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Slipped capital femoral epiphysis. 股骨头骨骺滑动。
The Orthopedic clinics of North America Pub Date : 2021-06-01 DOI: 10.1542/9781610025058-20
M. Busch, R. Morrissy
{"title":"Slipped capital femoral epiphysis.","authors":"M. Busch, R. Morrissy","doi":"10.1542/9781610025058-20","DOIUrl":"https://doi.org/10.1542/9781610025058-20","url":null,"abstract":"SCFE is one of the most potentially damaging conditions of the adolescent hip. The onset may be associated with minor trauma but is often insidious and may present as vague thigh or knee pain. The lateral radiograph is the most sensitive view for detection of a low-grade slip. The contralateral hip must be examined carefully as there may be bilateral disease with the pain and disability of the presenting side masking the symptoms of less involved hip. SCFE is occasionally associated with other metabolic and endocrinologic disease, and these should be screened for in the history and physical examination. Once a slip begins, the hip remains at jeopardy for acute progression until the physeal plate closes. We recommend immediate surgical stabilization and prefer a cannulated screw system. Proper technique is critical to safe and reliable surgery. The most common complications, AVN and chondrolysis, are often related to technical errors and should be minimized with attention to detail.","PeriodicalId":321658,"journal":{"name":"The Orthopedic clinics of North America","volume":"52 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120891181","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: 4
Patellectomy. Patellectomy。
The Orthopedic clinics of North America Pub Date : 2020-02-07 DOI: 10.32388/hoywi4
M. Kelly, D. Brittis
{"title":"Patellectomy.","authors":"M. Kelly, D. Brittis","doi":"10.32388/hoywi4","DOIUrl":"https://doi.org/10.32388/hoywi4","url":null,"abstract":"We believe the patella should be preserved when possible and stress the significant use the patella has in normal knee function. Although alternative treatments can often be found, patellectomy may be indicated in selected patients to improve function and reduce pain.","PeriodicalId":321658,"journal":{"name":"The Orthopedic clinics of North America","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128967565","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
Geometric total knee replacement. Operative considerations. 几何全膝关节置换术。手术注意事项。
The Orthopedic clinics of North America Pub Date : 2000-11-01 DOI: 10.1097/00003086-200011000-00002
Lee H. Riley, Leonard F. Peltier
{"title":"Geometric total knee replacement. Operative considerations.","authors":"Lee H. Riley, Leonard F. Peltier","doi":"10.1097/00003086-200011000-00002","DOIUrl":"https://doi.org/10.1097/00003086-200011000-00002","url":null,"abstract":"","PeriodicalId":321658,"journal":{"name":"The Orthopedic clinics of North America","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115569453","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
Synovial sarcoma. 滑膜肉瘤。
The Orthopedic clinics of North America Pub Date : 1997-01-01 DOI: 10.1097/00219246-199720230-00001
J. Murray
{"title":"Synovial sarcoma.","authors":"J. Murray","doi":"10.1097/00219246-199720230-00001","DOIUrl":"https://doi.org/10.1097/00219246-199720230-00001","url":null,"abstract":"","PeriodicalId":321658,"journal":{"name":"The Orthopedic clinics of North America","volume":"59 1","pages":"1–5"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133371887","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
Benign soft-tissue lesions in children. 儿童良性软组织病变。
The Orthopedic clinics of North America Pub Date : 1996-07-01 DOI: 10.1097/01241398-199611000-00051
J. T. Smith, S. Yandow
{"title":"Benign soft-tissue lesions in children.","authors":"J. T. Smith, S. Yandow","doi":"10.1097/01241398-199611000-00051","DOIUrl":"https://doi.org/10.1097/01241398-199611000-00051","url":null,"abstract":"This article is a review of the common benign soft-tissue lesions of the spine and extremities. Reviewed are the pathophysiology, natural history, appropriate work-up, and treatment options. A recommendation is given to consider the diagnosis as possible malignancy and approach such lesions with caution.","PeriodicalId":321658,"journal":{"name":"The Orthopedic clinics of North America","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1996-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125398750","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: 11
Endoprosthetic bone reconstruction following malignant tumor resection in skeletally immature patients. 骨未成熟患者恶性肿瘤切除后的人工骨重建。
The Orthopedic clinics of North America Pub Date : 1996-07-01 DOI: 10.1097/01241398-199611000-00055
W. Ward, Yang R-S, J. Eckardt
{"title":"Endoprosthetic bone reconstruction following malignant tumor resection in skeletally immature patients.","authors":"W. Ward, Yang R-S, J. Eckardt","doi":"10.1097/01241398-199611000-00055","DOIUrl":"https://doi.org/10.1097/01241398-199611000-00055","url":null,"abstract":"Modular and expandable endoprosthetic reconstruction of the child's extremity following bone tumor resection affords an opportunity for both limb salvage and progressive limb length equalization. This article discusses the rationale, advantages, disadvantages, and results of endoprosthetic bone reconstruction following tumor resections in the skeletally immature patient. In addition to an extensive literature review, an overview of the authors' results with this reconstructive option in 31 patients over the past 14 years is presented. This article will inform the reader of the current state of the art in endoprosthetic reconstruction of the immature patient and should allow clinicians to make more informed decisions regarding treatment options for their patients.","PeriodicalId":321658,"journal":{"name":"The Orthopedic clinics of North America","volume":"92 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1996-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116382661","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: 43
Benign cartilage tumors. 良性软骨肿瘤。
The Orthopedic clinics of North America Pub Date : 1996-07-01 DOI: 10.1097/01241398-199611000-00050
Scarborough Mt, G. Moreau
{"title":"Benign cartilage tumors.","authors":"Scarborough Mt, G. Moreau","doi":"10.1097/01241398-199611000-00050","DOIUrl":"https://doi.org/10.1097/01241398-199611000-00050","url":null,"abstract":"Benign cartilaginous tumors are some of the most common lesions affecting the skeleton of children. These include exostoses, enchondromas, periosteal chondromas, chondromyxoid fibroma, and chondroblastoma. The clinicopathologic features of these conditions and their treatment is discussed.","PeriodicalId":321658,"journal":{"name":"The Orthopedic clinics of North America","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1996-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131889643","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: 94
Molecular biology of sarcomas. 肉瘤的分子生物学。
The Orthopedic clinics of North America Pub Date : 1996-07-01 DOI: 10.1097/00004694-199611000-00063
M. Gebhardt
{"title":"Molecular biology of sarcomas.","authors":"M. Gebhardt","doi":"10.1097/00004694-199611000-00063","DOIUrl":"https://doi.org/10.1097/00004694-199611000-00063","url":null,"abstract":"There has been a virtual explosion of information relating to the biology of sarcomas with which we as orthopaedists deal. Much more is yet to be learned. These findings will teach us more about the etiology of these tumors. More important, the findings will alter the way in which these tumors are treated. It is unlikely that we will continue to treat osteosarcoma or Ewing's sarcoma patients with currently available drug regimens and surgery or make treatment decisions based on the histologic classification of tumors we know today. If we are to remain active in the management of these patients we must be aware of the findings as they occur. That will ensure both that we remain the primary caretakers of these patients, and that we will continue to be stimulated intellectually by these intriguing scientific investigations.","PeriodicalId":321658,"journal":{"name":"The Orthopedic clinics of North America","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1996-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125910925","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: 11
Making the diagnosis: keys to a successful biopsy in children with bone and soft-tissue tumors. 诊断:对患有骨和软组织肿瘤的儿童进行成功活检的关键。
The Orthopedic clinics of North America Pub Date : 1996-07-01 DOI: 10.1097/01241398-199611000-00062
T. Peabody, M. Simon
{"title":"Making the diagnosis: keys to a successful biopsy in children with bone and soft-tissue tumors.","authors":"T. Peabody, M. Simon","doi":"10.1097/01241398-199611000-00062","DOIUrl":"https://doi.org/10.1097/01241398-199611000-00062","url":null,"abstract":"A well-planned and -executed biopsy is critical in the management of a child with either a bone lesion or a soft-tissue mass. A biopsy is necessary when the orthopedic surgeon, in conjunction with the radiologist, believes that the radiographic studies or patient history indicate a progressive process that requires intervention. Biopsies may be open (incisional or excisional) or closed (needle or trephine). Careful attention to biopsy site and technique is important to avoid complications that may compromise the ability to preserve a limb.","PeriodicalId":321658,"journal":{"name":"The Orthopedic clinics of North America","volume":"27 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1996-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130492159","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: 36
Proximal femoral allografts for reconstruction of bone stock in revision arthroplasty of the hip. 股骨近端同种异体移植物在髋关节翻修置换术中重建股骨。
The Orthopedic clinics of North America Pub Date : 1995-10-01 DOI: 10.1097/00003086-199510000-00015
Allan E. Gross, Hutchison Cr, M. Alexeeff, Nizar N. Mahomed, K. Leitch, E. Morsi
{"title":"Proximal femoral allografts for reconstruction of bone stock in revision arthroplasty of the hip.","authors":"Allan E. Gross, Hutchison Cr, M. Alexeeff, Nizar N. Mahomed, K. Leitch, E. Morsi","doi":"10.1097/00003086-199510000-00015","DOIUrl":"https://doi.org/10.1097/00003086-199510000-00015","url":null,"abstract":"Full circumferential bone loss of the proximal femur can be managed by segmental allografts. The use of these grafts is indicated for uncontained defects longer than five cm in length. The femoral implant is cemented into the allograft but not into the host. The allograft host junction is stabilized by a step cut or oblique osteotomy and autografted with residual host femur. The results at five and nine years support this kind of reconstruction as a good alternative for this difficult problem.","PeriodicalId":321658,"journal":{"name":"The Orthopedic clinics of North America","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121028238","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: 104
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