Orthopaedic review最新文献_第5页

Marine injuries. Prevention and treatment. 海洋受伤。预防和治疗。

Orthopaedic review Pub Date : 1994-08-01

C Frey

引用次数: 0

Autoamputation of the fingertips in an 11-year-old boy. 一个11岁男孩的指尖自动截肢。

Orthopaedic review Pub Date : 1994-08-01

Y Yin, M B Rotman, L A Gilula

引用次数: 0

Reflex sympathetic dystrophy. A review of the literature and a long-term outcome study. 反射性交感神经营养不良。文献回顾和长期结果研究。

Orthopaedic review Pub Date : 1994-08-01

P D Inhofe, C A Garcia-Moral

{"title":"Reflex sympathetic dystrophy. A review of the literature and a long-term outcome study.","authors":"P D Inhofe, C A Garcia-Moral","doi":"","DOIUrl":"","url":null,"abstract":"According to the literature, approximately half of all patients diagnosed with reflex sympathetic dystrophy respond to nonoperative treatment. Because no long-term studies exist, however, the relapse rate and outcome of this condition are not known. In this paper, a historical review and a brief discussion of the theories of pathogenesis of the disease are presented. The results of treatment, as documented in the literature, are also presented. This paper also reports on 10 patients with reflex sympathetic dystrophy who were treated nonoperatively and for whom a follow-up of at least 1 year was documented. The patient population and short-term results are consistent with those found in the literature. Nine of the 10 patients were contacted for long-term follow-up at an average of more than 5 years after diagnosis. A significant number of patients experienced worsening of symptoms (56%) and reported that their condition negatively affected their activities of daily living (78%). Of those who were employed prior to diagnosis, 67% reported a job change or unemployment directly related to the disease. Therefore, the long-term results of nonoperative treatment are not as encouraging as is indicated in the literature.","PeriodicalId":19637,"journal":{"name":"Orthopaedic review","volume":"23 8","pages":"655-61"},"PeriodicalIF":0.0,"publicationDate":"1994-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18991025","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 orthopaedic traumatologist--gardener or carpenter? 骨科创伤学家，园丁还是木匠?

Orthopaedic review Pub Date : 1994-08-01

J F Kellam

引用次数: 0

Clinical use of a syndesmosis screw in stage IV pronation-external rotation ankle fractures. 关节联合螺钉在IV期踝关节内旋-外旋骨折中的临床应用。

Orthopaedic review Pub Date : 1994-08-01

T A Parfenchuck, J M Frix, S L Bertrand, R S Corpe

{"title":"Clinical use of a syndesmosis screw in stage IV pronation-external rotation ankle fractures.","authors":"T A Parfenchuck, J M Frix, S L Bertrand, R S Corpe","doi":"","DOIUrl":"","url":null,"abstract":"The purpose of this study was to determine if biomechanical data obtained in studies on cadavers correlates with clinical results in the surgical treatment of stage IV pronation-external rotation (PER-IV) ankle fractures. We surgically treated 20 patients who sustained isolated PER-IV ankle injuries and followed 18 of the patients for an average of 2.5 years. Radiographs were evaluated using previously established methods, and clinical outcome was based on the criteria of Cedell. Eleven patients sustained a PER-IV injury with a medial malleolus fracture; 2 required a syndesmosis screw due to poor medial fixation. Good or excellent results were obtained in 90% of the patients in this group; the poor outcome of 1 patient was due to the development of reflex sympathetic dystrophy. Seven patients had a PER-IV injury with a deltoid ligament tear; because of widening of the syndesmosis, 1 patient required an early operation (within 1 week), and 2 patients required late operations (after 1 month). None of these patients should have required a syndesmosis screw based on biomechanical studies. Good or excellent results were obtained in 71% of the patients in this group. We conclude that the biomechanical data concerning placement of a syndesmosis screw in PER-IV ankle fractures does not correlate with in vivo outcome when a deltoid ligament injury occurs. A screw that stabilizes the distal tibiofibular syndesmosis should probably be placed in patients who sustain PER-IV injuries with deltoid ligament ruptures regardless of the level of the fibula fracture.","PeriodicalId":19637,"journal":{"name":"Orthopaedic review","volume":"Suppl ","pages":"23-8"},"PeriodicalIF":0.0,"publicationDate":"1994-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18970308","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

Preserving the posterior cruciate ligament in total knee arthroplasty. 全膝关节置换术中保留后交叉韧带。

Orthopaedic review Pub Date : 1994-08-01

V D Waldron

引用次数: 0

Percutaneous intramedullary pinning of proximal humeral fractures. 经皮髓内钉钉治疗肱骨近端骨折。

Orthopaedic review Pub Date : 1994-08-01

D C Markel, B G Donley, R B Blasier

引用次数: 0

Osteoarticular allograft reconstruction for recurrent post-traumatic dislocation of the hip. 复发性外伤性髋关节脱位的异体骨关节重建。

Orthopaedic review Pub Date : 1994-07-01

A L Hershey, R K Beals