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Spinal Implants Can Be Retained in Patients with Deep Spine Infection: A Cohort Study: 深層脊椎感染的患者可以保留脊柱植入物 - 一項隊列研究
ConclusionImplant removal is not always necessary in cases of deep spine infection as retention of implants is not associated with higher mortality, relapse, or reoperation rates.中 文 摘 要背景/目的目前還不清楚是否需要在已有脊柱內固定植入物發生深層脊椎感染時將脊柱植入物移除。這項研究比較了有移除或沒有移除脊柱植入物的患者之間的死亡率、復發率和再手術率。方法回顧性分析20例受試者。比較植入物去除和未去除組別的基線特徵。以多變量邏輯和預測因子將兩組別每個確定的結果測量進行比較。結果...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 10, 2018 Category: Orthopaedics Source Type: research

Clinical, Magnetic Resonance Imaging, and Arthroscopic Correlation in Anterior Cruciate Ligament and Meniscal Injuries of the Knee: 膝關節前交叉韌帶和半月板損傷的臨床、磁共振成像和關節鏡的相關性
ConclusionIn conclusion, the present study supports that clinical diagnosis is of primary necessity, as the positive predictive value is high for all the lesions. MRI is an additional diagnosing tool for ligament and meniscal injuries of the knee. Routine use of MRI to confirm the diagnosis is not indicated, as the positive predictive value is low, but can be used to exclude pathology, as the negative predictive value is high for all the lesions.中 文 摘 要背景研究的目的是比較和相關膝關節前交叉韌帶和半月板損傷的臨床、磁共振成像和關節鏡檢查結果。方法從2014年9月至2016年...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 10, 2018 Category: Orthopaedics Source Type: research

Distal tibia metaphyseal fractures: Which is better, intra-medullary nailing or minimally invasive plate osteosynthesis?
ConclusionThus we conclude that intramedullary nailing is better choice of implant in patients with extra- articular distal tibia fractures & helps in early weight bearing and ambulation of patient with fewer complications.中 文 摘 要引言：脛骨骨折是骨科醫生遇到的最常見的長骨骨折；脛骨骨折中，遠端骨折比較中段三分之一骨折的發生率少，居第二位。由於其接近踝關節及其表面位置，脛骨遠端骨折是獨特的，被認為是治療難度最大的骨折。 本研究的目的是比較兩種脛骨遠端骨折內固定手術治療：髓內釘和微創鋼板內固...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 10, 2018 Category: Orthopaedics Source Type: research

Open reduction internal fixation versus external fixation with limited internal fixation for displaced comminuted closed pilon fractures: A randomised prospective study
ConclusionSoft tissue integrity and fracture comminution seem to have a significant influence on outcomes of intervention. A prospective multicentre study with a larger sample size that controls for other associated variables and comorbidities is warranted.Level of evidenceLevel II.中文摘要背景Pilon骨折涉及脛骨遠端關節面的圓頂。高能量Pilon骨折的最佳治療方法仍然存在爭議。 一些作者主張使用開放復位和內固定(ORIF)來避免關節不一致。 其他作者主張用橋接外固定和有限內固定(EFLIF)來減少軟組織並發症。 比較ORIF和EFLIF在高能量骨折中的...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 10, 2018 Category: Orthopaedics Source Type: research

Computer-Assisted Planning and Three-Dimensional-Printed Patient-Specific Instrumental Guide for Corrective Osteotomy in Post-Traumatic Femur Deformity: A Case Report and Literature Review: 電腦輔助術前規劃和三維打印患者患者特定器械指南在創傷後股骨畸形矯正截骨術的應用:病例報告和文獻綜述
We report a case of post-traumatic lower limb deformity in a patient who underwent closing wedge corrective osteotomy with the aid of the aforementioned new technologies.中 文 摘 要創傷後肢體畸形通常是多平面的，因此是手術治療的困難病理。 準確的術前規劃和準確的術中執行是導致滿意結果的兩個主要重要步驟。電腦輔助術前規劃和三維打印患者特定器械指南分別為兩個步驟提供了極好的幫助。 我們報告了在創傷後下肢畸形，借助上述新技術來進行閉合楔形矯正截骨術的病例。 (Source: Journal of Orthopaedics, Trauma and Rehabilitation)
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 10, 2018 Category: Orthopaedics Source Type: research

Non-Hodgkin Lymphoma Mimics Infected Total Knee Arthroplasty: 非何傑金氏淋巴癌模仿全膝關節置換感染
We report a case of non-Hodgkin lymphoma mimicking an infected total knee arthroplasty. A 73-year-old woman who received left total knee replacement presented with fever and a discharging sinus over her left knee 12 weeks after surgery. The diagnosis of prosthetic joint infection was made and a two-stage revision arthroplasty planned. After implant removal and insertion of an antibiotic spacer in the first-stage operation, culture results of all intraoperative specimens were negative but the pathology report showed diffuse large B-cell lymphoma. She then received chemotherapy and a second-stage reconstruction operation. T...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 10, 2018 Category: Orthopaedics Source Type: research

Surgical Techniques of Using Direct Anterior Approach and Bridging Plate Fixation of Periprosthetic Fracture of an Arthrodesed Hip: A Case Report: 通過直接前路及橋狀鋼板固定手術治療伴有髖關節融合的近端股骨人工假體周圍骨折:一病例報告
We present a case of a 65-year-old woman with traumatic periprosthetic fracture of left proximal femur with ipsilateral arthrodesed hip and cobra plate in-situ. It imposes challenges on achievement of stable fixation for fracture management and preservation of blood supply for fracture healing. Minimally invasive plate osteosynthesis through direct anterior approach was executed with intraoperative templating. Anterior bridging plating using pre-bent reverse distal femoral locking compression plate (less invasive stabilisation system) was performed successfully. The patient had a fracture union in 10 months and returned t...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 10, 2018 Category: Orthopaedics Source Type: research

Primary Ewing's Sarcoma of the Spine with Conus Medullaris Syndrome: 原發性尤文氏肉瘤造成的脊髓圓錐壓迫症
We report a case of primary ES with sudden onset conus medullaris compression in a 17-year-old female.中 文 摘 要尤文氏肉瘤是骨骼的原發性腫瘤，主要影響年齡組是生命的第二個十年。它通常影響生長中骨骼的幹骺端。脊椎的原發性尤文氏肉瘤很罕見，常見於骶骨。骶骨的尤文氏肉瘤的發生率少於5%，而非骶骨的尤文氏肉瘤的發生率少於0.9%。診斷病情需要高度的懷疑指標，並且需求及時進行手術結合化療及放射治療以制神經功能缺損的進展。我們報告了一例原發性尤文氏肉瘤造成一名17歲女性突...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 10, 2018 Category: Orthopaedics Source Type: research

Humeral Head Fracture with Intrathoracic Migration: 向胸腔內移位的肱骨頭骨折：病例報告和文學回顧
Publication date: June 2018Source: Journal of Orthopaedics, Trauma and Rehabilitation, Volume 24Author(s): Gianfilippo Caggiari, Giulia Raffaella Mosele, Leonardo Puddu, Mauro Spiga, Carlo DoriaAbstractFracture-dislocation of the humeral head with intrathoracic migration is extremely rare. In our study we describe the case of a 23-year-old man who was admitted to the emergency clinic of our hospital, after being injured in a high-speed motor vehicle accident. The patient presented in a state of hemorrhagic shock and severe respiratory disease. Chest radiography showed fracture of the right humeral head and the presence of ...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 10, 2018 Category: Orthopaedics Source Type: research

Total Elbow Arthroplasty Gives Good Functional Outcome in Distal Humerus Fracture with Pre-existing Chronic Elbow Dislocation: 全肘關節置換對患有長期肘關節脫位的遠端肱骨骨折提供良好的功能結果
We present a case of an 86-year-old woman who suffered from acute distal humerus fracture in the presence of chronic elbow deformity from elbow dislocation since childhood at the age of 10 years. This was treated with TEA using Coonrad/Morrey prosthesis with long stem and long flange humerus components and cerclage wiring of humeral condyle. Postoperatively, elbow mobilization was started early within a hinged elbow brace. There was no operative complication. At the last follow-up 22 months after surgery, there was no pain and good elbow motion (20–130° flexion–extension arc, full supination and pronation to neutral...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 10, 2018 Category: Orthopaedics Source Type: research

Twelve-year follow-up of a case of proximal femoral Unicameral Bone Cyst (UBC) treated by steroid injection using radiological and DXA scan data
This report is of a proximal femoral unicameral bone cyst in a patient presented at 3 years. Intra-lesional steroid injection was used to treat this large active lesion. The response to treatment was monitored with the use of dual-energy X-ray absorptiometry (DXA) scan as an indirect method of monitoring the activity of the bone cyst. The patient had developed stress fracture during the course of treatment which had remodelled fully after successful treatment with multiple injections; at 12-year follow-up, the patient reached skeletal maturity. The affected femur had remodelled back to normal radiological appearance witho...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 10, 2018 Category: Orthopaedics Source Type: research

Mucormycosis Vertebral Osteomyelitis: 毛霉菌脊椎骨髓炎
We report a 16-year-old patient with newly diagnosed acute lymphoid leukaemia who developed extensive vertebral osteomyelitis caused by mucormycosis. He was treated with three-level subtotal spondylectomy and long-term oral antifungal medications. He had no neurological deficit after the operation.中 文 摘 要由毛霉菌引致的真菌性脊椎骨髓炎是非常罕見的。我們執告一例16歲剛診斷急性淋巴白血病患者由毛霉菌引起的廣泛脊髓骨髓炎。治療包括三節次全脊椎切除術及長期口服抗真菌藥物。手術後，沒有神經功能缺損。 (Source: Journal of Orthopaedics, ...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 10, 2018 Category: Orthopaedics Source Type: research

Soft tissue release and osteotomies in the treatment of patients with spastic diplegic cerebral palsy
Publication date: June 2018Source: Journal of Orthopaedics, Trauma and Rehabilitation, Volume 24Author(s): Bobby Kin-Wah Ng, Wai-Wang Chau, Alec Lik-Hang Hung, Tsz-Ping Lam, Jack Chun-Yiu ChengAbstractWe aim to study the outcome of soft tissue releases by tendon elongations and osteotomies in fixed joint contractures by clinical examination and patient self-reported assessment on 20 patients (14 males and 6 females) with spastic diplegic cerebral palsy treated with single-event multilevel surgery (SEMLS) between 2000 and 2012. A questionnaire was used to collect information on problems encountered before and after surgery ...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 10, 2018 Category: Orthopaedics Source Type: research

Proximal hamstring avulsion injury in an ultimate frisbee player: Case report and literature review
We present the case of an elite ultimate player who suffered a proximal hamstring avulsion injury. A 26-year-old male athlete was evaluated in our office 2 weeks after being involved in a collision during an ultimate game. Magnetic resonance imaging of the hamstrings showed an extensive, high-grade right-sided tear with a 5–6 cm of tendon retraction and moderate signal in the muscle extending to the thigh. Delayed open repair of the avulsed tendon was performed through a posterior approach under general anaesthesia. Twelve months after surgery, the patient had no complaints, and his range of motion and strength had rec...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 10, 2018 Category: Orthopaedics Source Type: research

Immediate weight-bearing as tolerated has improved outcomes compared to non–weight-bearing after surgical stabilisation of midshaft clavicle fractures in polytrauma patients
ConclusionsOur data suggest that an immediate WB as tolerated protocol for polytrauma patients after surgical fixation of displaced clavicle fractures may decrease the overall length of stay.中文摘要背景鎖骨骨折是多發性創傷中常見的損傷,常常限制早期運動。這項研究評估了即時拐杖負重在多發性創傷患者移位的鎖骨幹體中間骨折手術固定後的影響。方法回顧性分析確定了26例多多發性創傷患者具有鎖骨幹體中間骨折手術固定和非負重下肢損傷。患者在手術即後時負重(WB)或非負重(NWB)。主要結果是總住院時間(TLOS)。...
Source: Journal of Orthopaedics, Trauma and Rehabilitation - July 10, 2018 Category: Orthopaedics Source Type: research