Acta orthopaedica Scandinavica最新文献

{"title":"Chemotherapy in osteosarcoma. The Scandinavian Sarcoma Group experience.","authors":"G. Sæter, Thomas Wiebe, Tom Wiklund, O. Monge, Y. Wahlqvist, Katarina Engström, Erik Forestier, Teddy Holmström, Stenwig Ae, Helena Willén, O. Brosjö, Gunnar Follerås, T. Alvegård, Hans Strander","doi":"10.1080/17453674.1999.11744828","DOIUrl":"https://doi.org/10.1080/17453674.1999.11744828","url":null,"abstract":"","PeriodicalId":75403,"journal":{"name":"Acta orthopaedica Scandinavica","volume":"285 1","pages":"74-82"},"PeriodicalIF":0.0,"publicationDate":"2016-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17453674.1999.11744828","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59946420","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}

{"title":"Chemotherapy in Ewing's sarcoma","authors":"I. Elomaa, C. Blomqvist, G. Sæter, M. Nilbert, O. Monge, T. Wiebe, T. Alvegård","doi":"10.1080/17453674.1999.11744827","DOIUrl":"https://doi.org/10.1080/17453674.1999.11744827","url":null,"abstract":"During the past 15 years the Scandinavian Sarcoma Group has treated 140 patients with Ewing's sarcoma. Two protocols have been used. SSG IV included 52 patients between 1984 and 1990 and SSG IX, 88...","PeriodicalId":75403,"journal":{"name":"Acta orthopaedica Scandinavica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/17453674.1999.11744827","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59946382","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}

{"title":"The Third Meeting of the European Musculo-Skeletal Oncology Society","authors":"U. Nilsonne","doi":"10.3109/17453679109162187","DOIUrl":"https://doi.org/10.3109/17453679109162187","url":null,"abstract":"Materials, methods, and techniques of pelvic resections are discussed. Results, including the complications of nerve damage, infection, and vascular, visceral, and reconstructive complications are tabulated.","PeriodicalId":75403,"journal":{"name":"Acta orthopaedica Scandinavica","volume":"1 1","pages":"58-72"},"PeriodicalIF":0.0,"publicationDate":"2009-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/17453679109162187","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69456574","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}

{"title":"Can high physical activity give increased bone mass in various parts of the skeleton","authors":"M. Karlsson, O. Johnell, K. Obrant","doi":"10.3109/17453679109162182","DOIUrl":"https://doi.org/10.3109/17453679109162182","url":null,"abstract":"","PeriodicalId":75403,"journal":{"name":"Acta orthopaedica Scandinavica","volume":"62 1","pages":"1-28"},"PeriodicalIF":0.0,"publicationDate":"2009-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/17453679109162182","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69456115","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}

{"title":"The Dutch Orthopaedic Association has joined the Nordic Orthopedic Federation","authors":"N. V. Dijk, M. Jarvinen, A. Rydholm, O. Svensson, R. Wallensten","doi":"10.1080/00016470510030265","DOIUrl":"https://doi.org/10.1080/00016470510030265","url":null,"abstract":"","PeriodicalId":75403,"journal":{"name":"Acta orthopaedica Scandinavica","volume":"76 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2005-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00016470510030265","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58759178","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}

{"title":"Orthopedic considerations in Gaucher disease since the advent of enzyme replacement therapy.","authors":"Menachem Itzchaki,&nbsp;Ehud Lebel,&nbsp;Altoon Dweck,&nbsp;Michael Patlas,&nbsp;Irith Hadas-Halpern,&nbsp;Ari Zimran,&nbsp;Deborah Elstein","doi":"10.1080/00016470410004003","DOIUrl":"https://doi.org/10.1080/00016470410004003","url":null,"abstract":"<p><p>Gaucher disease, the most prevalent lysosomal storage disorder, is characterized by hepatosplenomegaly, hypersplenism, and rarely, neurological involvement. The most variable symptoms relate to skeletal disease, and both onset and progression are difficult to predict on the basis of genotype. This review describes findings from a large referral clinic (> 500 patients) and from the literature in the decade since the advent of specific enzyme replacement therapy. Such therapy is effective in reducing visceral and hematological involvement, but its greatest advantage as regards the skeleton is prevention of irreversible damage. Avascular necrosis of the joints-particularly the hips but also the knees and shoulders-and pathological fractures of the long bones including the ribs, as well as episodic \"crises' of bone pain in children and young adults, are common manifestations. Various imaging modalities should be performed at baseline for life-long monitoring, and then as required because of specific complaints. Surgical interventions such as joint arthroplasties are important adjuvant treatments in this population; presurgical hematological profiling plus antibiotic cover and postoperative pain control are equally critical. Opportunities for orthopedic consultations with senior surgeons are not abused by our patients. These reflect disease-related morbidity, with greater numbers of requests being made by patients requiring enzyme therapy, who by definition have more severe disease characteristics.</p>","PeriodicalId":75403,"journal":{"name":"Acta orthopaedica Scandinavica","volume":"75 6","pages":"641-53"},"PeriodicalIF":0.0,"publicationDate":"2004-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00016470410004003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25001403","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}

{"title":"Alendronate prevents collapse in mechanically loaded osteochondral grafts: a bone chamber study in rats.","authors":"Magnus Tägil,&nbsp;Jörgen Astrand,&nbsp;Lars Westman,&nbsp;Per Aspenberg","doi":"10.1080/00016470410004157","DOIUrl":"https://doi.org/10.1080/00016470410004157","url":null,"abstract":"<p><strong>Background: </strong>Subchondral bone necrosis is important in osteonecrosis, Mb Kienboeck, intraarticular fractures or osteochondral grafting. As revascularization follows, bone resorption may lead to collapse in load bearing areas during the remodeling. Bisphosphonates are potent osteoclast inhibitors. Our hypothesis was that local bisphosphonate treatment of an osteochondral graft, in a high load environment, would protect the subchondral bone from collapse and maintain the joint architecture during remodeling. To investigate this, we used a rat bone chamber model to subject a necrotic osteochondral graft to a large mechanical load during remodeling.</p><p><strong>Method: </strong>Cylindrical osteochondral grafts were taken from the patellar groove of rats, one end of the cylinder being the joint surface. The grafts were frozen, thawed and treated with alendronate. The length of the cylinder was measured and the grafts were placed in the chambers, which were inserted into the proximal tibia of rats. The chambers were left to heal in for two weeks to allow establishment of a vascular supply, and then the transplanted osteochondral plugs were mechanically loaded for 4 weeks, once a day with 10 cycles of 2 MPa pressure at 0.16 Hz.</p><p><strong>Results: </strong>At harvest, the graft length had decreased during remodeling in 5 of the 6 untreated controls, but only in 2 out of 8 alendronate-treated rats (p = 0.05). Histologically, the bone graft in the non-treated controls was resorbed in the remodeled part of the graft, whereas in the alendronate-treated rats a dense trabecular bone was found consisting of both new bone and graft.</p><p><strong>Interpretation: </strong>Local treatment of the graft with bisphosphonate diminishes the risk of collapse during revascularization and bone remodeling in a mechanically loaded osteochondral graft. This could be useful in a variety of situations when bone remodeling occurs after a necrosis close to a joint, either spontaneously after osteonecrosis or a fracture, or after surgical procedures such as mosaic-plasty or other osteochondral grafting.</p>","PeriodicalId":75403,"journal":{"name":"Acta orthopaedica Scandinavica","volume":"75 6","pages":"756-61"},"PeriodicalIF":0.0,"publicationDate":"2004-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00016470410004157","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25001789","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}

{"title":"Two-stage treatment of a growth arrest of the distal radius--a case report.","authors":"Guy Dagregorio,&nbsp;Yann Saint-Cast","doi":"10.1080/00016470410004193","DOIUrl":"https://doi.org/10.1080/00016470410004193","url":null,"abstract":"Copyright © Taylor & Francis 2004. ISSN 0001–6470. Printed in Sweden – all rights reserved. DOI 10.1080/00016470410004193 In 1996, a 9-year-old boy presented with the typical appearance of a peripheral growth arrest of the right distal radius. The hand was radially deviated with a prominent end of the ulna (Figures 1 C and E) (Nelson et al. 1984). The boy had been operated on 2 years previously with repeated attempts at reduction of a distal radial epiphyseal fracture and the use of K-wires across the physis (Horii et al. 1993). Radiographs and CT showed a partial distal radial physeal closure located dorsally and radially, with a marked ulnar overgrowth and a radial tilt of the radius (Figures 1 A, B and D). We planned with clinical and radiographical examinations every year during the intervening period. The first stage consisted of an immediate epiphyseal bar resection (Figure 2A) to allow the radius to straighten and regain as much length","PeriodicalId":75403,"journal":{"name":"Acta orthopaedica Scandinavica","volume":"75 6","pages":"775-8"},"PeriodicalIF":0.0,"publicationDate":"2004-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00016470410004193","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25001793","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}

{"title":"Increased risk of dislocation after primary total hip arthroplasty in inflammatory arthritis: a prospective observational study of 410 hips.","authors":"Rob E Zwartelé,&nbsp;Ronald Brand,&nbsp;H Cornelis Doets","doi":"10.1080/00016470410004049","DOIUrl":"https://doi.org/10.1080/00016470410004049","url":null,"abstract":"<p><strong>Background: </strong>It is unclear whether patients with inflammatory arthritis have a higher risk of dislocation after hip replacement.</p><p><strong>Patients and material: </strong>We carried out a prospective study assessing the incidence of dislocation within 2 years after surgery for patients diagnosed with inflammatory arthritis (IA) and osteoarthrosis (OA). One single type of prosthesis was implanted using a lateral approach. Both diagnostic groups were compared by univariate analysis with respect to dislocation, sex, age, diagnosis, prior hip surgery, experience of the surgeon and malposition of the acetabular component. In a multivariate logistic regression approach, the difference in dislocation incidence was assessed after adjusting for the effect of the potential confounders given above. Between 1996 and 1999, 410 THA were performed: 70 in IA and 340 in OA. After 2 years no patients were lost to follow-up, but 12 patients had died, and 5 revisions were carried out for reasons other than dislocation.</p><p><strong>Results: </strong>The dislocation rate in patients with IA was higher than in patients with OA: 10% (7 hips) in the IA group and 3% (10 hips) in the OA group (p = 0.006). No significant differences were found among the risk factors for dislocation between the two groups. Multivariate logistic regression analysis showed that IA is an independent risk factor for dislocation (odds ratio (OR) 3.7, 95% CI 1.3-11), together with malposition of the cup in more than 55 degrees abduction (OR 7.7, CI 2.3-26) and increased anteversion (OR 7.6, CI 1.4-42.4).</p><p><strong>Interpretation: </strong>Our findings clearly suggest that inflammatory arthritis has to be considered as an independent risk factor for dislocation after primary THA.</p>","PeriodicalId":75403,"journal":{"name":"Acta orthopaedica Scandinavica","volume":"75 6","pages":"684-90"},"PeriodicalIF":0.0,"publicationDate":"2004-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00016470410004049","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25001407","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}

{"title":"Outcome of surgically treated intraarticular calcaneus fractures--SF-36 compared with AOFAS and MFS.","authors":"Thomas Westphal,&nbsp;Stefan Piatek,&nbsp;Jan-Peter Halm,&nbsp;Stephan Schubert,&nbsp;Stephan Winckler","doi":"10.1080/00016470410004148","DOIUrl":"https://doi.org/10.1080/00016470410004148","url":null,"abstract":"<p><strong>Background: </strong>There is no consensus as to which is the best treatment for intraarticular fractures of the calcaneus. Furthermore, few studies have assessed general health after calcaneus fractures. We therefore measured the state of general health after operation of calcaneal fractures and compared these data with usual foot-scores.</p><p><strong>Patients and methods: </strong>We compared the general health of 71 patients with surgically treated calcaneal fractures 2.5 years after injury, with the general health of 71 people from the standard German population (German National Health Survey, 1998) using the SF-36 form. We compared the results of the examination with results of AOFAS Ankle Hindfoot Scale and Maryland Foot Score in the treated patients.</p><p><strong>Results: </strong>In patients with calcaneal fractures, there were significant limitations regarding general health in all 9 elements of the SF-36 form. Correlations between SF-36 and foot-scores were strong regarding function and pain scales, but moderate for all other scales.</p><p><strong>Interpretation: </strong>Patients face significant limitations regarding general health after calcaneal fractures. The usual foot-scores measure only 2 dimensions of outcome: function and pain. To measure all dimensions of outcome, SF-36 is a better alternative.</p>","PeriodicalId":75403,"journal":{"name":"Acta orthopaedica Scandinavica","volume":"75 6","pages":"750-5"},"PeriodicalIF":0.0,"publicationDate":"2004-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00016470410004148","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25001788","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}