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Orthopaedic review最新文献

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A 38-year-old woman with recurrent swelling of the great toe. 一名38岁女性大脚趾复发性肿胀。
Orthopaedic review Pub Date : 1994-09-01
Z Yang, L A Gilula
{"title":"A 38-year-old woman with recurrent swelling of the great toe.","authors":"Z Yang,&nbsp;L A Gilula","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The following case is presented to illustrate the roentgenographic and clinical findings of a condition of interest to the orthopaedic surgeon. Initial history, physical findings, and roentgenographic examinations are indicated below. The final clinical and roentgenographic differential diagnoses are presented on the following pages.</p>","PeriodicalId":19637,"journal":{"name":"Orthopaedic review","volume":"23 9","pages":"762-6"},"PeriodicalIF":0.0,"publicationDate":"1994-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18799577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Combined Monteggia and Galeazzi fractures in a child's forearm. A case report. 儿童前臂的Monteggia和Galeazzi合并骨折。一份病例报告。
Orthopaedic review Pub Date : 1994-09-01
P Y Shonnard, T A DeCoster
{"title":"Combined Monteggia and Galeazzi fractures in a child's forearm. A case report.","authors":"P Y Shonnard,&nbsp;T A DeCoster","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We report the occurrence of a previously undescribed combined Monteggia and Galeazzi fracture pattern of the left forearm in an 8-year-old boy. Previous reports do not address the combined injury described in this article, which consists of a left radius shaft fracture with dislocation of the distal radioulnar joint, and a left ulna shaft fracture with anterior dislocation of the radiohumeral joint. An excellent result was obtained with closed reduction. Radiographic evaluation is crucial in these disorders for both diagnosis and for treatment decisions. A review of the literature is provided with specific emphasis toward the classifications, mechanisms of injury, diagnosis, associated injuries, and treatment.</p>","PeriodicalId":19637,"journal":{"name":"Orthopaedic review","volume":"23 9","pages":"755-9"},"PeriodicalIF":0.0,"publicationDate":"1994-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18799576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lateral ankle sprains, Part II: Acute and chronic treatment. 踝关节外侧扭伤，第二部分:急性和慢性治疗。
Orthopaedic review Pub Date : 1994-09-01
{"title":"Lateral ankle sprains, Part II: Acute and chronic treatment.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":19637,"journal":{"name":"Orthopaedic review","volume":"23 9","pages":"708, 710"},"PeriodicalIF":0.0,"publicationDate":"1994-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18799571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Stabilization of the distal radioulnar joint after ulnar styloid nonunion using Mitek anchors. 尺茎突不连后使用Mitek锚钉稳定远端尺桡关节。
Orthopaedic review Pub Date : 1994-09-01
L G Walker
{"title":"Stabilization of the distal radioulnar joint after ulnar styloid nonunion using Mitek anchors.","authors":"L G Walker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nonunion of the ulnar styloid is a relatively common injury that can often be ignored. In patients presenting with pain, compromised range of motion, and decreased grip strength, careful physical examination, and dynamic radiographic evaluation may document distal radioulnar joint instability. Mitek anchors provide a simple, effective means of triangular fibrocartilage complex reattachment, providing stabilization of the distal radioulnar joint.</p>","PeriodicalId":19637,"journal":{"name":"Orthopaedic review","volume":"23 9","pages":"769-72"},"PeriodicalIF":0.0,"publicationDate":"1994-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18799578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An algorithmic approach to the treatment of Paget's disease of the spine. 一种治疗脊柱佩吉特病的算法方法。
Orthopaedic review Pub Date : 1994-09-01
W R Smidt, A G Hadjipavlou, P Lander, R B Dzioba
{"title":"An algorithmic approach to the treatment of Paget's disease of the spine.","authors":"W R Smidt,&nbsp;A G Hadjipavlou,&nbsp;P Lander,&nbsp;R B Dzioba","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An algorithmic approach to the treatment of Paget's disease of the spine is based on the authors' collective experience in managing 70 patients and a review of the literature. For patients with active disease, even if asymptomatic, cyclical treatment with etidronate is recommended until normalization of biochemical parameters is achieved. For patients with back pain and/or neurologic dysfunction, cyclical etidronate treatment in the blastic and mixed phase is advocated. Those who fail to respond to calcitonin in the lytic phase should be given the new generation of bisphosphonates and gallium nitrate. No antipagetic drug therapy is indicated for the sclerotic phase. Surgery for complications of Paget's disease should be preceded by intravenous therapy to minimize intraoperative bleeding. For cases of spinal stenosis with impending paraplegia, the new bisphosphonates, mithramycin (plicamycin), or gallium nitrate should be used. If conservative treatment fails, surgery should not be delayed.</p>","PeriodicalId":19637,"journal":{"name":"Orthopaedic review","volume":"23 9","pages":"715-24"},"PeriodicalIF":0.0,"publicationDate":"1994-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18799572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of intra-articular morphine and bupivacaine following knee arthroscopy. 膝关节镜下关节内吗啡与布比卡因的比较。
Orthopaedic review Pub Date : 1994-09-01
S A VanNess, M E Gittins
{"title":"Comparison of intra-articular morphine and bupivacaine following knee arthroscopy.","authors":"S A VanNess,&nbsp;M E Gittins","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A prospective study was conducted to investigate and compare the analgesic effect of morphine and bupivacaine injected intra-articularly following elective knee arthroscopy performed under general anesthesia without the use of a tourniquet. Cost-effectiveness of these agents was also evaluated. Patients in Group 1 (n = 41) received 30 cc of 0.25% bupivacaine with 1:200,000 epinephrine; while Group 2 (n = 40) received 2 mg morphine (1 mg/cc) in 28 cc normal saline (total volume 30 cc). Postoperative pain scores and the amount of supplemental analgesic agents used in a 24-hour period were recorded. Results showed that patients in Group 2 reported significantly less pain overall (P < .006) and significantly lower analgesic requirements (P < .0004) at a lower average patient cost than Group 1. We conclude that intra-articular morphine reduces postoperative pain and analgesic requirements more effectively and at a lower average patient cost than bupivacaine.</p>","PeriodicalId":19637,"journal":{"name":"Orthopaedic review","volume":"23 9","pages":"743-7"},"PeriodicalIF":0.0,"publicationDate":"1994-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18799574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Open tibial fracture infections in asymptomatic HIV antibody-positive patients. 无症状HIV抗体阳性患者的开放性胫骨骨折感染。
Orthopaedic review Pub Date : 1994-08-01
E D O'Brien, J R Denton
{"title":"Open tibial fracture infections in asymptomatic HIV antibody-positive patients.","authors":"E D O'Brien,&nbsp;J R Denton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Fourteen patients with 15 open tibial fractures were examined retrospectively to compare postoperative infection rates of asymptomatic patients who tested positive or negative for the human immunodeficiency virus antibody (HIVab). All patients were treated with a standard open-fracture protocol. All of the HIVab-positive patients developed postoperative infections. There were five postoperative infections in 4 patients; 3 of the 4 patients were HIVab-positive and 2 of these patients developed chronic osteomyelitis. The only other infection, in an HIVab-negative patient with insulin-dependent diabetes, resolved without complication. All other HIVab-negative patients had no complications. The infection rate for asymptomatic HIVab-positive patients with open tibial fractures was higher than that for HIVab-negative patients in our study. These data suggest that the HIV status of patients with open tibial fractures is relevant to treatment outcome.</p>","PeriodicalId":19637,"journal":{"name":"Orthopaedic review","volume":"23 8","pages":"662-4"},"PeriodicalIF":0.0,"publicationDate":"1994-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18991026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pneumatic gouge versus standard method for iliac crest harvesting. 气动凿刀与标准髂骨采收方法之比较。
Orthopaedic review Pub Date : 1994-08-01
R W Duncan, R A McGuire, E F Meydrech
{"title":"Pneumatic gouge versus standard method for iliac crest harvesting.","authors":"R W Duncan,&nbsp;R A McGuire,&nbsp;E F Meydrech","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Fifty consecutive patients undergoing posterior lumbar fusion by a single surgeon were prospectively randomized in a study designed to evaluate the efficacy of using a pneumatic oscillating gouge to obtain posterior outer table iliac crest bone graft versus the standard method of using osteotomes and gouges. Variables analyzed included graft harvesting time, blood loss, weight of graft obtained, and graft site morbidity. Mean graft harvesting time with the pneumatic gouge was 1 minute 44 seconds (range, 1 min 5 sec to 3 min 15 sec) compared with the standard method time of 4 minutes 4 seconds (range, 2 min 15 sec to 8 min 56 sec) (P = 0.0001). Blood loss was also less, with a mean of 25.4 cc for the pneumatic gouge compared with 65.2 cc using the standard method (P = 0.0001). There were no complications with the graft site in either group. We conclude that the pneumatic gouge is a viable alternative to standard bone graft harvesting techniques. Benefits include shorter operative time and decreased blood loss without an increased morbidity.</p>","PeriodicalId":19637,"journal":{"name":"Orthopaedic review","volume":"23 8","pages":"672-5"},"PeriodicalIF":0.0,"publicationDate":"1994-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18991028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The use of cannulated screws in musculoskeletal trauma. A review of surgical techniques. 空心螺钉在肌肉骨骼创伤中的应用。外科手术技术综述。
Orthopaedic review Pub Date : 1994-08-01
H D Moehring, P G Johnson
{"title":"The use of cannulated screws in musculoskeletal trauma. A review of surgical techniques.","authors":"H D Moehring,&nbsp;P G Johnson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The use of minimally invasive techniques for the treatment of articular and periarticular fractures is becoming more popular, especially when formal open reduction and internal fixation is contraindicated because of associated soft-tissue compromise and swelling. Cannulated screws are frequently effective in these situations and can be inserted by way of limited open or percutaneous techniques in many cases. Accurate fracture reduction can be attained through insertion of cannulated screws over a guide pin, resulting in provisional stability of the fracture. In most instances, such methods of fracture reduction are adjunctive and require the addition of external fixation, limited internal fixation, and cast bracing or orthotic considerations. Applications of cannulated screw fixation in specific trauma injuries are discussed as are indications, contraindications, advantages, and disadvantages of such methods.</p>","PeriodicalId":19637,"journal":{"name":"Orthopaedic review","volume":"Suppl ","pages":"10-21"},"PeriodicalIF":0.0,"publicationDate":"1994-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18970307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Collapse of intertrochanteric hip fractures fixed with sliding screws. 滑动螺钉固定髋转子间骨折塌陷。
Orthopaedic review Pub Date : 1994-08-01
J A Bendo, L S Weiner, E Strauss, E Yang
{"title":"Collapse of intertrochanteric hip fractures fixed with sliding screws.","authors":"J A Bendo,&nbsp;L S Weiner,&nbsp;E Strauss,&nbsp;E Yang","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A retrospective analysis of postoperative fracture collapse was performed using data from 142 patients with intertrochanteric hip fractures fixed anatomically with sliding screws. Of the 142 patients, 80 had unstable, three- or four-part hip fractures. Significant collapse (as defined by strict radiographic criteria relating the height of the femoral head to the greater trochanter and by Doppelt's criteria) was seen in 26 of the unstable fractures. The degree of collapse was classified as type I (minimal), type II (moderate), and type III (severe). Average follow-up was 31 months. An in-depth clinical and radiographic analysis was performed evaluating pain, limp, abductor weakness, and leg-length discrepancy. The numerical degree of both vertical and horizontal fracture collapse was also analyzed. Of the patients with moderate or severe collapse, 93% had a poor functional result, whereas all the patients with minimal collapse remained asymptomatic. Although postoperative fracture impaction of hips fixed with sliding screws may promote early healing, a high rate of union, and a low rate of hardware failure, excessive collapse is a problem that needs to be addressed.</p>","PeriodicalId":19637,"journal":{"name":"Orthopaedic review","volume":"Suppl ","pages":"30-7"},"PeriodicalIF":0.0,"publicationDate":"1994-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18970309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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