{"title":"Free gracilis interposition arthroplasty for severe hallux rigidus.","authors":"David Miller, Nicola Maffulli","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Surgery for the management of hallux rigidus aims to relieve pain and improve function. Arthrodesis, though reliable in terms of pain relief may encounter some resistance from patients reluctant to have a fusion. Results of other techniques, such as silastic implants, may give poor long-term results. Excisional arthroplasty and cheilectomy are also routinely used. Interposition arthroplasty has been used with some success in other joints. We describe a technique of autologous interposition arthroplasty using a free ipsilateral gracilis tendon graft for patients with severe hallux rigidus with moderate to high activity levels and who do not wish to undergo fusion.</p>","PeriodicalId":77050,"journal":{"name":"Bulletin (Hospital for Joint Diseases (New York, N.Y.))","volume":"62 3-4","pages":"121-4"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25193392","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}
{"title":"Medium-term results of thrust plate prostheses for osteoarthritis of the hip.","authors":"Vasfi Karatosun, Izge Gunal, Bayram Unver","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We retrospectively evaluated the results of 61 patients (67 hips) who underwent total hip arthroplasty using the thrust plate prosthesis (TPP) for osteoarthritis of the hip joint. All patients were followed-up at least two years (mean: 37.2 months). Mean preoperative Harris hip score improved from 45.8 (SD: 13.5) to 94.9 (SD: 5.4) points postoperatively. Revision was performed in five cases. Medium-term results of TPP are promising.</p>","PeriodicalId":77050,"journal":{"name":"Bulletin (Hospital for Joint Diseases (New York, N.Y.))","volume":"63 1-2","pages":"28-30"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25904674","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}
Frederick J Kummer, William L Jaffe, Kazuho Lesaka, Fausto Perez
{"title":"Bipolar head design: inner bearing range of motion and disassociation.","authors":"Frederick J Kummer, William L Jaffe, Kazuho Lesaka, Fausto Perez","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To address the clinical problems of joint stiffness, acetabular pain, and component wear, recent bipolar heads have been designed to achieve increased inner bearing range of motion. We tested four designs to determine if this compromises component integrity. Inner bearing ranges of motion were determined and the components then mechanically tested to determine inner bearing pull-out disassociation strengths as well as static and dynamic impingement forces for disassociation. Inner bearing ranges of motion with a 22 mm head were between 65 degrees to 84 degrees for the four prostheses. Pull-out forces for disassociation ranged between 700 N to 1475 N; static impingement forces were 20 Nm to 49 Nm and dynamic impingement forces were 5 Nm to 24 Nm. There was no relation between bipolar head inner bearing range of motion and the potential for component disassociation; however, one design modification produced a lowered disassociation strength. Design modifications must be evaluated by a variety of test methods to adequately determine their effects on bipolar head integrity.</p>","PeriodicalId":77050,"journal":{"name":"Bulletin (Hospital for Joint Diseases (New York, N.Y.))","volume":"63 1-2","pages":"5-8"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25905272","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}
{"title":"Complex coronal shear fractures of the distal humerus.","authors":"Howard J Goodman, Jack Choueka","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This is a retrospective review of nine coronal shear fractures of the distal humerus. Two were isolated fractures and seven were associated with other peri-articular elbow injuries, termed \"complex\" coronal shear fractures. All cases underwent immediate open reduction and internal fixation (ORIF) and were then followed for an average of 14 months (range: 6.5 to 23 months) with outcomes evaluated using the Mayo Elbow Performance Scoring system. There was a significant difference found between injuries limited to the radiocapitellar (RC) joint (isolated coronal shear fractures, or those associated only with radial head fractures) and the complex injuries extending beyond the RC joint. Scores for the RC injuries were 100 and other complex injuries had an average score of 69 (range: 35 to 95; p = .025). All complications were limited to the group with the complex injuries, including stiffness, nonunion, pain, and gross instability. Much of the current thinking in treatment of this fracture was upheld in this study; computed tomography aids in diagnosis, ORIF is a necessity, and there is a need for anatomic reduction. When a coronal shear fracture is complicated by a concomitant injury outside the RC joint, both the surgeon's and patient's expectation need to be adjusted accordingly.</p>","PeriodicalId":77050,"journal":{"name":"Bulletin (Hospital for Joint Diseases (New York, N.Y.))","volume":"62 3-4","pages":"85-9"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25193385","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}
{"title":"Current concepts in the therapeutic management of osteoarthritis with glucosamine.","authors":"Jean-Yves Reginster, Olivier Bruyere, Genevieve Fraikin, Yves Henrotin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Over the last 10 years, several studies have investigated the ability of glucosamine sulfate to improve the symptoms (pain and function) and to delay the structural progression of osteoarthritis. There is now a large, convergent body of evidence that glucosamine sulfate, given at a daily oral dose of 1,500 mg, is able to significantly reduce the symptoms of osteoarthritis in the lower limbs and spine. This effect is usually seen with a minimal time for the onset of significant action - around 2 weeks. A similar dose of glucosamine sulfate has also been shown, in two independent studies, to prevent the joint space narrowing observed at the femorotibial compartment in patients with mild to moderate knee osteoarthritis. This effect, which is not affected by the radiographic technique used for the assessment of joint space width, also translated into a 50% reduction in the incidence of osteoarthritis-related surgery of the lower limbs during a 5-year period following the withdrawal of the treatment. There is a high degree of consistency in the literature showing that when glucosamine sulfate is used for the treatment of osteoarthritis, an efficacious response with minimum side effects can be expected. Since some discrepancies have been described between the results of studies performed with a patent-protected formulation of glucosamine sulfate distributed as a drug and those having used glucosamine preparations purchased from global suppliers, packaged, and sold over-the-counter as nutritional supplements (not regulated as drugs and with some potential issues concerning the reliability of their content), caution should be used when extrapolating conclusive results obtained with prescription drugs to over-the-counter or food supplements.</p>","PeriodicalId":77050,"journal":{"name":"Bulletin (Hospital for Joint Diseases (New York, N.Y.))","volume":"63 1-2","pages":"31-6"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25904675","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}
{"title":"Osteochondral multiple autograft transfer (OMAT) for the treatment of cartilage defects in the knee joint.","authors":"O Sahap Atik, M Murad Uslu, Fatih Eksioglu","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The ideal articular cartilage repair tissue should be durable and well-integrated. We have been performing osteochondral multiple autograft transfers (OMAT) since 1996 with the experience we had using carbon fiber implants. We call this technique OMAT instead of mosaicplasty because we use uniform osteochondral autografts. Osteochondral multiple autograft transfer (OMAT) was performed either by arthrotomy or arthroscopy on 12 patients (6 male and 6 female) for the treatment of cartilage defects in the knee joint. The patients ranged in age from 20 to 63 years (mean: 38 years). All had weightbearing-related pain or decrease in the range of motion. None had instability or malalignment. The average follow-up time was 4 years (range: 2 to 8 years). Clinical results were satisfactory. All of the paients were improved initially by the procedure and 85% are still pain free. The mean Lysholm knee rating score was 56 points preoperatively and 86 points postoperatively. Second-look arthroscopy (five patients) demonstrated a normal shiny appearance and color of the grafted area. We observed slight joint effusion postoperatively that disappeared in two months. There was no donor site morbidity. OMAT is a promising surgical technique for the treatment ofarticular cartilage defects. Long-term follow-up with more patients and histological and biomechanical evaluation of chondral interfaces are the subjects of our continuing study.</p>","PeriodicalId":77050,"journal":{"name":"Bulletin (Hospital for Joint Diseases (New York, N.Y.))","volume":"63 1-2","pages":"37-40"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25904676","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}
Murad Uslu, Baris Ozsar, Tuba Kendi, Simay Kara, Ibrahim Tekdemir, O Sahap Atik
{"title":"The use of computed tomography to determine femoral component size: a study of cadaver femora.","authors":"Murad Uslu, Baris Ozsar, Tuba Kendi, Simay Kara, Ibrahim Tekdemir, O Sahap Atik","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Computed tomography is used to assess whether ideal femoral component size in knee arthroplasty can be made more accurately. Ideal femoral component size was measured on radiography, computed tomography, and by direct measurement of 20 cadaver femora and analyzed statistically. There was no significance between the tomographically anticipated ideal femoral component size and ideal femoral size values (Wilcoxon W 388.5; p 0.565). There was difference between radiographically anticipated ideal femoral size and ideal femoral size values (Wilcoxon W 324.5; p 0.020). Anticipating the ideal femoral size can be made more precisely with computed tomography than radiographs in cadaver femora. Anticipating the ideal femoral component size by computed tomography may solve the problems in \"in-between sizes.\" Future total knee designs may be manufactured in more anatomic sizes.</p>","PeriodicalId":77050,"journal":{"name":"Bulletin (Hospital for Joint Diseases (New York, N.Y.))","volume":"63 1-2","pages":"49-53"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25904678","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}
Alexis S Chiang, Steven S Shin, Laith M Jazrawi, Donald J Rose
{"title":"Simultaneous ipsilateral ruptures of the anterior cruciate ligament and patellar tendon: a case report.","authors":"Alexis S Chiang, Steven S Shin, Laith M Jazrawi, Donald J Rose","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The simultaneous diagnosis of ipsilateral patellar tendon rupture and anterior cruciate ligament tear is rare. Surgical repair is complicated by different rehabilitation regimens as well as anterior cruciate ligament graft choices. We present a case where at the same operative setting, the patellar tendon was repaired, and the anterior cruciate ligament reconstructed with autologous hamstring graft.</p>","PeriodicalId":77050,"journal":{"name":"Bulletin (Hospital for Joint Diseases (New York, N.Y.))","volume":"62 3-4","pages":"134-6"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24902333","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}
Petek Korkusuz, Attila Dagdeviren, Fatih Eksioglu, Ulken Ors
{"title":"Immunohistological analysis of normal and osteoarthritic human synovial tissue.","authors":"Petek Korkusuz, Attila Dagdeviren, Fatih Eksioglu, Ulken Ors","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Intercellular communication mediated by cell surface antigens is important in the maintenance of synovial tissue (ST) integrity. Chronic inflammation is a common feature of osteoarthritis (OA). Cellular attachment to and migration into ST is one of the critical aspects of chronic inflammation. This study was undertaken to examine the tissue distribution of a broad spectrum of monoclonal antibodies (mAbs) containing tetraspan antigens (CD9, CD63, CD151), endothelial cell antigens (CD31, CD36, CD105, CD106, CD146), integrins (CD49a-f, CD29, CD41, CD51, CD61), CD39, CD98, CD99, CD143 and, CD147 supplied from fifth and sixth international workshops and conferences on human leukocyte differentiation antigens in a comparative manner in human OA and normal synovium. Ten primary OA patients and six normal individuals were included in this study. The average age of the patients was 65.0 +/- 8.3 years and the average age of the controls was 31.8 +/- 5.3 years. Sections were screened using an indirect immunoperoxidase method. Tetraspan antigens and CD98 presented rather unique staining pattern in OA synovium suggesting special roles for each antigen on the synovial lining layer (SLL). Endothelial cells and type A synoviocytes expressed CD31 and CD36 in OA, but only endothelium in normal subjects. Integrins presented a uniform staining pattern in both groups. There was a positive reaction in some of the ST stromal elements for CD143 in all specimens. In conclusion, human normal and OA synovium were comparatively reviewed by a broad spectrum of mAbs with special attention being given to their functional aspects. This data suggests a significant difference in antigenic phenotype of SLL cells in OA and ST not to be considered at a normal-like state in OA. The fact that their activation was independent of the degree of lymphocyte infiltration further emphasizes the possible central importance of SLL.</p>","PeriodicalId":77050,"journal":{"name":"Bulletin (Hospital for Joint Diseases (New York, N.Y.))","volume":"63 1-2","pages":"63-9"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25905140","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}
Brett Levine, Russell Weisz, Erik Kubiak, N Noel Testa
{"title":"Long-term radiographic evaluation of Trilock press-fit acetabular components in primary total hip arthroplasty.","authors":"Brett Levine, Russell Weisz, Erik Kubiak, N Noel Testa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A retrospective radiographic evaluation of 39 acetabulae reconstructed with Trilock press-fit components (Depuy, Warsaw, IN) without use of supplementary fixation was performed. The following radiographic criteria were evaluated: change in component inclination angle, migration, osteolytic areas, and radiolucent lines. Acetabular components were considered loose when there was migration greater than four millimeters, change in abduction angle greater than four degrees, or a concentric radiolucent line greater than two millimeters. The average length of follow-up was 12.6 years. Six of the 39 (15.4%) total hip arthroplasties were considered loose. Two (5.1%) of these were revised and four (10.4%) were asymptomatic at the time of latest follow-up. Significant areas of osteolysis were found in 15 hips (38.5%). We conclude that the Trilock acetabular component provides adequate fixation and satisfactory long-term results.</p>","PeriodicalId":77050,"journal":{"name":"Bulletin (Hospital for Joint Diseases (New York, N.Y.))","volume":"62 3-4","pages":"115-20"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25193391","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}