Orthopade最新文献_第3页

Manuelle Medizin an den Extremitätengelenken 四肢合成药物

4区医学

Orthopade Pub Date : 2022-03-08 DOI: 10.1007/s00132-022-04232-x

H. Schnell, F. Wagner

引用次数: 1

Mittel- bis langfristige, funktionelle Ergebnisse nach Hemiresektion-Interpositions-Arthroplastik (nach Bowers) des distalen Radioulnargelenks 运用中期到长期的功能性表现

4区医学

Orthopade Pub Date : 2022-03-03 DOI: 10.1007/s00132-022-04237-6

C. Spies, F. Unglaub, T. Bruckner, L. Müller, P. Eysel, M. Şeker

引用次数: 0

Downsizing in total hip arthroplasty. A short stem as a revision implant. 全髋关节置换术中的缩小尺寸。短茎作为修复植入物。

4区医学

Orthopade Pub Date : 2022-03-01 Epub Date: 2021-09-28 DOI: 10.1007/s00132-021-04168-8

Marcel Coutandin, Yama Afghanyar, Philipp Rehbein, Jens Dargel, Philipp Drees, Karl Philipp Kutzner

{"title":"Downsizing in total hip arthroplasty. A short stem as a revision implant.","authors":"Marcel Coutandin, Yama Afghanyar, Philipp Rehbein, Jens Dargel, Philipp Drees, Karl Philipp Kutzner","doi":"10.1007/s00132-021-04168-8","DOIUrl":"https://doi.org/10.1007/s00132-021-04168-8","url":null,"abstract":"Background: Short stems have constantly gained popularity in primary total hip arthroplasty (THA) over the last decade. Although cementless short stems are not primarily designed to be used as revision implants, there may be certain indications for which downsizing the femoral component in failed conventional THA is potentially advantageous.Methods: In this single center retrospective case series, six patients who underwent revision using a calcar-guided short stem after failed THA are presented. The mean follow-up was 3.32 years (SD 0.63 years). The health status was evaluated by the EQ-5D-5L score. Patient reported outcome measurements (PROM) were recorded using the Harris hip score (HHS) and The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Pain and satisfaction were assessed using a visual analogue scale (VAS). Radiographic analysis was performed by evaluating osteolysis, stress shielding, alignment and signs of aseptic loosening. Complications were documented.Results: At last follow-up the mean EQ-5D-5L index was 0.851 (SD 0.098). Clinical outcome was excellent (HHS ≥ 90) in 4 patients and moderate (HHS 71 and 79) in 2 patients. The mean WOMAC score was 9.20% (SD 12.61%). Pain and satisfaction on VAS were 1.00 (SD 1.15) and 9.17 (SD 0.37), respectively. No major complications occurred. To date, no further revision surgery was needed. Radiologically, no signs of subsidence, aseptic loosening, stress shielding and fractures were obvious.Conclusion: The present case series indicates that in failed conventional THA downsizing may be considered a treatment option, using short stem THA in selected cases.","PeriodicalId":54669,"journal":{"name":"Orthopade","volume":"51 3","pages":"230-238"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8894309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39464588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

[Surgical treatment of femoroacetabular impingement syndrome : Arthroscopy-mini-open-surgical hip dislocation]. [股髋臼撞击综合征的手术治疗:关节镜-小型开放手术髋关节脱位]。

4区医学

Orthopade Pub Date : 2022-03-01 Epub Date: 2022-01-30 DOI: 10.1007/s00132-022-04213-0

Hans Gollwitzer, Gregor Möckel, Christian Sobau

{"title":"[Surgical treatment of femoroacetabular impingement syndrome : Arthroscopy-mini-open-surgical hip dislocation].","authors":"Hans Gollwitzer, Gregor Möckel, Christian Sobau","doi":"10.1007/s00132-022-04213-0","DOIUrl":"https://doi.org/10.1007/s00132-022-04213-0","url":null,"abstract":"Background: Femoroacetabular impingement syndrome (FAIS) is one of the most common prearthritic hip deformities. Since FAIS is a mechanical pathology, surgical correction of the underlying deformity is the sole causal treatment. If surgery is indicated, a surgical technique that results in complete deformity correction with least morbidity should be selected.Arthroscopy: Due to advancements in techniques and instruments, most pathologies in FAIS can nowadays be addressed arthroscopically. Hip arthroscopy can be successfully performed if the locations of the pathologies are anterior and lateral.Mini-open approach: In special cases and indications-like periarticular pathologies, pathologies of the hip capsule and large labral reconstructions and transplantations, a combination of arthroscopy with a mini-open approach is advantageous. Furthermore, the learning curve of hip arthroscopy can be improved with an additional open approach.Surgical hip dislocation: Global and circumferential pathologies still have to be addressed in surgical hip dislocation to avoid residual deformities. Finally, extraarticular osteotomies have to be considered in cases with significant rotational deformities.","PeriodicalId":54669,"journal":{"name":"Orthopade","volume":"51 3","pages":"219-229"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39873437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Two-surgeon simultaneous bilateral total knee arthroplasty does not provide poor prosthetic alignment : A prospective randomized controlled study. 两名外科医生同时双侧全膝关节置换术不提供不良的假体对齐:一项前瞻性随机对照研究。

4区医学

Orthopade Pub Date : 2022-03-01 Epub Date: 2021-11-04 DOI: 10.1007/s00132-021-04183-9

Fatih Yıldız, Orkhan Aliyev, Aghamazahir Aghazada, Nurzat Elmalı, Gökçer Uzer, İbrahim Tuncay

{"title":"Two-surgeon simultaneous bilateral total knee arthroplasty does not provide poor prosthetic alignment : A prospective randomized controlled study.","authors":"Fatih Yıldız, Orkhan Aliyev, Aghamazahir Aghazada, Nurzat Elmalı, Gökçer Uzer, İbrahim Tuncay","doi":"10.1007/s00132-021-04183-9","DOIUrl":"https://doi.org/10.1007/s00132-021-04183-9","url":null,"abstract":"Purpose: Two-surgeon, simultaneous bilateral total knee arthroplasty (TKA) is considered as an unpredictable, complex procedure in terms of its radiographic and functional outcomes because of different surgeons and teams, and too many instruments and hands in a narrow space. We compared radiological and functional results of simultaneous bilateral TKA and single-surgeon sequential bilateral TKA.Methods: The 136 participants with a minimum of 24 months follow-up were prospectively randomized into 2 groups: two-surgeon bilateral TKA and single-surgeon bilateral TKA. We prespecified primary outcome of the study as between-group differences in terms of component alignment in the coronal and sagittal planes. Short-term functional outcomes were evaluated prospectively using the Oxford Knee Score (OKS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC).Results: Each group consisted of 136 knees of 68 patients. The mean tibial medial angles (TMA) were 89° ± 3 ° and 88° ± 5° in two-surgeons and single surgeon groups, respectively (p = 0.24). Radiological outcomes showed that the mean femoral lateral angles (FLA) were 87.9 ± 3.5° and 85.84 ± 3.7° (p = 0.12), posterior tibial slope angles (PTSA) were 8.2 ± 16.9° and 7.6 ± 17.8° (p = 0.84), and femoral flexion angles (FFA)were 86.8 ± 3.8° and 86.3 ± 3.5° (p = 0.41), anterior femoral offset ratios (AFOR) (%) were 29.5 ± 11.1 and 27.7 ± 7.9 (p = 0.31), and posterior femoral offset ratio (PFOR) (%) were 108.41 ± 31.3 and 108.45 ± 25.7 (p = 0.98), respectively.Conclusion: Two-team simultaneous bilateral TKA is as safe as single stage one-surgeon sequential bilateral TKA in terms of short-term component radiological and the functional outcomes.","PeriodicalId":54669,"journal":{"name":"Orthopade","volume":"51 3","pages":"239-245"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39695108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Femoroacetabular impingement syndrome in adolescents-How to adivse? How to treat?] 青少年股髋臼撞击综合征-如何预防?怎么治疗?]

4区医学

Orthopade Pub Date : 2022-03-01 Epub Date: 2022-02-15 DOI: 10.1007/s00132-022-04214-z

Catharina Chiari, Marie-Christine Lutschounig, Iris Nöbauer-Huhmann, Reinhard Windhager

{"title":"[Femoroacetabular impingement syndrome in adolescents-How to adivse? How to treat?]","authors":"Catharina Chiari, Marie-Christine Lutschounig, Iris Nöbauer-Huhmann, Reinhard Windhager","doi":"10.1007/s00132-022-04214-z","DOIUrl":"https://doi.org/10.1007/s00132-022-04214-z","url":null,"abstract":"Background: Femoroacetabular impingement syndrome (FAIS) is a relevant cause of groin pain in adolescents. Athletes are particularly affected.Objectives: The article shall provide an evidence-based background for FAIS counseling and therapy in adolescents.Material and methods: On the basis of the current literature, an overview of the prevalence and pathogenesis, evaluation and diagnostics, as well as the therapeutic recommendations for FAIS in adolescents was compiled.Results and discussion: FAIS in adolescents primarily affects physically active patients. Certain sports favor the development of FAIS. Cam impingement, pincer impingement, and combined FAIS are the most common entities in this age group. Cam morphology occurs shortly before closure of the proximal femoral growth plate. In cam impingement, the slipped capital femoral epiphysis (SCFE) must be distinguished from the primary cam morphology. SCFE requires rapid surgical treatment with stabilization of the epiphysis, while primary cam impingement can be analyzed electively, and conservative treatment is first recommended. Damage to the labrum and cartilage is regularly observed. A systematic radiological evaluation using X‑rays and MRI is mandatory in order to develop an adequate treatment plan. In adolescent patients with FAIS, a conservative attempt at therapy should always be made; if this is unsuccessful, surgical repair with hip arthroscopy is indicated. The postoperative results are very good in adolescents, with a rapid improvement in symptoms, few complications, and a high return-to-sport rate.","PeriodicalId":54669,"journal":{"name":"Orthopade","volume":"51 3","pages":"211-218"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8894180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39924917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

[Epidemiology, prevention and early detection of femoroacetabular impingement syndrome (FAIS)]. [股髋臼撞击综合征(FAIS)的流行病学、预防及早期发现]。

4区医学

Orthopade Pub Date : 2022-03-01 Epub Date: 2022-02-03 DOI: 10.1007/s00132-022-04215-y

Marco Ezechieli, Ingo J Banke

引用次数: 3

[Clavicle stress fracture following reverse shoulder arthroplasty]. [肩关节置换术后锁骨应力骨折]。

4区医学

Orthopade Pub Date : 2022-03-01 Epub Date: 2022-01-06 DOI: 10.1007/s00132-021-04205-6

Laura Elisa Streck, Lothar Seefried, Franca Genest, Thomas Reichel, Maximilian Rudert, Kilian Rueckl

引用次数: 0

[Update on imaging in femoroacetabular impingement syndrome]. [股髋臼撞击综合征影像学最新进展]。

4区医学

Orthopade Pub Date : 2022-03-01 Epub Date: 2022-02-21 DOI: 10.1007/s00132-022-04223-y

Clemens Felsing, Jörg Schröder

{"title":"[Update on imaging in femoroacetabular impingement syndrome].","authors":"Clemens Felsing, Jörg Schröder","doi":"10.1007/s00132-022-04223-y","DOIUrl":"https://doi.org/10.1007/s00132-022-04223-y","url":null,"abstract":"Background: Properly performed high-quality imaging is critical in the diagnosis of femoroacetabular impingement syndrome (FAIS). Currently, conventional imaging in the form of an anteroposterior view of the pelvis and at least a second view is still the first step in the diagnosis of FAIS. Here, by determining the various parameters, the acetabular configuration should also be accurately assessed with regard to a combination with dysplasia or acetabular retroversion. MRI: MRI should also be demanded as standard before joint-preserving surgery. It allows for more precise detection of morphology, secondary chondrolabral damage, and thus helps identify outcome-relevant risk factors and cases that are too advanced in terms of degenerative aspects.Other imaging methods: Depending on the problem, MRI can be supplemented by intravenous or intra-articular application of contrast agents (indirect or direct MRA), determination of torsion, and, if necessary, even with the performance of a traction MRA. While the importance of invasive MRA has decreased due to the improvements of 3‑Tesla scanners in clinical practice, rotational analysis has gained in importance. Computed tomography (CT), although associated with increased radiation exposure, allows high-resolution imaging of bony structures and extremely illustrative 3D planning of complex corrections, and is an alternative to MRI for this purpose or in contraindications.Prospects: 4D simulations appear useful and may make diagnostics and therapy planning safer and easier in the future. Thus, a broad portfolio of imaging techniques is available today, the advances of which have contributed significantly to the development of differentiated joint-preserving surgery of the hip joint.","PeriodicalId":54669,"journal":{"name":"Orthopade","volume":"51 3","pages":"176-186"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39818074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[The meaning of cartilage therapy in the treatment of FAIS : Is a specific cartilage therapy necessary or is deformity correction sufficient?] 软骨治疗在FAIS治疗中的意义:是否需要特定的软骨治疗或畸形矫正就足够了?]

4区医学

Orthopade Pub Date : 2022-03-01 Epub Date: 2022-02-07 DOI: 10.1007/s00132-022-04216-x

Wolfram Steens, Wolfgang Zinser

引用次数: 0