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T : 목차정보

Journal of orthopaedics 60건

  1. [해외논문]   Risk factors for complications after primary repair of Achilles tendon ruptures  

    Pean, Christian A. (NYU Langone Orthopedic Hospital, Department of Orthopedic Surgery, New York, N.Y., 10003, USA ) , Christiano, Anthony (NYU Langone Orthopedic Hospital, Department of Orthopedic Surgery, New York, N.Y., 10003, USA ) , Rubenstein, William J. (NYU Langone Orthopedic Hospital, Department of Orthopedic Surgery, New York, N.Y., 10003, USA ) , Konda, Sanjit R. (NYU Langone Orthopedic Hospital, Department of Orthopedic Surgery, New York, N.Y., 10003, USA ) , Egol, Kenneth A. (NYU Langone Orthopedic Hospital, Department of Orthopedic Surgery, New York, N.Y., 10003, USA)
    Journal of orthopaedics v.15 no.1 ,pp. 226 - 229 , 2018 ,

    초록

    Abstract Purpose To identify patient characteristics associated with adverse events in Achilles tendon rupture (ATR) surgical repair cases. Methods A high risk (HR) cohort group of ATR patients were compared to healthy controls in the ACSNSQIP database with multivariate regression analysis. Results Overall, 2% (n = 23) of the group sustained an AE postoperatively, most commonly superficial SSI (0.9%, n = 10). Multivariate analysis did not reveal any patient characteristics to be significantly associated with the occurrence of an AE or superficial SSI. Conclusions Obesity, diabetes and a history of smoking did not predispose patients to significantly more AEs in the 30 day postoperative period following ATR repair in this study.

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  2. [해외논문]   Analysis of a generic talar prosthetic with a biological talus: A cadaver study  

    Trovato, Alexandra N. (Department of Civil and Environmental Engineering, University of Alberta, Edmonton, Alberta, Canada ) , Bornes, Troy D. (Department of Surgery, University of Alberta, Edmonton, Alberta, Canada ) , El-Rich, Marwan (Department of Mechanical Engineering, Khalifa University, Abu Dhabi, United Arab Emirates ) , Dhillon, Sukhvinder S. (Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Alberta, Canada ) , Adeeb, Samer (Department of Civil and Environmental Engineering, University of Alberta, Edmonton, Alberta, Canada ) , Jomha, Nadr M. (Department of Surgery, University of Alberta, Edmonton, Alberta, Canada)
    Journal of orthopaedics v.15 no.1 ,pp. 230 - 235 , 2018 ,

    초록

    Abstract Treatment for talar avascular necrosis is challenging. This study evaluates the feasibility of a generic talar implant by cadaveric assessment. Ten cadaveric ankles were CT-scanned to determine talar implant size. The opposite ankles were CT-scanned with the biological talus and then with the implant. 3D ankle geometry was reconstructed and implant position was compared to the biological talus position. The averages among specimens’ positive and negative average-deviations were 0.91 mm and 0.70 mm. Seventy percent of talar dome deviations between the biological talus and implant were within an acceptable range. This study yields promising results to support a generic talus bone prosthetic.

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  3. [해외논문]   Incidence of tendon rupture following volar plate fixation of distal radius fractures: A survey of 2787 cases  

    Sato, Kotaro (Corresponding author.) , Murakami, Kenya , Mimata, Yoshikuni , Doita, Minoru
    Journal of orthopaedics v.15 no.1 ,pp. 236 - 238 , 2018 ,

    초록

    Abstract This study assessed the comprehensive incidence of tendon rupture following volar locking plate (VLP) surgery for a large number of patients with distal radius fractures (DRFs) at multiple facilities in one prefecture, Japan. During the 4-year period, 2787 patients with DRFs underwent fixation using VLP. The overall incidence rates of rupture of the FPL, the extensor pollicis longus, the flexor digitorum profundus of the index finger, and the extensor digitorum communis were 0.35% (10 patients), 0.29% (8 patients), 0.04% (1 patient), and 0.04% (1 patient), respectively.

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  4. [해외논문]   Platelet rich plasma injections for lateral epicondylitis of the elbow reduce the need for surgical intervention  

    Hastie, Graham (Corresponding author.) , Soufi, Mazen , Wilson, James , Roy, Bibhas
    Journal of orthopaedics v.15 no.1 ,pp. 239 - 241 , 2018 ,

    초록

    Abstract Objective We aimed to assess the effectiveness of PRP injections in lateral epicondylitis of the elbow as it was felt after PRP introduction the numbers of patients requiring surgery for had reduced. Methods We conducted a retrospective review of cases from the 1 st January 2008 to 31st December 2015. The numbers of patients undergoing surgical release and the numbers of patients requiring PRP injections were recorded each year and the numbers of patients requiring surgery was compared pre and post PRP injection to ascertain if PRP introduction reduced surgical intervention. Results Prior to PRP, a yearly mean of 12.75 patients underwent surgery, since PRP this reduced to 4.25 patients, P Conclusion We consider PRP injection, for intractable lateral epicondylitis of the elbow, not only a safe but also very effective tool in reducing symptoms and have shown it has reduced the need for surgical intervention in this difficult cohort of patients.

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  5. [해외논문]   Evaluation of the Multi-Attribute Prioritisation Tool for Total Joint Replacement  

    Nganga, Michael (College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia ) , Bramwell, Donald (College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia ) , Monaghan, Jenifer (Department of Orthopaedics, Repatriation General Hospital, Adelaide, South Australia, Australia ) , Doerr, Christine (Department of Orthopaedics, Repatriation General Hospital, Adelaide, South Australia, Australia ) , Mercer, Graham (College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia ) , Krishnan, Jeganath (College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia)
    Journal of orthopaedics v.15 no.1 ,pp. 242 - 247 , 2018 ,

    초록

    Abstract Rationale, aims and objectives The demand for arthroplasty is increasing and will continue to rise with an ageing population. Obesity and lengthy waiting time for Total Joint Replacement (TJR) have been associated with poorer outcomes postoperatively. This study aimed to evaluate the Multi-Attribute Prioritisation Tool (MAPT) for TJR patients. The primary objective was to explore if patients prioritised by the MAPT had an improvement in score post-operative. Further to identify any relationship between MAPT score and length of time on the waiting list or obesity. Method This retrospective cohort study included 308 patients undergoing total hip (n = 114) or total knee (n = 194) arthroplasty. We examined preoperative and postoperative MAPT scores of patients who had total hip or total knee arthroplasty. After assessing the difference between postoperative and preoperative MAPT scores, patients scores were compared to BMI and waiting time classes. BMI was allocated to less than 30, 30–35, 35–40 and greater than 40. Duration of time on the waiting list was allocated to less than 6 months and greater than 6 months. Results THA and TKA patients MAPT scores improved from a preoperative score of 71.39–5.26 postoperative and 54.11 to 7.13 respectively. Patients whose MAPT scores placed them in the high priority category had a significant relationship with length of time on the waiting list (p Conclusion TJR patients prioritised by the MAPT questionnaire do experience pain relief as portrayed by a reduction in postoperative MAPT score. A longer length of time on the waiting list seems to effect the improvement a high priority patient can have postoperative.

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  6. [해외논문]   Cryopreserved bone allograft for the treatment of shoulder instability with glenoid defect  

    Abdelshahed, Mina M. (Corresponding author at: NYU Hospital for Joint Diseases, Department of Orthopaedic Surgery, 301 East 17th Street, New York, NY 10003, USA.) , Shamah, Steven D. , Mahure, Siddharth A. , Mollon, Brent , Kwon, Young W.
    Journal of orthopaedics v.15 no.1 ,pp. 248 - 252 , 2018 ,

    초록

    Abstract The purpose of this study was to examine outcomes after cryopreserved tri-cortical iliac crest allograft reconstruction for glenoid bone loss in patients with shoulder instability. 10 patients completed the required assessments at a mean follow up of 4.5 years. At final follow up, mean ASES was 92 ± 12, mean WOSI was 315 ± 319, with good range of motion. None of the final radiographs demonstrated graft resorption or failure of hardware. The data demonstrated that patients who were treated with glenoid bone grafting with cryopreserved tri-cortical iliac crest allograft can expect good range of motion and functional capacity.

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  7. [해외논문]   Minimally invasive (MIS) TOnnis osteotomy– A technical annotation and review of short term results  

    Balakumar, Balasubramanian (Department of Trauma and Orthopaedics, Sheffield Children's Hospital, Sheffield, S102RA, United Kingdom ) , Racy, Malek (Centre for Hip preservation, Sheffield Children's Hospital NHS Foundation Trust, Sheffield, S102RA, United Kingdom ) , Madan, Sanjeev (Centre for Hip preservation, Sheffield Children's Hospital NHS Foundation Trust, Sheffield, S102RA, United Kingdom)
    Journal of orthopaedics v.15 no.1 ,pp. 253 - 258 , 2018 ,

    초록

    Abstract Aims We detail a modified single incision approach to perform the Tonnis triple pelvic osteotomy by a minimally invasive approach. Patients and Methods 12 children underwent minimally invasive Tonnis Osteotomy. There were five boys and seven girls in this study group. Average age was 11 years (9–15 years) at the time of surgery. Mean follow-up was 20.5 months (13–39 months). Results The average preoperative Antero-Posterior (AP) Centre Edge (CE) angle was -8.8° (-38.6°–18°), the average post-operative AP CE angle was 29.7° (25.1°–43.7°). The average preoperative lateral CE angle was -4.7° (-16°–0°), the average postoperative Lateral CE angle was 28.5° (21.3°–37.4°). The Sharp’s angle before and after surgery were 55.7° (51.3°–66°) and 32.4° (16.1°–40.1°) respectively. The mean TOnnis angle before and after the osteotomy were 28.86° (19.7°–43.4°) and 6.3° (0.5°–9.4°) respectively. There was one major complication with sciatic nerve palsy which is in the recovery phase on followup and six minor complications including two cases of transient lateral femoral cutaneous nerve injury, two cases of ischial non-union, over granulation of the wound in one case, and metalwork irritation in one case. Conclusion We have described a minimally invasive Tonnis osteotomy as a viable option based on our results. This technique is recommended for those who are conversant with the traditional pelvicosteotomies.

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  8. [해외논문]   A novel method for reducing gap formation in tendon repair  

    Dean, Ryan (New York Medical College, School of Medicine, United States ) , Sethi, Paul (ONS Foundation for Clinical Research and Education Inc., 6 Greenwich Office Park, Suite 100, 40 Valley Drive, Greenwich, CT 06831, United States)
    Journal of orthopaedics v.15 no.1 ,pp. 259 - 263 , 2018 ,

    초록

    Abstract Background This study investigates gap formation in tendon repair using a novel tensioning method. Hypothesis The novel stitch will demonstrate less gap formation than the other suture configurations tested. Methods Porcine tendons stitched with classic Krackow stitch configurations were compared to a Krackow stitch modified with a proximal Tension-Assist Loop. Each group was cyclically loaded followed by analysis of the tendon-suture construct for gap formation. Results The Tension-Assist Loop group produced significantly less gap formation than each of the other stitch groups. Conclusion Decreasing early gap formation may be beneficial in allowing early rehabilitation and range of motion.

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  9. [해외논문]   Getting back in the game after humeral head resurfacing  

    Bü (Clinic for Orthopedic and Trauma Surgery, University of Heidelberg, Schlierbacher Landstrasse 200a, 69118 Heidelberg, Germany ) , lhoff, Matthias (Clinic for Orthopedic and Trauma Surgery, University of Heidelberg, Schlierbacher Landstrasse 200a, 69118 Heidelberg, Germany ) , Sowa, Boris (Institute of Medical Biometry and Informatics, University of Heidelberg, Im Neuenheimer Feld 305, 69120 Heidelberg, Germany ) , Bruckner, Thomas (OCM-Orthopedic Surgery Munich, Steinerstr. 6, 81369 Munich, Germany ) , Raiss, Patric (Ethianum Clinic Heidelberg, Voßstr. 6, 69115 Heidelberg Germany) , Zeifang, Felix
    Journal of orthopaedics v.15 no.1 ,pp. 264 - 274 , 2018 ,

    초록

    Abstract Background Aim of this investigation was to analyze whether patients undergoing humeral head resurfacing (HHR) surgery are able to successfully return to their sports and occupation afterwards. Materials and methods Fifty patients treated with CUP (HHR) arthroplasty were included. Two groups were built: Patients who have participated in sports less than 5 years prior surgery (Group 1: n = 42 (84%)) and patients who have never participated in sports (Group 2: n = 8 (16%)). Evaluation was based on a questionnaire asking for types of sports, frequency, time to return to sports and work as well as limitations in work life. Results Mean age at the time of surgery was 58.6 (36–84) years in Group 1 and 65 (56–75) years in Group 2. Mean time follow-up was 5.5 years (2.5–12) years. Twenty-seven (64%) patients in Group 1 participated in sports right before surgery. Twenty-one patients (50%) returned to sports after surgery. The returning rate was 78%. Seven (17%) patients in Group 1 stated that the reason they underwent shoulder replacement surgery was to continue to participate in sports. Swimming and skiing were two of the most favorable sports. Two (4%) patients had to change their profession due to surgery. Most of the patients were retired at follow-up. Conclusion Most of the active patients undergoing HHR surgery are successfully able to return to their sports activities after surgery. Patients employed were able to return to their occupation after surgery. Many patients were already retired at the time of follow up.

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  10. [해외논문]   Functional and radiological outcome in management of compound tibia diaphyseal fracture with AO monolateral fixator versus Limb reconstruction system  

    Mangukiya, Hitesh J. (Corresponding author at: Flat No. 12, Panchsheel Building, Sir J J Hospital Compound, Byculla, Mumbai, 400008, India.) , Mahajan, Neetin P. , Pawar, Eknath D. , Mane, Aakash , Manna, Jitsen
    Journal of orthopaedics v.15 no.1 ,pp. 275 - 281 , 2018 ,

    초록

    Abstract Introduction Tibia being the most common fractured long bone represents 36.7% of all long bone fractures in adults with open fracture comprises 23.5% of all tibial shaft fracture. The lack of the muscular covering over anteromedial aspect of the tibia and poor blood supply predispose open tibial fractures to a 10–20 fold increased risk of developing infection than open fracture in any other anatomical areas and a nonunion rate as high as 28% has been reported in the literature. Methods We did a prospective study at our institute from 2014–2016 comprising 40 patients with compound tibia diaphyseal fracture managed with AO monolateral external fixator (Group 1) (n = 20) and Limb reconstruction system (Group 2) (n = 20) as primary and definitive tool. Final assessment for bone results and functional results were done using ASAMI (Association of the study and application of the method of Ilizarov) score. Results In our study bony outcome by ASAMI score shows 6 (30%) patients had Excellent, 5 (25%) patients had Good and 9 (45%) had Poor bony outcome from Group I. In group II, 12 (60%) patients had Excellent, 4 (20%) patients had Good, 2 (10%) patients had Fair, and 2 (10%) had Poor bony outcome. The functional outcome by ASAMI score shows 3 (15%) patients had Excellent, 8 (40%) patients had Good, 5 (25%) patients had Fair, 3 (15%) had Poor bony outcome from Group I. In group II, 9 (45%) patients had Excellent, 7 (35%) patients had Good, 2 (10%) patients had Fair, and 2 (10%) had Poor functional outcome. Conclusion Limb reconstruction system (LRS) offers several advantage over AO monolateral external fixator such as ease of application, versatility, stronger fixation, less fixator related complications, early weight bearing and early bony union for management of compound tibia diaphyseal fracture as primary and definitive tool.

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