ISRN orthopedics最新文献_第7页

Lateral entry fixation using three divergent pins for displaced paediatric supracondylar humeral fractures. 使用三枚分歧销钉对移位的儿科肱骨髁上骨折进行侧方入路固定。

ISRN orthopedics Pub Date : 2011-09-11 eCollection Date: 2011-01-01 DOI: 10.5402/2011/137372

Stephen Paul Guy, Ramakrishna Rao Ponnuru, Sreenadh Gella, Nirmal Tulwa

{"title":"Lateral entry fixation using three divergent pins for displaced paediatric supracondylar humeral fractures.","authors":"Stephen Paul Guy, Ramakrishna Rao Ponnuru, Sreenadh Gella, Nirmal Tulwa","doi":"10.5402/2011/137372","DOIUrl":"10.5402/2011/137372","url":null,"abstract":"Background. Supracondylar fractures are the commonest elbow injury in children. Most displaced supracondylar fractures are manipulated and held with a medial/lateral entry or two lateral Kirschner wires. This clinical study has results purely from a three lateral divergent wire technique. Methods. Displaced supracondylar fractures were manipulated closed and three lateral divergent wires inserted. Primary study end points were range of movement and carrying angle relative to the contralateral uninjured elbow (Flynn's grading system) and presence of iatrogenic nerve or vessel injury. Results. 25 children between 3 and 10 years (median 5, range 3-10) suffered a displaced fracture (15 type III, 10 type IIB). 15 left-, 10 right-sided fractures, 14 boys and 11 girls). 23 were fixed primarily, of these 21 in the first 24 hours. 2 were delayed due to swelling. 2 were fixed secondarily with lateral k-wires after loss of position (from a primarily fixed crossed wire technique). One radial and one median nerve palsy sustained at injury settled. No iatrogenic nerve injuries occurred. 21 Excellent, 3 good and 1 poor result on Flynn's grading. Conclusions. The use of three wires on the lateral side in this cohort showed no evidence of slip in fracture position and no iatrogenic nerve injury. ","PeriodicalId":89787,"journal":{"name":"ISRN orthopedics","volume":"2011 ","pages":"137372"},"PeriodicalIF":0.0,"publicationDate":"2011-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4062867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32467015","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

Two types of laminoplasty for cervical spondylotic myelopathy at multiple levels. 多节段脊髓型颈椎病的两种椎板成形术。

ISRN orthopedics Pub Date : 2011-09-07 eCollection Date: 2011-01-01 DOI: 10.5402/2011/637185

Shigeru Hirabayashi, Takashi Matsushita

引用次数: 6

The epidemiology and demographics of legg-calvé-perthes' disease. 腓骨-卡尔维-perthes 病的流行病学和人口统计学。

ISRN orthopedics Pub Date : 2011-09-05 eCollection Date: 2011-01-01 DOI: 10.5402/2011/504393

Randall T Loder, Elaine N Skopelja

{"title":"The epidemiology and demographics of legg-calvé-perthes' disease.","authors":"Randall T Loder, Elaine N Skopelja","doi":"10.5402/2011/504393","DOIUrl":"10.5402/2011/504393","url":null,"abstract":"The etiology of Legg-Calvé-Perthes' disease (LCPD) is unknown. There are many insights however from epidemiologic/demographic information. A systematic medical literature review regarding LCPD was performed. The incidence ranges from 0.4/100,000 to 29.0/100,000 children <15 years of age. There is significant variability in incidence within racial groups and is frequently higher in lower socioeconomic classes. The typical age at presentation ranges from 4 to 8 years (average 6.5 years), except for children from the Indian subcontinent (average 9.5 years). There is a mild familial component. The children demonstrate impaired growth in height, skeletal age, and birth weight. This impaired growth coincides with an age appropriate reduced somatomedin A activity and decreased levels of IGF. LCPD can be associated with abnormalities in the coagulation cascade, including an increase in factor V Leiden mutation, low levels of protein C and/or S, and decreased antithrombin activity. There is decreased turnover in type I collagen and synthesis of type III collagen, as well as reduced levels of urinary glycosaminoglycans in the active phases of the disorder. Subtle abnormalities in the opposite hip and other minor/major congenital defects are reported. Children with LCPD are active and score abnormally in certain standardized psychological tests. ","PeriodicalId":89787,"journal":{"name":"ISRN orthopedics","volume":"2011 ","pages":"504393"},"PeriodicalIF":0.0,"publicationDate":"2011-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4063164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32464804","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

Antibiotic-loaded cement in orthopedic surgery: a review. 载抗生素水泥在骨科手术中的应用综述。

ISRN orthopedics Pub Date : 2011-08-07 eCollection Date: 2011-01-01 DOI: 10.5402/2011/290851

Alessandro Bistolfi, Giuseppe Massazza, Enrica Verné, Alessandro Massè, Davide Deledda, Sara Ferraris, Marta Miola, Fabrizio Galetto, Maurizio Crova

{"title":"Antibiotic-loaded cement in orthopedic surgery: a review.","authors":"Alessandro Bistolfi, Giuseppe Massazza, Enrica Verné, Alessandro Massè, Davide Deledda, Sara Ferraris, Marta Miola, Fabrizio Galetto, Maurizio Crova","doi":"10.5402/2011/290851","DOIUrl":"https://doi.org/10.5402/2011/290851","url":null,"abstract":"Infections in orthopaedic surgery are a serious issue. Antibiotic-loaded bone cement was developed for the treatment of infected joint arthroplasties and for prophylaxes in total joint replacement in selected cases. Despite the widespread use of the antibiotic-loaded bone cement in orthopedics, many issues are still unclear or controversial: bacterial adhesion and antibiotic resistance, modification of mechanical properties which follows the addition of the antibiotic, factors influencing the release of the antibiotic from the cement and the role of the surface, the method for mixing the cement and the antibiotic, the choice and the effectiveness of the antibiotic, the combination of two or more antibiotics, and the toxicity. This review discusses all these topics, focusing on properties, merits, and defects of the antibiotic loaded cement. The final objective is to provide the orthopaedic surgeons clear and concise information for the correct choice of cement in their clinical practice. ","PeriodicalId":89787,"journal":{"name":"ISRN orthopedics","volume":"2011 ","pages":"290851"},"PeriodicalIF":0.0,"publicationDate":"2011-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2011/290851","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32467016","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: 169

Our early experience in surgical and clinical outcome on endoscopic cubital tunnel release: a preliminary result. 我们对内窥镜下肘管释放术的早期手术经验和临床结果:初步结果。

ISRN orthopedics Pub Date : 2011-07-31 eCollection Date: 2011-01-01 DOI: 10.5402/2011/427403

Philip Ian Barlaan, Josephine Wing-Yuk Ip

引用次数: 4

The Diagnostic Value of the Vacuum Phenomenon during Hip Arthroscopy. 髋关节镜检查中真空现象的诊断价值。

ISRN orthopedics Pub Date : 2011-07-28 eCollection Date: 2011-01-01 DOI: 10.5402/2011/852390

Ehud Rath, Yair Gortzak, Ran Schwarzkopf, Vadim Benkovich, Eugene Cohen, Dan Atar

{"title":"The Diagnostic Value of the Vacuum Phenomenon during Hip Arthroscopy.","authors":"Ehud Rath, Yair Gortzak, Ran Schwarzkopf, Vadim Benkovich, Eugene Cohen, Dan Atar","doi":"10.5402/2011/852390","DOIUrl":"https://doi.org/10.5402/2011/852390","url":null,"abstract":"The diagnostic value of the vacuum phenomenon between the femoral head and the acetabulum, and time frame of its occurrence after application of traction is an important clinical question. The resulting arthrogram may outline the shape, location, and extent of cartilage lesions prior to arthroscopy of the hip joint. The presence, duration, and diagnostic information of the vacuum phenomenon were evaluated in 24 hips that underwent arthroscopy. The operative diagnosis was compared to the results of imaging studies and to findings obtained during a traction trial prior to arthroscopy. Indications for arthroscopy included avascular necrosis, labral tears, loose bodies, osteoarthrosis, and intractable hip pain. In 22 hips the vacuum phenomenon developed within 30 seconds after application of traction. The most important data obtained from the vacuum phenomenon was the location and extent of femoral head articular cartilage detachment and the presence of nonossified loose bodies. The vacuum phenomenon did not reveal labral or acetabular cartilage pathology in any of these patients. The vacuum phenomenon obtained during the trial of traction can add valuable information prior to hip arthroscopy. Femoral head articular cartilage detachment was best documented by this method. The hip arthroscopist should utilize this diagnostic window routinely prior to hip arthroscopy. ","PeriodicalId":89787,"journal":{"name":"ISRN orthopedics","volume":"2011 ","pages":"852390"},"PeriodicalIF":0.0,"publicationDate":"2011-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2011/852390","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32464809","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: 3

Effect of malunited midshaft clavicular fractures on shoulder function. 锁骨中段骨折不愈合对肩关节功能的影响。

ISRN orthopedics Pub Date : 2011-07-24 eCollection Date: 2011-01-01 DOI: 10.5402/2011/507287

Shachar Shapira, Zeevi Dvir, Uri Givon, Ariel Oran, Amir Herman, Moshe Pritsch Perry

{"title":"Effect of malunited midshaft clavicular fractures on shoulder function.","authors":"Shachar Shapira, Zeevi Dvir, Uri Givon, Ariel Oran, Amir Herman, Moshe Pritsch Perry","doi":"10.5402/2011/507287","DOIUrl":"https://doi.org/10.5402/2011/507287","url":null,"abstract":"Background and Purpose. Displaced middle third clavicle fractures are traditionally treated non-operatively and heal with residual deformity. Few studies assessed treatment success by using patient-oriented outcome measures or objective muscle strength testing. The purpose of our study was to determine whether clavicle malunion affects functional results. Methods. Union was documented in 25 patients who were treated conservatively due to a displaced mid shaft clavicle fracture. Ten had significant malunion. Patients were examined at least 12 months following the fracture. Function was assessed by DASH and UCLA questionnaires. Clinical assessment included Range of Motion (ROM) measurement, manual and isokinetic muscle strength testing. Healthy shoulder served as a control. Results. Mean follow up time was 38 months. The mean DASH score was 9, mean UCLA score was 31.7. Range of motion was preserved-less than 6° side-to-side difference. Abduction strength reduction in the involved side amounted to 7%. No correlation was found between radiographic malunion and the functional results. Interpretation. Displaced healed middle clavicle fractures result in satisfactory functional results. The average deficits detected in strength and ROM were within the normal limits compared to the non-injured side. Radiographic healing position had no effect on functional outcome. ","PeriodicalId":89787,"journal":{"name":"ISRN orthopedics","volume":"2011 ","pages":"507287"},"PeriodicalIF":0.0,"publicationDate":"2011-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2011/507287","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32467021","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: 4

MRI-Based Identification of an Appropriate Point of Needle Insertion for Patients with Idiopathic Carpal Tunnel Syndrome to Avoid Median Nerve Injury. 基于mri的特发性腕管综合征患者针入点识别以避免正中神经损伤。

ISRN orthopedics Pub Date : 2011-07-06 eCollection Date: 2011-01-01 DOI: 10.5402/2011/528147

Shigeharu Uchiyama, Toshiro Itsubo, Koichi Nakamura, Hironori Murakami, Toshimitsu Momose, Hiroyuki Kato

引用次数: 1

Patient-Perceived Quality of Life after Total Hip Arthroplasty: Elective versus Traumatological Surgery. 全髋关节置换术后患者感知的生活质量:选择性手术与创伤性手术。

ISRN orthopedics Pub Date : 2011-07-05 eCollection Date: 2011-01-01 DOI: 10.5402/2011/910392

Alessandro Aprato, Alessandro Massè, Francesco Caranzano, Renato Matteotti, Patrick Pautasso, Walter Daghino, Michael Kain, Giorgio Governale

{"title":"Patient-Perceived Quality of Life after Total Hip Arthroplasty: Elective versus Traumatological Surgery.","authors":"Alessandro Aprato, Alessandro Massè, Francesco Caranzano, Renato Matteotti, Patrick Pautasso, Walter Daghino, Michael Kain, Giorgio Governale","doi":"10.5402/2011/910392","DOIUrl":"https://doi.org/10.5402/2011/910392","url":null,"abstract":"Purpose. The aim was to evaluate and compare patient's health-related quality of life after THA for osteoarthritis and femoral neck fracture. The postoperative outcome was retrospectively evaluated in patients who underwent THA with an intracapsular femoral neck fracture (Group A) or with an hip osteoarthritis (Group B). Methods. Length discrepancy was measured on postoperative X-rays. Study groups were compared as to age, results of WOMAC and SF-36 tests, limb length discrepancy (LLD) by independent group t-test. Correlations between LLD and results obtained atWOMAC test were performed. 117 patients were enrolled. The 2 groups were similar as to age, type of implanted stem and sex. Mean follow up was 2,4 years for group A and 2,3 years for group B. Results. WOMAC score was found higher in group A in all items examinated. Correlation tests did not indicate a statistically significant linear relationship between LLD and WOMAC score in both groups. Conclusions. Patients who received THA for arthritis have better perception of quality of life than traumatologic patients. Although LLD should always be strongly considered by the surgeons performing a THA, LLD alone can't be considered as an indicator of patient dissatisfaction or clinical bad result after a 2-year followup. ","PeriodicalId":89787,"journal":{"name":"ISRN orthopedics","volume":"2011 ","pages":"910392"},"PeriodicalIF":0.0,"publicationDate":"2011-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2011/910392","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32464811","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: 9

One-day antibiotic infusion for the prevention of postoperative infection following arthroplasty: a case control study. 1天抗生素输注预防关节置换术后感染:一项病例对照研究。

ISRN orthopedics Pub Date : 2011-07-05 eCollection Date: 2011-01-01 DOI: 10.5402/2011/839641

Rui Niimi, Masahiro Hasegawa, Goshin Kawamura, Akihiro Sudo

引用次数: 4