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La Chirurgia degli organi di movimento最新文献

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Brucella infection in total knee arthroplasty. Case report and revision of the literature. 全膝关节置换术中的布鲁氏菌感染。病例报告及文献修订。
La Chirurgia degli organi di movimento Pub Date : 2008-05-01 Epub Date: 2008-03-27 DOI: 10.1007/s12306-008-0031-x
Enrico Tassinari, Daniele Di Motta, Federico Giardina, Francesco Traina, Marcello De Fine, Aldo Toni
{"title":"Brucella infection in total knee arthroplasty. Case report and revision of the literature.","authors":"Enrico Tassinari,&nbsp;Daniele Di Motta,&nbsp;Federico Giardina,&nbsp;Francesco Traina,&nbsp;Marcello De Fine,&nbsp;Aldo Toni","doi":"10.1007/s12306-008-0031-x","DOIUrl":"https://doi.org/10.1007/s12306-008-0031-x","url":null,"abstract":"<p><p>Brucella infection in arthroplasties is a rare event. An unspecific clinical symptomatology is associated with unclear radiographic peri-prosthetic signs of bone halisteresis. Only a positive anamnesis, combined with an antibiogram of the joint liquid and a high serum antibody titre, can lead to a definitive diagnosis. We report a case of Brucella melitensis infection in a total knee arthroplasty implanted 2 years earlier. With the absence of radiological signs of prosthetic loosening and thanks to a systemic antibiotic combined therapy (rifampicin + doxycycline) extended for 8 weeks, we were able to solve the infection avoiding surgery.</p>","PeriodicalId":76085,"journal":{"name":"La Chirurgia degli organi di movimento","volume":"92 1","pages":"55-9"},"PeriodicalIF":0.0,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12306-008-0031-x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27346761","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: 14
Total hip arthroplasty in dwarfism. A case report. 侏儒症的全髋关节置换术。一份病例报告。
La Chirurgia degli organi di movimento Pub Date : 2008-05-01 Epub Date: 2008-04-12 DOI: 10.1007/s12306-008-0042-7
Marcello De Fine, Francesco Traina, Massimo Palmonari, Enrico Tassinari, Aldo Toni
{"title":"Total hip arthroplasty in dwarfism. A case report.","authors":"Marcello De Fine,&nbsp;Francesco Traina,&nbsp;Massimo Palmonari,&nbsp;Enrico Tassinari,&nbsp;Aldo Toni","doi":"10.1007/s12306-008-0042-7","DOIUrl":"https://doi.org/10.1007/s12306-008-0042-7","url":null,"abstract":"<p><p>In dwarfism hip arthritis, usually secondary to hip dysplasia, is a common finding at an early age. In these patients a joint replacement is a demanding procedure due to the peculiar joint deformity and the small size of the bones. We present a case of a bilateral hip replacement in a dwarf patient. In order to reduce intraoperative complications and improve the joint kinematics a thorough preoperative planning was performed by a CT based computerised system. On the basis of the planning we chose a conical shaped stem that enable as to restore limb length and offset with a low risk of femoral fracture. In conclusion, we consider total hip replacement in dwarfism a safe and effective procedure if an accurate preoperative planning is performed.</p>","PeriodicalId":76085,"journal":{"name":"La Chirurgia degli organi di movimento","volume":"92 1","pages":"67-9"},"PeriodicalIF":0.0,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12306-008-0042-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27380377","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: 8
Skeletal age assessment from elbow radiographs. Review of the literature. 从肘部x线片评估骨骼年龄。文献回顾。
La Chirurgia degli organi di movimento Pub Date : 2008-05-01 Epub Date: 2008-04-11 DOI: 10.1007/s12306-008-0032-9
Federico Canavese, Yann Philippe Charles, Alain Dimeglio
{"title":"Skeletal age assessment from elbow radiographs. Review of the literature.","authors":"Federico Canavese,&nbsp;Yann Philippe Charles,&nbsp;Alain Dimeglio","doi":"10.1007/s12306-008-0032-9","DOIUrl":"https://doi.org/10.1007/s12306-008-0032-9","url":null,"abstract":"<p><p>Skeletal age is important to evaluate remaining growth. In 50% of normal children and adolescents, skeletal age does not differ from chronological age. During puberty, skeletal age is an important tool when performing a lower limb epiphysiodesis or when treating (conservatively or surgically) patients with spinal deformities. Skeletal age alone is not enough and should be assessed together with other clinical and radiological findings such as standing and sitting heights, Risser sign, Tanner stages and annual growth rate. Puberty starts at 11 years of skeletal age and ends at 13 years of skeletal age in girls; in boys, puberty starts two years later (13 years of skeletal age) and then ends at a skeletal age of 15. Most current clinical and radiographic markers do not help paediatric orthopaedic surgeons to clearly distinguish maturity levels prior to Risser I. Sauvegrain et al. developed a method to assess skeletal age by using elbow radiographs (AP and lateral projections). Between 11 and 13 years of skeletal age in girls and between 13 and 15 years of skeletal age in boys, the olecranon apophysis is characterised by a clear morphological development. This method is a reliable tool to assess skeletal age during puberty because significant morphological changes in the elbow happen every six months.</p>","PeriodicalId":76085,"journal":{"name":"La Chirurgia degli organi di movimento","volume":"92 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12306-008-0032-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27379630","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: 36
Degeneration of Paget's disease into sarcoma: clinical and therapeutic influencing factors. 佩吉特病变性为肉瘤：临床及治疗影响因素。
La Chirurgia degli organi di movimento Pub Date : 2008-05-01 Epub Date: 2008-04-12 DOI: 10.1007/s12306-008-0043-6
Alessandro Zati, Teresa Wanda Bilotta
{"title":"Degeneration of Paget's disease into sarcoma: clinical and therapeutic influencing factors.","authors":"Alessandro Zati, Teresa Wanda Bilotta","doi":"10.1007/s12306-008-0043-6","DOIUrl":"10.1007/s12306-008-0043-6","url":null,"abstract":"<p><p>We analysed a series of 119 patients presenting with Paget's bone disease treated at the Istituto Ortopedico Rizzoli (Bologna Italy) over 35 years (from 1970 to 2006). Among these, we found 18 cases that had degenerated into sarcoma. The first goal of this study was to underline the potential factors of Paget's disease transformation into sarcoma. In detail we considered: age, gender, duration of disease, clinical expression, levels of total alkaline phosphatase and type of therapy. The results highlighted an interesting correlation between therapy and degeneration into sarcoma; more specifically, malignant transformation occurred both in patients who had not received any therapy and those who had received regular calcitonin treatment; otherwise, no sarcoma degeneration occurred in the patients treated with bisphosphonates. These data seem to indicate a preventing effect of bisphosphonates towards the degeneration of Paget's disease into sarcoma.</p>","PeriodicalId":76085,"journal":{"name":"La Chirurgia degli organi di movimento","volume":"92 1","pages":"33-7"},"PeriodicalIF":0.0,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27380376","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
Historical review of carpal tunnel syndrome. 腕管综合征的历史回顾。
La Chirurgia degli organi di movimento Pub Date : 2008-05-01 Epub Date: 2008-03-01 DOI: 10.1007/s12306-008-0033-8
Carla Stecco, Roberto Aldegheri
{"title":"Historical review of carpal tunnel syndrome.","authors":"Carla Stecco, Roberto Aldegheri","doi":"10.1007/s12306-008-0033-8","DOIUrl":"10.1007/s12306-008-0033-8","url":null,"abstract":"<p><p>The first description of median nerve compression in the carpal tunnel goes back to 1854, but it was only a century later that the term \"carpal tunnel syndrome\" (CTS) appeared in print. Until then, patients with symptoms, which we now know were due to CTS, were sometimes diagnosed as having acroparaesthesia, and at other times compression of the motor branch of the median nerve or the brachial plexus. The first description of an operation to open the carpal tunnel goes back to 1933, but only with Brain and Phalen was idiopathic CTS defined from both clinical and anatomopathological viewpoints. Since 1960, CTS has become the most frequently diagnosed of peripheral compression-induced neuropathies. The last part of this paper reports the latest theories giving an aetiological explanation of cases of CTS until now considered to be idiopathic.</p>","PeriodicalId":76085,"journal":{"name":"La Chirurgia degli organi di movimento","volume":"92 1","pages":"7-10"},"PeriodicalIF":0.0,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27511888","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
Functional long-term outcome of the shoulder after antegrade intramedullary nailing in humeral diaphyseal fractures. 顺行髓内钉治疗肱骨骨干骨折后肩关节功能的长期预后。
La Chirurgia degli organi di movimento Pub Date : 2008-05-01 Epub Date: 2008-03-01 DOI: 10.1007/s12306-008-0035-6
Francesco Pogliacomi, Andrea Devecchi, Cosimo Costantino, Enrico Vaienti
{"title":"Functional long-term outcome of the shoulder after antegrade intramedullary nailing in humeral diaphyseal fractures.","authors":"Francesco Pogliacomi, Andrea Devecchi, Cosimo Costantino, Enrico Vaienti","doi":"10.1007/s12306-008-0035-6","DOIUrl":"10.1007/s12306-008-0035-6","url":null,"abstract":"<p><p>Intramedullary nailing is one of the most commonly used surgical treatments for humeral diaphyseal fractures. Once an intramedullary fixation technique has been selected, the choice between antegrade or retrograde approach remains controversial. Forty patients with humeral diaphyseal fracture treated with Seidel antegrade intramedullary nailing through an \"danterior deltoid incision\" (ADI) were evaluated after an average period of 62 months. Clinical and functional evaluation of the shoulder was performed using the Constant Score. Results were excellent in 33 patients, good in 5 and acceptable in 2. Radiological assessment was performed using antero-posterior (AP) and latero-lateral (LL) radiographs of the humerus and AP and Neer radiographs of the shoulder. Radiographic findings demonstrated good consolidation of all fractures; nail and locking proximal screw malpositioning were detected in 2 cases (2 patients with acceptable results). The positive results obtained for shoulder function correlate with patient age and demonstrate that antegrade intramedullary nailing is a valid option for the treatment of humeral diaphyseal fractures, as long as it is performed through ADI access and with the appropriate surgical technique. Surgical technical errors will lead to functional problems of the shoulder, which in some cases will not be completely eliminated even after nail removal.</p>","PeriodicalId":76085,"journal":{"name":"La Chirurgia degli organi di movimento","volume":"92 1","pages":"11-6"},"PeriodicalIF":0.0,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27511889","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-surgical hallux varus. A case report. 术后拇内翻。一份病例报告。
La Chirurgia degli organi di movimento Pub Date : 2008-05-01 Epub Date: 2008-03-04 DOI: 10.1007/s12306-008-0034-7
Giovanni Andrea Ruiu, Paolo Sanna
{"title":"Post-surgical hallux varus. A case report.","authors":"Giovanni Andrea Ruiu,&nbsp;Paolo Sanna","doi":"10.1007/s12306-008-0034-7","DOIUrl":"https://doi.org/10.1007/s12306-008-0034-7","url":null,"abstract":"<p><p>Sometimes a hallux varus occurs as a consequence of the treatment for a hallux valgus, determined by an alteration of the balance between the muscolo-ligamentous structure which crosses the first metatarso-phalangeal joint. This complication is poorly tolerated by patients. Various operations have been proposed to correct the varus, which includes the bone and the soft tissue. A clinical case has been presented which uses a split extensor hallucis longus transfer, distally sectioned and made to pass under the deep transverse intermetatarsal ligament, used as a pulley, and through a tunnel made in the bone at the proximal-lateral base of the proximal phalanx, and then tensioned and sutured to its medial side.</p>","PeriodicalId":76085,"journal":{"name":"La Chirurgia degli organi di movimento","volume":"92 1","pages":"51-3"},"PeriodicalIF":0.0,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12306-008-0034-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27303781","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: 1
Nora's lesion. Clinical and therapeutic considerations. 诺拉的病变。临床和治疗方面的考虑。
La Chirurgia degli organi di movimento Pub Date : 2008-05-01 Epub Date: 2008-03-14 DOI: 10.1007/s12306-008-0038-3
Biagio Moretti, Angelo Di Giovanni, Fabio Martino, Lorenzo Moretti, Silvio Patella, Vittorio Patella
{"title":"Nora's lesion. Clinical and therapeutic considerations.","authors":"Biagio Moretti,&nbsp;Angelo Di Giovanni,&nbsp;Fabio Martino,&nbsp;Lorenzo Moretti,&nbsp;Silvio Patella,&nbsp;Vittorio Patella","doi":"10.1007/s12306-008-0038-3","DOIUrl":"https://doi.org/10.1007/s12306-008-0038-3","url":null,"abstract":"<p><p>In this article we report a case of bizarre paraosteal osteochondromatous proliferation (BPOP), also known as Nora's lesion, arising on the distal phalanx of the fifth finger of the hand in a young-adult subject. In this paper, we discuss the possible therapeutic programme related to the grade of severity of the clinical features and underline the rarity of this lesion and the difficulty of diagnosis, which is exclusively histological.</p>","PeriodicalId":76085,"journal":{"name":"La Chirurgia degli organi di movimento","volume":"92 1","pages":"45-9"},"PeriodicalIF":0.0,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12306-008-0038-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27325563","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
Arthroerisis with Giannini's endo-orthotic implant and Pisani's talocalcaneal arthroerisis. A comparison of surgical methods. Giannini's内植体关节关节病和Pisani's距骨跟关节关节病。手术方法的比较。
La Chirurgia degli organi di movimento Pub Date : 2008-05-01 Epub Date: 2008-03-27 DOI: 10.1007/s12306-007-0041-3
L Scialpi, C Mori, F Mori, M Sperti, G Solarino
{"title":"Arthroerisis with Giannini's endo-orthotic implant and Pisani's talocalcaneal arthroerisis. A comparison of surgical methods.","authors":"L Scialpi,&nbsp;C Mori,&nbsp;F Mori,&nbsp;M Sperti,&nbsp;G Solarino","doi":"10.1007/s12306-007-0041-3","DOIUrl":"https://doi.org/10.1007/s12306-007-0041-3","url":null,"abstract":"<p><p>In this paper the Authors report the results gained after the treatment of paediatric idiopathic flat foot by means of Pisani's talocalcaneal arthroerisis and arthroerisis with Giannini's endo-orthotic implant. Two groups of patients have been treated according to the two techniques. According to clinical, radiographic and functional tests, the Authors believe that both the techniques can offer good results to correct idiopathic flat foot of childhood and they highlight the lower invasivity and less damage for the structures of sinus tarsi when Pisani's talocalcaneal arthroerisis is applied.</p>","PeriodicalId":76085,"journal":{"name":"La Chirurgia degli organi di movimento","volume":"92 1","pages":"61-5"},"PeriodicalIF":0.0,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12306-007-0041-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27511891","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: 7
Intramedullary nailing in femoral shaft fractures. Evaluation of a group of 101 cases. 股骨干骨折髓内钉治疗。一组101例病例的评价。
La Chirurgia degli organi di movimento Pub Date : 2008-05-01 Epub Date: 2008-03-01 DOI: 10.1007/s12306-008-0036-5
Claudio Iacobellis, Leonardo Strukul
{"title":"Intramedullary nailing in femoral shaft fractures. Evaluation of a group of 101 cases.","authors":"Claudio Iacobellis,&nbsp;Leonardo Strukul","doi":"10.1007/s12306-008-0036-5","DOIUrl":"https://doi.org/10.1007/s12306-008-0036-5","url":null,"abstract":"<p><p>The Authors analyse the results of intramedullary nailing in a group of 101 femoral shaft fractures. Used nails: Universal Synthes (62 cases), Russel-Taylor (14), Gamma long (10), uncannulated femoral nail (9), cannulated femoral nail (4) and proximal femoral nail (2). Stabilisation of the femoral shaft fracture was possible using a reamed technique in 91 cases, unreamed in 10. All nails were locked. Dynamisation was performed in 35 cases and was not in 66. The fracture heal was faster with the reaming and dynamisation technique. Ten fractures were open (5 Gustilo I, 5 Gustilo II) and stabilisation with Universal Synthes nail (8 cases), Russel-Taylor nail (1) and Gamma long nail (1) was performed. No infection was detected. Lung embolism (6) and deep vein thrombosis (3) occurred only in the case of reamed nails. All results confirm the locking nail system as the best treatment in the shaft fractures, especially with new-generation nails.</p>","PeriodicalId":76085,"journal":{"name":"La Chirurgia degli organi di movimento","volume":"92 1","pages":"17-21"},"PeriodicalIF":0.0,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12306-008-0036-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27511890","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
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