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Journal of the Southern Orthopaedic Association最新文献

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Hybrid total hip arthroplasty: state-of-the-art in the new millennium? 混合型全髋关节置换术:新千年的最先进技术?
Journal of the Southern Orthopaedic Association Pub Date : 2003-01-01
Adam Reese, William Macaulay
{"title":"Hybrid total hip arthroplasty: state-of-the-art in the new millennium?","authors":"Adam Reese,&nbsp;William Macaulay","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Clinical results from the past 30 years have proven total hip arthroplasty (THA) to be an effective technique for treating arthritic and degenerative conditions of the hip. Though there is little question concerning the effectiveness THA in general, significant debate exists concerning the best technique for performing the procedure. Sir John Chamley's concept of low-friction arthroplasty (LFA), considered to be the gold standard for THA, employs a cemented fixation technique for both the femoral and acetabular components. Over time, the merits of cemented fixation have been called into question as significant percentages of LFA implants failed and required revision surgery. Hybrid total hip arthroplasty is a variation of LFA that employs cemented fixation of the femoral component with cementless fixation of the acetabular component. Intermediate-term clinical results of hybrid THA have shown it to be a promising technique, with revision rates of both the femoral and acetabular components superior to Chanley LFA studies at similar lengths of follow-up. Though these results are encouraging, long-term data from the hybrid THA studies are required before a conclusion can be made as to whether the hybrid method is in fact superior to the LFA technique for performing THA.</p>","PeriodicalId":79349,"journal":{"name":"Journal of the Southern Orthopaedic Association","volume":"12 2","pages":"75-8"},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22500614","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
Recurrence of equinus foot deformity in cerebral palsy patients following surgery: a review. 脑瘫患者手术后马蹄形畸形的复发:综述。
Journal of the Southern Orthopaedic Association Pub Date : 2003-01-01
L Andrew Koman, Beth Paterson Smith, Rich Barron
{"title":"Recurrence of equinus foot deformity in cerebral palsy patients following surgery: a review.","authors":"L Andrew Koman,&nbsp;Beth Paterson Smith,&nbsp;Rich Barron","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although equinus deformity in children with cerebral palsy is often corrected with surgery, postsurgical recurrence of the deformity is not uncommon. In order to isolate factors that may be related to its recurrence, 31 studies were evaluated. Data from nine articles indicated that children younger than approximately 7 years of age at the time of surgery had a higher risk of recurrence than children who were older at the time of surgery. Recurrence rates may be understated in studies including less than a minimum of 4-5 years of patient follow-up. Lower recurrence rates are documented in diplegic patients compared with hemiplegic patients, and postoperative casting/splinting is stated, but not documented, to reduce recurrence. One study demonstrated that the use of chemodenervation delayed surgery and by inference theoretically would decrease recurrence after surgical release.</p>","PeriodicalId":79349,"journal":{"name":"Journal of the Southern Orthopaedic Association","volume":"12 3","pages":"125-33, quiz 134"},"PeriodicalIF":0.0,"publicationDate":"2003-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24044211","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
Biostructural augmentation for the treatment of osteonecrosis: rationale, technique, and case example. 生物结构增强治疗骨坏死:原理、技术和实例。
Journal of the Southern Orthopaedic Association Pub Date : 2002-01-01
Alex Leali, Joseph Fetto, James J Hale
{"title":"Biostructural augmentation for the treatment of osteonecrosis: rationale, technique, and case example.","authors":"Alex Leali,&nbsp;Joseph Fetto,&nbsp;James J Hale","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Avascular necrosis of the hip is a common disease that usually affects a young and active patient population. As the disease progresses, the undermined structural integrity of the subchondral bone leads to articular collapse and subsequent osteoarthrosis. The ideal treatment is one that hinders or arrests the progression of the disease, averting articular collapse and joint replacement surgery. A surgical strategy is described that attempts to address the multiple factors involved in the progression of the disease. This is accomplished through a modified core decompression procedure combined with the insertion of two interference screws into the subchondral plate to provide structural support and the use of osteoinductive material (i.e., demineralized bone matrix) in an effort to accelerate the bone healing process.</p>","PeriodicalId":79349,"journal":{"name":"Journal of the Southern Orthopaedic Association","volume":"11 3","pages":"167-71"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22205770","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
A meta-analysis of fondaparinux versus enoxaparin in the prevention of venous thromboembolism after major orthopaedic surgery. fondaparinux与依诺肝素预防骨科大手术后静脉血栓栓塞的meta分析。
Journal of the Southern Orthopaedic Association Pub Date : 2002-01-01
Alexander G G Turpie, Bengt I Eriksson, Michael R Lassen, Kenneth A Bauer
{"title":"A meta-analysis of fondaparinux versus enoxaparin in the prevention of venous thromboembolism after major orthopaedic surgery.","authors":"Alexander G G Turpie,&nbsp;Bengt I Eriksson,&nbsp;Michael R Lassen,&nbsp;Kenneth A Bauer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A worldwide phase III program, consisting of four randomized, double-blind trials in patients undergoing surgery for hip fracture, in elective hip replacement surgery patients and in elective major knee surgery patients, was conducted to compare the benefit-to-risk ratio of a subcutaneous 2.5-mg once-daily regimen of fondaparinux, a synthetic selective factor Xa inhibitor, starting postoperatively with enoxaparin in preventing venous thromboembolism. The overall incidence of venous thromboembolism up to day 11 was reduced from 13.7% in the enoxaparin group to 6.8% in the fondaparinux group with a common odds reduction of 55.2% in favor of fondaparinux (95% confidence interval: 45.8-63.1%, p = 10(-17)). This superior efficacy of fondaparinux was also demonstrated for proximal deep vein thrombosis with a reduction of 57.4%. The overall incidence of clinically relevant bleeding was low and did not differ between the two groups. The benefit of fondaparinux was consistent across all types of surgery and all subgroups.</p>","PeriodicalId":79349,"journal":{"name":"Journal of the Southern Orthopaedic Association","volume":"11 4","pages":"182-8"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22254425","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
Proximal femoral allografting in revision total hip arthroplasty: stabilization of the host-graft junction with tension band fixation. 股骨近端同种异体移植术在翻修全髋关节置换术中的应用:张力带固定稳定宿主-移植物连接。
Journal of the Southern Orthopaedic Association Pub Date : 2002-01-01
Brian E Hakala, Joseph T Moskal
{"title":"Proximal femoral allografting in revision total hip arthroplasty: stabilization of the host-graft junction with tension band fixation.","authors":"Brian E Hakala,&nbsp;Joseph T Moskal","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Large deficiencies of the metaphysis and proximal diaphysis present a significant challenge to the orthopaedic surgeon undertaking revision of failed total hip arthroplasty. Proximal femoral allograft-prosthetic reconstruction may enable revision in such situations. Secure fixation is essential to successful integration and function of these allograft-prosthetic constructs. We report our experience in 7 revision total hip arthroplasties in 5 patients. Proximal femoral allograft-prosthetic reconstruction was undertaken on all 7 hips using a technique of tension band fixation for securely fixing allograft to host bone at their interface to further minimize motion at the junction site and maximize union. Radiographic evidence of union at the interface was noted in 6 of 7 hips. Mean Harris hip score increased from 18 preoperatively to 83 postoperatively, with a mean follow-up of 78 months (range, 56-116 months).</p>","PeriodicalId":79349,"journal":{"name":"Journal of the Southern Orthopaedic Association","volume":"11 2","pages":"66-9; quiz 70"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22380526","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
Lumbar spinal stenosis: surgical considerations. 腰椎管狭窄:手术考虑。
Journal of the Southern Orthopaedic Association Pub Date : 2002-01-01
Richard J Nasca
{"title":"Lumbar spinal stenosis: surgical considerations.","authors":"Richard J Nasca","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Spinal stenosis is an acquired or congenital narrowing of the spinal or nerve-root canals. Surgical treatment is often effective. Acquired spinal stenosis most commonly occurs in those with degenerative disk disease and arthritic facets. If the degenerative process stabilizes and there is adequate room to accommodate the neural contents, symptomatic patients become asymptomatic. Residual stability after decompression must be assessed in patients having multilevel decompression. Fusion maybe indicated. In women with osteoporosis coexisting with degenerative scoliosis and spinal stenosis, decompression for concave nerve-root compression and fusion are necessary. Spinal fusion is not indicated in patients with lumbar spinal stenosis having unilateral decompression for lateral stenosis. Patients with central-mixed stenosis may not need fusion. Patients with spinal stenosis after laminectomies and diskectomies had better results when arthrodesis was done in conjunction with repeated decompression. Arthrodesis with instrumentation and decompression is recommended for patients with degenerative spondylolisthesis.</p>","PeriodicalId":79349,"journal":{"name":"Journal of the Southern Orthopaedic Association","volume":"11 3","pages":"127-34"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22205764","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
Thrombosis prophylaxis in orthopedic surgery: current clinical considerations. 骨科手术中的血栓预防:当前的临床考虑。
Journal of the Southern Orthopaedic Association Pub Date : 2002-01-01
Joseph A Caprini, Juan I Arcelus, Dejan Maksimovic, Catherine J Glase, Jennifer G Sarayba, Karen Hathaway
{"title":"Thrombosis prophylaxis in orthopedic surgery: current clinical considerations.","authors":"Joseph A Caprini,&nbsp;Juan I Arcelus,&nbsp;Dejan Maksimovic,&nbsp;Catherine J Glase,&nbsp;Jennifer G Sarayba,&nbsp;Karen Hathaway","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Thrombosis prophylaxis in orthopedic surgery is an important consideration in order to avoid the morbidity and mortality of venous thromboembolism (VTE). Patients who do not receive prophylaxis, or receive inadequate prophylaxis, may be at risk for clinical or fatal pulmonary emboli, and a fatality, although rare, may be the first sign of a VTE. Although the surgeon may have corrected the patient's orthopedic problem, a symptomatic or asymptomatic venous thrombosis may become a new threat to the patient's quality of life. This problem places such patients at risk for recurrent VTE, as well as post-thrombotic syndrome, a progressive, lifelong disability. Methods of prophylaxis that prevent the most clots result in the fewest venous thromboembolic events, but no one method of prophylaxis is suitable for all patients. In order to select the appropriate modality, a careful risk assessment of each patient is necessary. Those at low or moderate risk levels do not require the same modalities that may be used in a patient with a previous history of thrombosis or with many risk factors. The purpose of this brief review is to examine the complications associated with venous thromboembolism and to discuss, in detail, the risk of thrombosis in orthopedic patients. In addition, thrombosis prophylaxis modalities are discussed and suggestions made based on current Chest Consensus Guidelines and FDA-approved products.</p>","PeriodicalId":79349,"journal":{"name":"Journal of the Southern Orthopaedic Association","volume":"11 4","pages":"190-6"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22254426","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
Multifocal osteonecrosis and human immunodeficiency virus infection. 多灶性骨坏死与人类免疫缺陷病毒感染。
Journal of the Southern Orthopaedic Association Pub Date : 2002-01-01
David E Attarian
{"title":"Multifocal osteonecrosis and human immunodeficiency virus infection.","authors":"David E Attarian","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Over the past decade, a causal relationship between infection with human immunodeficiency virus (HIV) and osteonecrosis has been proposed. This case report (the first example presented in the English orthopaedic literature) of multifocal (> 3 sites) osteonecrosis in a patient with HIV infection highlights the current scientific knowledge regarding incidence, predisposing risk factors, proposed biologic mechanisms, and clinical orthopaedic management. This information may become increasingly relevant for the orthopaedic clinician as more patients with HIV infection live longer.</p>","PeriodicalId":79349,"journal":{"name":"Journal of the Southern Orthopaedic Association","volume":"11 3","pages":"172-3"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22206759","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
Carpal tunnel release: efficacy and recurrence rate after a limited incision release. 腕管松解术:有限切口松解后的疗效及复发率。
Journal of the Southern Orthopaedic Association Pub Date : 2002-01-01
David Simms Ruch, Charles N Seal, Matthew Scott Bliss, Beth Paterson Smith
{"title":"Carpal tunnel release: efficacy and recurrence rate after a limited incision release.","authors":"David Simms Ruch,&nbsp;Charles N Seal,&nbsp;Matthew Scott Bliss,&nbsp;Beth Paterson Smith","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We retrospectively studied the postoperative outcomes of 51 patients treated for idiopathic carpal tunnel syndrome by method of a limited incision carpal tunnel release. Patients were assessed to determine: 1) palmar tenderness, 2) scar tenderness, 3) relief of symptoms, 4) complications, and 5) recurrence. Short-term follow-up included patient evaluations at 2 weeks, 4 weeks, and 10 weeks; a mean of 2.5 years of follow-up also was obtained. Postoperatively, nocturnal symptoms resolved by the 2-week visit. Palmar tenderness was noted as minimal or absent between the 4-week and 10-week visits in 47 of the 51 patients (92%). Symptom and function scores improved from 4.24 and 4.00 preoperatively to 1.18 and 1.19 postoperatively. At a mean of 2.5 years after surgery, none of the patients reported recurrent symptoms.</p>","PeriodicalId":79349,"journal":{"name":"Journal of the Southern Orthopaedic Association","volume":"11 3","pages":"144-7"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22205766","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
A new antithrombotic strategy, the selective inhibition of coagulation factors, and its importance to the orthopedic specialist. 一种新的抗血栓策略，选择性抑制凝血因子，及其对骨科专家的重要性。
Journal of the Southern Orthopaedic Association Pub Date : 2002-01-01
Kenneth A Bauer, Bengt I Eriksson, Michael R Lassen, Alexander G G Turpie
{"title":"A new antithrombotic strategy, the selective inhibition of coagulation factors, and its importance to the orthopedic specialist.","authors":"Kenneth A Bauer,&nbsp;Bengt I Eriksson,&nbsp;Michael R Lassen,&nbsp;Alexander G G Turpie","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Traditional anticoagulant drugs including vitamin K antagonists and heparins have several limitations. Despite their use, the burden of venous thromboembolism remains high, particularly in patients undergoing major orthopedic surgery. A new strategy for the design of new antithrombotic drugs is based on selective inhibition of a specific coagulation factor. Fondaparinux is a synthetic selective inhibitor of factor Xa, which is critically positioned at the start of the common pathway of the coagulation system. Its pharmacokinetic profile allows for once-daily administration without the need for laboratory monitoring or dose adjustment. Fondaparinux has demonstrated its efficacy compared to a widely used low-molecular-weight heparin in a number of thromboprophylaxis trials after major orthopedic surgery and is approved for use in this setting.</p>","PeriodicalId":79349,"journal":{"name":"Journal of the Southern Orthopaedic Association","volume":"11 4","pages":"197-202"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22254427","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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