解剖学和形态学
麻醉学
听力与言语-语言病理学
行为科学
心脏和心血管系统
细胞和组织工程学
临床神经病学
危重症监护医学
牙科,口腔外科和医学
皮肤病学
急诊医学
内分泌学和新陈代谢
肠胃学和肝脏学
老人病学和老年医学
卫生保健科学和服务
血液学
免疫学
传染病
综合和补充性医学
医学伦理学
医学信息学
医学实验室技术
医学,全科和内科
医学,法律
医学,研究和试验
神经系统科学
护理
营养学和饮食学
产科医学和妇科医学
肿瘤学
眼科学
整形外科学
耳鼻喉科学
病理学
儿科学
周围血管疾病
药理学和药剂学
生理学
基本医疗保健
精神病学
公共、环境和职业卫生
放射学,核医学和医学成像
康复学
生殖生物学
呼吸系统
风湿病学
运动科学
外科学
毒理学
热带医学
泌尿学和肾脏学
病毒学
老年医学
健康政策和服务
心理学,临床
abstract::The use of antimicrobial-loaded delivery vehicles, most often as antibiotic beads, is common practice for the treatment of deep musculoskeletal infections. The elution of antibacterial drugs from various bone cements has been extensively studied. However, much less is known about the elution of other antimicrobials fr...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20110627-05
更新日期:2011-08-08 00:00:00
abstract::The purpose of this study was to evaluate the outcome of patients treated with open reduction and internal fixation (ORIF) using dorsal plates and screws (AO/ASIF pi-plate) for dorsally displaced fractures of the distal radius. Although extensor tendon rupture is a recognized complication of all distal radial fracture...
journal_title:Orthopedics
pub_type: 临床试验,杂志文章
doi:10.3928/01477447-20110526-10
更新日期:2011-07-07 00:00:00
abstract::A 64-year-old woman presented with right hip pain of 6 years' duration, accompanied by limping of 1 years' duration. Preoperative pelvis radiograph showed narrowing of joint space, osteophyte formation, and cystis degeneration of the femoral head surrounded by bony sclerosis, without obvious collapse of the femoral he...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20110427-32
更新日期:2011-06-14 00:00:00
abstract::We compared outcomes in 2 groups undergoing total knee arthroplasty (TKA) with different blood-saving strategies (ie, chemoprophylaxis vs reinfusion). We hypothesized that chemoprophylaxis would lead to reduced blood loss and fewer transfusions, with no increase in associated complications. Group A was a prospective s...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20110427-11
更新日期:2011-06-14 00:00:00
abstract::Nonsteroidal anti-inflammatory drugs (NSAIDs) may prevent heterotopic ossification after total hip arthroplasty (THA). Cyclooxygenase 2 (COX-2) inhibitors may minimize side effects. The goal of this review was to compare the effectiveness and side effects of the perioperative use of selective COX-2 inhibitors with tho...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:10.3928/01477447-20110427-23
更新日期:2011-06-01 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::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::Combined ipsilateral acetabular and femoral neck fractures are the result of high-energy trauma. Satisfactory treatment for this injury pattern remains a challenge, since traditional open reduction and internal fixation (ORIF) is always accompanied by a high prevalence of posttraumatic arthritis and avascular necrosis...
journal_title:Orthopedics
pub_type: 杂志文章,meta分析,评审
doi:10.3928/01477447-20110317-30
更新日期:2011-05-18 00:00:00
abstract::Shoulder dislocation is an injury with potential long-term consequences that requires prompt diagnosis and treatment. Patient positioning and imperfect radiographic views may result in discomfort, added examination time, and problematic diagnosis. The scapular Y radiograph has been shown to be useful in diagnosing sho...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20110317-15
更新日期:2011-05-01 00:00:00
abstract::The study of acetabular morphology has shown that there are geographic differences in the morphology and prevalence of acetabular dysplasia among different ethnic groups. However, few data exist on the shape of the acetabulum in various populations around the world. In this study, we examined samples of pelvic radiogr...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20110228-10
更新日期:2011-04-11 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::It is challenging to reconstruct normal hip motion after a high hip dislocation. Although total hip arthroplasty (THA) with shortening osteotomy is a solution for high hip dislocation, osteotomy nonunion is a major complication. To improve the rate of osteotomy union, subtrochanteric transverse shortening osteotomy wa...
journal_title:Orthopedics
pub_type: 临床试验,杂志文章
doi:10.3928/01477447-20110124-24
更新日期:2011-03-11 00:00:00
abstract::We prospectively monitored pain scores on 24 patients who underwent bilateral total knee arthroplasty (TKA). Patients were blinded to receiving either a functional or placebo pain control infusion pumps. After 3 days, pump volume was recorded, and patients were asked to identify which knee they believed received the f...
journal_title:Orthopedics
pub_type: 杂志文章,随机对照试验
doi:10.3928/01477447-20110124-18
更新日期:2011-03-01 00:00:00
abstract::Obesity is prevalent in the developed world and is associated with significant costs to the health care system. The effect of morbid obesity in patients operatively treated for long-bone fractures of the lower extremity is largely unknown. The National Trauma Data Bank was accessed to determine if morbidly obese patie...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20101123-03
更新日期:2011-01-03 00:00:00
abstract::The purpose of this study was to determine if the use of screw hole inserts in empty locking screw holes improves the strength and failure characteristics of locking plates. Twenty 5-hole 1/3 tubular locking plates (Synthes, Paoli, Pennsylvania) were mounted on an oak dowel with a 1-cm gap simulating a fracture with c...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20101123-13
更新日期:2011-01-03 00:00:00
abstract::Previous studies have reported thermal injuries with thick cast materials and warm dip water temperatures, often much higher than is clinically applicable. The goal of this study was to assess the temperature produced in vivo by current casting techniques and materials. The study was done using clinically applicable m...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20101221-11
更新日期:2011-01-01 00:00:00
abstract::Dislocation of the tibiofibular joint is rare and usually results from a traumatic event. Only 1 case of atraumatic proximal tibiofibular joint instability in a 14-year-old girl has been reported in the literature, however this condition might occur more frequently than once thought. A wide range of treatment options ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20101221-28
更新日期:2011-01-01 00:00:00
abstract::Postoperative inflammation and stiffness, as well as the struggle to achieve full range of motion (ROM), following knee surgery is a significant clinical challenge. Interleukin-1 is a crucial mediator of the inflammatory response and development of pathological conditions leading to chronic inflammation. We hypothesiz...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20101021-09
更新日期:2010-12-01 00:00:00
abstract::An 83-year-old man presented with severe back pain and worsening neurodeficit. Lateral radiographs showed the presence of compression fractures of the L1 to L2 vertebral bodies. Computed tomography (CT) scan showed an intravertebral vacuum sign suggestive of ischemic fracture. Magnetic resonance imaging showed a large...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20101021-26
更新日期:2010-12-01 00:00:00
abstract::Adhesion formation between the flexor tendon and its surrounding fibro-osseous sheath results in a decreased postoperative range of motion (ROM) in the hand. Transforming growth factor-beta (TGF-β) is a key cytokine in the pathogenesis of tissue fibrosis. In this study, the effects of TGF-β1 neutralizing antibody were...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100924-06
更新日期:2010-11-02 00:00:00
abstract::Lumbosacral pain is common in the general population and among athletes. Many athletes are diagnosed with low back strain and treated with nonsteroidal anti-inflammatories, rest, and muscle relaxers. However, the differential for low back pain in athletes is broad and includes many potential etiologies such as: lumbar...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100924-23
更新日期:2010-11-02 00:00:00
abstract::Both computed tomography (CT) and magnetic resonance imaging (MRI) scans are used for the diagnosis of lumbar nerve root canal stenosis by imaging measurement, but the findings have considerable variability and the specificity of these examinations is difficult to estimate. A prospective study was conducted to determi...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100826-05
更新日期:2010-10-11 00:00:00
abstract::Intramedullary nailing has become the gold standard to treat femoral shaft fractures. It is unknown which nailing technique orthopedic surgeons prefer. The goal of this study was to determine current techniques and perioperative complications of intramedullary nailing of diaphyseal femoral fractures. Fifty-one institu...
journal_title:Orthopedics
pub_type: 杂志文章,多中心研究
doi:10.3928/01477447-20100826-15
更新日期:2010-10-11 00:00:00
abstract::Bisphosphonates are the most common medication used to treat patients with documented osteoporosis. Recently, reports have associated long-term bisphosphonate use with low-energy femur fractures. While no definitive mechanism has been associated, bisphosphonate use has been strongly implicated. This article presents t...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100826-31
更新日期:2010-10-11 00:00:00
abstract::Navigation of the cup in total hip arthroplasty is well analyzed and shows accurate results, reducing cup outliers of Lewinnek's "safe zone." With regard to the combined anteversion of cup and stem, however, a "new" safe zone with a range of 25° to 50° has been published. The aim of this study was to analyze total ant...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100510-53
更新日期:2010-10-01 00:00:00
abstract::This retrospective study compares the short-term outcomes of small-incision unicompartmental knee arthroplasty (41 patients) with standard total knee arthroplasty (TKA) (50 patients) in 91 consecutive patients older than 70 years. Knee Society Scores and range of motion (ROM) were assessed preoperatively, at 6 weeks a...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100722-05
更新日期:2010-09-07 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::Excessive wear debris, deep infection, periprosthetic fracture, and other causes can lead to bone loss associated with total joint replacements. When performing revisions, surgeons are often preoccupied by the failed implant and the method of replacement, and neglect an opportunity to replenish lost bone. Thus, when f...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100722-31
更新日期:2010-09-07 00:00:00
abstract::The association between total hip arthroplasty and subsequent postoperative deep venous thrombosis is of particular concern because it can lead to symptomatic venous thromboembolic events. However, controversy remains about the optimal approach to prophylaxis. Some authors recommend the use of various chemoprophylacti...
journal_title:Orthopedics
pub_type: 评论,杂志文章
doi:10.3928/01477447-20100722-41
更新日期:2010-09-07 00:00:00
abstract::As the population ages and medical care, along with a functional life style, continues to improve the health of this group, the number of joint replacement surgeries will continue to rise each year in the United States. This growing volume carries with it the risk of venous thromboembolism associated with joint replac...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100722-64
更新日期:2010-09-01 00:00:00
abstract::The goal of this study was to verify or reject the hypothesis that systematic differences exist in various profibrotic or antifibrotic factors between osteoarthritic patients and controls, as well as between different stages of osteoarthritis. The study group comprised 63 patients with knee osteoarthritis and 18 contr...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100625-09
更新日期:2010-08-11 00:00:00
abstract::While uncommon, isolated avulsion fractures of the lesser trochanter occur in children and adolescents prior to the fusion of this apophysis as a result of athletic activities. In the elderly, isolated fractures of the lesser trochanter are rare but can occur as a result of trauma. They have been identified in patient...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100625-25
更新日期:2010-08-11 00:00:00
abstract::The blood loss that accompanies total knee arthroplasty (TKA) can be substantial. Many patients need perioperative blood transfusions. To avoid anemia and transfusion-related complications, the amount of blood loss and need for blood transfusions must be reduced. If standard jig instruments are used, an opening of the...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100526-08
更新日期:2010-07-13 00:00:00
abstract::Many battlefield injuries involve penetrating soft tissue trauma often accompanied by skeletal muscle defects, known as volumetric muscle loss. This article presents the first known case of a surgical technique involving an innovative tissue engineering approach for the repair of a large volumetric muscle loss. A 19-y...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100526-24
更新日期:2010-07-13 00:00:00
abstract::Obesity has become a leading public health issue in the United States. The goal of this study was to examine whether patients experience a significant change in body mass index (BMI) or weight after total joint arthroplasty. Previous studies have not corrected for the natural, annual positive BMI change in North Ameri...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100429-13
更新日期:2010-06-09 00:00:00
abstract::Lipoma is the most frequently occurring benign soft tissue tumor in the shoulder and the axillary region in middle-aged and older persons, yet few such lipoma cases have been associated with clinical symptoms. A 38-year-old right-handed man presented with an enlarged feeling and a painful back-and-forth popping in his...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100429-30
更新日期:2010-06-09 00:00:00
abstract::Treatment of isolated posterior cruciate ligament (PCL) injuries is controversial. This is due in part to the discrepancy between clinical and biomechanical studies in the literature. Clinically, isolated PCL injuries are treated nonoperatively, and patients do well as long as they have adequate quadriceps function. B...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100329-12
更新日期:2010-05-12 00:00:00
abstract::Ceramic liner fractures are rare after ceramic-on-ceramic THA. This article describes a case of an early ceramic liner fracture caused by impingement with a tilted acetabular screw head 2 months after cementless ceramic-on-ceramic THA. A 59-year-old man underwent primary THA for avascular necrosis of his right femoral...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100329-30
更新日期:2010-05-12 00:00:00
abstract::Young patients are expected to place increased demands on total hip arthroplasty (THA) because they are more active and have a longer life expectancy. The long-term outcome of the Charnley low-friction arthroplasty in young, active patients has been shown to be associated with a high degree of polyethylene wear and os...
journal_title:Orthopedics
pub_type: 临床试验,杂志文章
doi:10.3928/01477447-20100225-18
更新日期:2010-04-01 00:00:00
abstract::Acute rotator cuff tear is commonly associated with tearing of the proximal biceps tendon, but has never been reported to occur simultaneously with a distal biceps tendon rupture. A 38-year-old right-hand-dominant strongman competitor attempted a 300-pound overhead axle press and experienced immediate pain in the righ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100225-28
更新日期:2010-04-01 00:00:00