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::Although distal humeral fractures are well described in the literature, concomitant distal triceps avulsion has not previously been reported. One population that warrants a high index of suspicion for tendon injury after trauma is patients with renal disease. Clinical tests on such patients may yield equivocal results...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100129-26
更新日期:2010-03-01 00:00:00
abstract::Forty-six consecutive patients with 57 congenitally dislocated hips were treated with open reduction and femoral or acetabular procedures as indicated. Patient age ranged from 12 to 36 months at the time of surgery. We evaluated the outcome of 38 of the 46 patients (83%) with 47 hips (83%) at a mean follow-up of 18 ye...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100129-05
更新日期:2010-03-01 00:00:00
abstract::External fixation is a temporizing measure that has a long history in the treatment of fractures. Thirty-eight newly designed large-frame external fixators were applied for acute lower-limb fractures and pelvis injuries in a level I trauma center. In 75% of cases, the frames were used for first-stage skeletal stabiliz...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100129-12
更新日期:2010-03-01 00:00:00
abstract::This article describes a case of femoral stem displacement during closed reduction of a redislocated bipolar hemiarthroplasty of the hip in a 72-year-old woman who had undergone bipolar hemiarthroplasty using a polished, tapered cemented femoral stem. The polished, tapered cemented femoral stem is vulnerable to displa...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100104-28
更新日期:2010-02-01 00:00:00
abstract::The goal of this study was to compare treatment outcomes of screw proximal femoral nails and helical proximal femoral nails and to investigate the effectiveness of helical proximal femoral nails for the treatment of intertrochanteric fractures. Forty patients with intertrochanteric fractures were treated at our instit...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100104-11
更新日期:2010-02-01 00:00:00
abstract::With advanced surgical techniques, instrumentation, and implants, arthroscopic rotator cuff repair has become increasingly popular. As the techniques continue to evolve, so do the methods by which the repairs are tested. Cyclic loading has shown to better replicate postoperative motion after cuff repair. Recently, cyc...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20091124-12
更新日期:2010-01-01 00:00:00
abstract::This study compared the revision rates after autograft and allograft bone-patella tendon-bone anterior cruciate ligament (ACL) reconstruction. All bone-patella tendon-bone ACL reconstructions performed by a single surgeon between January 2000 and December 2006 were identified by retrospective chart review. Two hundred...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20091124-15
更新日期:2010-01-01 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::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::Hallux valgus is a common disorder of the forefoot that results from medial deviation of the first metatarsal and lateral deviation and/or rotation of the great. The management of hallux valgus is usually focused on the malalignment of the first ray, however, some patients report that pain at the plantar aspect of sec...
journal_title:Orthopedics
pub_type: 临床试验,杂志文章
doi:10.3928/01477447-20091020-08
更新日期:2009-12-01 00:00:00
abstract::Many studies have described the diversity of synovial sarcoma in terms of its biological characteristics and clinical features. Moreover, much effort has been expended on the identification of prognostic factors because of unpredictable behaviors of synovial sarcomas. However, with the exception of tumor size, publish...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090922-12
更新日期:2009-11-01 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::Carpal tunnel syndrome usually presents bilaterally and space-occupying lesions should be suspected in patients with unilateral symptoms, especially with a long history and when the symptomatic hand shows severe neurophysiologic impairment, while the contralateral hand is neurophysiologically intact. Approximately hal...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090818-20
更新日期:2009-10-01 00:00:00
abstract::Osteoporotic thoracolumbar compression fracture occasionally occurs in patients with Parkinson's disease and can lead to neural compromise due to delayed vertebral body collapse, requiring surgical treatment. Surgical treatment and postoperative care are difficult because of poor bone quality, involuntary exercise, an...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090818-21
更新日期:2009-10-01 00:00:00
abstract::We evaluated the rotational alignment of the femoral component after total knee arthroplasty in 46 patients with distal femoral torsional deformity using a navigation-assisted gap technique. Preoperative distal femoral torsional angle and postoperative rotational deviation of the femoral component were measured using ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090915-61
更新日期:2009-10-01 00:00:00
abstract::This study determined the relationship of various pelvic landmarks to the pelvic plane in the lateral position. Five whole-body cadavers were used in this study. All navigation data were collected using the OrthoPilot navigation system (B. Braun Aesculap, Tuttlingen, Germany) to register all landmarks. The pelvic plan...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090915-51
更新日期:2009-10-01 00:00:00
abstract::There is no mystery regarding the allure of metal-metal bearings: high stability and low wear potential. The special risks associated with these bearings are coming into focus and include a macrophage response to excessive metal particles (metal reactivity) and a lymphocyte-dominated reaction (metal sensitivity). The ...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:10.3928/01477447-20090728-06
更新日期:2009-09-01 00:00:00
abstract::Reconstruction of the femur depends on the quantity of bone loss and the quality of the remaining bone stock. Multiple classifications and reporting systems can be used to characterize the bone defect. We present a simple algorithmic approach for proximal femoral bone loss reconstruction during revision total hip arth...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090728-18
更新日期:2009-09-01 00:00:00
abstract::Converting unicompartmental knee arthroplasty (UKA) to total knee arthroplasty can be difficult, and specialized techniques are needed. Issues include bone loss, joint-line, sizing, and rotation. Determining the complexity of conversion preoperatively helps predict the need for augmentation, grafting, stems, or constr...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090728-32
更新日期:2009-09-01 00:00:00
abstract::The Charité III (DePuy Spine, Inc, Raynham, Massachusetts) and ProDisc II (Synthes Spine, West Chester, Pennsylvania) artificial disk replacements were approved for use by the United States Food and Drug Administration in October 2004 and January 2006, respectively. The purpose of this study was to retrospectively rev...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090624-08
更新日期:2009-08-01 00:00:00
abstract::This article describes the case of a 69-year-old patient with an occult acetabular fracture complicated by an ipsilateral femoral neck fracture occurring within 2 months. The acetabular fracture remained undiagnosed at examination due to insufficient clinical and radiographic data interpretation. The patient was assur...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090624-28
更新日期:2009-08-01 00:00:00
abstract::Posterior short-segment instrumentation for thoracolumbar burst fracture is known for a high implant failure rate because of the lack of anterior support. Anterior body augmentation by transpedicular bone grafting has been developed as an alternative to overcome this failure. However, the efficacy of transpedicular bo...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090527-11
更新日期:2009-07-01 00:00:00
abstract::Most injuries resulting from break-dancing are minor, such as sprains and strains, but there is great potential for dance participants to sustain severe and life-threatening conditions, such as cervical cord injuries. Break-dancing carries many of the risks of conventional dance and gymnastics, but unlike those forms ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090527-29
更新日期:2009-07-01 00:00:00
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 i...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090511-06
更新日期:2009-06-01 00:00:00
abstract::Inserting pins at a single location of the iliac crest temporarily provides an effective splint for emergency patients with pelvic ring fractures. For a longer application, however, this procedure frequently causes infection and pin loosening and does not effectively stabilize the pelvic construct. We presumed biplana...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090511-21
更新日期:2009-06-01 00:00:00
abstract::Knee instability is a common cause of prosthetic knee failure. This study sought to determine if synovial fluid analysis is a useful tool in diagnosing prosthetic knee instability. Aspirations were performed in 42 knees in which the diagnosis of instability was in doubt. This group was compared to 120 aspirated knees ...
journal_title:Orthopedics
pub_type: 临床试验,杂志文章
doi:10.3928/01477447-20090501-12
更新日期:2009-05-01 00:00:00
abstract::Damage from spinal cord injury (SCI) may be complicated by concomitant hemodynamic alterations within hours to months of the initial insult. Neurogenic shock, symptomatic bradycardia, autonomic dysreflexia, and orthostatic hypotension are specific conditions occurring commonly with SCI. Early recognition and appropria...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:10.3928/01477447-20090502-07
更新日期:2009-05-01 00:00:00
abstract::This article describes a case of a 23-year-old man who sustained a far medial fracture dislocation of the medial clavicle. We performed an open reduction and internal fixation of the fragment back to the remaining medial fragment using a small locking plate. This fracture can be problematic and usually requires reduct...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090501-08
更新日期:2009-05-01 00:00:00
abstract::Pain is the predominant symptom of degenerative knee arthritis and the main reason patients undergo total knee arthroplasty (TKA). Variation in patient response to pain has proved difficult to quantify. The effect of removing pain by testing TKA patients' range of motion (ROM) before and after the administration of an...
journal_title:Orthopedics
pub_type: 临床试验,杂志文章
doi:
更新日期:2009-04-01 00:00:00
abstract::Enhance your diagnostic skills with this "test yourself" monthly column, which features a radiograph and challenges you to make a diagnosis. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090301-07
更新日期:2009-03-01 00:00:00
abstract::A considerable proportion of bone fractures show signs of delayed or impaired healing. A novel device that applies interfragmentary compressive forces to the fracture site was developed and evaluated for its effect on fracture healing. The midshafts of the right tibias of 16 rabbits were osteotomized, leaving a 2-mm g...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2009-03-01 00:00:00
abstract::Avulsion fractures involving the radial wrist extensor tendons are extremely rare. Only 8 avulsion fractures of the extensor carpi radialis longus and 7 avulsion fractures of the extensor carpi radialis brevis have been previously reported. We know of no case involving an isolated avulsion fracture of the base of the ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2009-03-01 00:00:00
abstract::A case-control study was performed to determine the impact of aprotinin or tranexamic acid use on reducing intraoperative blood loss and transfusion needs in complex spine surgery. Sixty-nine patients undergoing complex spine surgery received aprotinin or tranexamic acid. The aprotinin group contained 30 patients (8 m...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2009-02-01 00:00:00
abstract::Hemipelvectomy is a rare procedure performed for tumor resection or trauma. The limb may be spared, and the patients often require extensive rehabilitation. We report the outcome of a total hip arthroplasty (THA) in a patient with endstage hip arthritis in a high dislocated hip contralateral to a remote, traumatic hem...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2009-02-01 00:00:00
abstract::In spinal decompression and fusion surgery, a high speed burr is often used to remove bony material. The generated bone shavings are typically washed away and discarded. This study histologically examined the content of burr shavings to determine whether the collected tissue has the potential to augment local autograf...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090101-17
更新日期:2009-01-01 00:00:00
abstract::This article presents the case of a 52-year-old man with a chronic anterior shoulder dislocation accompanied by a massive Hill-Sachs lesion. The dislocation occurred 6 weeks prior to presentation as the result of a seizure. At the time of the initial injury, the patient was treated in the emergency department and told...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090101-15
更新日期:2009-01-01 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::Historical practices have advocated emergent operative debridement for all open fractures. To date only studies in guinea pigs have demonstrated decreased infection with surgical intervention within 6 hours of injury. Recent studies have questioned this practice in humans. The purpose of this study was to determine if...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20081201-27
更新日期:2008-12-01 00:00:00
abstract::Pigmented villonodular synovitis (PVNS) is a rare, benign, proliferating disease affecting the synovium of joints, bursae, and tendon sheaths. The knee is the most common site of involvement and accounts for up to 80% of cases. Involvement of the shoulder is extremely rare. Only 1 case of involvement of the subacromia...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20081201-04
更新日期:2008-12-01 00:00:00
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