nonunion fragment. This procedure relieved the localized pain without changing either radiocarpal or distal radioulnar joint stability....

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Burgess RC,Watson HK

    更新日期:1988-03-01 00:00:00

  • Stabilization of the lower thoracic and lumbar spine with external skeletal fixation.

    abstract::For stabilization of the lower thoracic and lumbar spine, an external spinal skeletal fixation (ESSF) system has been developed and clinically used since 1977. The system consists of two pairs of Schanz screws and an adjustable external fixation device. The Schanz screws are firmly anchored through the pedicles into t...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Magerl FP

    更新日期:1984-10-01 00:00:00

  • Are Pasteurized Autografts Durable for Reconstructions After Bone Tumor Resections?

    abstract:BACKGROUND:Pasteurized autograft is regarded as a biologic reconstructive option for managing bone defects after tumor resection; however, reports on long-term outcomes from large patient series are scarce. Contrary to previous favorable reports, we have observed many patients with failures, in particular as the durati...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999.0000000000000100

    authors: Lee SY,Jeon DG,Cho WH,Song WS,Kim BS

    更新日期:2018-09-01 00:00:00

  • Evaluation of suspected osteoid osteoma.

    abstract::A technique of computed tomography with intravenous contrast has proven useful in the differentiation between osteoid osteoma and other similar appearing lucent lesions of bone in 6 cases. The clinical evaluation of benign appearing radiolucent lesions of long bones has been greatly improved by the use of modern imagi...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-199606000-00030

    authors: McGrath BE,Bush CH,Nelson TE,Scarborough MT

    更新日期:1996-06-01 00:00:00

  • The biplane frame: modified compression arthrodesis of the knee.

    abstract::For many years knee arthrodesis has been recommended for patients with severe degenerative disease complicated by obesity, venous insufficiency or old sepsis. Recently, failed total knee arthroplasties are being treated by arthrodesis, but these new indications entail new and difficult circumstances. A biplane fixatio...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Brooker AF Jr,Hansen NM Jr

    更新日期:1981-10-01 00:00:00

  • Delayed wound healing and nutritional deficiencies after total hip arthroplasty.

    abstract::Ninety-two patients (103 hips) treated with total hip arthroplasty (THA) were assessed before and after operation to determine nutritional status and any correlation with delayed wound healing. Parameters indicative of nutritional status (serum albumin and serum transferrin) were assessed, along with immunologic and a...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Gherini S,Vaughn BK,Lombardi AV Jr,Mallory TH

    更新日期:1993-08-01 00:00:00

  • Newer concepts in antimicrobial therapy.

    abstract::Advances in the treatment of infection have continued to increase both the length and quality of life. Unfortunately, many bacteria can readily adapt to their environment and develop a tolerance to the antimicrobial agents in widespread use. During the recent past, the consumption of cephalosporins has increased so dr...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:

    authors: Gentry LO

    更新日期:1990-12-01 00:00:00

  • A method to determine the true angulation of long bone deformity.

    abstract::A new method of geometrical analysis is capable of determining bone deformity from routine anteroposterior (AP) and lateral roentgenograms. The maximum angulation may occur in a plane other than the AP or lateral roentgenogram planes. Therefore, the maximum angulation may exceed the apparent angulation seen on routine...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Ries M,O'Neill D

    更新日期:1987-05-01 00:00:00

  • The postpolio syndrome. An overuse phenomenon.

    abstract::Persons with good recovery of function following their initial poliomyelitis are now, more than 30 years later, experiencing new weakness, fatigue, and muscle pain. The likelihood of muscle overuse being the cause of this late functional loss was investigated by dynamic electromyography (EMG) and foot-switch stride an...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Perry J,Barnes G,Gronley JK

    更新日期:1988-08-01 00:00:00

  • Variations in the use of diagnostic criteria for developmental dysplasia of the hip.

    abstract:BACKGROUND:Wide variation exists in reported prevalence estimates and management standards of developmental dysplasia of the hip (DDH). Discrepancies in diagnosticians' opinions may explain some of this variation. QUESTIONS/PURPOSES:We sought to determine (1) the consistency with which pediatric orthopaedic surgeons r...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-013-2846-5

    authors: Roposch A,Liu LQ,Protopapa E

    更新日期:2013-06-01 00:00:00

  • Computer assisted spine surgery.

    abstract::When inserting screws into a vertebral pedicle, the surgeon usually exposes the back part of the vertebra and uses his or her anatomic knowledge to align the drill in the proper direction. A slight error in direction may result in an important error in the position of the tip of the screw. This is done with no direct ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 临床试验,杂志文章

    doi:10.1097/00003086-199704000-00011

    authors: Merloz P,Tonetti J,Eid A,Faure C,Lavallee S,Troccaz J,Sautot P,Hamadeh A,Cinquin P

    更新日期:1997-04-01 00:00:00

  • THARIES surface replacements: a review of the first 100 cases.

    abstract::The first 100 cases of the 135 THARIES surface replacement procedures with 4--32 months follow-up, are evaluated in terms of clinical results, radiographic information and complications. The short but detailed follow-up suggests that this procedure was an excellent alternative for the younger and more active populatio...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Amstutz HC,Graff-Radford A,Gruen TA,Clarke IC

    更新日期:1978-07-01 00:00:00

  • The results of surgical repair of acute tears of the posterior cruciate ligament.

    abstract::In 20 patients, the torn posterior cruciate ligament (PCL) was repaired without reinforcement within two weeks after injury. Fourteen patients had a midsubstance tear, and in six the ligament was avulsed from the femur without bone. There were 11 isolated and nine combined injuries. The follow-up period ranged from tw...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Pournaras J,Symeonides PP

    更新日期:1991-06-01 00:00:00

  • Patients With Limited Health Literacy Have Similar Preferences but Different Perceptions in Surgical Decision-making for Carpal Tunnel Release.

    abstract:BACKGROUND:Health literacy is the ability to obtain, process, and understand health information needed to make appropriate health decisions. The proper comprehension by patients regarding a given disease, its treatment, and the physician's instructions plays an important role in shared decision-making. Studies have dis...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,收录出版

    doi:10.1007/s11999.0000000000000075

    authors: Roh YH,Koh YD,Kim JO,Noh JH,Gong HS,Baek GH

    更新日期:2018-04-01 00:00:00

  • Management of the spastic upper extremity in the neurologically impaired adult.

    abstract::Spasticity that interferes with upper extremity function is common in adults following stroke, brain injury, or anoxia. During the period of neurologic recovery definitive surgical procedures are avoided. Techniques to temporarily reduce spasticity include the implantation of a MicroPort reservoir and catheter for rep...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:

    authors: Keenan MA

    更新日期:1988-08-01 00:00:00

  • An electromyographic analysis of the shoulder during cones and planes of arm motion.

    abstract::Shoulder motion has traditionally been described in reference to arbitrarily defined planes of motion (e.g., sagittal/flexion, coronal/abduction). This study examined shoulder muscle recruitment during conical arm movements, which include all planes of motion. Electromyographic (EMG) data was collected with intramuscu...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Pearl ML,Perry J,Torburn L,Gordon LH

    更新日期:1992-11-01 00:00:00

  • The effect of growth hormone on established cartilage lesions. A presidential address to the Association of Bone and Joint Surgeons, 1974.

    abstract::The major problem in osteoarthritis research today is our inability to promote effective cartilage regeneration in the presence of adult chondromalacia. Yet such regeneration is consistently present in acromegalics. The present study of experimentally damaged rabbit knee cartilage measures numbers of cells, mitoses, t...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Chrisman OD

    更新日期:1975-01-01 00:00:00

  • Accuracy of computer-assisted navigation for femoral head resurfacing decreases in hips with abnormal anatomy.

    abstract::Computer-assisted navigation systems for hip resurfacing arthroplasty are designed to minimize the chance of implant malposition. However, there is little evidence computer navigation is useful in the presence of anatomical deformity. We therefore determined the accuracy of an image-free resurfacing hip arthroplasty n...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-009-0850-6

    authors: Pitto RP,Malak S,Anderson IA

    更新日期:2009-09-01 00:00:00

  • Functional anatomy of the deep motor branch of the ulnar nerve.

    abstract::Our presently inadequate knowledge of the functional anatomy of the deep branch of the ulnar nerve handicaps our management of ulnar nerve lesions. The extensive anatomical variations in the distribution of this nerve preclude adherence to a textbook pattern of innervation. Electrophysiological recordings of single se...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Dykes RW,Terzis JK

    更新日期:1977-10-01 00:00:00

  • Structure, expression, and regulation of the major noncollagenous matrix proteins of bone.

    abstract::The noncollagenous proteins (NCPs) that predominate the bone matrix have recently been the focus of intense investigation because of their potential influence on cell attachment, Ca2+ and hydroxyapatite binding, and the mineralization of bone tissue. With the advent of molecular biology, all of the major NCPs of bone ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:

    authors: Young MF,Kerr JM,Ibaraki K,Heegaard AM,Robey PG

    更新日期:1992-08-01 00:00:00

  • A prospective and blinded investigation of magnetic resonance imaging of the knee. Abnormal findings in asymptomatic subjects.

    abstract::To evaluate magnetic resonance imaging (MRI) of meniscal, ligamentous, and bony abnormalities in patients without clinical symptoms, scans were performed on 74 asymptomatic volunteers without histories or symptoms of knee injury. Before review by three radiologists in an independent and blinded fashion, the scans were...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Boden SD,Davis DO,Dina TS,Stoller DW,Brown SD,Vailas JC,Labropoulos PA

    更新日期:1992-09-01 00:00:00

  • Virtual-reality-assisted interventional procedures.

    abstract::Observable objects in biology and medicine extend across a range of scale, from individual molecules and cells; through the varieties of tissue and interstitial interfaces; and to complete organs, organ systems, and body parts. These objects include functional attributes of these systems such as biophysical, biomechan...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:

    authors: Cameron BM,Robb RA

    更新日期:2006-01-01 00:00:00

  • Accuracy of correction of complex lower-extremity deformities by the Ilizarov method.

    abstract::Gradual mechanical distraction with the Ilizarov external fixator was used on 28 limbs in 23 patients to correct complex lower-extremity deformities of diverse causes. To determine the accuracy of realignment and deformity correction, the charts and radiographs were reviewed retrospectively. Preoperative long-standing...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Tetsworth KD,Paley D

    更新日期:1994-04-01 00:00:00

  • Osteoplastic correction of the pelvic ring in old injuries of the sacroiliac and pubic joints aggravated by a large divergence of the pubic symphysis.

    abstract::Surgery to treat old injuries of the pelvis was performed to reconstruct the pelvic ring (its anterior and posterior compartments) using autoplastic materials and various fixators. The reconstructive operation for extensive disjunction of the pubic symphysis and sacroiliac joint is performed in three stages. The first...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Cherkes-Zade DI

    更新日期:1991-05-01 00:00:00

  • The epidemiology of Perthes' disease.

    abstract::Epidemiologic studies in Britain have shown that the incidence of Perthes' disease is higher in children from families of low socioeconomic status. The disease is associated with urban areas. The highest annual incidence recorded to date is 15.6 per 100,000 children younger than 15 years of age, in Liverpool, England....

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Barker DJ,Hall AJ

    更新日期:1986-08-01 00:00:00

  • Intraosseous arterial architecture in nontraumatic avascular necrosis of the femoral head. Microangiographic and histologic study.

    abstract::To determine the vascular architecture of nontraumatic avascular necrosis of the femoral head (ANFH), 38 femoral heads procured from 31 ANFH patients were studied by microangiographic and histologic methods. Microangiography showed that the head was consistently stratified into three zones: the normal vascular, the re...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Ohzono K,Takaoka K,Saito S,Saito M,Matsui M,Ono K

    更新日期:1992-04-01 00:00:00

  • Sterility of the personal protection system in total joint arthroplasty.

    abstract:BACKGROUND:Bacteria shed by operating room personnel is a source of wound contamination and postoperative infections. The personal protection system (PPS) was designed to decrease airborne bacteria and intraoperative contamination in total joint arthroplasty. QUESTIONS/PURPOSES:We determined the microbial contaminatio...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-011-1883-1

    authors: Kearns KA,Witmer D,Makda J,Parvizi J,Jungkind D

    更新日期:2011-11-01 00:00:00

  • Surgical treatment options in patients with impaired bone quality.

    abstract:BACKGROUND:Bone quality should play an important role in decision-making for orthopaedic treatment options, implant selection, and affect ultimate surgical outcomes. The development of decision-making tools, currently typified by clinical guidelines, is highly dependent on the precise definition of the term(s) and the ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:10.1007/s11999-011-1838-6

    authors: Johanson NA,Litrenta J,Zampini JM,Kleinbart F,Goldman HM

    更新日期:2011-08-01 00:00:00