Abstract:
:From November 1989 to September 1994, a total of 26 patients (18 men and 8 women) with acute displaced femoral neck fractures were treated with closed reduction and Knowles pinning combined with vascularized iliac bone grafting. Mean patient age was 37.5 years (range: 24-48 years). The mean time interval from injury to surgery was 3.6 days (range: 1-10 days). One patient experienced loss of the reduction at 6 weeks postoperatively and subsequently went on to hip replacement. Mean follow-up for the remaining 25 patients was 56.2 months (range: 20-78 months). All fractures united within 4 months. The average union time was 3.3 months. Plain radiographs confirmed the presence of avascular necrosis in 2 patients during the final follow-up; 1 of these patients developed systemic lupus erythematous 1 year after the fracture and had been treated with high doses of corticosteroid. Functional and radiographic results were satisfactory in the remaining patients.
journal_name
Orthopedicsjournal_title
Orthopedicsauthors
Chang MC,Lo WH,Chen THsubject
Has Abstractpub_date
1999-05-01 00:00:00pages
493-9issue
5eissn
0147-7447issn
1938-2367journal_volume
22pub_type
杂志文章相关文献
ORTHOPEDICS文献大全abstract::Unstable clavicular fractures can be treated surgically with pins and wires or with plates. The migration of metallic devices such as Kirschner wires (K-wires) from the shoulder to a variety of anatomical proximal and distal locations is well documented. Spinal migration, however, is rare and is normally associated wi...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20081201-03
更新日期:2008-12-01 00:00:00
abstract::The significant complication rate associated with harvesting autologous iliac bone or fibula has encouraged development of alternative graft substitutes. In this study, the authors investigated the efficacy and safety of synthetic porous hydroxyapatite (HA) combined with local vertebral bone graft for use in anterior ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20161208-02
更新日期:2017-03-01 00:00:00
abstract::Isolated injuries of the posterolateral corner of the knee are uncommon injuries in adults and are relatively unheard of in the pediatric population. This article reports a case of a 13-year-old boy who sustained an external rotation injury to his proximal tibia on a slightly flexed knee while playing football. Radiog...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20110826-22
更新日期:2011-10-01 00:00:00
abstract::Toe phalanges with attached periosteum can be transferred to hands with congenital aphalangia, constructing rudimentary digits with growth potential. Using a volar technique, rather than the traditional dorsal method, allows stabilization of the constructed metacarpophalangeal joint and maximizes flexor function. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1990-12-01 00:00:00
abstract::We reviewed the results of treatment of 114 feet in 96 patients with pressure metatarsalgia treated with a metatarsal osteotomy performed according to the technique of Helal. Clinical examination was performed according to a standardized evaluation questionnaire using the American Orthopaedic Foot and Ankle Society Le...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1996-05-01 00:00:00
abstract::Proximal femoral valgus osteotomy for Legg-Calvé-Perthes disease was evaluated at an average 5 years postoperatively in 31 consecutive patients. The indications for osteotomy were hinge abduction and pain. The Iowa hip scores at follow-up for 21 patients averaged 93 points. Combined clinical and radiographic review fo...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2002-05-01 00:00:00
abstract::Mixing implants with differing metallic compositions has been avoided for fear of galvanic corrosion and subsequent failure of the implants and of bone healing. The purpose of this study was to evaluate upper-extremity fractures treated with open reduction and internal fixation with metallic implants that differed in ...
journal_title:Orthopedics
pub_type: 杂志文章,多中心研究
doi:10.3928/01477447-20130821-21
更新日期:2013-09-01 00:00:00
abstract::Between April 1999 and February 2000, femoral component rotation and asymmetry (universal versus anatomic) were studied in a prospective randomized control trial in 101 consecutive patients undergoing total knee replacement. Patients were randomly assigned to four groups. The same surgical technique was used in all pa...
journal_title:Orthopedics
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:2002-10-01 00:00:00
abstract::This article describes a patient in whom total knee arthroplasty was performed for neuropathic joint disease secondary to diabetes mellitus after severe bone destruction eroded the tibial tuberosity. At initial examination, radiographs of the knee showed bone destruction in the medial and anterior regions of the tibia...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20120621-32
更新日期:2012-07-01 00:00:00
abstract::Metastatic involvement of the pelvis, and in particular the acetabulum, is a common finding among patients with metastatic osseous disease. With involvement of the joint surfaces, specifically the hip and sacroiliac joints, marked compromise of function can occur. With advances in imaging and the evolution of surgical...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1992-05-01 00:00:00
abstract::Total number of citations has been considered a proxy for a published study's importance within a given field. However, there are multiple pitfalls to correlating the total number of citations alone with the quality of a study. In this review, the authors aimed to identify the top 100 most-cited studies of hip and kne...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20190211-05
更新日期:2019-03-01 00:00:00
abstract::Rupture of the distal biceps tendon most commonly is secondary to mechanical overload during eccentric muscle contraction. Due to deficits of strength and endurance, surgical repair usually is recommended. Although both single- and double-incision approaches have been described, double-incision techniques have been sh...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:10.3928/01477447-20190723-05
更新日期:2019-11-01 00:00:00
abstract::A carbon fiber stackable cage system is presented to promote the reconstruction of the anterior column after vertebrectomy or corpectomy in tumor and trauma surgery. Modularity, immediate stability, early fusion of the graft, radiolucency, and no risk of disease transmission are the main advantages of this system. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2002-01-01 00:00:00
abstract::Orthopedists have expressed concerns regarding the utility for and applicability to their practices of guidelines from the American College of Chest Physicians (ACCP) for thromboprophylaxis in the settings of total hip and total knee arthroplasty (THA and TKA, respectively). These concerns include the acceptance by th...
journal_title:Orthopedics
pub_type: 杂志文章,实务指引
doi:10.3928/01477447-20091103-52
更新日期:2009-12-01 00:00:00
abstract::Eleven patients with 12 three-part fractures of the proximal humerus were treated by open reduction and internal fixation using AO/ASIF buttress plating. All of the fractures healed. There were no failures of fixation. Nine of these patients returned for a follow up of more than 2 years and had a satisfactory rating u...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1989-01-01 00:00:00
abstract::This study evaluated the expanding role of freestanding ambulatory surgery centers in pediatric fracture care based on the only national ambulatory surgery database within the United States. Released by the Centers for Disease Control and Prevention in 1996 and again in 2006, these reports were used to estimate the vo...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20151002-52
更新日期:2015-10-01 00:00:00
abstract::Fourteen of 80 interpreters (18%) for deaf students at a national center on deafness sought medical care for painful conditions of the upper extremity; 11 others (14%) had less severe or transient symptoms. The conditions were brought on by repetitive use and were relieved by rest. All represented overuse syndromes. T...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1990-02-01 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
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::As a result of reading this article, physicians should be able to: 1. List the features that are useful in differentiating a low-grade chondrosarcoma from an enchondroma. 2. Describe the treatment principles of low-grade cartilage tumors based on the anatomic location and stage of the tumor. 3. Discuss the characteris...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:10.3928/01477447-20070101-08
更新日期:2007-01-01 00:00:00
abstract::As a screening tool, CT angiography has excellent sensitivity and specificity combined with fewer complications compared to conventional arteriography. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20080801-27
更新日期:2008-08-01 00:00:00
abstract::Patients with knee osteoarthritis present with reduced quadriceps muscle strength, which is partially responsible for impaired function and disability. Although total knee replacement (TKR) is an effective surgical procedure, residual muscle weakness is not usually addressed and may persist for years postoperatively. ...
journal_title:Orthopedics
pub_type: 杂志文章,随机对照试验
doi:10.3928/01477447-20110124-06
更新日期:2011-03-11 00:00:00
abstract::Bicondylar tibial plateau fractures usually include damage to the soft tissue, and efforts to fix both the lateral and medial columns with plates can result in tissue loss and infection. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20110414-07
更新日期:2008-05-01 00:00:00
abstract::Septic arthritis of the shoulder in children is a rare condition. The diagnosis may present some difficulties and, consequently, appropriate treatment often is delayed. Main sequelae are humeral shortening, joint instability, premature arthritis and limited range of motion. We report a case of septic arthritis of the ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2008-08-01 00:00:00
abstract::The purpose of this study was to examine the acute outcomes and mortality rates of an Advanced Trauma Life Support guideline approach for managing hemodynamically unstable pelvic ring injuries. We retrospectively reviewed the acute outcomes of 48 consecutive patients with hemodynamically unstable pelvic fractures. Pat...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20120222-29
更新日期:2012-03-07 00:00:00
abstract::This study compares the results of the locking compression plate (LCP) and the dynamic compression plate (DCP) in the treatment of diaphyseal forearm fractures in adults and defines the indications for the use of the LCP. Forty-two patients with diaphyseal forearm fractures were retrospectively analyzed. Of those, 22 ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20130624-23
更新日期:2013-07-01 00:00:00
abstract::Diffuse idiopathic skeletal hyperostosis is a disorder of skeletal tissues which most commonly effects elderly white males. Characteristic radiographic findings involve the production of large juxtacortical osteophytes in the absence of degenerative joint changes. The thoracic spine is the most frequently involved por...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1988-05-01 00:00:00
abstract::Long-term clinical and radiographic data of 210 patients (272 hips) with idiopathic hip osteoarthritis were reviewed. Of the 272 hips, 218 (80%) were eccentric and 54 (20%) were concentric. In eccentric hips, the femoral head migrated superolaterally or superomedially, because of the eccentric development of the degen...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2003-02-01 00:00:00
abstract::Nonunion is uncommon after proximal humerus fracture surgery. There is no agreement about preferred method of treatment. Traditional approaches have included laterally based locking plates, autogenous grafting, and endosteal support to provide improved biomechanical stability. Open reduction and internal fixation (ORI...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20131120-22
更新日期:2013-12-01 00:00:00
abstract::This study aimed to assess the effect of posteromedial olecranon resection on the stability of the elbow joint, forearm kinematics, and strain in the anterior bundle of the medial ulnar collateral ligament. Seven elbows were tested after resecting all soft tissues except the capsuloligamentous structures. Varus-valgus...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2008-07-01 00:00:00