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Italian journal of orthopaedics and traumatology最新文献

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Plantar fasciitis. 种fasciitis。
Italian journal of orthopaedics and traumatology Pub Date : 2020-12-15 DOI: 10.18231/2455-1732.2018.0003
O. Onuba, J. Ireland
{"title":"Plantar fasciitis.","authors":"O. Onuba, J. Ireland","doi":"10.18231/2455-1732.2018.0003","DOIUrl":"https://doi.org/10.18231/2455-1732.2018.0003","url":null,"abstract":"Thirty patients presenting with the heel pain syndrome, commonly referred to as \"plantar fasciitis\", were studied prospectively over a two year period. The pain was associated with a calcaneal spur in 21 patients (70%). In a control series of 25 patients without heel symptoms, calcaneal spurs were present in only 4 out of 50 heels (8%). This difference is highly significant (p 0.001). Seven patients (22%) in the plantar fasciitis group complained of ipsilateral sciatica.","PeriodicalId":75955,"journal":{"name":"Italian journal of orthopaedics and traumatology","volume":"12 4 1","pages":"533-5"},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43510408","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
Clear-Cell Chondrosarcoma 透明细胞软骨肉瘤
Italian journal of orthopaedics and traumatology Pub Date : 1999-01-01 DOI: 10.1007/978-3-7091-3846-5_22
M. Campanacci
{"title":"Clear-Cell Chondrosarcoma","authors":"M. Campanacci","doi":"10.1007/978-3-7091-3846-5_22","DOIUrl":"https://doi.org/10.1007/978-3-7091-3846-5_22","url":null,"abstract":"","PeriodicalId":75955,"journal":{"name":"Italian journal of orthopaedics and traumatology","volume":"6 1","pages":"369-373"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51390439","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
Chiari osteotomy in association with intertrochanteric osteotomy in adults. 成人Chiari截骨术联合粗隆间截骨术。
Italian journal of orthopaedics and traumatology Pub Date : 1993-01-01
S Racalbuto, V Macchiavello, G Greco
{"title":"Chiari osteotomy in association with intertrochanteric osteotomy in adults.","authors":"S Racalbuto,&nbsp;V Macchiavello,&nbsp;G Greco","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors report the results obtained in 34 adult patients suffering from early degenerative arthritis of the hip following mixed dysplasia in which the reduction in the central-edge angle and the increase in the acetabular index is associated with modification of the neck-shaft angle and/or femoral anteversion. These patients underwent a combined Chiari iliac osteotomy (C.I.O.) and intertrochanteric osteotomy (In.O.). The results indicate that, when the indications and technique are respected, C.I.O. associated with In.O. is a reliable surgical method.</p>","PeriodicalId":75955,"journal":{"name":"Italian journal of orthopaedics and traumatology","volume":"19 1","pages":"51-6"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19547431","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
Femoral neck preservation in total hip replacement. 全髋关节置换术中保留股骨颈。
Italian journal of orthopaedics and traumatology Pub Date : 1993-01-01
F Pipino, L Molfetta
{"title":"Femoral neck preservation in total hip replacement.","authors":"F Pipino,&nbsp;L Molfetta","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Preservation of the femoral neck in hip arthroplasty creates a particular biomechanical situation which is clearly different from what is found even after partial neck removal. The femoral neck consists in fact of a \"cylinder of cortical bone\" that can be used as the \"base\" for anchoring the stem to the femur, in contrast to the press-fit procedure or other solutions. The mechanical and biological advantages are as follows: 1) Primary triplanar stem stability, in particular rotational stability. Rotational movements of the stem are blocked by the tough lateral cortical cylinder of the neck. Resistance to varus-valgus stress and collapse is also increased vertically and frontally. 2) Proximal cortical fixation. Primary fixation of the stem is provided by the neck cortex, whereas its mid-distal part is merely held by the metaphyseal cancellous bone and the tip is undersized with respect to the medullary canal. 3) Stress loads distributed along physiological lines of stress. Retention of the neck permits preservation of the trabecular systems, along which the stress is distributed towards the diaphysis and the greater trochanter. 4) Elasticity of the bone-prosthesis system. Most of the stem is contained within the metaphyseal cancellous bone that lies between the prosthesis and the cortical bone, creating a bone-prosthesis module with variable and integrated elasticity. 5) Preservation of the bone-stock. The amount of residual bone following implant of the prosthesis increases, not only because of the presence of the femoral neck, but also as a result of the preservation of most of the metaphyseal cancellous bone. There is therefore greater bone-ingrowth, which is also favoured by the fewer changes in the endosteal blood supply. 6) Prosthesis revision is simpler, since the stem can easily be removed and a second neck resection performed. Our clinical and experimental studies, together with those of Freeman et al., confirm that the femoral neck is present for a long time after implant. Finally, we report a study of 200 prostheses with a follow-up of 1 to 6 years, demonstrating neck reabsorption in only 1% of the cases.</p>","PeriodicalId":75955,"journal":{"name":"Italian journal of orthopaedics and traumatology","volume":"19 1","pages":"5-12"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19547430","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
Scanning electron microscopy study of articular cartilage in the evolution of hip arthritis. 关节软骨在髋关节关节炎演变中的扫描电镜研究。
Italian journal of orthopaedics and traumatology Pub Date : 1993-01-01
E De Santis, E Espa, A Manunta, P Lisai, M A Rosa
{"title":"Scanning electron microscopy study of articular cartilage in the evolution of hip arthritis.","authors":"E De Santis,&nbsp;E Espa,&nbsp;A Manunta,&nbsp;P Lisai,&nbsp;M A Rosa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors report the results of scanning electron microscopy examination of samples of articular surface taken from 15 arthritic femoral heads removed during hip replacement. The specimens were collected from areas of the femoral head where different degrees of degenerative changes were identified, and processed with the normal techniques for scanning electron microscopy. A definition was made of the mechanisms leading to articular cartilage wear, the most obvious sign of cartilage degeneration. The earlier stages were characterized by the appearance of clefts in the surface layer, which merged and formed scales that flaked off, giving rise to superficial abrasions. The evolution of the degenerative process led to a deepening of the clefts, reaching the intermediate and deep layers and creating further scales of cartilage tissue, oblique or perpendicular to the surface. The elimination of these formations causes more or less marked wear that can extend down to the subchondral bone (ulcers and ground surfaces). As well as information on the condition of the articular surfaces, scanning electron microscopy may also provide details on the morphology and structure of the chondrocytes and the fibrillar network in the sagittal sections, showing the regressive phenomena associated with arthritis.</p>","PeriodicalId":75955,"journal":{"name":"Italian journal of orthopaedics and traumatology","volume":"19 1","pages":"87-93"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19547435","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
The role of overlength of the leg in aseptic loosening after total hip arthroplasty. 小腿过长在全髋关节置换术后无菌性松动中的作用。
Italian journal of orthopaedics and traumatology Pub Date : 1993-01-01
T Visuri, T S Lindholm, I Antti-Poika, M Koskenvuo
{"title":"The role of overlength of the leg in aseptic loosening after total hip arthroplasty.","authors":"T Visuri,&nbsp;T S Lindholm,&nbsp;I Antti-Poika,&nbsp;M Koskenvuo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A study was done on the role of postoperative leg length inequality (LLI) in aseptic loosening after total hip arthroplasty (THA). Data on 405 McKee-Farrar hip replacements performed at the Invalid Foundation, Helsinki, Finland were available for the study. The mean lengthening of the operated leg was 0.8 cm after an average follow-up of 7.7 years. Of these hips, 63 (15.6%) subsequently underwent revision due to aseptic loosening of the prosthesis. Several risk factors were analysed using multivariate stepwise regression analysis to find factors which predispose patients to loosening: overlength of the operated limb proved to be the most important. Our conclusion is that overlengthening should be avoided by careful preoperative and intraoperative length measurements and proper selection of prostheses. If there is marked overlengthening of the replaced hip postoperatively, it should be corrected.</p>","PeriodicalId":75955,"journal":{"name":"Italian journal of orthopaedics and traumatology","volume":"19 1","pages":"107-11"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19547520","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
Surgical treatment of pubic pain refractory to conservative treatment. 耻骨痛顽固性手术治疗，保守治疗。
Italian journal of orthopaedics and traumatology Pub Date : 1993-01-01
B Moyen, E Mainetti, V Sansone, E Pedotti
{"title":"Surgical treatment of pubic pain refractory to conservative treatment.","authors":"B Moyen,&nbsp;E Mainetti,&nbsp;V Sansone,&nbsp;E Pedotti","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>After some considerations on the biomechanical nature of pubic pain, the authors present a series of 17 leading athletes (14 professional football players, 1 marathon runner, 1 weight-lifter and 1 French boxer), complaining of this disorder for at least one year and refractory to conservative treatment, surgically treated with the Nesovic technique and evaluated after an average follow-up period of two years (18-30 months).</p>","PeriodicalId":75955,"journal":{"name":"Italian journal of orthopaedics and traumatology","volume":"19 1","pages":"43-9"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19547429","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
Post-operative intervertebral discitis. Evaluation of 12 cases and study of ESR in the normal postoperative period. 术后椎间盘炎。12例术后正常期ESR的评价与研究。
Italian journal of orthopaedics and traumatology Pub Date : 1993-01-01
F Postacchini, G Cinotti, D Perugia
{"title":"Post-operative intervertebral discitis. Evaluation of 12 cases and study of ESR in the normal postoperative period.","authors":"F Postacchini,&nbsp;G Cinotti,&nbsp;D Perugia","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Twelve cases of intervertebral discitis following lumbar discectomy were evaluated and ESR was assessed in 70 patients operated on and without evidence of postoperative infection. Six of the intervertebral discitis patients were studied retrospectively and 6 prospectively. In the retrospective group, patients reported that symptoms appeared on average 15 days after the operation. Antibiotic treatment generally began 31 days after the operation and lasted 62 days; symptoms regressed after 3.9 months. All patients showed long-term radiographic vertebral changes and osteolysis in the cases treated later. In the prospective group, the first symptoms appeared on average 5 days after the operation, treatment started after 8 days and lasted 41 days. Symptoms regressed after 1.8 months. There were only 3 cases of vertebral radiographic changes. In both groups, ESR was always more than 70. The most useful diagnostic imaging tests were conventional tomography and MRI. Needle biopsy had no effect on the length of treatment. In 14% of patients without infective complications, ESR increased noticeably a week after the operation but, in contrast to the intervertebral discitis patients, it did not then continue to increase. Close post-operative observation permitted early detection of intervertebral discitis. Early and high-dose antibiotic treatment, even if unspecific, can resolve this infection in a few weeks.</p>","PeriodicalId":75955,"journal":{"name":"Italian journal of orthopaedics and traumatology","volume":"19 1","pages":"57-69"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19547432","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
Screw sockets: survivorship analysis after eight years. 螺钉套接物:8年后存活分析。
Italian journal of orthopaedics and traumatology Pub Date : 1993-01-01
E Alossa, E M Brach Del Prever, A Masse, P Gallinaro
{"title":"Screw sockets: survivorship analysis after eight years.","authors":"E Alossa,&nbsp;E M Brach Del Prever,&nbsp;A Masse,&nbsp;P Gallinaro","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A comparative analysis of the radiographic results of 111 screw sockets (65 tapered and 46 hemispherical cup sectors) was made to evaluate both their behaviour over a period of time and the validity of their use today. The follow-up was performed on average 42 months after the implant. Overall survivorship shows a high risk of failure during the fourth year and a greatly increased rate of failure after the sixth year. Comparison of the survival curves of the two types of acetabular component revealed no significant differences. The two types considered were, however, of different sizes: the implanted taper sockets were on average 6.6 mm larger than the comparable hemispherical cup sector acetabular components, thus involving a greater loss of acetabular bone.</p>","PeriodicalId":75955,"journal":{"name":"Italian journal of orthopaedics and traumatology","volume":"19 1","pages":"13-8"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19547523","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
Remarks on the complications following ACL reconstruction using synthetic ligaments. 人工韧带重建前交叉韧带并发症评述。
Italian journal of orthopaedics and traumatology Pub Date : 1993-01-01
A Savarese, E Lunghi, P Budassi, A Agosti
{"title":"Remarks on the complications following ACL reconstruction using synthetic ligaments.","authors":"A Savarese,&nbsp;E Lunghi,&nbsp;P Budassi,&nbsp;A Agosti","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors analyse the method used between 1983 and 1990 in 161 patients with chronic anterior laxity of the knee treated by 162 ligament reconstructions utilizing synthetic ligament prostheses. Tearing of the prosthetic ligament is the most feared and frequent complication. This may be due to technical error, wear of the material or, to a lesser extent, new trauma. With a follow-up of up to 80 months, the number of tears seems excessively high. This means that artificial ligaments cannot today be considered a satisfactory surgical technique. The considerable technical improvements in autologous reconstructive surgery make the biological approach preferable even today.</p>","PeriodicalId":75955,"journal":{"name":"Italian journal of orthopaedics and traumatology","volume":"19 1","pages":"79-86"},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19547434","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
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