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International Orthopaedics

Ismail Hadisoebroto Dilogo, Phedy Phedy, Erica Kholinne, Yoshi Pratama Djaja, Jessica Fiolin, Yuyus Kusnadi, Nyimas Diana Yulisa
INTRODUCTION: Critical-sized defect (CSD) is one of the most challenging cases for orthopaedic surgeons. We aim to explore the therapeutic potential of the combination of bone marrow-derived mesenchymal stem cells (BM-MSCs), hydroxyapatite (HA) granules, bone morphogenetic protein-2 (BMP-2), and internal fixation for treating CSDs. METHODS: This was a translational study performed during the period of January 2012 to 2016. Subjects were patients diagnosed with CSDs who had previously failed surgical attempts...
February 12, 2019: International Orthopaedics
Luchian Alexandru, Horia Haragus, Bogdan Deleanu, Bogdan Timar, Dan V Poenaru, Daliborca Cristina Vlad
PURPOSE: The neutrophil to lymphocyte ratio (NLR) is a simple predictor used in oncology and cardiology. We aimed to analyze the NLR profile of patients with diaphyseal fractures of the humerus, femur, and tibia. METHODS: We performed a cross-sectional, consecutive-case population-based study including 148 patients (41.9% men respectively 58.1% women) with humeral (23.0%), femoral (30.4%), and tibial (46.6%) diaphyseal fractures, admitted for surgical treatment in our level 1 trauma centre over two years...
February 6, 2019: International Orthopaedics
Liu Liyan, Li Aoyu, Cui Yunhe, Xiao Tao
No abstract text is available yet for this article.
February 2, 2019: International Orthopaedics
James P Waddell, Marius M Scarlat
No abstract text is available yet for this article.
February 2, 2019: International Orthopaedics
Qiyong Cao, Yu Jiang, Yuneng Li, Hao Wang, Yong Huan, Xinbao Wu
In the original publication, the following authors have been omitted due to a technical error in the original article.
February 1, 2019: International Orthopaedics
Michael Rutherford, Riaz J K Khan, Daniel P Fick, Samantha Haebich, Oscar Nivbrant, Thomas Kozak
PURPOSE: Uncemented stems in primary total hip replacement (THR) are concerning in the elderly due to ectatic femoral canals and cortical thinning resulting in higher incidence of fracture and subsidence in this population. To obviate this concern, the authors developed a technique using autologous impaction bone grafting to achieve a better fitting femoral stem. The aim of this randomised clinical trial was to assess the efficacy of the technique. METHODS: From 2013 to 2015, a total of 98 consecutive participants (100 primary THR procedures) were inducted into a single-institution, single-blinded, randomised clinical trial assessing, with radiostereometric analysis (RSA), the efficacy of autologous impaction bone grafting in uncemented primary THR compared with traditional uncemented primary THR technique...
January 31, 2019: International Orthopaedics
Dong Hun Suh, Jung Ho Park, Soon Hyuck Lee, Hak Jun Kim, Young Hwan Park, Woo Young Jang, Jung Heum Baek, Hyun Jae Sung, Gi Won Choi
PURPOSE: This systematic review aimed to compare radiographic correction, clinical outcomes, complications, and re-operations between lateral column lengthening (LCL) and arthroereisis (AR) for treating symptomatic flatfoot in children. METHODS: We conducted a comprehensive search on MEDLINE, EMBASE, and Cochrane Library databases. Literature search, data extraction, and quality assessment were conducted by two independent reviewers. The outcomes analyzed included radiographic parameters, clinical scores, satisfaction, complications, and re-operations...
January 30, 2019: International Orthopaedics
Shanxi Wang, Bohua Li, Jun Li, Zhengdong Zhang, Hai Yang, Lei Liu
PURPOSE: To evaluate and compare the effectiveness of the modified Heuter approach and the Kocher-Langenbeck approach in the treatment of Pipkin type I and II femoral head fractures. METHODS: The study cohort consisted of 39 patients with Pipkin type I or type II femoral head fractures who were treated by open reduction and internal fixation through the modified Heuter approach (the Heuter group) or the Kocher-Langenbeck approach (the K-L group) between June 2013 and January 2016...
January 25, 2019: International Orthopaedics
Iwona Pawłowska, Grzegorz Ziółkowski, Jadwiga Wójkowska-Mach, Tomasz Bielecki
OBJECTIVE: The aims of the study were to analyse the surgical site infections (SSIs) in patients operated at an orthopaedic ward and to describe the drug-resistance of the aetiology of those infections. Also, analyse the possibility of SSI control through microbiological surveillance. Additionally, we have studied the information inferred by aggregating cumulative antibiograms for the SSIs of the studied orthopaedic unit. DESIGN: Cross-sectional studies carried out in 2013-2015...
January 24, 2019: International Orthopaedics
Akintunde George, Paul Ofori-Atta
INTRODUCTION: With the continued and effective transfer of orthopaedic knowledge and skills across continents, the incidence of hip and knee replacement surgery has increased in the developing world. More patients are having these procedures done locally rather than having to travel over to the more developed western countries at great financial costs for those who cannot really afford it. We report the data collected by an orthopaedic charity MOTEC LIFE UK which has been offering hip and knee arthroplasty procedures to patients who require them...
January 24, 2019: International Orthopaedics
Louis Rouquette, Roger Erivan, Bruno Pereira, Stéphane Boisgard, Stéphane Descamps, Guillaume Villatte
INTRODUCTION: Tibiofemoral dislocation is the most serious form of instability following total knee arthroplasty (TKA). It is little reported in the literature, despite severity comparable to that in the native knee. The present systematic review and meta-analysis aimed to identify risk factors and treatment strategies. METHODS: The Cochrane, Medline (via PubMed), Google, and PROSPERO data-bases were searched in January 2018 following the PRISMA meta-analysis guidelines...
January 23, 2019: International Orthopaedics
Marco Scardino, Federica Martorelli, Tiziana D'Amato, Giorgia Fenocchio, Vincenzo Simili, Guido Grappiolo, Berardo Di Matteo, Elizaveta Kon, Michele Lagioia
PURPOSE: Blood transfusion and blood management are important aspects in orthopaedic surgery. Strategies include intra-operative and post-operative blood salvage and even the use of fibrin sealant in selected case. Objectives of the study were (1) to compare the total number of transfusions and the length of hospital stay in patients undergoing complete revision hip arthroplasty (RHA) with and without the use of a fibrin sealant (EVICEL®) and (2) to evaluate the possible role in cost savings of EVICEL® in association with the blood-saving protocol...
January 23, 2019: International Orthopaedics
William A Robinson, Ahmad N Nassr, Arjun S Sebastian
Thoracic disc herniations are a relatively rare occurrence compared to disc herniations in the cervical or lumbar spine. Surgical management of these thoracic herniations can be technically difficult with a wide array of reported complications. In this study, we aim to describe the most common complications that can occur during or after surgical management of thoracic disc herniations. Furthermore, we describe tips and tricks for avoidance and, if necessary, management of surgical complications. Common complications addressed in this review include vertebral column instability, neurologic injury, cerebrospinal fluid leak/pleural fistula, thoracic viscera injury, wrong level surgery, incomplete disk resection, and intercostal neuralgia...
January 21, 2019: International Orthopaedics
Jianhong Wu, Zhihua Han, Qiugen Wang, Xiaoming Wu
PURPOSE: To radiographically characterize the relationship between inferior displacement of great tuberosity (GT) fracture and associated occult or minor displaced humeral neck fracture. METHODS: Thirty patients with inferior displacement of the GT on the initial anterior-posterior (AP) view X-ray were included in this study. Twenty-four patients received further computed tomography (CT) scans. One patient with negative CT scans underwent MRI. Radiographic indexes included the cervico-diaphyseal angle, the distance of the inferior displacement of the GT fracture, the apex-tuberosity distance, and the direction of the GT shift on the 3D-CT scan...
January 21, 2019: International Orthopaedics
Marc C Attinger, Pascal C Haefeli, Henrik C Bäcker, Remy Flueckiger, Peter M Ballmer, Klaus A Siebenrock, Frank M Klenke
PURPOSE: The acetabular reinforcement ring with a hook (ARRH) has been designed for acetabular total hip arthroplasty (THA) revision. Additionally, the ARRH offers several advantages when used as a primary implant especially in cases with altered acetabular morphology. The implant facilitates anatomic positioning by placing the hook around the teardrop and provides a homogenous base for cementing the polyethylene cup. Therefore, the implant has been widely used in primary total hip arthroplasty at our institution...
January 20, 2019: International Orthopaedics
Yves Gramlich, Paul Hagebusch, Philipp Faul, Alexander Klug, Gerhard Walter, Reinhard Hoffmann
INTRODUCTION: There is no gold standard for performing a two-stage exchange arthroplasty to treat periprosthetic joint infection (PJI). The use of spacers and the anchorage principles of the revision prosthesis remain controversial. Herein, we report the success rate of a two-stage total hip replacement procedure without using a spacer and only pressfit cementless implants. METHODS: Between 2009 and 2015, 57 patients with chronic late-onset PJI were treated using a two-stage prostheses exchange without spacer...
January 18, 2019: International Orthopaedics
Feng Li, Ning Liu, Zijian Li, Kirkham B Wood, Hua Tian
PURPOSE: Lateral femoral sliding osteotomy has been reported as an effective technique for total knee arthroplasty (TKA) with significant valgus deformity. This study aims to investigate its utility in TKA with valgus deformity greater than 20°, for which few studies have examined. METHODS: Consecutive TKA patients with valgus deformity treated with the sliding osteotomy at our institution were retrospectively studied. Constraint implants were not used. Radiological and clinical parameters at follow-ups were compared with those pre-operatively...
January 18, 2019: International Orthopaedics
Petr Mikhailovich Preobrazhensky, Svetlana Anatolievna Bozhkova, Alexander Viktorovich Kazemirsky, Rashid Murtazalievich Tikhilov, Taras Andreevich Kulaba, Nikolai Nikolaevich Kornilov
INTRODUCTION: Two-stage reimplantation in patients with chronic periprosthetic joint infection (PJI) after total knee arthroplasty (TKA) with the use of either articulating or static antibiotic-loaded spacers during the first step is considered to be the golden standard in orthopaedics. THE AIM OF THE STUDY: The aim of the study was to evaluate the correlation of spacer type with the infection elimination rate as well as functional outcomes after two-staged revision TKA in patients with PJI...
January 16, 2019: International Orthopaedics
Rami Jahmani, Craig Robbins, Dror Paley
PURPOSE: Stump overgrowth is the main problem of limb amputation in children. Many surgical procedures have been developed to overcome the problem, but all have shown inconsistent results. The only surgical procedure that has been successful in preventing overgrowth is capping of the amputated limb with a cartilaginous cap taken from the amputated limb, usually from the head of fibula. A donor site is not available in revision cases. Iliac crest apophysis transfer was suggested to treat the condition, but has never been previously reported...
January 15, 2019: International Orthopaedics
Shih-Jie Lin, Kevin Liaw, Tsan-Wen Huang
No abstract text is available yet for this article.
January 15, 2019: International Orthopaedics
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