ISRN orthopedics最新文献_第6页

Late removal of titanium hardware from the elbow is problematic. 较晚从肘部取出钛金属是有问题的。

ISRN orthopedics Pub Date : 2012-02-06 eCollection Date: 2012-01-01 DOI: 10.5402/2012/256239

Abdo Bachoura, Ruriko Yoshida, Christian Lattermann, Srinath Kamineni

引用次数: 6

Efficacy and Tolerability of Clarema 1% Cream and Hirudoid 40000 U.APTT Gel in the Topical Treatment of Haematomas and/or Subcutaneous Haematic Extravasations. Clarema 1%乳膏与喜疗妥40000 U的疗效及耐受性。APTT凝胶局部治疗血肿和/或皮下血液外渗。

ISRN orthopedics Pub Date : 2012-01-17 eCollection Date: 2012-01-01 DOI: 10.5402/2012/504151

Tiziana Polieri, Enrico Orsoni, Giorgio Saponati, Enrico Castellacci

引用次数: 1

Operative outcomes for cervical degenerative disease: a review of the literature. 宫颈退行性疾病的手术结果:文献综述。

ISRN orthopedics Pub Date : 2012-01-16 eCollection Date: 2012-01-01 DOI: 10.5402/2012/165050

Kazuya Nishizawa, Kanji Mori, Yasuo Saruhashi, Yoshitaka Matsusue

{"title":"Operative outcomes for cervical degenerative disease: a review of the literature.","authors":"Kazuya Nishizawa, Kanji Mori, Yasuo Saruhashi, Yoshitaka Matsusue","doi":"10.5402/2012/165050","DOIUrl":"https://doi.org/10.5402/2012/165050","url":null,"abstract":"To date, several studies were conducted to find which procedure is superior to the others for the treatment of cervical myelopathy. The goal of surgical treatment should be to decompress the nerves, restore the alignment of the vertebrae, and stabilize the spine. Consequently, the treatment of cervical degenerative disease can be divided into decompression of the nerves alone, fixation of the cervical spine alone, or a combination of both. Posterior approaches have historically been considered safe and direct methods for cervical multisegment stenosis and lordotic cervical alignment. On the other hand, anterior approaches are indicated to the patients with cervical compression with anterior factors, relatively short-segment stenosis, and kyphotic cervical alignment. Recently, posterior approach is widely applied to several cervical degenerative diseases due to the development of various instruments. Even if it were posterior approach or anterior approach, each would have its complication. There is no Class I or II evidence to suggest that laminoplasty is superior to other techniques for decompression. However, Class III evidence has shown equivalency in functional improvement between laminoplasty, anterior cervical fusion, and laminectomy with arthrodesis. Nowadays, each surgeon tends to choose each method by evaluating patients' clinical conditions. ","PeriodicalId":89787,"journal":{"name":"ISRN orthopedics","volume":"2012 ","pages":"165050"},"PeriodicalIF":0.0,"publicationDate":"2012-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2012/165050","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32464193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Activity Levels in Healthy Older Adults: Implications for Joint Arthroplasty. 健康老年人的活动水平:对关节成形术的影响

ISRN orthopedics Pub Date : 2012-01-01 DOI: 10.5402/2012/727950

Laura E Thorp, Diego Orozco, Joel A Block, Dale R Sumner, Markus A Wimmer

引用次数: 8

Arthroplasty Utilization in the United States is Predicted by Age-Specific Population Groups. 在美国，关节置换术的使用是由特定年龄人群预测的。

ISRN orthopedics Pub Date : 2012-01-01 DOI: 10.5402/2012/185938

Bronislava Bashinskaya, Ryan M Zimmerman, Brian P Walcott, Valentin Antoci

引用次数: 58

In vivo ciprofloxacin release from hydroxyapatite-based bone implants in rabbit tibia: a preliminary study. 羟基磷灰石骨植入物在兔胫骨体内释放环丙沙星的初步研究。

ISRN orthopedics Pub Date : 2011-12-07 eCollection Date: 2011-01-01 DOI: 10.5402/2011/420549

Amit Kumar Nayak, Ajoy Bhattacharyya, Kalyan Kumar Sen

{"title":"In vivo ciprofloxacin release from hydroxyapatite-based bone implants in rabbit tibia: a preliminary study.","authors":"Amit Kumar Nayak, Ajoy Bhattacharyya, Kalyan Kumar Sen","doi":"10.5402/2011/420549","DOIUrl":"https://doi.org/10.5402/2011/420549","url":null,"abstract":"The present study deals with the preliminary evaluation of in vivo ciprofloxacin release from HAp-ciprofloxacin bone implants in rabbit tibia. The HAp-ciprofloxacin implants (2 × 2.5 mm) were prepared using various HAp-ciprofloxacin composites synthesized by precipitation technique and 1.5% w/v guar gum as a binder. 5 implants were implanted in artificial cortical bone window at the right proximal tibia of each rabbit. After 3- and 6-day intervals, the rabbits were euthanized. Bone marrow and serum concentrations of ciprofloxacin were determined from the harvested tibia using HPLC method. The results displayed the availability of elevated local antibiotic concentration at the implanted site with the limitation of systemic antibiotic exposure, which can be useful to minimize the risk of systemic toxicity-related side effects. This study is the preliminary investigation of the suitability of in vivo ciprofloxacin release from HAp-ciprofloxacin bone implants in rabbit tibia, after implantation, and these implants can be useful for the treatment of bacterial bone infections like osteomyelitis. ","PeriodicalId":89787,"journal":{"name":"ISRN orthopedics","volume":"2011 ","pages":"420549"},"PeriodicalIF":0.0,"publicationDate":"2011-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4063217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32467017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 22

Lead contamination of surgical gloves by contact with a lead hand. 手术手套因接触含铅手而受铅污染。

ISRN orthopedics Pub Date : 2011-12-07 eCollection Date: 2011-01-01 DOI: 10.5402/2011/946370

A Mehra, D E Deakin, A Khan, T M T Sheehan, P Nightingale, S C Deshmukh

{"title":"Lead contamination of surgical gloves by contact with a lead hand.","authors":"A Mehra, D E Deakin, A Khan, T M T Sheehan, P Nightingale, S C Deshmukh","doi":"10.5402/2011/946370","DOIUrl":"https://doi.org/10.5402/2011/946370","url":null,"abstract":"Background. \"Lead hands\" are frequently used to maintain hand and finger position in hand surgery. The malleability and strength of lead make it ideal for this purpose. The aim of this study was to determine the amount of lead transferred to a surgeon's glove during handling of a lead hand. Method. Sterile surgical gloves were wiped over the surface of a lead hand. The number of wipes was varied, the gloves were then sent to a trace elements laboratory, and the lead content transferred to each glove was determined. Results. The amount of lead transferred to each glove increased with increasing exposure to the lead hand. After twenty wipes, up to 2 mg of lead was transferred to the surgeon's glove. Covering the lead hand with a sterile drape markedly reduced the lead transferred to the surgeon's glove. Conclusion. Significant amount of lead is transferred on to the gloves after handling a lead hand. This risks wound contamination and a foreign body reaction. Covering the lead hand with a sterile drape may minimise the risk of surgical wound contamination. ","PeriodicalId":89787,"journal":{"name":"ISRN orthopedics","volume":"2011 ","pages":"946370"},"PeriodicalIF":0.0,"publicationDate":"2011-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4063133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32464192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Ultrasonographic classification of achilles tendon ruptures as a rationale for individual treatment selection. 跟腱断裂的超声分类作为个体治疗选择的依据。

ISRN orthopedics Pub Date : 2011-10-24 eCollection Date: 2011-01-01 DOI: 10.5402/2011/869703

Michael H Amlang, Hans Zwipp, Adina Friedrich, Adam Peaden, Alfred Bunk, Stefan Rammelt

{"title":"Ultrasonographic classification of achilles tendon ruptures as a rationale for individual treatment selection.","authors":"Michael H Amlang, Hans Zwipp, Adina Friedrich, Adam Peaden, Alfred Bunk, Stefan Rammelt","doi":"10.5402/2011/869703","DOIUrl":"https://doi.org/10.5402/2011/869703","url":null,"abstract":"Purpose. This work introduces a distinct sonographic classification of Achilles tendon ruptures which has proven itself to be a reliable instrument for an individualized and differentiated therapy selection for patients who have suffered an Achilles tendon rupture. Materials and Methods. From January 1, 2000 to December 31, 2005, 273 patients who suffered from a complete subcutaneous rupture of the Achilles tendon (ASR) were clinically and sonographically evaluated. The sonographic classification was organized according to the location of the rupture, the contact of the tendon ends, and the structure of the interposition between the tendon ends. Results. In 266 of 273 (97.4%) patients the sonographic classification of the rupture of the Achilles tendon was recorded. Type 1 was detected in 54 patients (19.8%), type 2a in 68 (24.9%), type 2b in 33 (12.1%), type 3a in 20 (7.3%), type 3b in 61 (22.3%), type 4 in 20 (7.3%), and type 5 in 10 (3.7%). Of the patients with type 1 and fresh ASR, 96% (n = 47) were treated nonoperative-functionally, and 4% (n = 2) were treated by percutaneous suture with the Dresden instrument (pDI suture). Of the patients classified as type 2a with fresh ASR, 31 patients (48%) were treated nonoperatively-functionally and 33 patients (52%) with percutaneous suture with the Dresden instrument (pDI suture). Of the patients with type 3b and fresh ASR, 94% (n = 34) were treated by pDI suture and 6% (n = 2) by open suture according to Kirchmayr and Kessler. Conclusion. Unlike the clinical classification of the Achilles tendon rupture, the sonographic classification is a guide for deriving a graded and differentiated therapy from a broad spectrum of treatments.","PeriodicalId":89787,"journal":{"name":"ISRN orthopedics","volume":"2011 ","pages":"869703"},"PeriodicalIF":0.0,"publicationDate":"2011-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4063199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32464810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 36

The epidemiology and demographics of hip dysplasia. 髋关节发育不良的流行病学和人口统计学。

ISRN orthopedics Pub Date : 2011-10-10 eCollection Date: 2011-01-01 DOI: 10.5402/2011/238607

Randall T Loder, Elaine N Skopelja

{"title":"The epidemiology and demographics of hip dysplasia.","authors":"Randall T Loder, Elaine N Skopelja","doi":"10.5402/2011/238607","DOIUrl":"10.5402/2011/238607","url":null,"abstract":"The etiology of developmental dysplasia of the hip (DDH) is unknown. There are many insights, however, from epidemiologic/demographic information. A systematic medical literature review regarding DDH was performed. There is a predominance of left-sided (64.0%) and unilateral disease (63.4%). The incidence per 1000 live births ranges from 0.06 in Africans in Africa to 76.1 in Native Americans. There is significant variability in incidence within each racial group by geographic location. The incidence of clinical neonatal hip instability at birth ranges from 0.4 in Africans to 61.7 in Polish Caucasians. Predictors of DDH are breech presentation, positive family history, and gender (female). Children born premature, with low birth weights, or to multifetal pregnancies are somewhat protected from DDH. Certain HLA A, B, and D types demonstrate an increase in DDH. Chromosome 17q21 is strongly associated with DDH. Ligamentous laxity and abnormalities in collagen metabolism, estrogen metabolism, and pregnancy-associated pelvic instability are well-described associations with DDH. Many studies demonstrate an increase of DDH in the winter, both in the northern and southern hemispheres. Swaddling is strongly associated with DDH. Amniocentesis, premature labor, and massive radiation exposure may increase the risk of DDH. Associated conditions are congenital muscular torticollis and congenital foot deformities. The opposite hip is frequently abnormal when using rigorous radiographic assessments. The role of acetabular dysplasia and adult hip osteoarthritis is complex. Archeological studies demonstrate that the epidemiology of DDH may be changing. ","PeriodicalId":89787,"journal":{"name":"ISRN orthopedics","volume":"2011 ","pages":"238607"},"PeriodicalIF":0.0,"publicationDate":"2011-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4063216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32467019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The epidemiology and demographics of slipped capital femoral epiphysis. 股骨头骨骺滑动的流行病学和人口统计学。

ISRN orthopedics Pub Date : 2011-09-21 eCollection Date: 2011-01-01 DOI: 10.5402/2011/486512

Randall T Loder, Elaine N Skopelja

{"title":"The epidemiology and demographics of slipped capital femoral epiphysis.","authors":"Randall T Loder, Elaine N Skopelja","doi":"10.5402/2011/486512","DOIUrl":"https://doi.org/10.5402/2011/486512","url":null,"abstract":"The etiology of slipped capital femoral epiphysis (SCFE) is unknown with many insights coming from epidemiologic/demographic information. A systematic medical literature review regarding SCFE was performed. The incidence is 0.33/100,000 to 24.58/100,000 children 8 to 15 years of age. The relative racial frequency, relative to Caucasians at 1.0, is 5.6 for Polynesians, 3.9 for Blacks, and 2.5 for Hispanics. The average age is 12.0 years for boys and 11.2 years for girls. The physiologic age when SCFE occurs is less variable than the chronologic age. The average symptom duration is 4 to 5 months. Most children are obese: >50% are >95th percentile weight for age with average BMI is 25-30 kg/m(2). The onset of SCFE is in the summer when north of 40°N. Bilaterality ranges from 18 to 50%. In children with bilateral involvement, 50-60% present with simultaneous SCFEs and those who present with a unilateral SCFE and subsequently develop a contralateral SCFE do so within 18 months. The age at presentation is younger for those who present with a unilateral SCFE and later develop a contralateral SCFE. The age-weight, age-height, and height test are useful to differentiate between an idiopathic and atypical SCFE. ","PeriodicalId":89787,"journal":{"name":"ISRN orthopedics","volume":"2011 ","pages":"486512"},"PeriodicalIF":0.0,"publicationDate":"2011-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2011/486512","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32467020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 109