Reconstructive Review最新文献_第7页

Total Hip Arthroplasty Loosening Due to Mycobacterium Tuberculosis: A Case Report and Review of the Literature 结核分枝杆菌致全髋关节置换术松动1例报告及文献复习

Reconstructive Review Pub Date : 2017-04-17 DOI: 10.15438/RR.7.1.160

Anis Tebourbi, A. Elloumi, K. Hadhri, M. Salah, Mouadh Nefiss, R. Bouzidi, M. Kooli

{"title":"Total Hip Arthroplasty Loosening Due to Mycobacterium Tuberculosis: A Case Report and Review of the Literature","authors":"Anis Tebourbi, A. Elloumi, K. Hadhri, M. Salah, Mouadh Nefiss, R. Bouzidi, M. Kooli","doi":"10.15438/RR.7.1.160","DOIUrl":"https://doi.org/10.15438/RR.7.1.160","url":null,"abstract":"Context: Prosthetic joint infection due to Mycobacterium tuberculosis with no previous history of pulmonary or extra pulmonary tuberculosis is an extremely rare complication. Aim s To report the case of a patient with tuberculous mycobacterial prosthetic hip infection, 14 years after surgery for post traumatic osteoarthritis, with no previous history of tuberculosis . Methods A 46-year-old male presented an acetabular loosening of a cemented total hip arthroplasty with subnormal biologic parameters. A one stage revision surgery was planned. Intraoperative findings suggested mycobacterial tuberculous infection with presence of periacetabular yellowish rice-shaped granules. Results A one-stage prosthesis exchange was performed; Culture on Lowenstein-Jensen medium grew MTB days after inoculation and histological examination confirmed tuberculous infection. Patient was treated by antituberculous agents for 12 months with optimal clinical and biological response and no prosthetic loosening signs at eighteen months follow up. Conclusions Total hip arthroplasty loosening due to mycobacterium tuberculosis is a rare entity, which should be evoked even when no inflammatory signs are shown. Discovery of yellowish rice-shaped granules is an indicator to investigate for tuberculosis. Management of prosthetic joint infection due to M.tuberculosis must involve both medical and surgical approach.","PeriodicalId":20884,"journal":{"name":"Reconstructive Review","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48435799","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

Osteoarthritis or Osteoarthrosis: Commentary on Misuse of Terms 骨关节炎或骨关节病:对术语误用的评论

Reconstructive Review Pub Date : 2017-04-17 DOI: 10.15438/RR.7.1.178

Panayot P. Tanchev

引用次数: 7

Prosthetic Fracture of a Cemented Exeter Femoral Stem (Case Report) 骨水泥艾克赛特股骨干假体骨折(1例报告)

Reconstructive Review Pub Date : 2016-12-30 DOI: 10.15438/RR.6.4.159

M. Facek, Y. Khatib, E. Swarts

引用次数: 7

Prosthetic Hip Loosening Due to Brucellar Infection: Case Report and Literature Review 布鲁氏杆菌感染导致假体髋关节松动:病例报告及文献复习

Reconstructive Review Pub Date : 2016-12-30 DOI: 10.15438/RR.6.4.164

Anis Tebourbi, K. Hadhri, M. Salah, R. Bouzidi, M. Kooli

引用次数: 0

The History, Technical Specifications and Efficacy of Plasma Spray Coatings Applied to Joint Replacement Prostheses 等离子喷涂涂层应用于关节置换假体的历史、技术规范和效果

Reconstructive Review Pub Date : 2016-12-30 DOI: 10.15438/RR.6.4.136

A. Mccabe, M. Pickford, J. Shawcross

引用次数: 8

Patient Specific Component Alignment in Total Hip Arthroplasty 全髋关节置换术中患者特异性部件对齐

Reconstructive Review Pub Date : 2016-12-30 DOI: 10.15438/RR.6.4.148

J. Pierrepont, C. Stambouzou, B. Miles, P. O'Connor, L. Walter, A. Ellis, R. Molnar, J. Baré, M. Solomon, S. McMahon, A. Shimmin, E. Marel

引用次数: 33

The iDuo Bi-compartmental Knee Replacement: Our Early Experience. iDuo双腔室膝关节置换术:我们的早期经验。

Reconstructive Review Pub Date : 2016-12-30 DOI: 10.15438/RR.6.4.149

P. Jemmett, Stuart Roy

{"title":"The iDuo Bi-compartmental Knee Replacement: Our Early Experience.","authors":"P. Jemmett, Stuart Roy","doi":"10.15438/RR.6.4.149","DOIUrl":"https://doi.org/10.15438/RR.6.4.149","url":null,"abstract":"We present the first UK single surgeon case series for the iDuo knee. This is a CT based custom fit monolithic bi-compartmental design that resurfaces both trochlea and condyle. Perceived benefits include maintenance of normal kinematics and preservation of bone stock on the unaffected side. The femoral component is tailored to the patient with no compromise of either the trochlea or femoral geometry. Method Patients were selected based on functional ability and physiological age who had an intact symptom free lateral compartment. Knee Society scoring (KSS) was performed pre-operatively and at regular intervals. Patients were asked whether they would undergo the same operation at the one-year mark. Results Seven patients have undergone this procedure from 2013 until present. Average age is 60 (Range 55- 82). Average pre-op KSS was 108. All patients consistently scored higher at each interval follow up with excellent results at one year (Av KSS 194). This benefit was seen past two years in all but one in those reaching this point. Conclusion Our early results suggest that the iDuo knee is a good option for those with isolated bi-compartmental disease and outcome scores are comparable with those reported for the BKA. This bi-compartmental design may bridge the gap between the uni-compartmental and total knee replacement. The choice between monolithic or modular designs remains in debate. We will continue to use this prosthesis for a carefully selected group of patients.","PeriodicalId":20884,"journal":{"name":"Reconstructive Review","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67683782","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: 2

Oxford Partial Knee Replacement as a Gateway to Outpatient Arthroplasty “Lessons Learned along the Journey” 牛津部分膝关节置换术作为门诊部关节置换术的入口

Reconstructive Review Pub Date : 2016-09-30 DOI: 10.15438/RR.6.3.147

M. Berend

引用次数: 3

Robot-assisted Total Hip Arthroplasty after Chiari Pelvic Osteotomy: A Case Report 骨盆截骨术后机器人辅助全髋关节置换术一例报告

Reconstructive Review Pub Date : 2016-09-30 DOI: 10.15438/RR.6.3.130

M. Dettmer, A. Pourmoghaddam, S. Kreuzer

引用次数: 0

Tourniquet Application During Total Knee Arthroplasty Does Not Benefit Perioperative Blood Loss or Transfusion Requirement with the Routine Use of Tranexamic Acid 全膝关节置换术中止血带的应用对围术期失血或常规使用氨甲环酸的输血需求没有好处

Reconstructive Review Pub Date : 2016-09-30 DOI: 10.15438/RR.6.3.151

T. Watters, Dan L Levy, R. Kim, T. Miner, D. Dennis, J. Jennings

{"title":"Tourniquet Application During Total Knee Arthroplasty Does Not Benefit Perioperative Blood Loss or Transfusion Requirement with the Routine Use of Tranexamic Acid","authors":"T. Watters, Dan L Levy, R. Kim, T. Miner, D. Dennis, J. Jennings","doi":"10.15438/RR.6.3.151","DOIUrl":"https://doi.org/10.15438/RR.6.3.151","url":null,"abstract":"Abstract Background : The use of a tourniquet during total knee arthroplasty (TKA) continues to be a matter of debate. Advantages of tourniquet use include improved visualization, decreased intraoperative and total blood loss, and possibly decreased transfusion requirement. However, the recent widespread adoption of antifibrinolytic therapy with tranexamic acid (TXA), may negate these benefits. The purpose of this study was to evaluate perioperative blood loss and transfusion requirement with two different tourniquet application strategies, and surgery without the use of a tourniquet during routine, primary cemented TKA. Methods : A retrospective cohort study was performed of 300 patients undergoing TKA at a single institution after the implementation of a routine intravenous TXA administration protocol and consisted of three groups based on tourniquet usage: tourniquet inflation before incision and deflation following cement hardening (TQ), tourniquet inflation prior to cement application and deflation following hardening (Partial TQ), and no tourniquet usage (No TQ). Each group consisted of 100 consecutive patients. Perioperative blood loss, change in hematocrit and transfusion requirement were compared between groups. Results : Total blood loss (estimated blood loss and drain output) was lowest in the TQ group, however this was only due a slight decrease in intraoperative estimated blood loss. There was no difference in post-operative drain output, or change in hematocrit levels from preoperative values. There were no transfusions in the Partial TQ and No TQ groups, whereas there were 5 transfusions in the TQ group. Conclusions : In the era of routine TXA administration during TKA, tourniquet usage does not appear to have a benefit in regards to perioperative blood loss or transfusion requirement.","PeriodicalId":20884,"journal":{"name":"Reconstructive Review","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67683330","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: 1