Acta orthopaedica Scandinavica最新文献_第9页

Femoral shaft fractures in children: elastic stable intramedullary nailing in 31 cases. 儿童股骨干骨折:弹性稳定髓内钉治疗31例。

Acta orthopaedica Scandinavica Pub Date : 2004-06-01 DOI: 10.1080/00016470410001150

Shirzad Houshian, Charlotte Buch Gøthgen, Niels Wisbech Pedersen, Søren Harving

引用次数: 40

Surgical treatment of femoral fractures in children. Comparison between external fixation and elastic intramedullary nails: a review. 儿童股骨干骨折的外科治疗。外固定与弹性髓内钉的比较研究综述。

Acta orthopaedica Scandinavica Pub Date : 2004-06-01 DOI: 10.1080/00016470410001132

Hanne Hedin

引用次数: 28

Intravenous regional administration of corticosteroids in juvenile chronic arthritis. 局部静脉注射皮质类固醇治疗青少年慢性关节炎。

Acta orthopaedica Scandinavica Pub Date : 2004-06-01 DOI: 10.1080/00016470410001312

Magnus Tägil, Jan Reimertz, Renate Elborgh, Philippe Kopylov

{"title":"Intravenous regional administration of corticosteroids in juvenile chronic arthritis.","authors":"Magnus Tägil, Jan Reimertz, Renate Elborgh, Philippe Kopylov","doi":"10.1080/00016470410001312","DOIUrl":"https://doi.org/10.1080/00016470410001312","url":null,"abstract":"Background: Treatment of juvenile chronic arthritis patients with longstanding multiple joint or tendon involvement that is resistant to medication remains a challenge. For 20 years, we have been treating these severely ill patients with intravenous regional glucocorticoids (a modified Bier's block).Patients and methods: Since 1996, all juvenile chronic arthritis patients have been followed prospectively by an occupational therapist who has registered the grip strength and range of motion at an average of 6 months after treatment.Results: In 22/40 wrists and hands, increased grip strength was recorded. The mean grip strength increased for the whole group from 47 to 59 N and the flexion lag decreased.Interpretation: The effect of intravenous regional steroid treatment may be limited from a long-term perspective, but in our series, half of the patients showed a considerable improvement after 6 months. Surgical synovectomy can be postponed and perhaps even be omitted.","PeriodicalId":75403,"journal":{"name":"Acta orthopaedica Scandinavica","volume":"75 3","pages":"352-4"},"PeriodicalIF":0.0,"publicationDate":"2004-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00016470410001312","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24621559","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: 3

A cost analysis of three methods of treating femoral shaft fractures in children: a comparison of traction in hospital, traction in hospital/home and external fixation. 儿童股骨干骨折三种治疗方法的成本分析:医院牵引、医院/家庭牵引和外固定的比较

Acta orthopaedica Scandinavica Pub Date : 2004-06-01 DOI: 10.1080/00016470410001141

Hanne Hedin, Lars Borgquist, Sune Larsson

{"title":"A cost analysis of three methods of treating femoral shaft fractures in children: a comparison of traction in hospital, traction in hospital/home and external fixation.","authors":"Hanne Hedin, Lars Borgquist, Sune Larsson","doi":"10.1080/00016470410001141","DOIUrl":"https://doi.org/10.1080/00016470410001141","url":null,"abstract":"Introduction: There is no consensus as to which is best treatment of femoral fractures in children.Patients and methods: We performed a cost analysis comparing three treatments of femoral shaft fractures in children aged 3-15 years at 3 hospitals during the same period (1993-2000). The analysis included total medical costs and costs for the care provider and were calculated from the time of injury up to 1 year.Results: At hospital 1, treatment consisted of external fixation and early mobilization. At hospital 2, the treatment was skin or skeletal traction in hospital for 1-2 weeks, followed by home traction. At hospital 3, treatment was skin or skeletal traction in hospital until the fracture healed.Results: The average total costs per patient were EUR 10,000 at hospital 1, EUR 23,000 at hospital 2, and EUR 38,000 at hospital 3.Interpretation: The main factor for determining the cost of treatment was the number of days in hospital, which was lower in children treated with external fixation.","PeriodicalId":75403,"journal":{"name":"Acta orthopaedica Scandinavica","volume":"75 3","pages":"241-8"},"PeriodicalIF":0.0,"publicationDate":"2004-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00016470410001141","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24619550","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: 30

Cigarette smoking delays bone healing: a prospective study of 200 patients operated on by the hemicallotasis technique. 吸烟延迟骨愈合:一项前瞻性研究，200例患者手术的半游离技术。

Acta orthopaedica Scandinavica Pub Date : 2004-06-01 DOI: 10.1080/00016470410001303

Annette W-Dahl, Sören Toksvig-Larsen

引用次数: 80

Potential role of pre-existing blood vessels for vascularization and mineralization of osteochondral grafts: an intravital microscopic study in mice. 预先存在的血管在骨软骨移植物血管化和矿化中的潜在作用:小鼠活体显微研究。

Acta orthopaedica Scandinavica Pub Date : 2004-06-01 DOI: 10.1080/00016470410001330

Dominique A Rothenfluh, Thomas J Demhartner, Christian R Fraitzl, Marco G Cecchini, Reinhold Ganz, Michael Leunig

{"title":"Potential role of pre-existing blood vessels for vascularization and mineralization of osteochondral grafts: an intravital microscopic study in mice.","authors":"Dominique A Rothenfluh, Thomas J Demhartner, Christian R Fraitzl, Marco G Cecchini, Reinhold Ganz, Michael Leunig","doi":"10.1080/00016470410001330","DOIUrl":"https://doi.org/10.1080/00016470410001330","url":null,"abstract":"Background: The aim of this study was to develop an experimental model that allows to elude the potential role of the preexisting graft microvasculature for vascularization and mineralization of osteochondral grafts.Animals and methods: For that purpose, the II-IV metatarsals of fetal DDY-mice known to be nonvascularized at day 16 of gestation (M16) but vascularized at day 18 (M18) were freshly transplanted into dorsal skin fold chambers of adult DDY mice. Using intravital microscopy angiogenesis, leukocyte-endothelium interaction and mineralization were assessed for 12 days.Results: Angiogenesis occurred at 32 hours in M18, but not before 57 hours in M16 (p = 0.002), with perfusion of these vessels at 42 hours (p = 0.005) and 65 hours (p = 0.1), respectively. Vessels reached a density three times as high as that of the recipient site at day 6, remaining constant until day 12 in M18, whereas in M16 vascular density increased from day 6 and reached that of M18 at day 12 (p = 0.04). Leukocyte-endothelium interaction showed sticker counts elevated by a factor of 4-5 in M18 as compared to M16. Mineralization of osteochondral grafts did not differ between M16 and M18, which significantly increased in both groups throughout the observation period.Interpretation: We propose the faster kinetics in the angiogenic response to M18 and the elevated counts of sticking leukocytes to rest on the potential of establishing end-to-end anastomoses (inosculation) of the vascularized graft with recipient vessels.","PeriodicalId":75403,"journal":{"name":"Acta orthopaedica Scandinavica","volume":"75 3","pages":"359-65"},"PeriodicalIF":0.0,"publicationDate":"2004-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00016470410001330","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24621561","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: 9

Arthroplasty for ochronotic arthritis: no failure of 11 replacements in 3 patients followed 6-12 years. 关节置换术治疗慢性关节炎:3例患者随访6-12年，11例置换均无失败。

Acta orthopaedica Scandinavica Pub Date : 2004-06-01 DOI: 10.1080/00016470410001321

Jonathan M F Spencer, C L Maxime H Gibbons, Robert J Sharp, Andrew J Carr, Nicholas A Athanasou

{"title":"Arthroplasty for ochronotic arthritis: no failure of 11 replacements in 3 patients followed 6-12 years.","authors":"Jonathan M F Spencer, C L Maxime H Gibbons, Robert J Sharp, Andrew J Carr, Nicholas A Athanasou","doi":"10.1080/00016470410001321","DOIUrl":"https://doi.org/10.1080/00016470410001321","url":null,"abstract":"Background: Alkaptonuria is a rare single-gene disorder characterized by black pigmentation of cartilage and other connective tissues. Premature degenerative arthritis affects the large joints in many of these of patients. Medical treatment is limited to a protein-restricted diet (phenylalanine and tyrosine) with surgery reserved for end-stage joint disease. As in other metabolic bone diseases, there are concerns about the quality and strength of affected bones and therefore the suitability and longevity of replacement arthroplasty. The histopathology and outcome of joint replacement for alkaptonuric arthritis is unknown and limited to sporadic case reports.Patients and results: We describe 11 joint replacements in 3 patients with alkaptonuric polyarthropathy, including shoulder and elbow replacements not previously reported. No prosthetic failures occurred in up to 12 years of follow-up.Interpretation: Total joint replacement is an acceptable treatment for degenerative joint disease in alkaptonuric patients, with implant survival comparable to that found in patients with osteoarthritis.","PeriodicalId":75403,"journal":{"name":"Acta orthopaedica Scandinavica","volume":"75 3","pages":"355-8"},"PeriodicalIF":0.0,"publicationDate":"2004-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00016470410001321","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24621560","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: 47

No benefits with computer assistance in triple pelvic osteotomy. 计算机辅助三段式骨盆截骨术无益处。

Acta orthopaedica Scandinavica Pub Date : 2004-06-01 DOI: 10.1080/00016470410001187

Dean Pakvis, Gijs van Hellemondt, Patsy Anderson, Marinus de Kleuver

引用次数: 6

Acetabular cementing technique in THA--flanged versus unflanged cups, cadaver experiments. 髋臼骨水泥技术在THA中的应用——有法兰杯与无法兰杯，尸体实验。

Acta orthopaedica Scandinavica Pub Date : 2004-06-01 DOI: 10.1080/00016470410001196

Dominik Parsch, Caroline Diehm, Sven Schneider, Andrew New, Steffen J Breusch

{"title":"Acetabular cementing technique in THA--flanged versus unflanged cups, cadaver experiments.","authors":"Dominik Parsch, Caroline Diehm, Sven Schneider, Andrew New, Steffen J Breusch","doi":"10.1080/00016470410001196","DOIUrl":"https://doi.org/10.1080/00016470410001196","url":null,"abstract":"Background: There are few studies on the effect of acetabular cup design on cement penetration.Material and methods: We evaluated the effects of an acetabular flange on cement pressurization and cement penetration in 12 cadavers. Flanged or unflanged cups were implanted in paired human acetabula with simulated intraosseous bleeding pressure but without cement pressurization before insertion of the cup. Three pressure transducers were used to record intra-acetabular peak and average pressures during cup insertion. Following implantation, the whole specimens were AP-radiographed and standardized sections through the acetabula were microradiographed to evaluate cement penetration.Results: Flanged cups produced greater intra-acetabular peak pressures than unflanged cups, but did not increase the average intra-acetabular pressure. Cement penetration did not differ significantly between the two groups.Interpretation: Our findings do not support the use of flanged cups as the sole means of cement pressurization in the acetabulum.","PeriodicalId":75403,"journal":{"name":"Acta orthopaedica Scandinavica","volume":"75 3","pages":"269-75"},"PeriodicalIF":0.0,"publicationDate":"2004-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00016470410001196","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24619555","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: 35

The impact of time of admission on major complications and mortality in patients undergoing emergency trauma surgery. 入院时间对急诊创伤手术患者主要并发症及死亡率的影响

Acta orthopaedica Scandinavica Pub Date : 2004-06-01 DOI: 10.1080/00016470410001286

Jason W Busse, Mohit Bhandari, P J Devereaux

{"title":"The impact of time of admission on major complications and mortality in patients undergoing emergency trauma surgery.","authors":"Jason W Busse, Mohit Bhandari, P J Devereaux","doi":"10.1080/00016470410001286","DOIUrl":"https://doi.org/10.1080/00016470410001286","url":null,"abstract":"Background: Previous studies have shown a relationship between time of admission to hospital and mortality rates; however, it is uncertain whether such a relationship exists for patients requiring emergency trauma surgery.Methods: We included all trauma patients, except those with moderate to severe burns, who presented to a university-affiliated level 1 trauma center and underwent surgery, from 1995 until 2001 (n = 1044). We conducted univariate and multivariate analyses in which the dependent variables were in-hospital mortality and major complications, and the independent variables were the time of presentation to the trauma centre (nighttime vs. daytime, weekend vs. weekday, month of year, and year), age, sex, injury severity score, type of operative procedure, and total number of operative procedures.Results: None of the factors related to time of presentation were associated with major complications or mortality. Factors predictive of increased mortality were higher ISS (odds ratio 1.07; 95% confidence interval 1.03-1.08), older age (1.04; 1.03-1.07), operations involving the cardiovascular system (1.7; 1-2.6), \"miscellaneous\" operative procedures (1.8; 1.1-2.9), and major complications (2.4; 1.4-4.2).Interpretation: Time of presentation for emergency trauma surgery was not associated with differences in major complications or in mortality.","PeriodicalId":75403,"journal":{"name":"Acta orthopaedica Scandinavica","volume":"75 3","pages":"333-8"},"PeriodicalIF":0.0,"publicationDate":"2004-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/00016470410001286","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24620584","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: 18