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Evolution of open-wedge high-tibial osteotomy: experience with a special angular stable device for internal fixation without interposition materialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, we believe that open-wedge high-tibial osteotomy using the TomoFix® plate has proved to be successful in treating unicompartmental gonarthrosis, even without bone grafts or bone-substitute material. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00264-009-0902-2Authors Alex E. Staubli, Orthopaedic Surgery, Privatklinik Sonnmatt Hemschlenstrasse 6000 Lucerne 15 SwitzerlandHilaire A. C. Jacob, Orthop. Biomechanics Gernstrasse 128 8409 Winterthur Switzerland Journal International OrthopaedicsOnline ISSN 1432-5195Print ISSN 0341-2695 (Source: International Orthopaedics)
Source: International Orthopaedics - November 18, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Paediatric forearm and distal radius fractures: risk factors and re-displacement—role of casting indicesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Forearm fractures represent one of the most common fractures in children aside from clavicle fractures, and the distal radius is the most common fracture site accounting for 20–30% of these fractures. Maintaining acceptable reduction is not always possible, and re-displacement or re-angulation is the most commonly reported complication. Factors leading to this complication can be broadly divided into three groups: fracture-, surgeon- and patient-related. The quality of casting has been historically measured subjectively. The description of several casting indices by different authors has been a ma...
Source: International Orthopaedics - November 14, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Does computer-assisted surgery benefit leg length restoration in total hip replacement? Navigation versus conventional freehandEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Leg length discrepancy following total hip replacement (THR) can contribute to poor hip function. Abnormal gait, pain, neurological disturbance and patient dissatisfaction have all been described as a result of leg length inequality after THR. The purpose of this study was to determine whether the use of computer navigation in THR can improve limb length restoration and early clinical outcomes. We performed a matched-pair study comparing 48 computer-assisted THR with 48 THRs performed using a traditional freehand alignment method. The same implant with a straight non-modular femoral stem was used in...
Source: International Orthopaedics - November 11, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Percutaneous fixation of selected scaphoid fractures by dorsal approachEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The aim of our study was to evaluate clinical, radiological and functional outcomes of selected cases of percutaneous fixation of scaphoid fractures via a dorsal approach. Percutaneous fixation by dorsal approach was done in 32 patients (mean age 32.2 years) involving both fresh and late scaphoid fracture presentations (mean 17 days). Fourteen cases of B1 type, ten cases of B2 and eight cases of C type (Herbert’s classification) were treated. The patients were prospectively followed up clinically and radiologically for a minimum follow-up of 14 months (mean 16 months), and functiona...
Source: International Orthopaedics - November 9, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Functional outcome of PFC Sigma fixed and rotating-platform total knee arthroplasty. A prospective randomised controlled trialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study shows that there is no statistically significant difference in functional outcome between the two types of implants at short-term follow-up. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00264-009-0901-3Authors Birgit Hanusch, The James Cook University Hospital Department of Trauma & Orthopaedics Middlesbrough UKThai Nurn Lou, The James Cook University Hospital Department of Trauma & Orthopaedics Middlesbrough UKGary Warriner, DePuy International Leeds UKAnthony Hui, The James Cook University Hospital Department of Trauma & Orthopaedics Middlesbrough UKPaul Gregg, The James Cook Universit...
Source: International Orthopaedics - November 8, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Fractures of capitellum: a review of 14 cases treated by open reduction and internal fixation with Herbert screwsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Fourteen patients with displaced fractures of the humeral capitellum were treated by open reduction and internal fixation of the capitellar fragments with Herbert screws. As per Bryan and Morrey classification, there were seven type I fractures, one type II fracture, three type III fractures, and three non-unions. Patient outcomes were evaluated using the Mayo elbow performance score. The follow-up period ranged from three to seven years (mean 4.8 years). All patients had a stable, pain-free elbow with good range of motion at follow-up. There was no evidence of avascular necrosis or degene...
Source: International Orthopaedics - November 5, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Is there an association between a low acromion index and osteoarthritis of the shoulder?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The aim of this study was to evaluate the relationship between a low acromion index and osteoarthritis of the shoulder. Three patient groups were used: (I) instability, n = 53; (II) calcifying tendonitis, n = 109; and (III) osteoarthritis, n = 120. Standardised digital X-rays were evaluated from the true anteroposterior and axillary views. Joint space width at three levels in each plane and the size of humeral osteophytes were measured and osteoarthritis was graded according to Samilson. The acromion index was calculated according to Nyffeler et al. (J Bone Joint Surg Am 88:800–805, 200...
Source: International Orthopaedics - November 5, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Alumina-on-alumina ceramic versus metal-on-highly cross-linked polyethylene bearings in total hip arthroplasty: a comparative studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The aim of the study was to evaluate the reliability and durability of alumina-on-alumina ceramic in comparison to metal-on-highly cross-linked polyethylene (CoCr/HXLPE) bearing couples. This prospective randomised study involved 150 patients (157 hips). All patients (mean age: 54.7 years) obtained an identical fibre metal midcoat femoral stem and fibre metal-coated acetabular shell. In 78 patients (82 hips) we used alumina, while in 72 patients (75 hips) metal-polyethylene bearing couples were used. During a mean 50.4-month follow-up period (51 ± 8 alumina and 50 ± 8.9 metal-polyethy...
Source: International Orthopaedics - November 2, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Is distal locking with IMHN necessary in every pertrochanteric fracture?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study has shown that distal locking of IMHN is unnecessary in most pertrochanteric fractures (AO/ASIF 31A1+2). The only exceptions are comminution of the lateral wall of the greater trochanter, secondary diaphyseal fracture line, large posteromedial fragment extended distally below the level of the lesser trochanter and broad intramedullary canal. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00264-009-0874-2Authors Jiří Skála-Rosenbaum, Charles University Orthopaedic Department of 3rd Faculty of Medicine Šrobárova 50 100 34 Prague 10 Czech RepublicJan Bartoníček, Charles University Or...
Source: International Orthopaedics - October 31, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Knee joint arthroplasty after tibial osteotomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract A total of 29 consecutive knee joint arthroplasties in 24 patients who underwent previous high tibial osteotomy (HTO) for medial unicompartment osteoarthritis of the knee and followed up for a mean of 97 months were compared with a control group of 28 patients with 29 primary total knee arthroplasty (TKA) without previous HTO. Results for the osteotomy group were satisfactory in 96.5% of cases. In one patient loosening of the implant occurred after 37 months, which required prosthesis revision. Three patients underwent a further operation of secondary patella resurfacing for patella pain. ...
Source: International Orthopaedics - October 30, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Arthroscopic treatment for malunions of the proximal humeral greater tuberosityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The purpose of this article was to report an arthroscopic treatment method for greater tuberosity malunion. Eight patients with malunion of the greater tuberosity were treated by arthroscopic acromioplasty, detachment of rotator cuff, tuberoplasty of the greater tuberosity and repair of the rotator cuff. On the basis of the UCLA rating scale, the overall score increased from 11.1 (range 9–14) to 30.2 (range 25–35) postoperatively, with one excellent result, six good results, and one poor result. All patients had less pain than preoperatively. Full activity level was achieved in two patients, fiv...
Source: International Orthopaedics - October 30, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

No effect of autologous growth factors (AGF) around ungrafted loaded implants in dogsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Autologous growth factors (AGF) is a growth-factor-rich concentrate of platelets, white blood cells and fibrinogen. Application of AGF was presumed to improve implant fixation and gap healing of non-grafted, loaded implants. We inserted one loaded titanium implant intra-articularly in each medial femoral condyle of eight dogs. Each implant was surrounded by a 0.75 mm gap. One implant in each dog was coated with AGF prior to implantation whereas the contralateral implant served as a control. AGF was prepared by isolating the buffy-coat from blood and further concentrated using an Interpore Cross...
Source: International Orthopaedics - October 24, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Efficacy of minimally invasive techniques for enhancement of fracture healing: evidence todayEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article aims to provide an overview of minimally invasive techniques applicable in the treatment of nonunions of fractures. Content Type Journal ArticleCategory ReviewDOI 10.1007/s00264-009-0892-0Authors Ippokratis Pountos, University of Leeds Academic Department of Trauma & Orthopaedics, School of Medicine Leeds UKTheodora Georgouli, University of Leeds Academic Department of Trauma & Orthopaedics, School of Medicine Leeds UKGeorge Kontakis, University of Crete Department of Trauma & Orthopaedic Surgery, School of Medicine Crete GreecePeter V. Giannoudis, School of Medicine, University of Leeds, Clarendon Wing ...
Source: International Orthopaedics - October 21, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Minimally invasive plate osteosynthesis for humeral shaft fractures: are results reproducible?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Minimally invasive plate osteosynthesis (MIPO) has been advocated as a safe approach to humeral shaft fracture management. We evaluated the reproducibility of this technique in a regional hospital. Thirty-five patients underwent MIPO of humerus shaft fractures. Fifteen patients had an open fracture, six a preoperative radial nerve palsy, and nine a concomitant thoracic, musculoskeletal or vascular injury. At an average 12-month follow-up, 91% of fractures healed after a mean of 12 weeks (range, 8–16). Two infections occurred. Final alignment averaged 4° of varus (range, 5° of valgus to 20°...
Source: International Orthopaedics - October 21, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Range of motion and function are similar in patients undergoing TKA with posterior stabilised and high-flexion insertsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract It is debatable whether high-flexion (HF) total knee arthroplasty (TKA) designs will improve postoperative flexion and function or will diminish the need for manipulation under anaesthesia (MUA). We retrospectively analysed range of motion (ROM), flexion, Knee Society Score (KSS), and rate of MUA in a consecutive group of patients who underwent TKA with a conventional posterior stabilised (PS) insert or an HF insert using identical surgical technique, implant design, and postoperative care. Fifty TKAs with a standard PS insert were matched for patient’s age, gender, preoperative ROM, and KSS with ...
Source: International Orthopaedics - October 21, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Reamed and unreamed intramedullary nailing for the treatment of open and closed tibial fractures: a subgroup analysis of randomised trialsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, our study recommended reamed nails for the treatment of closed tibial fractures. But the choice for open tibial fractures remains uncertain. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00264-009-0895-xAuthors Deting Xue, Zhejiang University Department of Orthopaedics, 2nd Affiliated Hospital, School of Medicine #88 Jiefang Road 310009 Hangzhou People’s Republic of ChinaQiang Zheng, Zhejiang University Department of Orthopaedics, 2nd Affiliated Hospital, School of Medicine #88 Jiefang Road 310009 Hangzhou People’s Republic of ChinaHang Li, Zhejiang University Department of Orthop...
Source: International Orthopaedics - October 21, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Prospective study of surgical delay for hip fractures: impact of an orthogeriatrician and increased trauma capacityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe the impact on surgical delay following the introduction of an orthogeriatrician and the addition of one extra trauma list per week at our centre. Prospective data were collected on 101 consecutive patients followed by a second cohort of 105 patients. Mean time to surgery in cohorts 1 and 2 was 4.08 and 4.05 days, respectively (p = 0.71). Diagnosis of medical comorbidity increased with input from the orthogeriatrician from 69.7% to 74.2% (p = 0.24). Length of stay and mortality were comparable in the two groups. A full trauma list accounted for the most frequent orthopaedic delay, which decrease...
Source: International Orthopaedics - October 17, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Results of high tibial osteotomy: review of the literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The aim of this review is to evaluate long-term follow-up and survival analysis studies regarding high tibial osteotomies (HTO) for the treatment of medial knee arthritis. Despite the good number of studies available, comparison and pooling of the results are challenging because of the different evaluation systems and techniques used. However, in general, published studies on HTO report good long-term results with a correct patient selection and a precise surgical technique. Based on our findings, the ideal candidate for an HTO is a young patient (<60 years of age), with isolated medial oste...
Source: International Orthopaedics - October 16, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Long-term clinical results of the Oxford medial unicompartmental knee arthroplastyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The purposes of this study were to investigate the mode of failure and survivorship of an independently performed series of medial Oxford unicompartmental knee arthroplasties. The study included 43 knees in 40 patients with a mean follow-up of 14.88 years: 13 knees (11 patients) had revision surgery (30%), and ten patients required conversion to total knee prosthesis. The mean International Knee Society (IKS) scores at the time of the revision were 145.52 [standard deviation (SD): 39.90, range: 167–200]. The overall alignment of the knee was restored to neutral, with a hip-knee-ankle (HKA) an...
Source: International Orthopaedics - October 16, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

The long modified extended sliding trochanteric osteotomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The modified extended trochanteric osteotomy (ETO) preserves the posterior capsule and short external rotators through a lateral approach to the hip. The purpose of this study was to assess the performance of long ETOs, measuring 18 cm and above. Fifty three long ETOs were reviewed. The mean length of the osteotomy was 20.0 cm (range, 18–26). Mean scratch-fit length was 6.5 cm. Average follow-up was 57 months (range, 14–114 months). The Harris hip score improved from 37 preoperatively to 73 at last follow-up. Subsidence occurred in 12 (22.6%) cases. Eleven stems stabilis...
Source: International Orthopaedics - October 15, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Closing wedge osteotomy of the tibia and the femur in the treatment of gonarthrosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract New developments in osteotomy techniques and methods of fixation have caused a renewed interest in closing wedge osteotomies of the tibia and femur in the treatment of gonarthrosis. The rationale, definition and techniques of closing wedge tibial and femoral osteotomies in the treatment of gonarthrosis are discussed. The principal indications include unicompartmental medial and much less so, varus knee gonarthrosis and unicompartmental lateral or valgus knee gonarthrosis with a well-maintained range of motion in patients who are physiologically young. Newer techniques have provided more rigid fixati...
Source: International Orthopaedics - October 14, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Selective COX-2 inhibitor versus nonselective COX-1 and COX-2 inhibitor in the prevention of heterotopic ossification after total hip arthroplasty: a meta-analysis of randomised trialsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Whether selective cyclo-oxygenase-2 (COX-2) inhibitors are equally effective compared to nonselective NSAIDs for the prevention of heterotopic ossification (HO) after total hip arthroplasty (THA) is still unclear. We carried out a comprehensive search strategy, in which only randomised controlled trials were included. Two reviewers independently assessed methodological quality and extracted outcome data. Analyses were performed using Stata version 10.0. Four eligible randomised controlled trials totalling 808 patients were included. Meta-analysis results showed that no statistically significant diff...
Source: International Orthopaedics - October 14, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Five-year results of the Innex total knee arthroplasty systemEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The clinical and radiographic results of 174 female and 86 male Innex (Zimmer, Warsaw, Indiana) mobile bearing total knee arthroplasty systems (245 patients) were evaluated, with particular emphasis on gender-related differences at five-year follow-up. Pre-operative Knee Society (KS) function and total scores were lower in women than in men. All KS scores showed a significant improvement at follow-up, but women still obtained lower KS function scores than men. Self-reported function was significantly better for male knees. No gender differences were observed for component alignment, while the occurr...
Source: International Orthopaedics - October 13, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Immediate recovery room radiographs after primary total knee arthroplasty—why do we keep doing them?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study investigates the utility of these radiographs. Twenty four arthroplasty surgeons were surveyed to rank the value of RRRs. Since RRRs were primarily valued for educational purposes, we examined the ability of 49 orthopaedic trainees to determine the coronal alignment of TKA performed in cadaveric specimens based on these radiographs in neutral, 10° internal and external rotations. Surgeons rated the quality of the RRRs to be significantly lower than the radiographs taken in the radiology suite (5.5 ± 2.5 versus 8.9 ± 0.9, p < 0.0001). Of an estimated 65,910 TKAs performed by these surgeons,...
Source: International Orthopaedics - October 13, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Locking plate fixation in distal metaphyseal tibial fractures: series of 79 patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Open reduction and internal fixation in distal tibial fractures jeopardises fracture fragment vascularity and often results in soft tissue complications. Minimally invasive osteosynthesis, if possible, offers the best possible option as it permits adequate fixation in a biological manner. Seventy-nine consecutive adult patients with distal tibial fractures, including one patient with a bilateral fracture of the distal tibia, treated with locking plates, were retrospectively reviewed. The 4.5-mm limited-contact locking compression plate (LC-LCP) was used in 33 fractures, the metaphyseal LCP in 27 fra...
Source: International Orthopaedics - October 10, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Correlation of positioning and clinical results in Oxford UKAEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract In a prospective clinical study, 59 patients with anteromedial osteoarthritis of the knee (61 knee joints) underwent minimally invasive medial Oxford unicompartmental arthroplasty phase 3. Clinical and radiographic examinations of 56 knees were carried out at five (4–7) years. American Knee Society (AKS) scores improved from mean 45.5 (20–80) points (knee score) and 55 (15–100) points (function score) before surgery to 90 (30–100) points in both scores after surgery. The position of each implant was determined on screened radiographs using an image intensifier. The implant position was analy...
Source: International Orthopaedics - October 8, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Interlocking nailing without imaging: the challenges of locating distal slots and how to overcome them in SIGN intramedullary nailingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study was stimulated by a patient who presented one year after surgery with knee pain due to a migrating nail because of missed distal screws. A total of 48 patients divided into two groups of 24 were studied retrospectively and prospectively. The retrospective studies revealed that failure to locate distal locking slots in ten antegrade nailing procedures was due to wrong entry point and comminution of the fracture. The challenges encountered led us to innovating methods to overcome the difficulties of placement of distal screws in a prospective study. Application of methods A and B made location of the distal s...
Source: International Orthopaedics - October 8, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Repair of fresh patellar tendon rupture: tension regulation at the suture lineEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study postulates that the healing complications can be minimised through tension regulation at the suture line using an absorbable reinforcement device. Twelve patients with fresh patellar tendon rupture were included in the study. They were prospectively followed up for an average period of 45 months. The patients resumed their pre-injury activities at an average of 6.1 months. The active knee movement averaged 0–154.6° compared to 0–156.7° in the contralateral knee. Radiologically no patella alta, patella baja or degenerative changes in the patellofemoral joints were noted. The results support u...
Source: International Orthopaedics - October 7, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Opening wedge tibial osteotomy for large varus deformity with CeraverTM resorbable beta tricalcium phosphate wedgesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The results in 53 knees that had been treated by proximal tibial opening-wedge osteotomy for large varus deformity and osteoarthritis of the medial compartment were evaluated after a mean length of follow-up of ten years (range, 8–12 years). We used a porous beta-tricalcium phosphate (β-TCP) wedge because it is resorbable and osteoinductive. All osteotomies were completely consolidated and complete osseointegration of the remnant of the β-TCP wedge took place. However, after a mean maximum follow-up of ten years none of the cases showed complete resorption. After ten years, 40 (81%) of...
Source: International Orthopaedics - September 30, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Risk factors in cutout of sliding hip screw in intertrochanteric fractures: an evaluation of 937 patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The aim of this study was designed to assess the risk factors of lag-screw cutout in the treatment of intertrochanteric fracture with a dynamic hip screw (DHS). From 2003 to 2007, 1,150 patients who had acute unilateral intertrochanteric fractures of the femur were enrolled to the study. All fractures were managed by closed reduction and internal fixation with 135° DHS devices. Patient demographics, fracture patterns, reduction and fixation and perioperative course parameters were all recorded. The follow-up period was 38 months on average (range 16–60 months). Finally, 937 patients wer...
Source: International Orthopaedics - September 28, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Reply to the comments on our article “Total hip arthroplasty for active tuberculosis of the hip”Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Reply to the authorDOI 10.1007/s00264-009-0877-zAuthors Jingsheng Wang, Weihaiwei People’s Hospital Orthopedics Weihai 264200 ChinaYongqing Wang, Tianjin Fourth Central Hospital Orthopedics Tianjin 300140 China Journal International OrthopaedicsOnline ISSN 1432-5195Print ISSN 0341-2695 (Source: International Orthopaedics)
Source: International Orthopaedics - September 28, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Cementless total hip arthroplasty with ceramic-on-ceramic bearing in patients younger than 45 years with femoral-head osteonecrosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Despite improvements in the quality of alumina ceramics, osteolysis has been reported anecdotally after total hip arthroplasty (THA) with use of a contemporary alumina-on-alumina ceramic bearing. The purpose of this study was to evaluate the clinical and radiographic outcomes of THA using alumina-on-alumina ceramic bearing and to determine osteolysis using radiographs and computed tomographic (CT) scans in young patients. Consecutive primary cementless THA using alumina-on-alumina ceramic bearing were performed in 64 patients (93 hips) who were younger than 45 years of age with femoral-head ost...
Source: International Orthopaedics - September 28, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Response to “Total hip arthroplasty for active tuberculosis of the hip”Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00264-009-0876-0Authors Arun Pal Singh, UCMS & GTB Hospital Department of Orthopaedics D-13. Residential Complex, GTB Campus, Dilshad Garden Delhi IndiaAjay Pal Singh, UCMS & GTB Hospital Department of Orthopaedics D-13. Residential Complex, GTB Campus, Dilshad Garden Delhi IndiaSurbhi Mahajan, UCMS & GTB Hospital, Dilshad Garden Department of Pathology Delhi India Journal International OrthopaedicsOnline ISSN 1432-5195Print ISSN 0341-2695 (Source: International Orthopaedics)
Source: International Orthopaedics - September 25, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Osteotomy around young deformed knees: 38-year super-long-term follow-up to detect osteoarthritisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Since 1969 corrective osteotomy has been performed at our institute in young patients (under 40 years) with bowlegs, knock knees and flexion or rotational deformities around the knee. Fifty-seven knees (29 left, 28 right) of 45 patients (19 boys, 26 girls) were followed-up for a period ranging from 30 to 38 years in seven patients with seven knees, from 20 to 29 years in nine patients with 11 knees, and from ten to 19 years in 29 patients with 39 knees. Supracondylar femoral osteotomy was performed on 12 knees (11 patients), high tibial osteotomy above the tibial tuberosity on ei...
Source: International Orthopaedics - September 24, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Technique and short-term results of ankle arthrodesis using anterior platingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe our technique of ankle arthrodesis using anterior plating with a narrow dynamic compression plate (DCP). Between 2004 and 2007, 29 patients with a mean age of 24.4 years (range 18–42) had ankle arthrodesis using an anteriorly placed narrow DCP. Twenty-two patients were post-traumatic and seven were paralytic (five after spine fracture and two after common peroneal nerve injury). Follow-up was between 12 and 18 months (average 14 months). A rate of fusion of 100% was achieved at an average of 12.2 weeks. According to the Mazur ankle score, 65.5% had excellent, 20.7% good and 13.8% fair ...
Source: International Orthopaedics - September 18, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Objective assessments of medial osteoarthritic knee severity by MRI: new computer software to evaluate femoral condyle contoursEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract An irregular contour of the medial femoral condyle (MFC) on magnetic resonance imaging (MRI) appears to indicate the severity of medial-type knee osteoarthritis (OA). The purpose of this study was to establish a system to enable objective assessments of OA knee severity using newly developed software that semi-automatically measures irregularity of the MFC. (1) We evaluated 48 patients aged 50–83 years with 55 knees of medial-type OA. The following scores were recorded: Lysholm score, visual analogue scale (VAS) and the Japanese Knee Osteoarthritis Measure (JKOM). MFC irregularity was automat...
Source: International Orthopaedics - September 18, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

To what extent does leg length discrepancy impair motor activity in patients after total hip arthroplasty?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The aim of this study was to evaluate the effects of limb lengthening up to 20 mm after THA on symmetry of hip kinematics and kinetics during common activities of daily living. Twenty patients (age range 49–80 years) operated on with Link Lubinus II THA, with lateral access and a mean follow-up of 16 months, were assessed by gait analysis during level walking, stair ascending and descending. The time-distance, hip kinetics and kinematics values were statistically compared between the operated side and the non-operated side in order to assess symmetry. The 12-item Questionnaire was u...
Source: International Orthopaedics - September 18, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Internal fixation of pertrochanteric fractures using DHS with a two-hole side-plateEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Pertrochanteric fracture in a group of 41 patients was internally fixed using a DHS with a two-hole side-plate. There were 20 male and 21 female patients with a mean age of 74 years. Thirty-two patients were followed up for more than one year and their final results were evaluated. There were 30 stable (31A1) and only two unstable (31A2) fractures. The average surgical time was 28 minutes, the average length of incision was 5.5 cm. All the patients, with one exception, healed without complications in anatomical position with good function of the hip joint. The only complication was caused by pu...
Source: International Orthopaedics - September 17, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Treatment of scaphoid nonunion with vascularised and nonvascularised dorsal bone grafting from the distal radiusEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract We conducted a prospective randomised study comparing the clinical, functional and radiographic results of 46 patients treated for scaphoid nonunion using a vascularised bone graft from the dorsal and distal aspect of the radius (group I), relative to 40 patients treated by means of a conventional non-vascularised bone graft from the distal radius (group II). Surgical findings included 30 sclerotic, poorly-vascularised scaphoids in group I versus 20 in group II. Bone fusion was achieved in 89.1% of group I and 72.5% of group II patients (p = 0.024). Functional results were good to excellent in 7...
Source: International Orthopaedics - September 16, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Anterior plating as a surgical alternative in the treatment of humeral shaft non-unionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study included 15 patients with humeral shaft fractures who had no clinical, radiological or bone scan signs of healing after eight months. The patients were followed for a mean of 35.8 months. No patient was lost to follow-up. Anterior plating of humeral shaft nonunion via an anterior approach was performed using a straight plate and compression for well-vascularised non-unions and wave plating with a tricortical graft for poorly vascularised non-unions. All non-unions healed within 6–18 weeks (mean, nine weeks) without local complication. One patient had a mild decrease in elbow and shoulder ran...
Source: International Orthopaedics - September 16, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Long-term results of intertrochanteric varus osteotomy for dysplastic osteoarthritis of the hipEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The beneficial role of intertrochanteric varus or valgus osteotomy in the treatment of hip osteoarthrosis has been recognised since the 1920s. Even today, it has an important role to delay the need for hip replacement in younger patients. The purpose of this study was to evaluate the long-term results of intertrochanteric varus osteotomy for dysplastic osteoarthritis of the hip. Between 1980 and 1995, 52 hips with dysplastic osteoarthritis underwent an intertrochanteric varus osteotomy. All patients could be followed up after 17.8 years. Radiographic assessment included centre-edge (CE) angle o...
Source: International Orthopaedics - September 16, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

SICOT at “80”Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory EditorialDOI 10.1007/s00264-009-0871-5Authors Charles Sorbie, Queen’s University Department of Surgery Kingston Ontario K7L 3N6 Canada Journal International OrthopaedicsOnline ISSN 1432-5195Print ISSN 0341-2695 (Source: International Orthopaedics)
Source: International Orthopaedics - September 16, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Correction accuracy and collateral laxity in open versus closed wedge high tibial osteotomy. A one-year randomised controlled studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract In a randomised clinical trial in 50 patients with symptomatic osteoarthritis of the medial compartment of the knee, the clinical results of high tibial osteotomy (HTO) according to the open wedge osteotomy (OWO) and closed wedge osteotomy (CWO) were compared. In both groups locked plate fixation was used. Clinical and radiological assessments were performed preoperatively and after one year. Postoperative hip-knee-ankle (HKA) correction angles were monitored on standing leg X-rays. The effect of HTO on collateral laxity of the knee was measured with a specially designed varus-valgus device. The WOM...
Source: International Orthopaedics - August 26, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Long-term results after non-plate head-preserving fixation of proximal humeral fracturesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, the non-plate head-preserving fixation of proximal humeral fractures is an alternative treatment for displaced proximal humeral fractures. Especially in severely displaced C-fractures in older patients, non-anatomical reduction leads to a high rate of secondary displacement, residual osseous deformity and only a fair shoulder function. For these cases alternative methods such as prosthetic replacement should be chosen. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s00264-009-0848-4Authors Christian Bahrs, BG-Unfallklinik Tübingen, Eberhard-Karls-Universität Tübingen Klinik für Un...
Source: International Orthopaedics - August 25, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Limb sparing surgery for bone tumours of the shoulder girdle: the oncological and functional resultsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract It is a great challenge to spare the upper limb with a malignant or invasive benign bone tumour of the shoulder girdle. We retrospectively analysed 35 patients with bone tumours of the shoulder girdle treated with various limb salvage procedures. The tumours included 25 primary malignancies, three metastases and seven giant cell tumours which involved the proximal humerus in 21 patients, scapula in 12 and clavicle in two. The reconstruction procedures included eight prosthetic replacements, four devitalised tumorous bone grafts, three osteoarticular allografts, two autogenous fibular grafts, one int...
Source: International Orthopaedics - August 22, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

The long-term fate of the hip arthrodesis: does it remain a valid procedure for selected cases in the 21st century?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Even in current orthopaedic practice, some cases are still not suitable candidates for hip replacement and hip fusion remains the only option in these highly selected patients. In this retrospective study we describe the long-term clinical outcome, quality of life and radiological evaluation of all adjacent joints in a cohort of 47 hip fusions. The main objective of our study was to show the long-term effects of a fusion. Thirty patients were analysed after an average of 18.2 years (range 6.2–30.5 years) with a mean SMFA of 31.2 (range 9–70). The VAS for pain for the fused hip was an a...
Source: International Orthopaedics - August 21, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Chronic Achilles tendon rupture reconstruction using a modified flexor hallucis longus transferEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The purpose of this study was to report the management and outcome of 11 patients presenting with chronic Achilles tendon (AT) rupture treated by a modified flexor hallucis longus (FHL) transfer. Seven patients presented with a neglected AT rupture, one with a chronic AT rupture associated with Achilles tendinosis and three with an AT re-rupture. AT defect after fibrosis debridement averaged 7.4 cm. In addition to FHL transfer, we performed an augmentation using the two remaining fibrous scar stumps of the ruptured AT. Functional assessment was performed using the AOFAS score and isokinetic eva...
Source: International Orthopaedics - August 21, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Elevated levels of numerous cytokines in drainage fluid after primary total hip arthroplastyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study was conducted to investigate whether different cytokines are measurable in drainage fluid and, when measurable, whether we can find a difference in cytokine levels between one and six hours postoperatively. Samples from the drainage system in 30 consecutive patients undergoing primary total hip replacement were collected at one and six hours after closure of the wound. Levels of several cytokines were measured in the drainage fluids. A significant elevation of almost all cytokines was observed between the sample after one hour and six hours postoperatively. We found a strong correlation between the differen...
Source: International Orthopaedics - August 20, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

A technique for the fabrication of a reinforced moulded articulating cement spacer in two-stage revision total hip arthroplastyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe an inexpensive method of producing a reinforced articulating cement spacer using a commercially available hip cement mould. We have a cohort of 15 consecutive patients in whom this novel cement spacer has been used. All patients were able to at least partially weight bear and none of the spacers fractured. Thirteen have been explanted at second stage operation after a minimum of eight weeks in situ. Two patients have been unable to undergo a second stage due to unrelated death and medical problems precluding further surgery. The articulating cement spacer described is produced using a technique that is...
Source: International Orthopaedics - August 20, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals

Reply to the comments on our article “Comparison of various surgical methods in the treatment of implant-related infection”Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00264-009-0858-2Authors Muhittin Şener, Ataturk Training and Research Hospital Department of Orthopaedics and Traumatology Izmir TurkeyCemal Kazimoglu, Ataturk Training and Research Hospital Department of Orthopaedics and Traumatology Izmir Turkey Journal International OrthopaedicsOnline ISSN 1432-5195Print ISSN 0341-2695 (Source: International Orthopaedics)
Source: International Orthopaedics - August 19, 2009 Category: Orthopaedics Tags: International Orthopaedics Source Type: journals