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La Chirurgia degli organi di movimento最新文献

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Anterolateral soft tissue sparing approach to the hip. Surgical technique. 保留髋关节前外侧软组织入路。手术技术。
La Chirurgia degli organi di movimento Pub Date : 2008-05-01 Epub Date: 2008-04-12 DOI: 10.1007/s12306-008-0040-9
Aldo Toni, Francesco Traina, Marcello De Fine, Lorenzo Garagnani, Armando Cervini, Enrico Tassinari
{"title":"Anterolateral soft tissue sparing approach to the hip. Surgical technique.","authors":"Aldo Toni,&nbsp;Francesco Traina,&nbsp;Marcello De Fine,&nbsp;Lorenzo Garagnani,&nbsp;Armando Cervini,&nbsp;Enrico Tassinari","doi":"10.1007/s12306-008-0040-9","DOIUrl":"https://doi.org/10.1007/s12306-008-0040-9","url":null,"abstract":"<p><p>The long-term successful outcomes of total hip replacement led to an extension of the surgical indications to young and active patients. To achieve a prompt functional recovery, varying surgical techniques have been proposed. In this study we present our anterolateral soft tissue sparing approach characterised by a lesser dissection of the muscles, a capsular repair and an accurate soft tissue tensioning and reconstruction. The target of this procedure is a full and quick restoration of hip function, reducing the rate of early complications such as hip dislocation.</p>","PeriodicalId":76085,"journal":{"name":"La Chirurgia degli organi di movimento","volume":"92 1","pages":"23-7"},"PeriodicalIF":0.0,"publicationDate":"2008-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12306-008-0040-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27379666","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: 5
Rupture of the tibialis posterior tendon in a closed ankle fracture: a case report. 闭合性踝关节骨折致胫骨后肌腱断裂1例。
La Chirurgia degli organi di movimento Pub Date : 2008-04-01 Epub Date: 2008-05-21 DOI: 10.1007/s12306-007-0028-x
Francesco Ceccarelli, Cesare Faldini, Stavroula Pagkrati, Sandro Giannini
{"title":"Rupture of the tibialis posterior tendon in a closed ankle fracture: a case report.","authors":"Francesco Ceccarelli,&nbsp;Cesare Faldini,&nbsp;Stavroula Pagkrati,&nbsp;Sandro Giannini","doi":"10.1007/s12306-007-0028-x","DOIUrl":"https://doi.org/10.1007/s12306-007-0028-x","url":null,"abstract":"<p><p>Rupture of the tibialis posterior tendon may occur during a trauma in pronation-external rotation of the foot or, less commonly, during a direct trauma of the ankle. When an isolated fracture of the medial malleolus is present, it is more likely that a direct trauma has occurred. A 36-year-old man with a non-displaced medial malleolar fracture was evaluated. Repair of the tendon and reduction of the fracture were performed. Twenty-four months after the operation, the fracture was completely healed, the patient was asymptomatic, he had a normal ankle range of motion, and the function and strength of the tibialis posterior tendon were equal to those on the contralateral side. Early surgical repair of the tibialis posterior tendon combined with malleolar fracture reduction is recommended to avoid progression to a plano-valgus foot.</p>","PeriodicalId":76085,"journal":{"name":"La Chirurgia degli organi di movimento","volume":"91 3","pages":"167-70"},"PeriodicalIF":0.0,"publicationDate":"2008-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12306-007-0028-x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27455333","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: 21
Methods to avoid gamma nail complications. 方法:避免gamma甲并发症。
La Chirurgia degli organi di movimento Pub Date : 2008-04-01 Epub Date: 2008-05-21 DOI: 10.1007/s12306-007-0030-3
Raffaele Pascarella, Giuseppe Cucca, Alessandra Maresca, Matteo Commessatti, Giovanni Bracci, Stefano Boriani, Enrico Gozzi
{"title":"Methods to avoid gamma nail complications.","authors":"Raffaele Pascarella,&nbsp;Giuseppe Cucca,&nbsp;Alessandra Maresca,&nbsp;Matteo Commessatti,&nbsp;Giovanni Bracci,&nbsp;Stefano Boriani,&nbsp;Enrico Gozzi","doi":"10.1007/s12306-007-0030-3","DOIUrl":"https://doi.org/10.1007/s12306-007-0030-3","url":null,"abstract":"<p><p>Femoral neck fractures are progressively increasing, due to higher survival rates, particularly among the female population. The gamma nail was created to treat intertrochanteric fracture types 31-A1, 31-A2 and 31-A3 and in some cases basicervical fractures of type 31-B2-1. Complications can be classified as intraoperative and postoperative. The intraoperative might be related to the nail's introduction site, lag and distal locking screw positions. Postoperative complications depend mostly on an incorrect surgical technique, which can lead to an inaccurate nail position and consequent implant failure. We rarely observe failures caused by severe bone osteoporosis.</p>","PeriodicalId":76085,"journal":{"name":"La Chirurgia degli organi di movimento","volume":"91 3","pages":"133-9"},"PeriodicalIF":0.0,"publicationDate":"2008-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12306-007-0030-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27453267","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
Histological and immunohistochemical analysis of an allogenic bone graft engineered with autologous bone marrow mononuclear cells in the treatment of a large segmental defect of the ulna. A case report. 自体骨髓单核细胞异体骨移植治疗尺骨大节段缺损的组织学和免疫组织化学分析。一份病例报告。
La Chirurgia degli organi di movimento Pub Date : 2008-04-01 Epub Date: 2008-05-21 DOI: 10.1007/s12306-007-0029-9
Sandro Giannini, Francesca Vannini, Gina Lisignoli, Andrea Facchini
{"title":"Histological and immunohistochemical analysis of an allogenic bone graft engineered with autologous bone marrow mononuclear cells in the treatment of a large segmental defect of the ulna. A case report.","authors":"Sandro Giannini,&nbsp;Francesca Vannini,&nbsp;Gina Lisignoli,&nbsp;Andrea Facchini","doi":"10.1007/s12306-007-0029-9","DOIUrl":"https://doi.org/10.1007/s12306-007-0029-9","url":null,"abstract":"<p><p>The treatment of large (6 cm) segmental bone defects, especially in areas associated with soft tissue damages and exposure, is challenging. Massive bone allografts are widely used in reconstructive surgery to replace missing bone parts such as critical size defects, nevertheless, early vascular invasion is a critical factor in bone allograft incorporation and in the consequent success of the surgery. Unfortunately, it has been proven that only slow and incomplete bone integration is possible by using frozen allografts in the treatment of large bone defects. An allogenic frozen bone graft was engineered with bone marrow mononuclear cells (BMMCs) to repair a large ulna defect in a male patient. When infection and sinus developed at the graft site 4 months after implantation, the partially reabsorbed graft was removed and send to the lab for examination. The histological and immunohistochemical analysis performed on a graft removed from the central zone of the defect demonstrated areas of neo-vascularisation, indicating that a remodelling process was actively occurring even in an area not usually repopulated with the conventional techniques. For these reasons, we may hypothesise that the use of BMMCs has a role in the re-building of large segmental defects.</p>","PeriodicalId":76085,"journal":{"name":"La Chirurgia degli organi di movimento","volume":"91 3","pages":"171-5"},"PeriodicalIF":0.0,"publicationDate":"2008-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12306-007-0029-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27455334","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: 10
The use of fluoride cement: preliminary experimental study and clinical application. 氟化水泥的应用:初步实验研究及临床应用。
La Chirurgia degli organi di movimento Pub Date : 2008-04-01 Epub Date: 2008-05-21 DOI: 10.1007/s12306-007-0023-2
Claudia Di Bella, Enrico Lucarelli, Milena Fini, Roberto Giardino, Mario Mercuri, Davide Donati
{"title":"The use of fluoride cement: preliminary experimental study and clinical application.","authors":"Claudia Di Bella,&nbsp;Enrico Lucarelli,&nbsp;Milena Fini,&nbsp;Roberto Giardino,&nbsp;Mario Mercuri,&nbsp;Davide Donati","doi":"10.1007/s12306-007-0023-2","DOIUrl":"https://doi.org/10.1007/s12306-007-0023-2","url":null,"abstract":"<p><p>One of the most common complications of cemented prostheses is aseptic loosening of the implant, which is often due to mechanical breakdown at the bone-cement interface. To improve the characteristics of PMMA, the addition of fluoride has been proposed, which, without jeopardising its mechanical qualities, should provide better integration with the surrounding bone. An experimental study was performed in 4 sheep. A cylinder of cement (with and without fluoride) was inserted in the meta-epiphysis of the distal femur. A clinical study followed 7 patients. The cement with added fluoride was used as a filler after the curettage of a benign tumour located in the meta-epiphysis around the knee. Histological results in animals combined with long-term radiographic results in humans have shown the positive influence of fluoride in the cement, as it allows better integration of the cement with the surrounding bone.</p>","PeriodicalId":76085,"journal":{"name":"La Chirurgia degli organi di movimento","volume":"91 3","pages":"141-6"},"PeriodicalIF":0.0,"publicationDate":"2008-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12306-007-0023-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27455328","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
Charcot's joint secondary to neurologic complications of epidural anaesthesia: a case report. 硬膜外麻醉继发神经系统并发症Charcot关节一例报告。
La Chirurgia degli organi di movimento Pub Date : 2008-04-01 Epub Date: 2008-05-21 DOI: 10.1007/s12306-007-0026-z
Alessandra Sudanese, Federico Giardina, Federico Biondi, Francesco Traina, Franco Bertoni, Aldo Toni
{"title":"Charcot's joint secondary to neurologic complications of epidural anaesthesia: a case report.","authors":"Alessandra Sudanese,&nbsp;Federico Giardina,&nbsp;Federico Biondi,&nbsp;Francesco Traina,&nbsp;Franco Bertoni,&nbsp;Aldo Toni","doi":"10.1007/s12306-007-0026-z","DOIUrl":"https://doi.org/10.1007/s12306-007-0026-z","url":null,"abstract":"<p><p>Neurogenic arthropathy or Charcot's Joint is an articular pathology that can strike patient with neurological effects or can be the result of a neurological lesion with deficit of the superficial and deep sensitivity. In this article we introduce one case Charcot's Joint of the hip, caused by an epidural anaesthesia performed for a surgery of the other hip.</p>","PeriodicalId":76085,"journal":{"name":"La Chirurgia degli organi di movimento","volume":"91 3","pages":"159-62"},"PeriodicalIF":0.0,"publicationDate":"2008-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12306-007-0026-z","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27455331","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: 2
Pathological dislocation of the hip in neurofibromatosis: a case report. 神经纤维瘤病致髋关节病理性脱位1例。
La Chirurgia degli organi di movimento Pub Date : 2008-04-01 Epub Date: 2008-05-21 DOI: 10.1007/s12306-007-0027-y
Manuele Lampasi, Tiziana Greggi, Alessandra Sudanese
{"title":"Pathological dislocation of the hip in neurofibromatosis: a case report.","authors":"Manuele Lampasi,&nbsp;Tiziana Greggi,&nbsp;Alessandra Sudanese","doi":"10.1007/s12306-007-0027-y","DOIUrl":"https://doi.org/10.1007/s12306-007-0027-y","url":null,"abstract":"<p><p>The Authors report the case of a 28-year-old patient with type 1 neurofibromatosis, who presented a pathological dislocation of the hip. This event was preceded by the development of a neurological pattern of spastic paraparesis and decreased pain sensation in both lower limbs, secondary to the progression of a dystrophic kyphoscoliosis. Pathological dislocation of the hip in neurofibromatosis has been reported in the literature as a consequence of intra-articular growth of neurofibromas. Conversely, in the case described here, clinical and radiographic features and the absence of neurofibromas in the joint, verified by means of radiographic and histological examinations, suggested the diagnosis of neuropathic arthropathy. The treatment of hip dislocation should be differentiated according to the aetiology, given the underlying articular instability in cases of neuropathic arthropathy.</p>","PeriodicalId":76085,"journal":{"name":"La Chirurgia degli organi di movimento","volume":"91 3","pages":"163-6"},"PeriodicalIF":0.0,"publicationDate":"2008-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12306-007-0027-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27455332","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: 5
Cell manipulation in autologous chondrocyte implantation: from research to cleanroom. 自体软骨细胞植入中的细胞操作:从研究到洁净室。
La Chirurgia degli organi di movimento Pub Date : 2008-04-01 Epub Date: 2008-05-21 DOI: 10.1007/s12306-007-0024-1
Livia Roseti, Marta Serra, Domenico Tigani, Irene Brognara, Annamaria Lopriore, Alessandra Bassi, Pier Maria Fornasari
{"title":"Cell manipulation in autologous chondrocyte implantation: from research to cleanroom.","authors":"Livia Roseti,&nbsp;Marta Serra,&nbsp;Domenico Tigani,&nbsp;Irene Brognara,&nbsp;Annamaria Lopriore,&nbsp;Alessandra Bassi,&nbsp;Pier Maria Fornasari","doi":"10.1007/s12306-007-0024-1","DOIUrl":"https://doi.org/10.1007/s12306-007-0024-1","url":null,"abstract":"<p><p>In the field of orthopaedics, autologous chondrocyte implantation is a technique currently used for the regeneration of damaged articular cartilage. There is evidence of the neo-formation of tissue displaying characteristics similar to hyaline cartilage. In vitro chondrocyte manipulation is a crucial phase of this therapeutic treatment consisting of different steps: cell isolation from a cartilage biopsy, expansion in monolayer culture and growth onto a three-dimensional biomaterial to implant in the damaged area. To minimise the risk of in vitro cell contamination, the manipulation must be performed in a controlled environment such as a cleanroom. Moreover, the choice of reagents and raw material suitable for clinical use in humans and the translation of research protocols into standardised production processes are important. In this study we describe the preliminary results obtained by the development of chondrocyte manipulation protocols (isolation and monolayer expansion) in cleanrooms for the application of autologous implantation.</p>","PeriodicalId":76085,"journal":{"name":"La Chirurgia degli organi di movimento","volume":"91 3","pages":"147-51"},"PeriodicalIF":0.0,"publicationDate":"2008-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12306-007-0024-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27455329","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: 16
Vancomycin and meropenem in acrylic cement: elution kinetics of in vitro bactericidal action. 万古霉素和美罗培南在丙烯酸水泥中的体外杀菌作用的洗脱动力学。
La Chirurgia degli organi di movimento Pub Date : 2008-04-01 Epub Date: 2008-05-21 DOI: 10.1007/s12306-007-0025-0
Agnese Andollina, Giorgia Bertoni, Franco Bertoni, Carola Zolezzi, Federico Trentani, Paolo Trentani, Anna Maria Borrelli, Domenico Tigani
{"title":"Vancomycin and meropenem in acrylic cement: elution kinetics of in vitro bactericidal action.","authors":"Agnese Andollina,&nbsp;Giorgia Bertoni,&nbsp;Franco Bertoni,&nbsp;Carola Zolezzi,&nbsp;Federico Trentani,&nbsp;Paolo Trentani,&nbsp;Anna Maria Borrelli,&nbsp;Domenico Tigani","doi":"10.1007/s12306-007-0025-0","DOIUrl":"https://doi.org/10.1007/s12306-007-0025-0","url":null,"abstract":"<p><p>The Authors present a paper with a dual goal: in vitro evaluation of the elution of vancomycin and monitoring of its bactericidal action when the antibiotic is used in acrylic cement. Discs of cement with different concentrations of vancomycin alone or combined with meropenem were prepared. To assess the elution of vancomycin the discs were kept in physiological solution and periodically sampled for five weeks. The bactericidal action was assessed by putting the antibiotic discs in contact with colonies of Staphylococcus, Enterococcus, Pseudomonas and Escherichia coli. Two combinations of antibiotic-loaded cement were tested: the first one to act as a spacer and the second to stabilise the revision prosthesis.</p>","PeriodicalId":76085,"journal":{"name":"La Chirurgia degli organi di movimento","volume":"91 3","pages":"153-8"},"PeriodicalIF":0.0,"publicationDate":"2008-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12306-007-0025-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27455330","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: 24
The use of pre-contoured plates in the treatment of C2-C3 fractures of the distal humerus: clinical experience. 预成形钢板治疗肱骨远端C2-C3骨折的临床经验
La Chirurgia degli organi di movimento Pub Date : 2008-02-01 Epub Date: 2008-03-03 DOI: 10.1007/s12306-007-0022-3
Andrea Celli, Maria Teresa Donini, Claudio Minervini
{"title":"The use of pre-contoured plates in the treatment of C2-C3 fractures of the distal humerus: clinical experience.","authors":"Andrea Celli,&nbsp;Maria Teresa Donini,&nbsp;Claudio Minervini","doi":"10.1007/s12306-007-0022-3","DOIUrl":"https://doi.org/10.1007/s12306-007-0022-3","url":null,"abstract":"<p><p>Open reduction and internal fixation is the treatment of choice in distal humerus fractures. The aims of the treatment are to obtain anatomic reconstruction and restoration of the elbow's geometry followed by stable internal fixation that allows immediate rehabilitation. The plates are pre-contoured to fit the natural anatomy of the elbow and in the case of complex fractures they provide a guide for the anatomic restoration of the distal humerus. The two plates are placed parallel with the screws locked together by interdigitation creating a fixed angle in the distal fragments that provides stability to the entire distal humerus. Using this method we obtained good results according to the Mayo Elbow Performance Score (MEPS) and we are able to reduce the incidence of complications. Our experience shows also that it can be useful to obtain an anatomical reduction of distal humeral fractures using the pre-contoured plates in a parallel position recovering the anatomical antiversion of the articular surface.</p>","PeriodicalId":76085,"journal":{"name":"La Chirurgia degli organi di movimento","volume":"91 2","pages":"57-64"},"PeriodicalIF":0.0,"publicationDate":"2008-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s12306-007-0022-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27304601","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
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