Pub Date : 2007-11-01DOI: 10.1097/BCO.0B013E3282EF6EAF
R. Turcotte
Purpose of reviewTo evaluate results following endoprosthetic reconstruction, management of complications, and new concepts that are emerging.Recent findingsDespite improvements, there are still many complications that put salvaged limbs at a high risk. Infection has become the most common of these,
{"title":"Endoprosthetic replacements for bone tumors: review of the most recent literature","authors":"R. Turcotte","doi":"10.1097/BCO.0B013E3282EF6EAF","DOIUrl":"https://doi.org/10.1097/BCO.0B013E3282EF6EAF","url":null,"abstract":"Purpose of reviewTo evaluate results following endoprosthetic reconstruction, management of complications, and new concepts that are emerging.Recent findingsDespite improvements, there are still many complications that put salvaged limbs at a high risk. Infection has become the most common of these,","PeriodicalId":81061,"journal":{"name":"Current opinion in orthopaedics","volume":"18 1","pages":"572-578"},"PeriodicalIF":0.0,"publicationDate":"2007-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/BCO.0B013E3282EF6EAF","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62101028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2007-11-01DOI: 10.1097/BCO.0B013E3282EF98FE
Jeffrey E. Martus, D. Sucato
{"title":"Developmental disorders of the hip age 0-8 years","authors":"Jeffrey E. Martus, D. Sucato","doi":"10.1097/BCO.0B013E3282EF98FE","DOIUrl":"https://doi.org/10.1097/BCO.0B013E3282EF98FE","url":null,"abstract":"","PeriodicalId":81061,"journal":{"name":"Current opinion in orthopaedics","volume":"18 1","pages":"529-535"},"PeriodicalIF":0.0,"publicationDate":"2007-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/BCO.0B013E3282EF98FE","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62101779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2007-11-01DOI: 10.1097/BCO.0B013E3282F08808
Stephanie P Adam, V. Talwalkar
Legg-Calve-Perthes disease is a form of idiopathic avascular necrosis of the femoral head, evolving to classical “coxa plana”, which will lead to secondary hip arthritis. Legg-Calve-Perthes syndrome occurs most commonly in boys than in girls by a ratio of 4 to 1, commonly in the age range of 4 to 8 years. Etiological factors are represented by vascular, traumatic, constitutional, endocrine,genetical, racial and socioeconomical factors. Three phases have been described: avascular necrosis, fragmentation and healed phase. Pathogenesis is represented by two concomitant processes, located in femoral ossific nucleus: resorbtion of necrotic bone and new bone genesis. Two forms are described: Potential form – no fracture occurs in subcondral level; Real form – after the fracture occurs. Clinical signs are represented by: pain – of mild nature, usually activityrelated; lameness walking, and limited hip motion. Radiological findings: three stages are described: Initial stage – characterized by a pathognomical sign “ nail scratch”; Second stage – The bony epiphysis begins to fragment, presenting areas of increased radiolucency and radiodensity; Third stage – normal bone density returns. Alterations in the shape of the femoral head occurs. Other exams – IRM, arthrography, scintigraphy Classifications: Catteral – associating “head at risk” signs, groupe 1 or 2 and no “head at risk sign” having good prognosis, 3 or 4 plus “head at risk” signs having poor prognosis; Salter and Thompson; Herring. Evolution of long term, leading to epiphyseal deformities in severe forms. Treatment: has been based on the containment principle, being represented by orthopedic treatment or surgical treatment
{"title":"Legg-Calvé-Perthes disease","authors":"Stephanie P Adam, V. Talwalkar","doi":"10.1097/BCO.0B013E3282F08808","DOIUrl":"https://doi.org/10.1097/BCO.0B013E3282F08808","url":null,"abstract":"Legg-Calve-Perthes disease is a form of idiopathic avascular necrosis of the femoral head, evolving to classical “coxa plana”, which will lead to secondary hip arthritis. Legg-Calve-Perthes syndrome occurs most commonly in boys than in girls by a ratio of 4 to 1, commonly in the age range of 4 to 8 years. Etiological factors are represented by vascular, traumatic, constitutional, endocrine,genetical, racial and socioeconomical factors. Three phases have been described: avascular necrosis, fragmentation and healed phase. Pathogenesis is represented by two concomitant processes, located in femoral ossific nucleus: resorbtion of necrotic bone and new bone genesis. Two forms are described: Potential form – no fracture occurs in subcondral level; Real form – after the fracture occurs. Clinical signs are represented by: pain – of mild nature, usually activityrelated; lameness walking, and limited hip motion. Radiological findings: three stages are described: Initial stage – characterized by a pathognomical sign “ nail scratch”; Second stage – The bony epiphysis begins to fragment, presenting areas of increased radiolucency and radiodensity; Third stage – normal bone density returns. Alterations in the shape of the femoral head occurs. Other exams – IRM, arthrography, scintigraphy Classifications: Catteral – associating “head at risk” signs, groupe 1 or 2 and no “head at risk sign” having good prognosis, 3 or 4 plus “head at risk” signs having poor prognosis; Salter and Thompson; Herring. Evolution of long term, leading to epiphyseal deformities in severe forms. Treatment: has been based on the containment principle, being represented by orthopedic treatment or surgical treatment","PeriodicalId":81061,"journal":{"name":"Current opinion in orthopaedics","volume":"18 1","pages":"544-549"},"PeriodicalIF":0.0,"publicationDate":"2007-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/BCO.0B013E3282F08808","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62102231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2007-11-01DOI: 10.1097/BCO.0B013E3282F05890
T. Milbrandt, J. Hopkins
Purpose of reviewUnicameral bone cysts are common, benign, skeletal lesions of childhood. They weaken cortical bone and may lead to fracture. The cause of unicameral bone cysts is unclear. Obstruction of venous outflow is the currently favored hypothesis. Strategies ranging from radical resection to
{"title":"Unicameral bone cysts: etiology and treatment","authors":"T. Milbrandt, J. Hopkins","doi":"10.1097/BCO.0B013E3282F05890","DOIUrl":"https://doi.org/10.1097/BCO.0B013E3282F05890","url":null,"abstract":"Purpose of reviewUnicameral bone cysts are common, benign, skeletal lesions of childhood. They weaken cortical bone and may lead to fracture. The cause of unicameral bone cysts is unclear. Obstruction of venous outflow is the currently favored hypothesis. Strategies ranging from radical resection to","PeriodicalId":81061,"journal":{"name":"Current opinion in orthopaedics","volume":"18 1","pages":"555-560"},"PeriodicalIF":0.0,"publicationDate":"2007-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/BCO.0B013E3282F05890","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62101368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2007-11-01DOI: 10.1097/BCO.0B013E3282F04F37
M. Kounine, A. Maheshwari, J. Pitcher, H. Temple
Purpose of reviewThe aim of this article is to review the recent literature regarding bone allograft, placing it into perspective with the previous literature and to inform surgeons and clinicians of important changes in the practice of tissue banking and limb reconstruction with bone allograft tiss
{"title":"Bone allograft in limb reconstruction","authors":"M. Kounine, A. Maheshwari, J. Pitcher, H. Temple","doi":"10.1097/BCO.0B013E3282F04F37","DOIUrl":"https://doi.org/10.1097/BCO.0B013E3282F04F37","url":null,"abstract":"Purpose of reviewThe aim of this article is to review the recent literature regarding bone allograft, placing it into perspective with the previous literature and to inform surgeons and clinicians of important changes in the practice of tissue banking and limb reconstruction with bone allograft tiss","PeriodicalId":81061,"journal":{"name":"Current opinion in orthopaedics","volume":"18 1","pages":"579-589"},"PeriodicalIF":0.0,"publicationDate":"2007-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/BCO.0B013E3282F04F37","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62101629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2007-11-01DOI: 10.1097/BCO.0B013E3282F04F52
Devraj Banerjee
{"title":"Outcome in giant cell tumor of bone","authors":"Devraj Banerjee","doi":"10.1097/BCO.0B013E3282F04F52","DOIUrl":"https://doi.org/10.1097/BCO.0B013E3282F04F52","url":null,"abstract":"","PeriodicalId":81061,"journal":{"name":"Current opinion in orthopaedics","volume":"18 1","pages":"611-614"},"PeriodicalIF":0.0,"publicationDate":"2007-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/BCO.0B013E3282F04F52","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62101680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2007-11-01DOI: 10.1097/BCO.0B013E3282F0DAFC
R. J. OʼDonnell
Purpose of review Massive modular endoprostheses used for reconstruction of oncologic defects have historically been secured with stems, either cemented or uncemented. These implants have been subject to failure from aseptic loosening secondary to stress shielding and particle-induced osteolysis, especially in certain anatomic locations, and in many young oncology patients. To overcome these serious problems, Compress technology was invented with the goal of providing not only immediate endoprosthetic anchorage, but also ongoing compliant fixation that induces bone hypertrophy and eliminates aseptic loosening. Recent findings Compress distal femoral endoprosthetic replacements have been analyzed as part of a multiinstitutional 4-year prospective cohort study that culminated in US Food and Drug Administration clearance of the device in December, 2003. Over the past year, the first set of papers detailing the initial experience with Compress patients has been published. Summary Over the past two decades, compressive osseointegration as a means to achieve stable, long-term fixation of modular endoprostheses has moved from concept to reality. Success with distal femoral Compress implants has prompted usage in proximal femoral, proximal tibial, humeral, and intercalary locations. Expansion of orthopaedic osseointegration applications is expected to dramatically change the anchorage of primary arthroplasty and transdermal amputation prostheses.
{"title":"Compressive osseointegration of modular endoprostheses","authors":"R. J. OʼDonnell","doi":"10.1097/BCO.0B013E3282F0DAFC","DOIUrl":"https://doi.org/10.1097/BCO.0B013E3282F0DAFC","url":null,"abstract":"Purpose of review Massive modular endoprostheses used for reconstruction of oncologic defects have historically been secured with stems, either cemented or uncemented. These implants have been subject to failure from aseptic loosening secondary to stress shielding and particle-induced osteolysis, especially in certain anatomic locations, and in many young oncology patients. To overcome these serious problems, Compress technology was invented with the goal of providing not only immediate endoprosthetic anchorage, but also ongoing compliant fixation that induces bone hypertrophy and eliminates aseptic loosening. Recent findings Compress distal femoral endoprosthetic replacements have been analyzed as part of a multiinstitutional 4-year prospective cohort study that culminated in US Food and Drug Administration clearance of the device in December, 2003. Over the past year, the first set of papers detailing the initial experience with Compress patients has been published. Summary Over the past two decades, compressive osseointegration as a means to achieve stable, long-term fixation of modular endoprostheses has moved from concept to reality. Success with distal femoral Compress implants has prompted usage in proximal femoral, proximal tibial, humeral, and intercalary locations. Expansion of orthopaedic osseointegration applications is expected to dramatically change the anchorage of primary arthroplasty and transdermal amputation prostheses.","PeriodicalId":81061,"journal":{"name":"Current opinion in orthopaedics","volume":"18 1","pages":"590-603"},"PeriodicalIF":0.0,"publicationDate":"2007-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/BCO.0B013E3282F0DAFC","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62101878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2007-11-01DOI: 10.1097/BCO.0B013E3282EF6ECC
A. Stotts
Purpose of reviewMany abused children will see an orthopaedist at some point, therefore child abuse remains one of the topics on which an orthopaedist must stay current.Recent findingsThere is an increasing understanding of the risk of child abuse to the child, necessitating prompt recognition and i
{"title":"Orthopaedic aspects of child abuse","authors":"A. Stotts","doi":"10.1097/BCO.0B013E3282EF6ECC","DOIUrl":"https://doi.org/10.1097/BCO.0B013E3282EF6ECC","url":null,"abstract":"Purpose of reviewMany abused children will see an orthopaedist at some point, therefore child abuse remains one of the topics on which an orthopaedist must stay current.Recent findingsThere is an increasing understanding of the risk of child abuse to the child, necessitating prompt recognition and i","PeriodicalId":81061,"journal":{"name":"Current opinion in orthopaedics","volume":"18 1","pages":"550-554"},"PeriodicalIF":0.0,"publicationDate":"2007-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/BCO.0B013E3282EF6ECC","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62101596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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