Contemporary orthopaedics最新文献_第5页

Osteophyte formation in the vertebral column: a review of the etiologic factors--Part II. 脊柱骨赘的形成:病因的回顾——第二部分。

Contemporary orthopaedics Pub Date : 1994-08-01

M Nathan, M H Pope, L J Grobler

引用次数: 0

The locked metacarpophalangeal joint: report of four cases and review of the literature. 掌指关节锁定:附4例报告并文献复习。

Contemporary orthopaedics Pub Date : 1994-08-01

R Q Terrill, R J Groves

引用次数: 0

Hip dysplasia in spastic cerebral palsy. 痉挛性脑瘫的髋关节发育不良。

Contemporary orthopaedics Pub Date : 1994-08-01

B E Black, R Hildebrand, P D Sponseller, P P Griffin

引用次数: 0

Symposium: partial foot amputations. 专题讨论会:部分足部截肢。

Contemporary orthopaedics Pub Date : 1994-08-01

M S Myerson, J H Bowker, J W Brodsky, S Trevino

引用次数: 0

151 endoprosthetic reconstructions for patients with primary tumors involving bone. 151例原发性肿瘤累及骨的内假体重建。

Contemporary orthopaedics Pub Date : 1994-07-01

M R Safran, M H Kody, R S Namba, K R Larson, J M Kabo, F J Dorey, F R Eilber, J J Eckardt

{"title":"151 endoprosthetic reconstructions for patients with primary tumors involving bone.","authors":"M R Safran, M H Kody, R S Namba, K R Larson, J M Kabo, F J Dorey, F R Eilber, J J Eckardt","doi":"","DOIUrl":"","url":null,"abstract":"As part of the UCLA limb salvage program, 151 patients received 151 endoprostheses for primary tumors involving bone. Follow-up of all patients was to death (56), revision (21), or a minimum two years for the 74 additional survivors (range: 24-114 months; mean: 52 months). Endoprosthetic replacements were of the distal femur (81), proximal femur (19), proximal humerus (13), proximal tibia (11), scapula (11), total femur (8), total humerus (4), intercalary prostheses (2), and one each of the distal humerus and the pelvis. There were three soft tissue sarcomas, five benign bone lesions, and 143 primary malignant tumors of bone. MSTS function was good-excellent in 78%. There were 64 local complications in 55 patients (36%). Mechanical failure occurred in 24 patients (15.9%), local recurrence occurred in ten (6.6%), minor wound healing problems in nine (5.9%), and infection in eight (5.3%). Few systemic complications were reported. Function appeared to be location dependent. All of the 29 patients with benign or low grade malignant tumors (parosteal, IA, IB) have survived. Of the 116 patients with stage IIA and IIB disease, 59% survived three years, and a Kaplan-Meier analysis projects that 56% are expected to survive at five years. Only 17 (11%) of these 151 endoprostheses have been revised; an additional four (3%) eventually came to amputation. The Kaplan-Meier analysis revealed that 91% of the prostheses survived three years and 83% survived five years. The Cox Proportional Hazards model revealed that for patients with stage IIA and IIB disease, the risk of death is four times the risk of the need for revision at five years. Although endoprosthetic reconstructions have their own unique complications, they have proven durable in this series of patients. Local problems usually can be managed without amputation, and patient satisfaction is high.","PeriodicalId":79846,"journal":{"name":"Contemporary orthopaedics","volume":"29 1","pages":"15-25"},"PeriodicalIF":0.0,"publicationDate":"1994-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21043641","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 diaphysectomy in cerebral palsy. 脑瘫患者股骨近端骨干切除术。

Contemporary orthopaedics Pub Date : 1994-07-01

D K McCartney, K F Frankovitch

{"title":"Proximal femoral diaphysectomy in cerebral palsy.","authors":"D K McCartney, K F Frankovitch","doi":"","DOIUrl":"","url":null,"abstract":"A study was conducted to evaluate the outcome of massive proximal femoral shortening in the cerebral palsy patient with severe spastic quadriplegia and hip instability. A retrospective review of 13 children (age range: three to 19 years of age) representing 18 hips treated with massive shortening of the proximal femur was conducted. Bilateral procedures were performed in five patients. All procedures were performed between February 1986 and March 1990. Radiographs were evaluated for preoperative and postoperative migration percentage (MP) and femoral neck-shaft angle (NSA). Charts were reviewed for complications and clinical results. All femoral osteotomies healed without difficulty. Clinical follow-up averaged 27.6 months. Satisfactory results occurred in all but one hip. Radiographs taken an average of 19.5 months postoperatively showed improved MP in all but one hip. The average preoperative MP was 70% and postoperative MP was 18%. Femoral NSA also was improved. Heterotopic bone formed in 13 hips but caused no significant problems. Other complications included postoperative seizure, urinary tract infection, cast sores, transient arm weakness, weight loss, pin protrusion through skin, and femur fracture after cast removal. Based on the good results and minimal complications in this series, massive femoral shortening appears to be a superior alternative to proximal femoral resection in these difficult patients.","PeriodicalId":79846,"journal":{"name":"Contemporary orthopaedics","volume":"29 1","pages":"52-8"},"PeriodicalIF":0.0,"publicationDate":"1994-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21018965","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 power-driven staples in fracture surgery. 动力钉在骨折手术中的应用。

Contemporary orthopaedics Pub Date : 1994-07-01

D Appleby, W E Blair, A Gaechter, S Trevino, T J Zimmer

引用次数: 0

The painful total knee replacement and the influence of component design. 全膝关节置换术的疼痛及部件设计的影响。

Contemporary orthopaedics Pub Date : 1994-06-01

R D Coutts, G A Engh, M B Mayor, L A Whiteside, A H Wilde

引用次数: 0

Patella infera following arthroscopic anterior cruciate ligament reconstruction. 关节镜下前交叉韧带重建后髌骨下。

Contemporary orthopaedics Pub Date : 1994-06-01

J M Chase, W L Hennrikus, T R Cullison