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Contemporary orthopaedics最新文献

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Symposium: spinal cord resuscitation. 专题讨论会:脊髓复苏。
Contemporary orthopaedics Pub Date : 1995-06-01
J S Torg, B Currier, R Douglas, E Hershman, P F O'Leary
{"title":"Symposium: spinal cord resuscitation.","authors":"J S Torg, B Currier, R Douglas, E Hershman, P F O'Leary","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79846,"journal":{"name":"Contemporary orthopaedics","volume":"30 6","pages":"495-504, 507-9"},"PeriodicalIF":0.0,"publicationDate":"1995-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21022103","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
Symposium: femoral fractures in children. 专题讨论会:儿童股骨骨折。
Contemporary orthopaedics Pub Date : 1995-05-01
L T Staheli, K Cramer, N E Green, J R Kasser, M F Swiontkowski
{"title":"Symposium: femoral fractures in children.","authors":"L T Staheli, K Cramer, N E Green, J R Kasser, M F Swiontkowski","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79846,"journal":{"name":"Contemporary orthopaedics","volume":"30 5","pages":"427-30, 433, 437-8 passim"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21022241","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
The use of explanatory models to enhance surgical outcome. 使用解释性模型来提高手术效果。
Contemporary orthopaedics Pub Date : 1995-05-01
W W Deardorff, M Sinel
{"title":"The use of explanatory models to enhance surgical outcome.","authors":"W W Deardorff,&nbsp;M Sinel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A case is reported that demonstrates the impact of psychological variables on a patient's reaction to stressful medical procedures. The evaluation and management of psychological variables that might have an effect on treatment outcome is discussed.</p>","PeriodicalId":79846,"journal":{"name":"Contemporary orthopaedics","volume":"30 5","pages":"399-402"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21043921","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
NSAIDs in orthopaedic practice: management guidelines for arthritis patients. 非甾体抗炎药在骨科实践:关节炎患者的管理指南。
Contemporary orthopaedics Pub Date : 1995-05-01
T J Schnitzer
{"title":"NSAIDs in orthopaedic practice: management guidelines for arthritis patients.","authors":"T J Schnitzer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Guidelines are provided for prescribing nonsteroidal antiinflammatory drugs (NSAIDs) pre- and postoperatively for arthritis patients. Most NSAIDs impair platelet aggregation and prolong bleeding time, increasing the risk of complications during and immediately following surgery; thus, the effects of individual NSAIDs must be considered prior to surgery. Postoperative treatment issues that must be considered include gastrointestinal safety, renal and hepatic safety, safety in the elderly, and efficacy of various NSAIDs. Various strategies to improve gastrointestinal safety, including use of NSAIDs with low ulcerogenic potential such as nabumetone, low-dose ibuprofen, and etodolac, are discussed. As all NSAIDs can reduce pain and inflammation, selection of a particular NSAID should be based on careful consideration of pharmacologic and clinical differences.</p>","PeriodicalId":79846,"journal":{"name":"Contemporary orthopaedics","volume":"30 5","pages":"383-9"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21022240","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
Removal of a well-fixed cementless femoral component with an extended proximal femoral osteotomy. 扩展股骨近端截骨术取出固定良好的无骨水泥股骨假体。
Contemporary orthopaedics Pub Date : 1995-05-01
T I Younger, M S Bradford, W G Paprosky
{"title":"Removal of a well-fixed cementless femoral component with an extended proximal femoral osteotomy.","authors":"T I Younger,&nbsp;M S Bradford,&nbsp;W G Paprosky","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Removal of a stable, well-fixed cementless femoral arthroplasty component occasionally is necessary because of infection, component malposition, persistent pain, or incompatibility with a femoral revision component. Restricted access to ingrowth surfaces may make implant removal exceedingly difficult and increases the risk of iatrogenic damage to the proximal femur. A new extended proximal femoral osteotomy technique is described for use in removing well-fixed cementless femoral components. Previous techniques have been modified to allow access to the bone-implant interface and to provide straight-shot access to the femoral canal for proper sizing and positioning of the revision implant. The osteotomy can be extended to accommodate the entire length of the porous coating on the revision component. If a shorter osteotomy is desired, access to the prosthesis for transection with a metal-cutting burr is possible. The osteotomy is easily repositioned with cerclage wires or cables and reliable healing has been demonstrated.</p>","PeriodicalId":79846,"journal":{"name":"Contemporary orthopaedics","volume":"30 5","pages":"375-80"},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21022239","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
Evaluation of a new biochemical index for the estimation of bone demineralization using artificial intelligence. 用人工智能评价一种新的骨脱矿生化指标。
Contemporary orthopaedics Pub Date : 1995-04-01
S D Barnhill, Z Zhang, K R Madyastha
{"title":"Evaluation of a new biochemical index for the estimation of bone demineralization using artificial intelligence.","authors":"S D Barnhill,&nbsp;Z Zhang,&nbsp;K R Madyastha","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The use of artificial neural networks (ANN) for the identification of a positive correlation between the QuiOs quotient, a single-valued indicator of bone mineral density, and multisite dual energy x-ray absorptiometry (DEXA) measurements is described. The measurements were obtained using the Hologic QDRR-2000 x-ray bone densitometer in a multicenter clinical trial including 374 female patients. The QuiOs quotient estimates bone mineral density and determines the severity of bone density loss. This quotient is calculated by using a proprietary software program to perform a multivariate analysis of the results of testing of serum levels of calcium, phosphate, total alkaline phosphate, two alkaline phosphatase isoenzymes (liver and intestine), estradiol, and progesterone. The results show that given the four DEXA measurements obtained from the bone densitometer, the trained neural network can predict whether the corresponding QuiOs score of the same patient will be below the cutoff score of 0.690. The findings in this study indicate a positive correlation between DEXA measurements and the QuiOs quotient obtained from two different sources.</p>","PeriodicalId":79846,"journal":{"name":"Contemporary orthopaedics","volume":"30 4","pages":"315-8"},"PeriodicalIF":0.0,"publicationDate":"1995-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21022233","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
Symposium: Current concepts and controversies in tissue banking. 专题讨论会:组织库的当前概念和争议。
Contemporary orthopaedics Pub Date : 1995-04-01
W W Tomford, T Malinin, T M Moore, J J Rodrigo, J Strobos, J Woodcock
{"title":"Symposium: Current concepts and controversies in tissue banking.","authors":"W W Tomford,&nbsp;T Malinin,&nbsp;T M Moore,&nbsp;J J Rodrigo,&nbsp;J Strobos,&nbsp;J Woodcock","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79846,"journal":{"name":"Contemporary orthopaedics","volume":"30 4","pages":"349-61"},"PeriodicalIF":0.0,"publicationDate":"1995-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21022235","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
Cotrel Dubousset and Wisconsin segmental spine instrumentation: comparison of results in adolescents with idiopathic scoliosis King Type II. Cotrel Dubousset和Wisconsin节段性脊柱内固定:青少年特发性King II型脊柱侧凸的比较结果
Contemporary orthopaedics Pub Date : 1995-04-01
J Y Margulies, M G Neuwirth, R Puri, F V Farcy, Y Mirovsky
{"title":"Cotrel Dubousset and Wisconsin segmental spine instrumentation: comparison of results in adolescents with idiopathic scoliosis King Type II.","authors":"J Y Margulies,&nbsp;M G Neuwirth,&nbsp;R Puri,&nbsp;F V Farcy,&nbsp;Y Mirovsky","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>When introduced, the Wisconsin segmental spine instrumentation (WSSI) and the Cotrel Dubousset instrumentation (CDI) were promoted as technical advances for the correction of spinal deformities. Both systems provide acceptable correction and greatly reduce the need for postoperative immobilization. A retrospective study of a homogeneous group of 53 adolescent patients with idiopathic scoliosis with King Type II curves who had reached skeletal maturity at follow-up was conducted to compare and analyze the results of these two systems. Thirty-six of these patients had been operated on using WSSI and 17 had been operated on using CDI. CDI and WSSI were found to be equally effective in treating King Type II curves. No difference was found between the two groups in the fusion rates, spinal balance, time required for surgery, or amount of curve correction. The answer to the question of which system is \"better\" depends on the surgeon's experience and familiarity with the equipment.</p>","PeriodicalId":79846,"journal":{"name":"Contemporary orthopaedics","volume":"30 4","pages":"311-4"},"PeriodicalIF":0.0,"publicationDate":"1995-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21022308","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
Management of nonunion below proximal humeral prosthesis. 肱骨近端假体下骨不连的处理。
Contemporary orthopaedics Pub Date : 1995-04-01
D E Attarian
{"title":"Management of nonunion below proximal humeral prosthesis.","authors":"D E Attarian","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Fractures below proximal humeral prostheses are rare and their successful management presents technical difficulties. Closed treatment usually results in nonunion. A case illustrating this disabling complication is reported and a literature review is presented that summarizes the classification, treatment options, and complications of these uncommon fractures.</p>","PeriodicalId":79846,"journal":{"name":"Contemporary orthopaedics","volume":"30 4","pages":"337-8"},"PeriodicalIF":0.0,"publicationDate":"1995-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21043920","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
Intraoperative latex anaphylaxis in children: early detection, treatment, and prevention. 儿童术中乳胶过敏反应:早期发现、治疗和预防。
Contemporary orthopaedics Pub Date : 1995-04-01
J P Dormans, J Templeton, M S Schreiner, A J Delfico
{"title":"Intraoperative latex anaphylaxis in children: early detection, treatment, and prevention.","authors":"J P Dormans,&nbsp;J Templeton,&nbsp;M S Schreiner,&nbsp;A J Delfico","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>During the past five years, systemic IgE-mediated anaphylactic reactions to latex have been reported more frequently, and a significant proportion of these anaphylactic reactions have occurred intraoperatively. Anaphylactic reactions under general anesthesia occur without warning, and early signs often are obscured by surgical drapes. Therefore, early recognition of symptoms and prevention are essential to avoid catastrophic results. Orthopaedic surgeons must be aware of the risk, diagnosis, prevention, and treatment of latex anaphylaxis. Patients at risk, testing, and prevention are discussed in this review. Additionally, a classification system and the corresponding regimen for prophylaxis that is currently being used at Children's Hospital of Philadelphia is described.</p>","PeriodicalId":79846,"journal":{"name":"Contemporary orthopaedics","volume":"30 4","pages":"342-7"},"PeriodicalIF":0.0,"publicationDate":"1995-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21022234","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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