La Chirurgia degli organi di movimento最新文献_第5页

Modified MacLaughlin procedure in the treatment of neglected posterior dislocation of the shoulder. 改良麦克劳克林手术治疗被忽视的肩后脱位。

La Chirurgia degli organi di movimento Pub Date : 2009-04-01 DOI: 10.1007/s12306-009-0001-y

Alessandro Castagna, Giacomo Delle Rose, Mario Borroni, Nikolaos Markopoulos, Marco Conti, Leonardo Maradei, Raffaele Garofalo

{"title":"Modified MacLaughlin procedure in the treatment of neglected posterior dislocation of the shoulder.","authors":"Alessandro Castagna, Giacomo Delle Rose, Mario Borroni, Nikolaos Markopoulos, Marco Conti, Leonardo Maradei, Raffaele Garofalo","doi":"10.1007/s12306-009-0001-y","DOIUrl":"https://doi.org/10.1007/s12306-009-0001-y","url":null,"abstract":"Posterior dislocation of the shoulder is an unusual injury that most often occurs secondary to a high-energy trauma. Unfortunately the diagnosis is commonly missed, thus making its treatment a challenge. Neglected posterior dislocation is mainly characterised by an impression fracture on the anterior articular surface of the humeral head, which makes the dislocation often difficult to reduce. Diagnosis is based upon a careful history assessment, physical examination and radiological findings. Several treatment approaches have been described. The modified MacLaughlin procedure in our hands has been shown to be a reproducible technique allowing good results at medium- and long-term follow-up. According to our experience it is possible to adopt this technique also in patients with a locked posterior dislocation older than 6 months or in cases with a humeral head defect up to 50% when a shoulder prosthesis is not a good indication. Poorer results should be expected in patients with an associated fracture of the proximal humerus.","PeriodicalId":76085,"journal":{"name":"La Chirurgia degli organi di movimento","volume":"93 Suppl 1 ","pages":"S1-5"},"PeriodicalIF":0.0,"publicationDate":"2009-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12306-009-0001-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28365196","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: 34

Humeral shaft aseptic nonunion: treatment with opposite cortical allograft struts. 肱骨干无菌性骨不连:对侧皮质同种异体支架治疗。

La Chirurgia degli organi di movimento Pub Date : 2009-04-01 DOI: 10.1007/s12306-009-0007-5

Alessandro Marinelli, Diego Antonioli, Enrico Guerra, Graziano Bettelli, Lorenzo Zaccarelli, Roberto Rotini

引用次数: 18

Reverse shoulder prosthesis as revision surgery after fractures of the proximal humerus, treated initially by internal fixation or hemiarthroplasty. 肱骨近端骨折后行反向肩关节假体翻修手术，最初采用内固定或半关节置换术治疗。

La Chirurgia degli organi di movimento Pub Date : 2009-04-01 DOI: 10.1007/s12306-009-0006-6

Nicola Lollino, Paolo Paladini, Fabrizio Campi, Giovanni Merolla, Paolo Rossi, Giuseppe Porcellini

引用次数: 15

Transtendon arthroscopic repair of partial-thickness, articular surface tears of the supraspinatus: results at 2 years. 经登关节镜下修复冈上肌部分厚度的关节面撕裂:2年的结果。

La Chirurgia degli organi di movimento Pub Date : 2009-04-01 DOI: 10.1007/s12306-009-0002-x

R Castricini, N Panfoli, R Nittoli, S Spurio, O Pirani

引用次数: 41

Culture of human rotator cuff cells on orthobiologic support (porcine small intestinal submucosa). 人肩袖细胞在原位生物支架(猪小肠粘膜下层)上的培养。

La Chirurgia degli organi di movimento Pub Date : 2009-04-01 DOI: 10.1007/s12306-009-0005-7

Stefano Gumina, Anna Maria Patti, Antonella Vulcano, Carlo Della Rocca, Franco Postacchini

{"title":"Culture of human rotator cuff cells on orthobiologic support (porcine small intestinal submucosa).","authors":"Stefano Gumina, Anna Maria Patti, Antonella Vulcano, Carlo Della Rocca, Franco Postacchini","doi":"10.1007/s12306-009-0005-7","DOIUrl":"https://doi.org/10.1007/s12306-009-0005-7","url":null,"abstract":"Outcomes obtained in patients with two-tendon rotator cuff tear submitted to repair reinforced with porcine small intestinal submucosa (SIS) have not been as encouraging as those observed in animal models. We verify the capacity of SIS to be used as a physical support for a culture of cuff cells. During arthroscopic repairs of large rotator cuff tears, we removed a fragment of supraspinatus tendon. Samples were treated for obtaining a cuff cell culture. Daily microscopic analysis, to observe adhesion to substrate, replication and cell shape was performed. A confluent monolayer was obtained in 1 week. Cells at the second passage were collected and seeded onto scaffold and cultured for 7-30 days. A morphological and immunohistochemical evaluation was performed. After 1 week, a monolayer of tendinous-like cells lay along the surface of the SIS. Within two weeks, a multicellular layer was observable in many foci of the scaffold. After a month, the cells completely invaded the numerous splits of the SIS and were positive to monoclonal anti-type I collagen antibody. Our experimental study has proved that a cuff cell culture can be performed using SIS as substrate. The culture covers the SIS surface, therefore it may reduce immune or non-specific inflammatory reactions.","PeriodicalId":76085,"journal":{"name":"La Chirurgia degli organi di movimento","volume":"93 Suppl 1 ","pages":"S65-70"},"PeriodicalIF":0.0,"publicationDate":"2009-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12306-009-0005-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28439807","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: 12

Correlation between radiographic risk for glenoid component loosening and clinical scores in shoulder arthroplasty. 肩关节置换术中肩关节假体松动的影像学风险与临床评分的相关性。

La Chirurgia degli organi di movimento Pub Date : 2009-04-01 DOI: 10.1007/s12306-009-0008-4

Giovanni Merolla, Fabrizio Campi, Paolo Paladini, Nicola Lollino, Francesco Fauci, Giuseppe Porcellini

{"title":"Correlation between radiographic risk for glenoid component loosening and clinical scores in shoulder arthroplasty.","authors":"Giovanni Merolla, Fabrizio Campi, Paolo Paladini, Nicola Lollino, Francesco Fauci, Giuseppe Porcellini","doi":"10.1007/s12306-009-0008-4","DOIUrl":"https://doi.org/10.1007/s12306-009-0008-4","url":null,"abstract":"Glenoid component loosening is the weak point in the failure of total shoulder arthroplasty (TSA). In this study we analyse the radiographic risk factors observed on 86 cemented polyethylene glenoid components and their relationship with clinical signs at a mean follow-up of 5.8 years. Clinical assessment included Simple Shoulder Test (SST) and Constant-Murley score. Radiograms were taken to detect periprosthetic radiolucency, tilt, medial displacement and polyethylene thinning. Pearson's correlation coefficient and Spearman's rank correlation coefficient were calculated for statistical analysis. In 61 patients (71%) lucent lines were less than 2 mm wide (grade 2) and in 6 cases (7%) they were >or=2 mm wide (grade 3 and 4). Thinning of the polyethylene was found in 11 cases (13%), glenoid tilt in 6 cases (7%) and medial migration of the component in 5 cases (6%). Complete glenoid prosthetic loosening was found in 3 cases (3.5%) associated with polyethylene wear and glenoid bone loss. The Constant-Murley score associated with radiolucency grade 3 and 4 was less than 45% (38.39 +/- 8.9) (p < 0.05), while a score less than 56% (30.72 +/- 8.7) was found in patients with glenoid tilt and medial migration (p < 0.01). The mean SST score was 4.8 +/- 2.8 in case of glenoid tilt and migration of the component (p < 0.01). Removal of the glenoid component and conversion to hemiarthroplasty or reverse prostheses is suggested in painful glenoid loosening. An exhaustive analysis of radiograms is essential to detect early and late complications or risk factors of glenoid loosening.","PeriodicalId":76085,"journal":{"name":"La Chirurgia degli organi di movimento","volume":"93 Suppl 1 ","pages":"S29-34"},"PeriodicalIF":0.0,"publicationDate":"2009-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12306-009-0008-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28365200","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: 15

Osteoid osteoma of the distal thumb phalanx: a case report. 拇指远端指骨骨样骨瘤1例。

La Chirurgia degli organi di movimento Pub Date : 2008-12-01 Epub Date: 2008-12-03 DOI: 10.1007/s12306-008-0061-4

Giovanni Luigi Di Gennaro, Manuele Lampasi, Alessio Bosco, Onofrio Donzelli

引用次数: 15

Surface-based haemangioma of the tibia: a case report. 胫骨表面血管瘤1例。

La Chirurgia degli organi di movimento Pub Date : 2008-12-01 Epub Date: 2008-10-18 DOI: 10.1007/s12306-008-0058-z

Luigi Di Giorgio, Matteo Benedetti Valentini, Marco Mastantuono, Georgios Touloupakis

引用次数: 0

Growth factors in bone repair. 骨修复中的生长因子。

La Chirurgia degli organi di movimento Pub Date : 2008-12-01 Epub Date: 2008-11-29 DOI: 10.1007/s12306-008-0064-1

Valentina Devescovi, Elisa Leonardi, Gabriela Ciapetti, Elisabetta Cenni

{"title":"Growth factors in bone repair.","authors":"Valentina Devescovi, Elisa Leonardi, Gabriela Ciapetti, Elisabetta Cenni","doi":"10.1007/s12306-008-0064-1","DOIUrl":"https://doi.org/10.1007/s12306-008-0064-1","url":null,"abstract":"The role of growth factors (GF) in bone repair is widely recognised, particularly for bone morphogenetic proteins (BMPs), fibroblast growth factor (FGF), insulin-like growth factors (IGFs), platelet-derived growth factor (PDGF), transforming growth factor-beta (TGF-beta) and vascular endothelial growth factor (VEGF). GF are usually stored in the extracellular matrix (ECM), but after injury are actively released by ECM, cells and platelets. In this paper, the use of different recombinant GF for bone repair stimulation is summarised in experimental research and clinical applications. Drug delivery systems, including carriers, cell or gene therapy, are needed to ensure a sustained local release of the factors, but efficacy and potential side effects of such systems require additional research prior to clinical applications. Current sources for delivery of a GF mixture into the site of bone repair are platelet gel and demineralised bone matrix. Nevertheless, the levels of GF in such preparations are affected by variability among donors and differences in preparation. Autogenous GF, produced by the patient himself during the bone repair process, potentially interfere with prosthetic devices or even have a role in implant loosening due to the periprosthetic tissue reaction. In conclusion, GF are key components of functional bone regeneration: screening of basic research results and controlled clinical trials are accelerating the development of GF in orthopaedic surgery.","PeriodicalId":76085,"journal":{"name":"La Chirurgia degli organi di movimento","volume":"92 3","pages":"161-8"},"PeriodicalIF":0.0,"publicationDate":"2008-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12306-008-0064-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27867899","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: 210

Viscosupplementation for grade II osteoarthritis of the ankle: a prospective study at 18 months' follow-up. 补充粘胶剂治疗II级踝关节骨关节炎:一项随访18个月的前瞻性研究。

La Chirurgia degli organi di movimento Pub Date : 2008-12-01 Epub Date: 2008-12-06 DOI: 10.1007/s12306-008-0066-z

Deianira Luciani, Matteo Cadossi, Federico Tesei, Eugenio Chiarello, Sandro Giannini

{"title":"Viscosupplementation for grade II osteoarthritis of the ankle: a prospective study at 18 months' follow-up.","authors":"Deianira Luciani, Matteo Cadossi, Federico Tesei, Eugenio Chiarello, Sandro Giannini","doi":"10.1007/s12306-008-0066-z","DOIUrl":"https://doi.org/10.1007/s12306-008-0066-z","url":null,"abstract":"Background: Viscosupplementation, with hyaluronan derivates injected into the intra-space of osteoarthritic joints, is now widely used for the treatment of knee osteoarthritis. This study evaluates the results in terms of pain and disability of intra-articular injections of hyaluronan derivates into the ankle joint in patients suffering from grade II primary or secondary osteoarthritis of the ankle.Methods: Twenty-one patients with a painful ankle and radiographic evidence of grade II osteoarthritis had three weekly intra-articular injections of 2 ml of hylan G-F 20 (10 mg/ml) into the ankle joint. The primary clinical outcome measurement was the ankle osteoarthritis score (AOS) at the baseline, and at 6, 12 and 18 months.Results: Significant improvement of the AOS from baseline was seen after 6 months (p=0.0001). This improvement was maintained over time with no further changes at 12- and 18-month follow-ups. Regarding pain, the AOS improved over time from the baseline to the 18-month follow up and became statistically significant at the 12- and 18-month follow-ups (p<0.05).","PeriodicalId":76085,"journal":{"name":"La Chirurgia degli organi di movimento","volume":"92 3","pages":"155-60"},"PeriodicalIF":0.0,"publicationDate":"2008-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12306-008-0066-z","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27888024","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: 31