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DerOrthopaede.00290636.eng.abstr
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DerOrthopaede.00290636.eng.abstr
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"Operational interventions can be planned and simulated accurately with the help of a three-dimensional reconstruction of the anatomical bone structures , created from the tomographic data of a patient . Computer-assisted navigation systems or robotic systems can assist the intraoperative realization of the planned intervention and may support the spatial orientation within the operational field ."
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[] |
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DerOrthopaede.00290641.eng.abstr
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DerOrthopaede.00290641.eng.abstr
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"id": "DerOrthopaede.00290641.eng.abstr-passage-0",
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DerOrthopaede.00290645.eng.abstr
|
DerOrthopaede.00290645.eng.abstr
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"In this paper , we present a medical robot system dedicated to support the surgeon during challenging tasks within orthopedic interventions . The main goal of this work is to develop a system as technically simple as the surgical requirements allow to keep its cost and complexity to a minimum ."
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[] |
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DerOrthopaede.00290650.eng.abstr
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DerOrthopaede.00290650.eng.abstr
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{
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DerOrthopaede.00290658.eng.abstr
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DerOrthopaede.00290658.eng.abstr
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[
{
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"text": [
"Computer-assisted techniques were introduced in spine surgery in the 1990s to improve accuracy and safety of operative procedures . Several reports on clinical results of computer-aided screw insertion in the cervical , thoracic , and lumbar spine as well as the sacro-iliac joints are available . They show a significant decrease of screw malplacement rates as compared to conventional insertion techniques ."
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[] |
[] |
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DerOrthopaede.00290677.eng.abstr
|
DerOrthopaede.00290677.eng.abstr
|
[
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"id": "DerOrthopaede.00290677.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The GCT is a primary bone tumor of intermedier dignity , whereby the forecast of the biological behaviour and outcome is impossible on the base of the conventional histological diagnosis . The authors observed in one of their GCT-patients a malignant transformation of the formerly benign tumor . Through announcement of their case the authors want to call the attention to the importance of the DNA-Cytophotometry and to their possible future additional role in the diagnostics of the GCT and in the prediction of their biological behaviour ."
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] |
[] |
[] |
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}
] |
DerOrthopaede.00290697.eng.abstr
|
DerOrthopaede.00290697.eng.abstr
|
[
{
"id": "DerOrthopaede.00290697.eng.abstr-passage-0",
"type": "abstract",
"text": [
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],
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}
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] |
[] |
[] |
[
{
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] |
DerOrthopaede.00290708.eng.abstr
|
DerOrthopaede.00290708.eng.abstr
|
[
{
"id": "DerOrthopaede.00290708.eng.abstr-passage-0",
"type": "abstract",
"text": [
"About 220 knee endoprostheses are implanted at our clinic annually . This is a routine procedure for the instrument staff . Practice has shown , however , that deficient operating room management as regards the instruments , implants , operating room staff , and surgical planning causes problems . As a result of this , a prophylactic search for sources of error began ( risk management ) . If the sources of error are found , described , and remedied , knee endoprosthetic surgery will be successful for both the patient and the surgical team . Cooperation and communication among manufacturer , surgeon , and surgical nursing staff should serve to minimize forensic risks ."
],
"offsets": [
[
0,
676
]
]
}
] |
[
{
"id": "DerOrthopaede.00290708.eng.abstr-s1-t1",
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"text": [
"knee"
],
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10,
14
]
],
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{
"db_name": "UMLS",
"db_id": "C0022742"
}
]
},
{
"id": "DerOrthopaede.00290708.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"knee endoprostheses"
],
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[
10,
29
]
],
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{
"db_name": "UMLS",
"db_id": "C0022748"
}
]
},
{
"id": "DerOrthopaede.00290708.eng.abstr-s2-t1",
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"text": [
"procedure"
],
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[
87,
96
]
],
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{
"db_name": "UMLS",
"db_id": "C0184661"
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"db_id": "C0025664"
}
]
},
{
"id": "DerOrthopaede.00290708.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"instrument"
],
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[
105,
115
]
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{
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"db_id": "C0243113"
}
]
},
{
"id": "DerOrthopaede.00290708.eng.abstr-s3-t1",
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"text": [
"instruments"
],
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211,
222
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]
},
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"id": "DerOrthopaede.00290708.eng.abstr-s3-t2",
"type": "umlsterm",
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"surgical"
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263,
271
]
],
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"db_id": "C0038895"
}
]
},
{
"id": "DerOrthopaede.00290708.eng.abstr-s3-t3",
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"planning"
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},
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"id": "DerOrthopaede.00290708.eng.abstr-s3-t4",
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},
{
"id": "DerOrthopaede.00290708.eng.abstr-s3-t6",
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"operating room"
],
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236,
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}
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},
{
"id": "DerOrthopaede.00290708.eng.abstr-s4-t1",
"type": "umlsterm",
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"prophylactic"
],
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323,
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},
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"id": "DerOrthopaede.00290708.eng.abstr-s4-t2",
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"risk"
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]
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}
]
},
{
"id": "DerOrthopaede.00290708.eng.abstr-s4-t3",
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"risk management"
],
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372,
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}
]
},
{
"id": "DerOrthopaede.00290708.eng.abstr-s5-t1",
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],
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}
]
},
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"id": "DerOrthopaede.00290708.eng.abstr-s5-t2",
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"surgery"
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]
},
{
"id": "DerOrthopaede.00290708.eng.abstr-s5-t3",
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"db_id": "C0028698"
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}
] |
[] |
[] |
[
{
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{
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},
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},
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},
{
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},
{
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{
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},
{
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},
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] |
DerOrthopaede.00290717.eng.abstr
|
DerOrthopaede.00290717.eng.abstr
|
[
{
"id": "DerOrthopaede.00290717.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The anesthetic care of patients undergoing total knee arthroplasty ( TKA ) is described based on experience with reports of the recent literature ."
],
"offsets": [
[
0,
147
]
]
}
] |
[
{
"id": "DerOrthopaede.00290717.eng.abstr-s1-t1",
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"anesthetic"
],
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4,
14
]
],
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{
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"db_id": "C0002932"
}
]
},
{
"id": "DerOrthopaede.00290717.eng.abstr-s1-t2",
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"care"
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15,
19
]
],
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"patients"
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23,
31
]
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]
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"id": "DerOrthopaede.00290717.eng.abstr-s1-t4",
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"knee"
],
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[
49,
53
]
],
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{
"db_name": "UMLS",
"db_id": "C0022742"
}
]
},
{
"id": "DerOrthopaede.00290717.eng.abstr-s1-t5",
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"arthroplasty"
],
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54,
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]
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"db_id": "C0003893"
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"literature"
],
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135,
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]
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"db_id": "C0023866"
}
]
},
{
"id": "DerOrthopaede.00290717.eng.abstr-s1-t7",
"type": "umlsterm",
"text": [
"knee arthroplasty"
],
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[
49,
66
]
],
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{
"db_name": "UMLS",
"db_id": "C0086511"
}
]
},
{
"id": "DerOrthopaede.00290717.eng.abstr-s1-t8",
"type": "umlsterm",
"text": [
"total knee arthroplasty"
],
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[
43,
66
]
],
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{
"db_name": "UMLS",
"db_id": "C0086511"
}
]
}
] |
[] |
[] |
[
{
"id": "DerOrthopaede.00290717.eng.abstr-s1-r1-t4.1-t7.1",
"type": "location_of",
"arg1_id": "DerOrthopaede.00290717.eng.abstr-s1-t4",
"arg2_id": "DerOrthopaede.00290717.eng.abstr-s1-t7",
"normalized": []
},
{
"id": "DerOrthopaede.00290717.eng.abstr-s1-r2-t2.1-t8.1",
"type": "performs",
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"arg2_id": "DerOrthopaede.00290717.eng.abstr-s1-t8",
"normalized": []
},
{
"id": "DerOrthopaede.00290717.eng.abstr-s1-r3-t4.1-t8.1",
"type": "location_of",
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"arg2_id": "DerOrthopaede.00290717.eng.abstr-s1-t8",
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},
{
"id": "DerOrthopaede.00290717.eng.abstr-s1-r4-t2.1-t6.1",
"type": "uses",
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"normalized": []
},
{
"id": "DerOrthopaede.00290717.eng.abstr-s1-r5-t2.1-t7.1",
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"arg2_id": "DerOrthopaede.00290717.eng.abstr-s1-t7",
"normalized": []
},
{
"id": "DerOrthopaede.00290717.eng.abstr-s1-r6-t7.1-t2.1",
"type": "affects",
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"arg2_id": "DerOrthopaede.00290717.eng.abstr-s1-t2",
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},
{
"id": "DerOrthopaede.00290717.eng.abstr-s1-r7-t8.1-t1.1",
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},
{
"id": "DerOrthopaede.00290717.eng.abstr-s1-r8-t7.1-t1.1",
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},
{
"id": "DerOrthopaede.00290717.eng.abstr-s1-r9-t5.1-t1.1",
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{
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},
{
"id": "DerOrthopaede.00290717.eng.abstr-s1-r12-t5.1-t2.1",
"type": "affects",
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},
{
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"arg2_id": "DerOrthopaede.00290717.eng.abstr-s1-t2",
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}
] |
DerOrthopaede.00290722.eng.abstr
|
DerOrthopaede.00290722.eng.abstr
|
[
{
"id": "DerOrthopaede.00290722.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The experiments described herein permitted the dynamic in vitro measurement of the mechanical efficiency of the quadriceps muscle , both before and after total knee arthroplasty ( TKA ) . The measurement of tibiofemoral pressure on fixed and mobile polyethylene inlays , as well as the movement of mobile inlays , is described . The Interax TKA system was implanted in 8 fresh frozen knee cadavers which were then mounted onto a knee-simulating machine . An isokinetic extension motion was simulated by extending the knee specimens under a constant extension torque of 31 Nm ."
],
"offsets": [
[
0,
576
]
]
}
] |
[
{
"id": "DerOrthopaede.00290722.eng.abstr-s1-t1",
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"text": [
"measurement"
],
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[
64,
75
]
],
"normalized": [
{
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"db_id": "C0242485"
}
]
},
{
"id": "DerOrthopaede.00290722.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"efficiency"
],
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[
94,
104
]
],
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{
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"db_id": "C0013682"
}
]
},
{
"id": "DerOrthopaede.00290722.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"muscle"
],
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[
123,
129
]
],
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{
"db_name": "UMLS",
"db_id": "C0026845"
}
]
},
{
"id": "DerOrthopaede.00290722.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"knee"
],
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[
160,
164
]
],
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{
"db_name": "UMLS",
"db_id": "C0022742"
}
]
},
{
"id": "DerOrthopaede.00290722.eng.abstr-s1-t5",
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"text": [
"arthroplasty"
],
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[
165,
177
]
],
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"db_name": "UMLS",
"db_id": "C0003893"
}
]
},
{
"id": "DerOrthopaede.00290722.eng.abstr-s1-t6",
"type": "umlsterm",
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"in vitro"
],
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[
55,
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]
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"db_id": "C0021135"
}
]
},
{
"id": "DerOrthopaede.00290722.eng.abstr-s1-t7",
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"text": [
"knee arthroplasty"
],
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[
160,
177
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],
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"db_name": "UMLS",
"db_id": "C0086511"
}
]
},
{
"id": "DerOrthopaede.00290722.eng.abstr-s1-t8",
"type": "umlsterm",
"text": [
"total knee arthroplasty"
],
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154,
177
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],
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"db_id": "C0086511"
}
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},
{
"id": "DerOrthopaede.00290722.eng.abstr-s2-t1",
"type": "umlsterm",
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"measurement"
],
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[
192,
203
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}
]
},
{
"id": "DerOrthopaede.00290722.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"pressure"
],
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[
220,
228
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0033095"
}
]
},
{
"id": "DerOrthopaede.00290722.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"polyethylene"
],
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[
249,
261
]
],
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"db_id": "C0137914"
},
{
"db_name": "UMLS",
"db_id": "C0032487"
}
]
},
{
"id": "DerOrthopaede.00290722.eng.abstr-s2-t4",
"type": "umlsterm",
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"movement"
],
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286,
294
]
],
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{
"db_name": "UMLS",
"db_id": "C0026649"
}
]
},
{
"id": "DerOrthopaede.00290722.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"knee"
],
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[
384,
388
]
],
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}
]
},
{
"id": "DerOrthopaede.00290722.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"cadavers"
],
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389,
397
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],
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"db_id": "C0006629"
}
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},
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"id": "DerOrthopaede.00290722.eng.abstr-s4-t1",
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"motion"
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"db_id": "C0026597"
}
]
},
{
"id": "DerOrthopaede.00290722.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"simulated"
],
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490,
499
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"db_id": "C0284447"
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]
},
{
"id": "DerOrthopaede.00290722.eng.abstr-s4-t3",
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},
{
"id": "DerOrthopaede.00290722.eng.abstr-s4-t4",
"type": "umlsterm",
"text": [
"torque"
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],
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{
"db_name": "UMLS",
"db_id": "C0376590"
}
]
}
] |
[] |
[] |
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},
{
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{
"id": "DerOrthopaede.00290722.eng.abstr-s1-r10-t1.1-t8.1",
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},
{
"id": "DerOrthopaede.00290722.eng.abstr-s1-r11-t4.1-t5.1",
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},
{
"id": "DerOrthopaede.00290722.eng.abstr-s1-r12-t6.1-t8.1",
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},
{
"id": "DerOrthopaede.00290722.eng.abstr-s1-r13-t1.1-t4.1",
"type": "measurement_of",
"arg1_id": "DerOrthopaede.00290722.eng.abstr-s4-t1",
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},
{
"id": "DerOrthopaede.00290722.eng.abstr-s1-r14-t3.1-t6.1",
"type": "location_of",
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},
{
"id": "DerOrthopaede.00290722.eng.abstr-s2-r1-t1.1-t3.2",
"type": "measures",
"arg1_id": "DerOrthopaede.00290722.eng.abstr-s4-t1",
"arg2_id": "DerOrthopaede.00290722.eng.abstr-s2-t3",
"normalized": []
},
{
"id": "DerOrthopaede.00290722.eng.abstr-s2-r2-t3.1-t4.1",
"type": "affects",
"arg1_id": "DerOrthopaede.00290722.eng.abstr-s4-t3",
"arg2_id": "DerOrthopaede.00290722.eng.abstr-s4-t4",
"normalized": []
},
{
"id": "DerOrthopaede.00290722.eng.abstr-s2-r3-t3.2-t4.1",
"type": "affects",
"arg1_id": "DerOrthopaede.00290722.eng.abstr-s2-t3",
"arg2_id": "DerOrthopaede.00290722.eng.abstr-s4-t4",
"normalized": []
},
{
"id": "DerOrthopaede.00290722.eng.abstr-s2-r4-t1.1-t4.1",
"type": "measures",
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"arg2_id": "DerOrthopaede.00290722.eng.abstr-s4-t4",
"normalized": []
},
{
"id": "DerOrthopaede.00290722.eng.abstr-s2-r5-t3.2-t3.1",
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DerOrthopaede.00290727.eng.abstr
|
DerOrthopaede.00290727.eng.abstr
|
[
{
"id": "DerOrthopaede.00290727.eng.abstr-passage-0",
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"The possibilities of using different material combinations for the replacement of knee joint endoprostheses are very limited . Therefore , cobalt-chromium-molybdenum alloys are currently being used for femoral components and ultra-high molecular weight polyethylene for tribologically stressed tibial components . Titanium alloys can be considered for the tibial component only ."
],
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[
0,
379
]
]
}
] |
[
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},
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{
"id": "DerOrthopaede.00290727.eng.abstr-s2-t7",
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"id": "DerOrthopaede.00290727.eng.abstr-s2-t8",
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}
] |
[] |
[] |
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"id": "DerOrthopaede.00290727.eng.abstr-s3-r1-t2.1-t1.1",
"type": "interacts_with",
"arg1_id": "DerOrthopaede.00290727.eng.abstr-s3-t2",
"arg2_id": "DerOrthopaede.00290727.eng.abstr-s3-t1",
"normalized": []
},
{
"id": "DerOrthopaede.00290727.eng.abstr-s3-r2-t1.1-t2.1",
"type": "interacts_with",
"arg1_id": "DerOrthopaede.00290727.eng.abstr-s3-t1",
"arg2_id": "DerOrthopaede.00290727.eng.abstr-s3-t2",
"normalized": []
}
] |
DerOrthopaede.00290732.eng.abstr
|
DerOrthopaede.00290732.eng.abstr
|
[
{
"id": "DerOrthopaede.00290732.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Despite improvements in component design , instruments , and operative technique , there remains a significant complication and failure rate in total knee arthroplasty ( TKA ) . Revision TKA accounts for every tenth operation in TKA . From June 1991 to June 1994 , 209 TKAs ( 182 patients ) were performed . Of these , 73 % were uncemented , 11.2 % cemented , and 15.8 % hybrid . The patella was resurfaced in 96 % with a cemented polyethylene or an uncemented metal-backed patella component ."
],
"offsets": [
[
0,
493
]
]
}
] |
[
{
"id": "DerOrthopaede.00290732.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"instruments"
],
"offsets": [
[
43,
54
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0243113"
}
]
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"technique"
],
"offsets": [
[
71,
80
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0025664"
}
]
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"complication"
],
"offsets": [
[
111,
123
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0009566"
}
]
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"knee"
],
"offsets": [
[
150,
154
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0022742"
}
]
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"arthroplasty"
],
"offsets": [
[
155,
167
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0003893"
}
]
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"knee arthroplasty"
],
"offsets": [
[
150,
167
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0086511"
}
]
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s1-t7",
"type": "umlsterm",
"text": [
"total knee arthroplasty"
],
"offsets": [
[
144,
167
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0086511"
}
]
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"operation"
],
"offsets": [
[
216,
225
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0543467"
},
{
"db_name": "UMLS",
"db_id": "C0038895"
}
]
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"June"
],
"offsets": [
[
240,
244
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0162508"
}
]
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"June"
],
"offsets": [
[
253,
257
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0162508"
}
]
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"patients"
],
"offsets": [
[
280,
288
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"hybrid"
],
"offsets": [
[
371,
377
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0020205"
}
]
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"patella"
],
"offsets": [
[
384,
391
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030647"
}
]
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"polyethylene"
],
"offsets": [
[
431,
443
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0137914"
},
{
"db_name": "UMLS",
"db_id": "C0032487"
}
]
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s5-t3",
"type": "umlsterm",
"text": [
"metal-backed"
],
"offsets": [
[
461,
473
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0025552"
}
]
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s5-t4",
"type": "umlsterm",
"text": [
"patella"
],
"offsets": [
[
474,
481
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030647"
}
]
}
] |
[] |
[] |
[
{
"id": "DerOrthopaede.00290732.eng.abstr-s1-r1-t1.1-t6.1",
"type": "location_of",
"arg1_id": "DerOrthopaede.00290732.eng.abstr-s5-t1",
"arg2_id": "DerOrthopaede.00290732.eng.abstr-s1-t6",
"normalized": []
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s1-r2-t7.1-t1.1",
"type": "associated_with",
"arg1_id": "DerOrthopaede.00290732.eng.abstr-s1-t7",
"arg2_id": "DerOrthopaede.00290732.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s1-r3-t1.1-t5.1",
"type": "location_of",
"arg1_id": "DerOrthopaede.00290732.eng.abstr-s5-t1",
"arg2_id": "DerOrthopaede.00290732.eng.abstr-s1-t5",
"normalized": []
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s1-r4-t5.1-t3.1",
"type": "associated_with",
"arg1_id": "DerOrthopaede.00290732.eng.abstr-s1-t5",
"arg2_id": "DerOrthopaede.00290732.eng.abstr-s5-t3",
"normalized": []
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s1-r5-t1.1-t3.1",
"type": "causes",
"arg1_id": "DerOrthopaede.00290732.eng.abstr-s5-t1",
"arg2_id": "DerOrthopaede.00290732.eng.abstr-s5-t3",
"normalized": []
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s1-r6-t3.1-t7.1",
"type": "associated_with",
"arg1_id": "DerOrthopaede.00290732.eng.abstr-s5-t3",
"arg2_id": "DerOrthopaede.00290732.eng.abstr-s1-t7",
"normalized": []
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s1-r7-t3.1-t6.1",
"type": "associated_with",
"arg1_id": "DerOrthopaede.00290732.eng.abstr-s5-t3",
"arg2_id": "DerOrthopaede.00290732.eng.abstr-s1-t6",
"normalized": []
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s1-r8-t5.1-t1.1",
"type": "associated_with",
"arg1_id": "DerOrthopaede.00290732.eng.abstr-s1-t5",
"arg2_id": "DerOrthopaede.00290732.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s1-r9-t3.1-t5.1",
"type": "associated_with",
"arg1_id": "DerOrthopaede.00290732.eng.abstr-s5-t3",
"arg2_id": "DerOrthopaede.00290732.eng.abstr-s1-t5",
"normalized": []
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s1-r10-t1.1-t3.1",
"type": "location_of",
"arg1_id": "DerOrthopaede.00290732.eng.abstr-s5-t1",
"arg2_id": "DerOrthopaede.00290732.eng.abstr-s5-t3",
"normalized": []
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s1-r11-t6.1-t3.1",
"type": "associated_with",
"arg1_id": "DerOrthopaede.00290732.eng.abstr-s1-t6",
"arg2_id": "DerOrthopaede.00290732.eng.abstr-s5-t3",
"normalized": []
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s1-r12-t1.1-t7.1",
"type": "associated_with",
"arg1_id": "DerOrthopaede.00290732.eng.abstr-s5-t1",
"arg2_id": "DerOrthopaede.00290732.eng.abstr-s1-t7",
"normalized": []
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s1-r13-t1.1-t6.1",
"type": "associated_with",
"arg1_id": "DerOrthopaede.00290732.eng.abstr-s5-t1",
"arg2_id": "DerOrthopaede.00290732.eng.abstr-s1-t6",
"normalized": []
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s1-r14-t6.1-t1.1",
"type": "associated_with",
"arg1_id": "DerOrthopaede.00290732.eng.abstr-s1-t6",
"arg2_id": "DerOrthopaede.00290732.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s1-r15-t1.1-t5.1",
"type": "associated_with",
"arg1_id": "DerOrthopaede.00290732.eng.abstr-s5-t1",
"arg2_id": "DerOrthopaede.00290732.eng.abstr-s1-t5",
"normalized": []
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s1-r16-t1.1-t7.1",
"type": "location_of",
"arg1_id": "DerOrthopaede.00290732.eng.abstr-s5-t1",
"arg2_id": "DerOrthopaede.00290732.eng.abstr-s1-t7",
"normalized": []
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s1-r17-t5.1-t1.1",
"type": "uses",
"arg1_id": "DerOrthopaede.00290732.eng.abstr-s1-t5",
"arg2_id": "DerOrthopaede.00290732.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s1-r18-t6.1-t1.1",
"type": "uses",
"arg1_id": "DerOrthopaede.00290732.eng.abstr-s1-t6",
"arg2_id": "DerOrthopaede.00290732.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s1-r19-t7.1-t1.1",
"type": "uses",
"arg1_id": "DerOrthopaede.00290732.eng.abstr-s1-t7",
"arg2_id": "DerOrthopaede.00290732.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s1-r20-t7.1-t3.1",
"type": "associated_with",
"arg1_id": "DerOrthopaede.00290732.eng.abstr-s1-t7",
"arg2_id": "DerOrthopaede.00290732.eng.abstr-s5-t3",
"normalized": []
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s5-r1-t3.1-t2.2",
"type": "interacts_with",
"arg1_id": "DerOrthopaede.00290732.eng.abstr-s5-t3",
"arg2_id": "DerOrthopaede.00290732.eng.abstr-s5-t2",
"normalized": []
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s5-r2-t2.2-t3.1",
"type": "interacts_with",
"arg1_id": "DerOrthopaede.00290732.eng.abstr-s5-t2",
"arg2_id": "DerOrthopaede.00290732.eng.abstr-s5-t3",
"normalized": []
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s5-r4-t1.1-t2.1",
"type": "produces",
"arg1_id": "DerOrthopaede.00290732.eng.abstr-s5-t1",
"arg2_id": "DerOrthopaede.00290732.eng.abstr-s5-t2",
"normalized": []
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s5-r5-t4.1-t2.2",
"type": "produces",
"arg1_id": "DerOrthopaede.00290732.eng.abstr-s5-t4",
"arg2_id": "DerOrthopaede.00290732.eng.abstr-s5-t2",
"normalized": []
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s5-r6-t3.1-t2.1",
"type": "interacts_with",
"arg1_id": "DerOrthopaede.00290732.eng.abstr-s5-t3",
"arg2_id": "DerOrthopaede.00290732.eng.abstr-s5-t2",
"normalized": []
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s5-r7-t4.1-t2.1",
"type": "produces",
"arg1_id": "DerOrthopaede.00290732.eng.abstr-s5-t4",
"arg2_id": "DerOrthopaede.00290732.eng.abstr-s5-t2",
"normalized": []
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s5-r9-t2.1-t3.1",
"type": "interacts_with",
"arg1_id": "DerOrthopaede.00290732.eng.abstr-s5-t2",
"arg2_id": "DerOrthopaede.00290732.eng.abstr-s5-t3",
"normalized": []
},
{
"id": "DerOrthopaede.00290732.eng.abstr-s5-r10-t1.1-t2.2",
"type": "produces",
"arg1_id": "DerOrthopaede.00290732.eng.abstr-s5-t1",
"arg2_id": "DerOrthopaede.00290732.eng.abstr-s5-t2",
"normalized": []
}
] |
DerOrthopaede.00290739.eng.abstr
|
DerOrthopaede.00290739.eng.abstr
|
[
{
"id": "DerOrthopaede.00290739.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Many patients would like to resume some sport activities after total knee replacement ; however , most recommendations are based on subjective opinion rather than scientific evidence ."
],
"offsets": [
[
0,
184
]
]
}
] |
[
{
"id": "DerOrthopaede.00290739.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"patients"
],
"offsets": [
[
5,
13
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerOrthopaede.00290739.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"sport"
],
"offsets": [
[
40,
45
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0038039"
}
]
},
{
"id": "DerOrthopaede.00290739.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"knee"
],
"offsets": [
[
69,
73
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0022742"
}
]
},
{
"id": "DerOrthopaede.00290739.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"recommendations"
],
"offsets": [
[
103,
118
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0034866"
}
]
},
{
"id": "DerOrthopaede.00290739.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"sport activities"
],
"offsets": [
[
40,
56
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0038039"
}
]
},
{
"id": "DerOrthopaede.00290739.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"knee replacement"
],
"offsets": [
[
69,
85
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0086511"
}
]
},
{
"id": "DerOrthopaede.00290739.eng.abstr-s1-t7",
"type": "umlsterm",
"text": [
"total knee replacement"
],
"offsets": [
[
63,
85
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0086511"
}
]
}
] |
[] |
[] |
[
{
"id": "DerOrthopaede.00290739.eng.abstr-s1-r1-t1.1-t6.1",
"type": "performs",
"arg1_id": "DerOrthopaede.00290739.eng.abstr-s1-t1",
"arg2_id": "DerOrthopaede.00290739.eng.abstr-s1-t6",
"normalized": []
},
{
"id": "DerOrthopaede.00290739.eng.abstr-s1-r2-t3.1-t4.1",
"type": "isa",
"arg1_id": "DerOrthopaede.00290739.eng.abstr-s1-t3",
"arg2_id": "DerOrthopaede.00290739.eng.abstr-s1-t4",
"normalized": []
},
{
"id": "DerOrthopaede.00290739.eng.abstr-s1-r3-t1.1-t4.1",
"type": "performs",
"arg1_id": "DerOrthopaede.00290739.eng.abstr-s1-t1",
"arg2_id": "DerOrthopaede.00290739.eng.abstr-s1-t4",
"normalized": []
},
{
"id": "DerOrthopaede.00290739.eng.abstr-s1-r4-t1.1-t2.1",
"type": "performs",
"arg1_id": "DerOrthopaede.00290739.eng.abstr-s1-t1",
"arg2_id": "DerOrthopaede.00290739.eng.abstr-s1-t2",
"normalized": []
},
{
"id": "DerOrthopaede.00290739.eng.abstr-s1-r5-t1.1-t7.1",
"type": "performs",
"arg1_id": "DerOrthopaede.00290739.eng.abstr-s1-t1",
"arg2_id": "DerOrthopaede.00290739.eng.abstr-s1-t7",
"normalized": []
},
{
"id": "DerOrthopaede.00290739.eng.abstr-s1-r6-t3.1-t7.1",
"type": "location_of",
"arg1_id": "DerOrthopaede.00290739.eng.abstr-s1-t3",
"arg2_id": "DerOrthopaede.00290739.eng.abstr-s1-t7",
"normalized": []
},
{
"id": "DerOrthopaede.00290739.eng.abstr-s1-r7-t6.1-t1.1",
"type": "affects",
"arg1_id": "DerOrthopaede.00290739.eng.abstr-s1-t6",
"arg2_id": "DerOrthopaede.00290739.eng.abstr-s1-t1",
"normalized": []
},
{
"id": "DerOrthopaede.00290739.eng.abstr-s1-r8-t7.1-t1.1",
"type": "affects",
"arg1_id": "DerOrthopaede.00290739.eng.abstr-s1-t7",
"arg2_id": "DerOrthopaede.00290739.eng.abstr-s1-t1",
"normalized": []
},
{
"id": "DerOrthopaede.00290739.eng.abstr-s1-r9-t3.1-t6.1",
"type": "location_of",
"arg1_id": "DerOrthopaede.00290739.eng.abstr-s1-t3",
"arg2_id": "DerOrthopaede.00290739.eng.abstr-s1-t6",
"normalized": []
}
] |
DerOrthopaede.00290757.eng.abstr
|
DerOrthopaede.00290757.eng.abstr
|
[
{
"id": "DerOrthopaede.00290757.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Posttraumatic deformities after pediatric fractures are either the result of incomplete or failed remodeling , complete or partial stimulation of the growth plates , or complete or partial closure of a growth plate . In contrast to fractures of the upper extremities , spontaneous remodeling should not be intentionally integrated in the treatment algorithm ."
],
"offsets": [
[
0,
359
]
]
}
] |
[
{
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DerOrthopaede.00290766.eng.abstr
|
DerOrthopaede.00290766.eng.abstr
|
[
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],
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]
]
}
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[] |
[] |
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"id": "DerOrthopaede.00290766.eng.abstr-s1-r14-t9.1-t7.1",
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},
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"id": "DerOrthopaede.00290766.eng.abstr-s1-r15-t3.1-t2.1",
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},
{
"id": "DerOrthopaede.00290766.eng.abstr-s1-r16-t9.1-t1.1",
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"arg2_id": "DerOrthopaede.00290766.eng.abstr-s1-t1",
"normalized": []
},
{
"id": "DerOrthopaede.00290766.eng.abstr-s1-r17-t8.1-t5.1",
"type": "adjacent_to",
"arg1_id": "DerOrthopaede.00290766.eng.abstr-s1-t8",
"arg2_id": "DerOrthopaede.00290766.eng.abstr-s1-t5",
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},
{
"id": "DerOrthopaede.00290766.eng.abstr-s1-r18-t3.1-t2.1",
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},
{
"id": "DerOrthopaede.00290766.eng.abstr-s1-r19-t9.1-t6.1",
"type": "adjacent_to",
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"arg2_id": "DerOrthopaede.00290766.eng.abstr-s1-t6",
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},
{
"id": "DerOrthopaede.00290766.eng.abstr-s1-r20-t3.2-t2.1",
"type": "result_of",
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},
{
"id": "DerOrthopaede.00290766.eng.abstr-s1-r21-t8.1-t3.2",
"type": "location_of",
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},
{
"id": "DerOrthopaede.00290766.eng.abstr-s1-r22-t9.1-t5.1",
"type": "adjacent_to",
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},
{
"id": "DerOrthopaede.00290766.eng.abstr-s1-r23-t3.2-t2.1",
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},
{
"id": "DerOrthopaede.00290766.eng.abstr-s1-r24-t2.1-t3.2",
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}
] |
DerOrthopaede.00290787.eng.abstr
|
DerOrthopaede.00290787.eng.abstr
|
[
{
"id": "DerOrthopaede.00290787.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Limb lengthening in dwarfism has become a standardised procedure with a good prognosis . In most cases external fixation is used . Gain of leg length up to 15 cm and more is possible in the lower leg and the femur and 8.5 cm in the humerus . Limb lengthening is useful in many cases of dwarfism due to skeletal dysplasia . There are a number of risks and possible complications involved and the procedure also requires considerable time . We report the results of 48 patients with dwarfism operated on in the Orthopaedische Kinderklinik Aschau ( Orthopaedic Hospital for Children ) ."
],
"offsets": [
[
0,
583
]
]
}
] |
[
{
"id": "DerOrthopaede.00290787.eng.abstr-s1-t1",
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"text": [
"Limb"
],
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[
0,
4
]
],
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{
"db_name": "UMLS",
"db_id": "C0015385"
}
]
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s1-t2",
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"dwarfism"
],
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[
20,
28
]
],
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{
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"db_id": "C0013336"
}
]
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"procedure"
],
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[
55,
64
]
],
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{
"db_name": "UMLS",
"db_id": "C0184661"
},
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"db_id": "C0025664"
}
]
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"prognosis"
],
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[
77,
86
]
],
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{
"db_name": "UMLS",
"db_id": "C0033325"
}
]
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"leg"
],
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[
139,
142
]
],
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{
"db_name": "UMLS",
"db_id": "C0023216"
}
]
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"leg"
],
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[
196,
199
]
],
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{
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"db_id": "C0023216"
}
]
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"femur"
],
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[
208,
213
]
],
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{
"db_name": "UMLS",
"db_id": "C0015811"
}
]
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"humerus"
],
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[
232,
239
]
],
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{
"db_name": "UMLS",
"db_id": "C0020164"
}
]
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"Limb"
],
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[
242,
246
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0015385"
}
]
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"dwarfism"
],
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[
286,
294
]
],
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{
"db_name": "UMLS",
"db_id": "C0013336"
}
]
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"risks"
],
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[
345,
350
]
],
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{
"db_name": "UMLS",
"db_id": "C0035647"
}
]
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"complications"
],
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364,
377
]
],
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{
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"db_id": "C0009566"
}
]
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s5-t3",
"type": "umlsterm",
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"procedure"
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[
395,
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]
],
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}
]
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s5-t4",
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"time"
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432,
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]
],
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{
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}
]
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s6-t1",
"type": "umlsterm",
"text": [
"patients"
],
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[
467,
475
]
],
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{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s6-t2",
"type": "umlsterm",
"text": [
"dwarfism"
],
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[
481,
489
]
],
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{
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]
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s6-t3",
"type": "umlsterm",
"text": [
"Hospital"
],
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[
558,
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}
]
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s6-t4",
"type": "umlsterm",
"text": [
"Children"
],
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[
571,
579
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0008059"
}
]
}
] |
[] |
[] |
[
{
"id": "DerOrthopaede.00290787.eng.abstr-s1-r1-t2.1-t3.1",
"type": "associated_with",
"arg1_id": "DerOrthopaede.00290787.eng.abstr-s6-t2",
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},
{
"id": "DerOrthopaede.00290787.eng.abstr-s1-r2-t1.1-t2.1",
"type": "location_of",
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},
{
"id": "DerOrthopaede.00290787.eng.abstr-s1-r3-t3.1-t1.1",
"type": "measurement_of",
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"arg2_id": "DerOrthopaede.00290787.eng.abstr-s6-t1",
"normalized": []
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s1-r4-t3.1-t2.1",
"type": "associated_with",
"arg1_id": "DerOrthopaede.00290787.eng.abstr-s6-t3",
"arg2_id": "DerOrthopaede.00290787.eng.abstr-s6-t2",
"normalized": []
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s3-r1-t1.1-t3.1",
"type": "adjacent_to",
"arg1_id": "DerOrthopaede.00290787.eng.abstr-s6-t1",
"arg2_id": "DerOrthopaede.00290787.eng.abstr-s6-t3",
"normalized": []
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s3-r2-t4.1-t1.1",
"type": "adjacent_to",
"arg1_id": "DerOrthopaede.00290787.eng.abstr-s6-t4",
"arg2_id": "DerOrthopaede.00290787.eng.abstr-s6-t1",
"normalized": []
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s3-r3-t2.1-t4.1",
"type": "adjacent_to",
"arg1_id": "DerOrthopaede.00290787.eng.abstr-s6-t2",
"arg2_id": "DerOrthopaede.00290787.eng.abstr-s6-t4",
"normalized": []
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s3-r4-t3.1-t2.1",
"type": "adjacent_to",
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"arg2_id": "DerOrthopaede.00290787.eng.abstr-s6-t2",
"normalized": []
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s3-r5-t2.1-t3.1",
"type": "adjacent_to",
"arg1_id": "DerOrthopaede.00290787.eng.abstr-s6-t2",
"arg2_id": "DerOrthopaede.00290787.eng.abstr-s6-t3",
"normalized": []
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s3-r6-t1.1-t4.1",
"type": "adjacent_to",
"arg1_id": "DerOrthopaede.00290787.eng.abstr-s6-t1",
"arg2_id": "DerOrthopaede.00290787.eng.abstr-s6-t4",
"normalized": []
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s3-r7-t3.1-t1.1",
"type": "adjacent_to",
"arg1_id": "DerOrthopaede.00290787.eng.abstr-s6-t3",
"arg2_id": "DerOrthopaede.00290787.eng.abstr-s6-t1",
"normalized": []
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s3-r8-t4.1-t2.1",
"type": "adjacent_to",
"arg1_id": "DerOrthopaede.00290787.eng.abstr-s6-t4",
"arg2_id": "DerOrthopaede.00290787.eng.abstr-s6-t2",
"normalized": []
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s4-r1-t1.1-t2.1",
"type": "location_of",
"arg1_id": "DerOrthopaede.00290787.eng.abstr-s6-t1",
"arg2_id": "DerOrthopaede.00290787.eng.abstr-s6-t2",
"normalized": []
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s6-r1-t1.1-t3.1",
"type": "uses",
"arg1_id": "DerOrthopaede.00290787.eng.abstr-s6-t1",
"arg2_id": "DerOrthopaede.00290787.eng.abstr-s6-t3",
"normalized": []
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s6-r2-t4.1-t3.1",
"type": "uses",
"arg1_id": "DerOrthopaede.00290787.eng.abstr-s6-t4",
"arg2_id": "DerOrthopaede.00290787.eng.abstr-s6-t3",
"normalized": []
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s6-r3-t4.1-t1.1",
"type": "interacts_with",
"arg1_id": "DerOrthopaede.00290787.eng.abstr-s6-t4",
"arg2_id": "DerOrthopaede.00290787.eng.abstr-s6-t1",
"normalized": []
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s6-r4-t2.1-t1.1",
"type": "occurs_in",
"arg1_id": "DerOrthopaede.00290787.eng.abstr-s6-t2",
"arg2_id": "DerOrthopaede.00290787.eng.abstr-s6-t1",
"normalized": []
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s6-r5-t3.1-t2.1",
"type": "causes",
"arg1_id": "DerOrthopaede.00290787.eng.abstr-s6-t3",
"arg2_id": "DerOrthopaede.00290787.eng.abstr-s6-t2",
"normalized": []
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s6-r6-t1.1-t4.1",
"type": "interacts_with",
"arg1_id": "DerOrthopaede.00290787.eng.abstr-s6-t1",
"arg2_id": "DerOrthopaede.00290787.eng.abstr-s6-t4",
"normalized": []
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s6-r7-t3.1-t1.1",
"type": "manages",
"arg1_id": "DerOrthopaede.00290787.eng.abstr-s6-t3",
"arg2_id": "DerOrthopaede.00290787.eng.abstr-s6-t1",
"normalized": []
},
{
"id": "DerOrthopaede.00290787.eng.abstr-s6-r8-t2.1-t4.1",
"type": "occurs_in",
"arg1_id": "DerOrthopaede.00290787.eng.abstr-s6-t2",
"arg2_id": "DerOrthopaede.00290787.eng.abstr-s6-t4",
"normalized": []
}
] |
DerOrthopaede.00290795.eng.abstr
|
DerOrthopaede.00290795.eng.abstr
|
[
{
"id": "DerOrthopaede.00290795.eng.abstr-passage-0",
"type": "abstract",
"text": [
"First , we describe the physiological development of the torsion of the femoral neck , starting from about an angle of 35 ° at the time of birth up to an angle of a mean value of about 15 ° at the end of bone growth ."
],
"offsets": [
[
0,
217
]
]
}
] |
[
{
"id": "DerOrthopaede.00290795.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"development"
],
"offsets": [
[
38,
49
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0243107"
},
{
"db_name": "UMLS",
"db_id": "C0020119"
}
]
},
{
"id": "DerOrthopaede.00290795.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"torsion"
],
"offsets": [
[
57,
64
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0040480"
}
]
},
{
"id": "DerOrthopaede.00290795.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"neck"
],
"offsets": [
[
80,
84
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0027530"
}
]
},
{
"id": "DerOrthopaede.00290795.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"time"
],
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[
131,
135
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0040223"
}
]
},
{
"id": "DerOrthopaede.00290795.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"birth"
],
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[
139,
144
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0005615"
}
]
},
{
"id": "DerOrthopaede.00290795.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"value"
],
"offsets": [
[
170,
175
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0042295"
}
]
},
{
"id": "DerOrthopaede.00290795.eng.abstr-s1-t7",
"type": "umlsterm",
"text": [
"bone"
],
"offsets": [
[
204,
208
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0262950"
}
]
},
{
"id": "DerOrthopaede.00290795.eng.abstr-s1-t8",
"type": "umlsterm",
"text": [
"growth"
],
"offsets": [
[
209,
215
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0018270"
},
{
"db_name": "UMLS",
"db_id": "C0220844"
}
]
}
] |
[] |
[] |
[
{
"id": "DerOrthopaede.00290795.eng.abstr-s1-r1-t5.1-t2.1",
"type": "result_of",
"arg1_id": "DerOrthopaede.00290795.eng.abstr-s1-t5",
"arg2_id": "DerOrthopaede.00290795.eng.abstr-s1-t2",
"normalized": []
},
{
"id": "DerOrthopaede.00290795.eng.abstr-s1-r2-t7.1-t2.1",
"type": "location_of",
"arg1_id": "DerOrthopaede.00290795.eng.abstr-s1-t7",
"arg2_id": "DerOrthopaede.00290795.eng.abstr-s1-t2",
"normalized": []
},
{
"id": "DerOrthopaede.00290795.eng.abstr-s1-r3-t4.1-t1.1",
"type": "result_of",
"arg1_id": "DerOrthopaede.00290795.eng.abstr-s1-t4",
"arg2_id": "DerOrthopaede.00290795.eng.abstr-s1-t1",
"normalized": []
},
{
"id": "DerOrthopaede.00290795.eng.abstr-s1-r4-t3.1-t7.1",
"type": "adjacent_to",
"arg1_id": "DerOrthopaede.00290795.eng.abstr-s1-t3",
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},
{
"id": "DerOrthopaede.00290795.eng.abstr-s1-r5-t3.1-t2.1",
"type": "location_of",
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DerOrthopaede.00290802.eng.abstr
|
DerOrthopaede.00290802.eng.abstr
|
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{
"id": "DerOrthopaede.00290802.eng.abstr-passage-0",
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"text": [
"Tibial torsion defects are usually not clinically evident and , hence , are often overlooked . Clinical examination and CT scan have proved to be the best ways of measuring static tibial torsion , whereas dynamic measurements are usually performed in the clinic and the \" gait laboratory . \" Only few studies have determined there to be a connection between a torsion defect in the lower leg and expected pathological conditions of the knee and ankle joints . However , patellofemoral instability , Osgood-Schlatter disease , osteochondrosis dissecans are increasingly being found in cases of increased external tibial torsion and arthrosis in reduced torsion ."
],
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}
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[] |
[] |
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] |
DerOrthopaede.00290808.eng.abstr
|
DerOrthopaede.00290808.eng.abstr
|
[
{
"id": "DerOrthopaede.00290808.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Patients with spastic cerebral palsy often develop torsional deformities at the level of hip , shank or foot . The abnormal muscle activity such as spasticity or the increase of tone are considered as the major cause . The present study shows that the gait pattern is another cause which may lead to deformities . The study is based on gait analysis of 13 patients and 8 normal controls . The major and significant differences in gait kinematics were toe walking , toeing-in and internal rotation at the hip in the patients whereas the unaffected control group had a physiological heel-toe gait ."
],
"offsets": [
[
0,
596
]
]
}
] |
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{
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"id": "DerOrthopaede.00290808.eng.abstr-s1-t5",
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{
"id": "DerOrthopaede.00290808.eng.abstr-s2-t2",
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"spasticity"
],
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148,
158
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] |
[] |
[] |
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DerOrthopaede.00290814.eng.abstr
|
DerOrthopaede.00290814.eng.abstr
|
[
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"Deviations in the axes can be physiological or pathological . During growth , the axes of the lower extremities undergo significant changes . The femoral neck-shaft-angle decreases from 150 ° on average at birth to 120 ° on average at the end of growth . The lower leg is bowed in a varus direction at birth ."
],
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0,
309
]
]
}
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},
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] |
[] |
[] |
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DerOrthopaede.00290821.eng.abstr
|
DerOrthopaede.00290821.eng.abstr
|
[
{
"id": "DerOrthopaede.00290821.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Congenital pseudarthrosis of the tibia ( CPT ) is one of the most challenging conditions in paediatric orthopaedics . The history of CPT treatment ischaracterised by repeatedly ineffective surgical interventions with the inevitable outcome of severe disability ."
],
"offsets": [
[
0,
262
]
]
}
] |
[
{
"id": "DerOrthopaede.00290821.eng.abstr-s1-t1",
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"id": "DerOrthopaede.00290821.eng.abstr-s1-t4",
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"id": "DerOrthopaede.00290821.eng.abstr-s2-t2",
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"treatment"
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}
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},
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"id": "DerOrthopaede.00290821.eng.abstr-s2-t3",
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"text": [
"surgical"
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]
}
] |
[] |
[] |
[
{
"id": "DerOrthopaede.00290821.eng.abstr-s1-r1-t1.1-t4.1",
"type": "issue_in",
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},
{
"id": "DerOrthopaede.00290821.eng.abstr-s1-r2-t3.1-t4.1",
"type": "issue_in",
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},
{
"id": "DerOrthopaede.00290821.eng.abstr-s1-r3-t3.1-t1.1",
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},
{
"id": "DerOrthopaede.00290821.eng.abstr-s2-r1-t2.2-t1.1",
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},
{
"id": "DerOrthopaede.00290821.eng.abstr-s2-r2-t3.1-t1.1",
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{
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}
] |
DerOrthopaede.00290845.eng.abstr
|
DerOrthopaede.00290845.eng.abstr
|
[
{
"id": "DerOrthopaede.00290845.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Painful stiffness of the shoulder is an ill-defined clinical entity that is difficult to assess and delicate to treat . The nomenclature used is broad and includes terms such as frozen shoulder , adhesive capsulitis , focal algodystrophy , stiff shoulder , contracted shoulder , and others . Apart from its idiopathic form , the disease can be initiated by trauma , infection , tumour , radiation , systemic and local metabolic disturbances . Pathoanatomically , the common denominator is an inflammatory vascular proliferation followed by thickening , scarring , and retraction of the joint capsule . The inflammatory process often starts at the rotator interval and may extend to the subacromial space ."
],
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0,
705
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]
}
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[
{
"id": "DerOrthopaede.00290845.eng.abstr-s1-t1",
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"shoulder"
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},
{
"id": "DerOrthopaede.00290845.eng.abstr-s2-t1",
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"text": [
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"shoulder"
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},
{
"id": "DerOrthopaede.00290845.eng.abstr-s2-t3",
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"text": [
"adhesive"
],
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[
196,
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{
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"db_id": "C0001516"
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]
},
{
"id": "DerOrthopaede.00290845.eng.abstr-s2-t4",
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"text": [
"algodystrophy"
],
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[
224,
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],
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"db_id": "C0205930"
}
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},
{
"id": "DerOrthopaede.00290845.eng.abstr-s2-t5",
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"shoulder"
],
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246,
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]
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{
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"db_id": "C0037004"
}
]
},
{
"id": "DerOrthopaede.00290845.eng.abstr-s2-t6",
"type": "umlsterm",
"text": [
"shoulder"
],
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268,
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{
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}
]
},
{
"id": "DerOrthopaede.00290845.eng.abstr-s2-t7",
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"adhesive capsulitis"
],
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196,
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]
],
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"db_id": "C0158300"
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]
},
{
"id": "DerOrthopaede.00290845.eng.abstr-s3-t1",
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],
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],
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{
"db_name": "UMLS",
"db_id": "C0012634"
}
]
},
{
"id": "DerOrthopaede.00290845.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"trauma"
],
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[
357,
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]
],
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{
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"db_id": "C0021501"
},
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"db_id": "C0043251"
}
]
},
{
"id": "DerOrthopaede.00290845.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"infection"
],
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[
366,
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]
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}
]
},
{
"id": "DerOrthopaede.00290845.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"tumour"
],
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],
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"db_id": "C0027651"
}
]
},
{
"id": "DerOrthopaede.00290845.eng.abstr-s3-t5",
"type": "umlsterm",
"text": [
"radiation"
],
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],
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"db_id": "C0851346"
}
]
},
{
"id": "DerOrthopaede.00290845.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"joint"
],
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]
],
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"db_id": "C0022417"
}
]
},
{
"id": "DerOrthopaede.00290845.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"capsule"
],
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],
"normalized": [
{
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"db_id": "C0006935"
}
]
},
{
"id": "DerOrthopaede.00290845.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"joint capsule"
],
"offsets": [
[
586,
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]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0206207"
}
]
}
] |
[] |
[] |
[
{
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{
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"arg2_id": "DerOrthopaede.00290845.eng.abstr-s2-t7",
"normalized": []
},
{
"id": "DerOrthopaede.00290845.eng.abstr-s2-r3-t3.1-t7.1",
"type": "causes",
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"arg2_id": "DerOrthopaede.00290845.eng.abstr-s2-t7",
"normalized": []
},
{
"id": "DerOrthopaede.00290845.eng.abstr-s2-r4-t3.1-t4.1",
"type": "causes",
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"normalized": []
},
{
"id": "DerOrthopaede.00290845.eng.abstr-s2-r5-t3.1-t4.1",
"type": "affects",
"arg1_id": "DerOrthopaede.00290845.eng.abstr-s4-t3",
"arg2_id": "DerOrthopaede.00290845.eng.abstr-s3-t4",
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},
{
"id": "DerOrthopaede.00290845.eng.abstr-s2-r6-t3.1-t7.1",
"type": "affects",
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"arg2_id": "DerOrthopaede.00290845.eng.abstr-s2-t7",
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},
{
"id": "DerOrthopaede.00290845.eng.abstr-s2-r7-t1.1-t7.1",
"type": "location_of",
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},
{
"id": "DerOrthopaede.00290845.eng.abstr-s2-r8-t1.1-t4.1",
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},
{
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},
{
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},
{
"id": "DerOrthopaede.00290845.eng.abstr-s3-r4-t4.1-t5.1",
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"arg1_id": "DerOrthopaede.00290845.eng.abstr-s3-t4",
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},
{
"id": "DerOrthopaede.00290845.eng.abstr-s3-r5-t1.1-t4.1",
"type": "degree_of",
"arg1_id": "DerOrthopaede.00290845.eng.abstr-s4-t1",
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},
{
"id": "DerOrthopaede.00290845.eng.abstr-s3-r6-t2.1-t4.1",
"type": "associated_with",
"arg1_id": "DerOrthopaede.00290845.eng.abstr-s4-t2",
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},
{
"id": "DerOrthopaede.00290845.eng.abstr-s3-r7-t5.1-t1.1",
"type": "result_of",
"arg1_id": "DerOrthopaede.00290845.eng.abstr-s3-t5",
"arg2_id": "DerOrthopaede.00290845.eng.abstr-s4-t1",
"normalized": []
},
{
"id": "DerOrthopaede.00290845.eng.abstr-s3-r8-t2.1-t3.1",
"type": "associated_with",
"arg1_id": "DerOrthopaede.00290845.eng.abstr-s4-t2",
"arg2_id": "DerOrthopaede.00290845.eng.abstr-s4-t3",
"normalized": []
},
{
"id": "DerOrthopaede.00290845.eng.abstr-s3-r9-t2.1-t3.1",
"type": "result_of",
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"arg2_id": "DerOrthopaede.00290845.eng.abstr-s4-t3",
"normalized": []
},
{
"id": "DerOrthopaede.00290845.eng.abstr-s3-r10-t2.1-t1.1",
"type": "associated_with",
"arg1_id": "DerOrthopaede.00290845.eng.abstr-s4-t2",
"arg2_id": "DerOrthopaede.00290845.eng.abstr-s4-t1",
"normalized": []
},
{
"id": "DerOrthopaede.00290845.eng.abstr-s3-r11-t4.1-t1.1",
"type": "degree_of",
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"arg2_id": "DerOrthopaede.00290845.eng.abstr-s4-t1",
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},
{
"id": "DerOrthopaede.00290845.eng.abstr-s3-r12-t1.1-t2.1",
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},
{
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"type": "degree_of",
"arg1_id": "DerOrthopaede.00290845.eng.abstr-s4-t3",
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},
{
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{
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},
{
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},
{
"id": "DerOrthopaede.00290845.eng.abstr-s3-r18-t5.1-t3.1",
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},
{
"id": "DerOrthopaede.00290845.eng.abstr-s3-r19-t2.1-t5.1",
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},
{
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},
{
"id": "DerOrthopaede.00290845.eng.abstr-s3-r21-t4.1-t2.1",
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},
{
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},
{
"id": "DerOrthopaede.00290845.eng.abstr-s3-r23-t1.1-t2.1",
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"normalized": []
},
{
"id": "DerOrthopaede.00290845.eng.abstr-s3-r24-t3.1-t5.1",
"type": "result_of",
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"normalized": []
},
{
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},
{
"id": "DerOrthopaede.00290845.eng.abstr-s4-r2-t3.1-t1.1",
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DerOrthopaede.00290852.eng.abstr
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DerOrthopaede.00290852.eng.abstr
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[
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"id": "DerOrthopaede.00290852.eng.abstr-passage-0",
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[] |
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DerOrthopaede.00290868.eng.abstr
|
DerOrthopaede.00290868.eng.abstr
|
[
{
"id": "DerOrthopaede.00290868.eng.abstr-passage-0",
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"The impingement syndrome is a common disorder of the shoulder girdle . The causes for this syndrome may be anatomic changes in the coracoacromial arch , also within the ultrastructural regions , on the one hand , or changes in the biomechanics which have developed for various reasons , on the other . Diagnosis is based on roentgenograms using the appropriate technique . In large-scalestudies , sonography has proved to be an extremely sensitive screening method for differential diagnosis of rupture of the rotator cuff ."
],
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]
}
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[] |
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DerOrthopaede.00290888.eng.abstr
|
DerOrthopaede.00290888.eng.abstr
|
[
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"id": "DerOrthopaede.00290888.eng.abstr-passage-0",
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"text": [
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],
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]
}
] |
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] |
[] |
[] |
[
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] |
DerOrthopaede.00290895.eng.abstr
|
DerOrthopaede.00290895.eng.abstr
|
[
{
"id": "DerOrthopaede.00290895.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The anatomy and biomechanics of the acromioclavicular ( AC ) joint have been understood for a long time ; however , the importance of this joint in the clinical setting is often underestimated . During clinical examination various sensitive functional tests can document any AC pathology . For X-ray documentation special techniques are necessary . Other imaging techniques are rarely indicated ."
],
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0,
396
]
]
}
] |
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[] |
[] |
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DerOrthopaede.00290909.eng.abstr
|
DerOrthopaede.00290909.eng.abstr
|
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{
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"Degenerative arthrosis of the shoulder is less commonly diagnosed than at the joints of the lower extremity . The shoulder joint does not bear weight and some of the mechanical stresses are taken up by the subacromial space . However , anatomical studies reveal a significant incidence of degenerative changes at the glenohumeral joint with increasing age . Arthrosis is caused by mechanical loading , rotator cuff defects , and abnormal joint motion following surgery ."
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] |
[] |
[] |
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DerOrthopaede.00290917.eng.abstr
|
DerOrthopaede.00290917.eng.abstr
|
[
{
"id": "DerOrthopaede.00290917.eng.abstr-passage-0",
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"text": [
"Since their first description several years ago , superior glenoid labral lesions have increasingly been blamed for shoulder problems associated with sports . Originally merely describing arthroscopically visible upper labral/biceps abnormalities , the current understanding is that often clinical problems such as impingement pain or even rotator cuff disease can be secondary to these lesions , especially in overhead athletes . Impingement in these cases is caused by superior shoulder instability originating from an unstable biceps insertion that is present for example in SLAP ( superior labrum from anterior to posterior ) lesions . Additional problems such as internal or posterosuperior impingement that are often found simultaneously in these patients are pathomorphologically located in the same anatomical region and therefore make exact diagnosis and thus treatment more complex . Magnetic resonance imaging with intra-articular contrast enhancement and particularly arthroscopy are the primary tools for exact diagnosis and classification of superior labral/biceps pathology ."
],
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[
0,
1090
]
]
}
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[] |
[] |
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] |
DerOrthopaede.60250302.eng.abstr
|
DerOrthopaede.60250302.eng.abstr
|
[
{
"id": "DerOrthopaede.60250302.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Correction of the hallux valgus deformity is dependent upon recognition of the specific anatomic deformity , followed by selection of a procedure that addresses the specific deformity . A hallux valgus deformity with a subluxated metatarsophalangeal joint has a soft tissue and bony component , both of which need to be corrected , or a recurrence may result . The distal soft tissue procedure addresses the lateral soft tissue contracture by releasing the adductor hallucis , lateral joint capsule and transverse metatarsal ligament . The capsule is medially elongated and the medial eminence needs to be excised . When metatarsus adductus is present , a proximal metatarsal osteotomy should be carried out to correct the bony deformity . If the intermetatarsal angle is not corrected adequately , a recurrence of the hallux valgus is likely since a soft tissue procedure alone could not be expected to correct the bony deformity created by the increased intermetatarsal angle . Postoperatively the correction needs to be supported with a firm compression dressing for 8 weeks to be sure the corrected alignment is maintained until healing of the soft tissues and osteotomy occurs ."
],
"offsets": [
[
0,
1183
]
]
}
] |
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24
]
],
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}
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},
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],
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]
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]
},
{
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"recognition"
],
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},
{
"id": "DerOrthopaede.60250302.eng.abstr-s1-t8",
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],
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DerOrthopaede.60250317.eng.abstr
|
DerOrthopaede.60250317.eng.abstr
|
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"The distal metatarsal osteotomy according to Magerl allows correction of a hallux valgus deformity by lateral and plantar displacement as well as by pronation and varisation . The length of the first metatarsal can be adjusted by the depth of the cut at the resection or by a slightly oblique osteotomy . If necessary , soft tissue release and/or a osteotomy of the first proximal phalanx can be done to relocate the sesamoids under the head of the first metatarsal . A review of 118 foot operations in 75 patients demonstrated a very good or good result in about 75 % . Radiological examination showed sufficient lateralisation of the metatarsal head . Evaluating the length of the first metatarsal and the amount of variation , the results were less satisfying . The metatarsophalangeal angles could be corrected by 14 ° and the intermetatarsal angles by 7 ° on average . The sophisticated operative procedure limits the use of this technique as a standard procedure ."
],
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]
}
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[] |
[] |
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DerOrthopaede.60250324.eng.abstr
|
DerOrthopaede.60250324.eng.abstr
|
[
{
"id": "DerOrthopaede.60250324.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Sixty-six feet operated on for hallux valgus in 1984 were reviewed . Keller-Brandes' operation was performed in all cases , together with Lelièvre's \" fibrous cerclage \" and flexor hallucis longus tendon anchoring to the sesamoid pad , as described by A. Viladot . In most cases , satisfactory clinical correction was achieved and the patients could wear standard shoes . More than half of the cases presented partial limitation of movement at the first metatarsophalangeal joint ; however , flexion power of the big toe was preserved , and the range of motion was wide enough to allow a painless and limpless gait . Radiologically , good correction of the angle between the first and second metatarsals and the metatarsophalangeal angle was obtained , but all cases presented proximal displacement of sesamoid bones . A baropodometric study showed that the toe-off phase of the gait does not change after this operation . In our series , central metatarsalgia was present in 17 feet ; however , it did not compromise the functional result and was easily relieved with orthopaedic devices . Four feet showed radiographic images , suggesting necrosis of the first metatarsal head ; all four were asymptomatic . The only case that required reoperation was the one that developed hallux varus deformity . The Keller-Brandes-Lelièvre-Viladot procedure is still a simple and effective method for the surgical treatment of hallux valgus in elderly people with osteoarthritis at the first metatarsophalangeal joint ."
],
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0,
1509
]
]
}
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] |
DerOrthopaede.60250332.eng.abstr
|
DerOrthopaede.60250332.eng.abstr
|
[
{
"id": "DerOrthopaede.60250332.eng.abstr-passage-0",
"type": "abstract",
"text": [
"This report is based upon experience with 592 implantations of Swanson silastic spacer between 1978 and 1992. The results of 430 cases were followed up in 1995. Complications were observed in 31 cases and required further surgery . In 18 cases , the spacer was resected ; in 2 cases a distal amputation was necessary . Due to pain , the spacer was changed in 11 cases , in 5 cases from a single-stem to a double-stem version . Radiological reactions increase over time following the operation without correlation to pain . The results in cases of rheumatoid arthritis and arthrosis disease are compared . Approximately 80 % of the patients are free of pain and more than 90 % are satisfied with the functional results . The results of the arthrosis group are slightly better ."
],
"offsets": [
[
0,
776
]
]
}
] |
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59
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],
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}
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},
{
"id": "DerOrthopaede.60250332.eng.abstr-s1-t2",
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"text": [
"silastic"
],
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71,
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]
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{
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}
]
},
{
"id": "DerOrthopaede.60250332.eng.abstr-s1-t3",
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"text": [
"Complications"
],
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174
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}
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"id": "DerOrthopaede.60250332.eng.abstr-s1-t4",
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"surgery"
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]
},
{
"id": "DerOrthopaede.60250332.eng.abstr-s2-t1",
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"text": [
"amputation"
],
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292,
302
]
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}
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"id": "DerOrthopaede.60250332.eng.abstr-s3-t1",
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"pain"
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},
{
"id": "DerOrthopaede.60250332.eng.abstr-s3-t2",
"type": "umlsterm",
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"single-stem"
],
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"id": "DerOrthopaede.60250332.eng.abstr-s3-t3",
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"single-stem"
],
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388,
399
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}
]
},
{
"id": "DerOrthopaede.60250332.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"double-stem"
],
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[
405,
416
]
],
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{
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"db_id": "C0162731"
}
]
},
{
"id": "DerOrthopaede.60250332.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"time"
],
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464,
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"id": "DerOrthopaede.60250332.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"operation"
],
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[
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}
]
},
{
"id": "DerOrthopaede.60250332.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"pain"
],
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]
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}
]
},
{
"id": "DerOrthopaede.60250332.eng.abstr-s5-t1",
"type": "umlsterm",
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"arthritis"
],
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}
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},
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"id": "DerOrthopaede.60250332.eng.abstr-s5-t2",
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"text": [
"arthrosis"
],
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}
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},
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"id": "DerOrthopaede.60250332.eng.abstr-s5-t3",
"type": "umlsterm",
"text": [
"disease"
],
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]
},
{
"id": "DerOrthopaede.60250332.eng.abstr-s5-t4",
"type": "umlsterm",
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],
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"id": "DerOrthopaede.60250332.eng.abstr-s6-t2",
"type": "umlsterm",
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"pain"
],
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{
"id": "DerOrthopaede.60250332.eng.abstr-s7-t1",
"type": "umlsterm",
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"arthrosis"
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]
],
"normalized": [
{
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"db_id": "C0022408"
}
]
}
] |
[] |
[] |
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DerOrthopaede.60250338.eng.abstr
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DerOrthopaede.60250338.eng.abstr
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"The Weil distal shortening osteotomy of the lesser metatarsals has been used by the author since June 1992 , particularly in the treatment of metatarsalgia . Its advantages are a direct approach to the metatarsophalangeal ( MP ) joint and the metatarsal head , providing not only correction of the deformity , but accurate control of the metatarsal shortening , primary healing and early functional recovery thanks to the strong fixation allowed by the twist-off screw . Its disadvantage is the limitation of MP articular range motion , which is temporary in most cases . The role of the Weil osteotomy in metatarsalgia is to bring the metatarsal head behind the callus and to provide an axial decompression resolving the hammer toe deformity or MP luxations that are increasing or resulting in metatarsalgia . In cases of metatarsalgia resulting from the first ray insufficiency , the Weil osteotomy is a fair , reliable and efficient procedure ; it is also good in cases when the small metatarsal bones are too long . However , shortening the metatarsal bones has to be part of general forefoot therapeutic management . In isolated metatarsalgia , the indication may be slightly difficult , indicating a \" slimming \" resection . In contrast , both in important metatarsalgia , and generally in severe forefoot disorders , the Weil osteotomy , together with the scarf osteotomy , constitutes a real surgical improvement , opening a new means of articular conservative treatment of severe static disorders ."
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[] |
[] |
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DerOrthopaede.60250349.eng.abstr
|
DerOrthopaede.60250349.eng.abstr
|
[
{
"id": "DerOrthopaede.60250349.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Juvenile bunions have different etiologies and require specific operative approaches . Any operative procedure to correct a juvenile hallux valgus deformity should correct all the components of the deformity , i . e . pronation of the hallux , the increased hallux valgus angle , the enlarged medial eminence , the increased intermetatarsal angle , and hypermobility or obliquity of the first metatarsocuneiform joint with the intention of decreasing the rate of recurrence ."
],
"offsets": [
[
0,
475
]
]
}
] |
[
{
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"bunions"
],
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[
9,
16
]
],
"normalized": [
{
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"db_id": "C0006386"
}
]
},
{
"id": "DerOrthopaede.60250349.eng.abstr-s1-t2",
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"etiologies"
],
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[
32,
42
]
],
"normalized": [
{
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"db_id": "C0007463"
}
]
},
{
"id": "DerOrthopaede.60250349.eng.abstr-s2-t1",
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"text": [
"procedure"
],
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110
]
],
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"db_id": "C0025664"
}
]
},
{
"id": "DerOrthopaede.60250349.eng.abstr-s2-t2",
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"text": [
"hallux"
],
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[] |
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] |
DerOrthopaede.60250354.eng.abstr
|
DerOrthopaede.60250354.eng.abstr
|
[
{
"id": "DerOrthopaede.60250354.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The prevalence of rheumatic forefoot arthritis is estimated at 85-95 % . Early synovitis of the metatarsophalangeal ( MTP ) joints is frequently neglected or overlooked . The disease leads to depression of the forefoot arch , dislocation of the MTP joints and hallux valgus with severe metatarsalgia . Operative treatment may give good results in 77-91 % of cases . Our preferred treatment consists of resection arthroplasties for the smaller toes and use of Swanson spacer for the big toe , extensive capsular and tendon release from the dorsal approach , reduction of the first metatarsal bone , relocation of the extensor hallucis tendon and postoperative corrective dressing for 6-12 weeks . With this technique , we obtained 36 good results out of 46 forefoot reconstructions , the mean observation period being 30 months ."
],
"offsets": [
[
0,
828
]
]
}
] |
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"id": "DerOrthopaede.60250354.eng.abstr-s3-t4",
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DerOrthopaede.60250386.eng.abstr
|
DerOrthopaede.60250386.eng.abstr
|
[
{
"id": "DerOrthopaede.60250386.eng.abstr-passage-0",
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"text": [
"There are three immediate causes of disturbance in fracture healing . In order of significance , these are : ( 1 ) lack of vascularization and concomitant bone necrosis , ( 2 ) instability at the wrong moment , and ( 3 ) lack of contact amongst fragments . Bone necrosis arises as a result of the actual trauma or through destruction of vessels caused by implantation : the medullary vessels by marrow nailing and the periosteal vessels by plate osteosynthesis applying conventional techniques . Thus , the injury's triggering impulse and interfragmentary movement are unable to reach vital receptors . In the case of spontaneous bone healing , there should be no unpredictable excessive strain on the bone during the vulnerable phase of callus formation ; otherwise , callus fracture and pseudarthrosis may occur . A lack of contact amongst fragments , caused by interposition of muscle , blocks the flow of information . Direct fracture healing can also be defined as \" necrosis healing \" and may be disturbed , to a considerable extent , by bone necrosis , excessive strain preceding actual osseous bridging as well as by bone defects . The alternative - bridge healing - tends to refracture . In spongy bones , a lack of fragment contact leads to healing defects , necessitrating early spongiosa transplantation ."
],
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DerOrthopaede.60250394.eng.abstr
|
DerOrthopaede.60250394.eng.abstr
|
[
{
"id": "DerOrthopaede.60250394.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Aseptic pseudarthrosis may occur after all kinds of traumatology treatment . Following conservative treatment , incomplete immobilisation or an unattached bone fragment can be causal . After plate osteosynthesis the biomechanical principles are not efficient or the circulatory damage delays healing . There are two broad types of pseudarthrosis : vascular and nonvascular . The extent of vascularisation can be demonstrated by bone scintigraphy as well as X-ray . The treatment of vascular nonunions is very common . Mechanical stability is required , therefore a new osteosynthesis is desirable . Osteoporosis caused by inactivity and dislocation increases the rate of complications . Much more difficult problems are encountered in treatment of unreactive and avital pseudarthrosis , particularly in cases with a defect of bone substance . These defects can be treated with a segment transfer and a fibula-to-tibia operation . Extracorporal lithotripsy has been established as a new method in treatment of active and vascular nonunions . Former osteosynthesis is not a contraindication . Stability and immobilisation are necessary . Treatment in the low-frequency magnetic field shows no effect . Correct biomechanical and biological osteosynthesis with proper attention paid to location , quality of bone and asepsis can avoid the development of a pseudarthrosis ."
],
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]
}
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[] |
[] |
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DerOrthopaede.60250416.eng.abstr
|
DerOrthopaede.60250416.eng.abstr
|
[
{
"id": "DerOrthopaede.60250416.eng.abstr-passage-0",
"type": "abstract",
"text": [
"From 1971 to 1993 , a total of 759 cases of nonunion of both the upper and lower extremities were treated . In recent years the frequency of these cases of nonunion has clearly declined . Analysis of patient data shows a positive trend particularly for nonunion in the lower arm and leg while at the same time nonunion in the upper arm and leg remained essentially constant . Moreover , the proportion of aseptic to septic manifestations has shifted towards the aseptic forms in a ratio of 1:0 . 5. The treatment results of a representative , randomly chosen group ( n = 107 out of a total of 392 ) from 1981 to 1993 are satisfactory with little statistical deviation for the upper extremity . The least pleasing results were seen in nonunion of the lower leg , which differed from the somewhat better results for the upper leg on the OLERUD score , with a statistical significance of P 0.05. This study shows a very interesting development in clinical results ."
],
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[
0,
962
]
]
}
] |
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]
}
] |
[] |
[] |
[
{
"id": "DerOrthopaede.60250416.eng.abstr-s3-r1-t1.1-t6.1",
"type": "measures",
"arg1_id": "DerOrthopaede.60250416.eng.abstr-s6-t1",
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"id": "DerOrthopaede.60250416.eng.abstr-s6-r1-t2.1-t3.1",
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{
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"id": "DerOrthopaede.60250416.eng.abstr-s6-r4-t1.1-t3.1",
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}
] |
DerOrthopaede.60250429.eng.abstr
|
DerOrthopaede.60250429.eng.abstr
|
[
{
"id": "DerOrthopaede.60250429.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Epi-metaphyseal pseudarthroses are rare . They occur in about 1 % of cases after osteosynthesis and osteotomies and may cause deviation as well as painful limitation of motion and instability . Several different treatment methods can be advocated , including decortication and bridging of bone and articular defects , stable osteosynthesis and arthroplasty to regain motion . In selected cases endoprosthetic replacement can be a reliable procedure instead of an arthrodesis ."
],
"offsets": [
[
0,
476
]
]
}
] |
[
{
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}
]
},
{
"id": "DerOrthopaede.60250429.eng.abstr-s2-t1",
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"osteotomies"
],
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100,
111
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}
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{
"id": "DerOrthopaede.60250429.eng.abstr-s2-t2",
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"text": [
"motion"
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"db_id": "C0026597"
}
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"id": "DerOrthopaede.60250429.eng.abstr-s3-t1",
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"treatment"
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]
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}
]
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]
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{
"id": "DerOrthopaede.60250429.eng.abstr-s3-t3",
"type": "umlsterm",
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"type": "umlsterm",
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"bone"
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"id": "DerOrthopaede.60250429.eng.abstr-s3-t6",
"type": "umlsterm",
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}
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},
{
"id": "DerOrthopaede.60250429.eng.abstr-s3-t7",
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"motion"
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{
"id": "DerOrthopaede.60250429.eng.abstr-s4-t2",
"type": "umlsterm",
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"arthrodesis"
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},
{
"db_name": "UMLS",
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}
]
}
] |
[] |
[] |
[
{
"id": "DerOrthopaede.60250429.eng.abstr-s3-r1-t4.1-t1.1",
"type": "location_of",
"arg1_id": "DerOrthopaede.60250429.eng.abstr-s3-t4",
"arg2_id": "DerOrthopaede.60250429.eng.abstr-s4-t1",
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},
{
"id": "DerOrthopaede.60250429.eng.abstr-s3-r2-t1.1-t7.1",
"type": "result_of",
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"arg2_id": "DerOrthopaede.60250429.eng.abstr-s3-t7",
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},
{
"id": "DerOrthopaede.60250429.eng.abstr-s3-r3-t2.2-t1.1",
"type": "measures",
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"arg2_id": "DerOrthopaede.60250429.eng.abstr-s4-t1",
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},
{
"id": "DerOrthopaede.60250429.eng.abstr-s3-r4-t4.1-t2.2",
"type": "location_of",
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},
{
"id": "DerOrthopaede.60250429.eng.abstr-s3-r5-t2.2-t7.1",
"type": "measures",
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"arg2_id": "DerOrthopaede.60250429.eng.abstr-s3-t7",
"normalized": []
},
{
"id": "DerOrthopaede.60250429.eng.abstr-s4-r1-t1.1-t2.2",
"type": "associated_with",
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"arg2_id": "DerOrthopaede.60250429.eng.abstr-s4-t2",
"normalized": []
},
{
"id": "DerOrthopaede.60250429.eng.abstr-s4-r2-t2.2-t1.1",
"type": "associated_with",
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"arg2_id": "DerOrthopaede.60250429.eng.abstr-s4-t1",
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}
] |
DerOrthopaede.60250435.eng.abstr
|
DerOrthopaede.60250435.eng.abstr
|
[
{
"id": "DerOrthopaede.60250435.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Pseudarthroses of the spine are classified into congenital , acquired non-traumatic , posttraumatic and postoperative ( iatrogenic ) pseudarthroses . The various types of non-unions of the spine are described according to their clinical and radiological appearance . In line with their clinical importance , special attention with respect to the operative treatment is given to non-union of the axis of C2 and to spondylolysis . For the pseudarthrosis of the dens a posterior fusion according to Gallie-Brooks is recommended , in spondylolyses without marked slipping a \" direct repair \" should be considered in young patients ."
],
"offsets": [
[
0,
628
]
]
}
] |
[
{
"id": "DerOrthopaede.60250435.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"Pseudarthroses"
],
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[
0,
14
]
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"db_id": "C0033785"
}
]
},
{
"id": "DerOrthopaede.60250435.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"spine"
],
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22,
27
]
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{
"db_name": "UMLS",
"db_id": "C0037949"
}
]
},
{
"id": "DerOrthopaede.60250435.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"congenital"
],
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48,
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]
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"db_id": "C0009678"
}
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{
"id": "DerOrthopaede.60250435.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"postoperative"
],
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"db_id": "C0032790"
}
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{
"id": "DerOrthopaede.60250435.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"spine"
],
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189,
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]
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"db_id": "C0037949"
}
]
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{
"id": "DerOrthopaede.60250435.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"line"
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"db_id": "C0677502"
}
]
},
{
"id": "DerOrthopaede.60250435.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"attention"
],
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[
316,
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]
],
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{
"db_name": "UMLS",
"db_id": "C0004268"
}
]
},
{
"id": "DerOrthopaede.60250435.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"treatment"
],
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356,
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]
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"db_id": "C0087111"
},
{
"db_name": "UMLS",
"db_id": "C0039798"
}
]
},
{
"id": "DerOrthopaede.60250435.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"axis"
],
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[
395,
399
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0004457"
}
]
},
{
"id": "DerOrthopaede.60250435.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"pseudarthrosis"
],
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[
437,
451
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0033785"
}
]
},
{
"id": "DerOrthopaede.60250435.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"dens"
],
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[
459,
463
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0028881"
}
]
},
{
"id": "DerOrthopaede.60250435.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"posterior"
],
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[
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]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0032009"
}
]
},
{
"id": "DerOrthopaede.60250435.eng.abstr-s4-t4",
"type": "umlsterm",
"text": [
"direct"
],
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[
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]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0700157"
}
]
},
{
"id": "DerOrthopaede.60250435.eng.abstr-s4-t5",
"type": "umlsterm",
"text": [
"repair"
],
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"db_name": "UMLS",
"db_id": "C0043240"
}
]
},
{
"id": "DerOrthopaede.60250435.eng.abstr-s4-t6",
"type": "umlsterm",
"text": [
"patients"
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618,
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],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
}
] |
[] |
[] |
[
{
"id": "DerOrthopaede.60250435.eng.abstr-s1-r1-t2.1-t1.1",
"type": "location_of",
"arg1_id": "DerOrthopaede.60250435.eng.abstr-s4-t2",
"arg2_id": "DerOrthopaede.60250435.eng.abstr-s4-t1",
"normalized": []
},
{
"id": "DerOrthopaede.60250435.eng.abstr-s3-r1-t1.1-t2.1",
"type": "affects",
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},
{
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"type": "produces",
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},
{
"id": "DerOrthopaede.60250435.eng.abstr-s3-r4-t3.1-t2.1",
"type": "affects",
"arg1_id": "DerOrthopaede.60250435.eng.abstr-s4-t3",
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{
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"type": "location_of",
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},
{
"id": "DerOrthopaede.60250435.eng.abstr-s3-r6-t3.1-t2.1",
"type": "measurement_of",
"arg1_id": "DerOrthopaede.60250435.eng.abstr-s4-t3",
"arg2_id": "DerOrthopaede.60250435.eng.abstr-s4-t2",
"normalized": []
},
{
"id": "DerOrthopaede.60250435.eng.abstr-s3-r7-t3.2-t2.1",
"type": "result_of",
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{
"id": "DerOrthopaede.60250435.eng.abstr-s3-r8-t2.1-t3.1",
"type": "affects",
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},
{
"id": "DerOrthopaede.60250435.eng.abstr-s3-r9-t1.1-t2.1",
"type": "result_of",
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"arg2_id": "DerOrthopaede.60250435.eng.abstr-s4-t2",
"normalized": []
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DerOrthopaede.60250441.eng.abstr
|
DerOrthopaede.60250441.eng.abstr
|
[
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"id": "DerOrthopaede.60250441.eng.abstr-passage-0",
"type": "abstract",
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"Nonunion with or without a late pelvic deformity remains a formidable reconstructive problem [ 1 , 2 ] . For the present discussion , a nonunion is defined as a failure to achieve a union of a pelvic fracture , within six months after the time of injury , as documented by clinical and radiographic assessment . Most of the cases follow conservative management or the initial application of external fixation of a displaced and unstable injury pattern . While most of the nonunions represent a combination of a significant traumatic event , a smaller subgroup constitute pathological fractures or so-called \" insufficiency fractures \" of osteopenic bone [ 3 ] . By definition , the latter group represents a variety of pathological conditions including senile , post-menopausal and post-irradiation osteopenia or after the harvesting of massive autologous bone graft from the posterior ilium . Active malignancy as a factor is wholly excluded from these cases . The present report is based upon our clinical experience of two hundred cases that were managed during the past twenty year period [ 4 ] . The results constitute a summary of the observations whereupon certain recommendations for a therapeutic protocol have evolved . With the unusual nature of this clinical problem and the great diversity of presenting problems , no attempt to randomize the treatment modalities was deemed to be realistic ."
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}
] |
[] |
[] |
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"type": "measures",
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},
{
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{
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},
{
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},
{
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},
{
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{
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},
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},
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}
] |
DerOrthopaede.60250449.eng.abstr
|
DerOrthopaede.60250449.eng.abstr
|
[
{
"id": "DerOrthopaede.60250449.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In this study we compare the results of various methods of treatment in 159 patients who were operated on between 1980 and 1990 for scaphoid pseudarthrosis at the Budapest Central Institute for Traumatology . Rated subjectively , 84 % of the results of the Russe-I plasty were regarded as good , as were 75% of the spongiosaplasty , 88 % of the Ender plate synthesis , and 75 % of the AO navicular screw . Of the palliative methods retaining movement , denervation with styloidectomy yielded good results . Silicon prosthesis and proximal pole resection only led to temporary improvement . In patients with severe radiocarpal arthrosis who do heavy work , even today radiocarpal stiffening is regarded as the procedure of choice . In our experience , the best functional results can be expected when immobilization is as short as possible and fixation as stable as possible - which corresponds to Ender plate synthesis according to our results ."
],
"offsets": [
[
0,
945
]
]
}
] |
[
{
"id": "DerOrthopaede.60250449.eng.abstr-s1-t1",
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"methods"
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},
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},
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"id": "DerOrthopaede.60250449.eng.abstr-s1-t3",
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{
"id": "DerOrthopaede.60250449.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
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DerOrthopaede.60250463.eng.abstr
|
DerOrthopaede.60250463.eng.abstr
|
[
{
"id": "DerOrthopaede.60250463.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Nonunion of the ankle malleoli is extremely rare these days . This is probably due to the fact that primary osteosynthesis is performed in ankle fractures instead of the conservative treatment given up to 20 years ago . Today nonunions of the malleoli are seen , if at all , is infected cases after surgical procedures . Noninfected , stable and painless nonunions usually do not need any surgical correction . In painful cases , small fragments , especially of the medial malleolus , should be resected ; larger fragments should be stabilized with two 3.5-mm cancellous screws . Alternatively , the tension banding technique , especially after Weber A fracture , produces high compression in the area of nonunion . In cases of additional bony defects , a local upside down cortical-cancellous bone graft should be performed in addition . In summary , the therapeutic approach requires exact remodeling , bone-grafting and stabilization . Infected nonunions with loss of bone mass should be treated according to the guidelines for osteitis therapy ."
],
"offsets": [
[
0,
1049
]
]
}
] |
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] |
[] |
[] |
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] |
DerOrthopaede.60250470.eng.abstr
|
DerOrthopaede.60250470.eng.abstr
|
[
{
"id": "DerOrthopaede.60250470.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Nonunion of fractures in children is rare . It occurs after pathological fractures , post-infection and after incorrect osteosynthesis . Sometimes , delayed union of one bone in the forearm or the lower leg can be observed . Typical cases of nonunion are those of the radial condyle of the humerus and the femoral neck . A different problem is presented by congenital pseudoarthroses . The treatments of choice for nonunion are autogenous bone grafting and external or internal skeletal stabilization . In the radial part of the elbow joint the only indication for operative correction is an irritation of the ulnar nerve ( ventralization of the nerve and supracondylar osteotomy ) . Nonunion of the femoral neck can be avoided by internal screw fixation ."
],
"offsets": [
[
0,
756
]
]
}
] |
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"id": "DerOrthopaede.60250470.eng.abstr-s1-t2",
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{
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"id": "DerOrthopaede.60250470.eng.abstr-s4-t2",
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{
"id": "DerOrthopaede.60250470.eng.abstr-s7-t4",
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{
"id": "DerOrthopaede.60250470.eng.abstr-s7-t5",
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"osteotomy"
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"type": "umlsterm",
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"id": "DerOrthopaede.60250470.eng.abstr-s7-t7",
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}
]
}
] |
[] |
[] |
[
{
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"type": "occurs_in",
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},
{
"id": "DerOrthopaede.60250470.eng.abstr-s1-r2-t3.1-t2.1",
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},
{
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{
"id": "DerOrthopaede.60250470.eng.abstr-s3-r1-t1.1-t3.1",
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{
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{
"id": "DerOrthopaede.60250470.eng.abstr-s4-r1-t2.1-t1.1",
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{
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DerOrthopaede.60250478.eng.abstr
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DerOrthopaede.60250478.eng.abstr
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[] |
[] |
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] |
DerOrthopaede.60250505.eng.abstr
|
DerOrthopaede.60250505.eng.abstr
|
[
{
"id": "DerOrthopaede.60250505.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In analysis of the cervical and cervicobrachial syndrome with or without signs of compression of the nerve root or spinal cord , functional assessment of the cervical spine is of great importance . Comparisons between actively performed and passively induced motion can be verified by using standardized computer-assisted assessment allowing precise documentation of the range of motion and coupled motion . The age-related normal values should be considered . The neurological assessment includes not only the cranial nerves and upper extremities but also lower extremities to avoid overlooking the signs of cervical myelopathy . In patients with compression of nerve roots or the spinal cord neurophysiology might be helpful in identifying or verifying compression . In patients with suspected myelopathy sensory evoked potentials will allow assessment of the function of the ascending spinal pathways and motor evoked potentials , assessment of the function of the descending cortical spinal pathways ."
],
"offsets": [
[
0,
1005
]
]
}
] |
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}
] |
[] |
[] |
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DerOrthopaede.60250512.eng.abstr
|
DerOrthopaede.60250512.eng.abstr
|
[
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"Standard radiography of the cervical spine is still the first imaging procedure applied in degenerative disease of the cervical spine . Spondylosis deformans , osteochondrosis and uncovertebral arthrosis are well depicted by such images . Whether or not additional imaging is needed depends on the clinical symptoms . Special projections ( anteroposterior oblique radiographs , lateral radiographs in flexion and extension ) may be the next step . For many abnormalities , mainly of the intervertebral discs and the myelon , MR imaging has become the standard procedure , largely because of its multiplanar capabilities and its excellent contrast resolution . CT can be used instead of MR imaging if the latter method is not available , and its strength lies in the depiction of bone abnormalities . Scintigraphy is suitable for early detection of abnormalities with unclear clinical symptoms and may then indicate the correct level of the cervical spine for MR imaging or CT . Myelograms and myelo-CT can no longer be considered routine imaging methods . A number of imaging abnormalities are not strictly related to clinical findings and should therefore always be discussed in the clinical context ."
],
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}
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DerOrthopaede.60250519.eng.abstr
|
DerOrthopaede.60250519.eng.abstr
|
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"text": [
"The clinical findings and pain symptoms determine the functional treatment of the cervical spine disorders . Acute pain syndromes are to be approached by passive procedures , such as massage , electrotherapy , trigger point treatment . Could the nocireaction be reduced , the mobilizing techniques , including manipulation are indicated , followed by trainingtherapy/reconditioning of shoulder girdle muscles . The patients are also to be instructed to perform home exercise program aiming the stabilization of cervical spine ."
],
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[
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527
]
]
}
] |
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] |
[] |
[] |
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DerOrthopaede.60250524.eng.abstr
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DerOrthopaede.60250524.eng.abstr
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[] |
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DerOrthopaede.60250533.eng.abstr
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DerOrthopaede.60250533.eng.abstr
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[
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"The posterior approach to the cervical spine was the only method of access to the spinal canal until the anterior approach was developed by Robinson and Smith , and Cloward . With the accumulation of experience in posterior decompression for cervical spondylotic myelopathy ( CSM ) , successful laminectomy was guaranteed only when lordotic alignment of the cervical spine , wide and extensive laminectomy for adequate posterior shift of the spinal cord , and stability of the spine were ensured after surgery . The thick scar formation occasionally seen subsequent to postlaminectomy hematoma could lead to an unfavorable outcome . The insertion of surgical instruments , such as a Kerrison rongeur or a curette , into the spinal canal without being aware of how narrow the canal is , or uneven decompression of the spinal cord during resection of the laminae can impinge on or distort the spinal cord and result in deterioration of neurological function . Several authors have pointed out that postoperative loss of neural function is a hazard of surgical intervention . Owing to the poor results of conventional laminectomy for cervical compression myelopathy related to the problems mentioned above , Kirita developed extensive simultaneous decompression laminectomy to avoid distortion of the spinal cord by the edges of the resected laminae . Hattori devised an expansive Z-shaped laminoplasty in which the posterior wall of the spinal canal was preserved by Z-plasty of the prepared laminae . This was an attempt to prevent the invasion of scar tissue , i . e . , the so-called laminectomy membrane , which was believed to be a cause of late neurological regression . He also expected that the laminae reconstructed by Z-plasty would provide support for the spine . The introduction of high-speed air-drills allowed successful development of this procedure . In 1977 , Hirabayashi introduced an epoch-making laminoplasty , the expansive open-door laminoplasty . He described the advantages of this procedure as : possibility of decompressing multiple levels of the spinal cord simultaneously , better postoperative support of the neck , allowing earlier mobilization of the patients , prevention of postoperative kyphotic deformity of the cervical spine , and reduced mobility of the cervical spine postoperatively , which helps to prevent late neurological deterioration and progression of OPLL . Subsequent to the Hirabayashi laminoplasty , various modifications and supplementary procedures have been devised for further improvement of the safety and efficacy of decompression , and for improved stability of the spine . Aims , advantages and disadvantages of laminoplasty : The aims of the laminoplasty are to expand the spinal canal , to secure spinal stability and to spare the protective function of the spine . Preservation of mobility of the spine is also a goal of this procedure for multiple level involvement . Decompression can be extended along the nerve root by facetectomy . Preservation of the posterior spinal structures permits reinsertion of the nuchal muscles and the spinal ligaments after they have been totally or partially detached . This prevents kyphosis or listhesis of the cervical spine , which often develops after laminectomy , particularly in subjects below 50 years of age . Reconstructive procedures for reattaching muscles and/or ligaments to the spinous processes are added to the laminoplasty , improving the dynamic or ligamentous stability of the spine ."
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},
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{
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},
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},
{
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},
{
"id": "DerOrthopaede.60250533.eng.abstr-s20-r4-t2.1-t1.1",
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"id": "DerOrthopaede.60250533.eng.abstr-s20-r6-t4.2-t4.1",
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},
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"id": "DerOrthopaede.60250533.eng.abstr-s20-r7-t4.2-t1.1",
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"id": "DerOrthopaede.60250533.eng.abstr-s20-r8-t1.1-t4.2",
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},
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},
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"id": "DerOrthopaede.60250533.eng.abstr-s20-r10-t2.1-t4.2",
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"id": "DerOrthopaede.60250533.eng.abstr-s21-r1-t3.2-t1.1",
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"id": "DerOrthopaede.60250533.eng.abstr-s21-r7-t1.1-t4.1",
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},
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"id": "DerOrthopaede.60250533.eng.abstr-s21-r8-t4.1-t1.1",
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}
] |
DerOrthopaede.60250542.eng.abstr
|
DerOrthopaede.60250542.eng.abstr
|
[
{
"id": "DerOrthopaede.60250542.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Eight patients with post-traumatic chronic cervical syndrome and degenerative changes of the upper cervical spine , were treated with suboccipital fusion . After a mean follow up of 60 months ( 58-64 ) , the patients were examined . Three patients had died during the follow-up period . A solid fusion was achieved in all cases . Significant reduction of pain and increased quality of life were established ."
],
"offsets": [
[
0,
408
]
]
}
] |
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}
]
},
{
"id": "DerOrthopaede.60250542.eng.abstr-s1-t2",
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"syndrome"
],
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}
]
},
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"id": "DerOrthopaede.60250542.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"spine"
],
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108,
113
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}
]
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{
"id": "DerOrthopaede.60250542.eng.abstr-s2-t1",
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"id": "DerOrthopaede.60250542.eng.abstr-s3-t1",
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"id": "DerOrthopaede.60250542.eng.abstr-s3-t2",
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"id": "DerOrthopaede.60250542.eng.abstr-s5-t1",
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"pain"
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"id": "DerOrthopaede.60250542.eng.abstr-s5-t2",
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{
"id": "DerOrthopaede.60250542.eng.abstr-s5-t3",
"type": "umlsterm",
"text": [
"quality of life"
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374,
389
]
],
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{
"db_name": "UMLS",
"db_id": "C0034380"
}
]
}
] |
[] |
[] |
[
{
"id": "DerOrthopaede.60250542.eng.abstr-s1-r1-t2.1-t1.1",
"type": "occurs_in",
"arg1_id": "DerOrthopaede.60250542.eng.abstr-s5-t2",
"arg2_id": "DerOrthopaede.60250542.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "DerOrthopaede.60250542.eng.abstr-s1-r2-t3.1-t2.1",
"type": "location_of",
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},
{
"id": "DerOrthopaede.60250542.eng.abstr-s5-r1-t3.1-t2.1",
"type": "isa",
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"arg2_id": "DerOrthopaede.60250542.eng.abstr-s5-t2",
"normalized": []
}
] |
DerOrthopaede.60250554.eng.abstr
|
DerOrthopaede.60250554.eng.abstr
|
[
{
"id": "DerOrthopaede.60250554.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Radicular pain is a common feature in day-to-day clinical practice . Only a small percentage of patients with persistent pain and/or neurological deficit need surgical decompression . Exact anatomical localization of the decompressive agent and the correlation of clinical symptoms and radiological findings are mandatory . In most cases , surgery is performed by an anterior approach ; by which the causative agent is removed . In cases with narrowing of the neuroforamen total resection of the uncus is indicated . Additional fusion supports the physiological cervical lordosis ."
],
"offsets": [
[
0,
581
]
]
}
] |
[
{
"id": "DerOrthopaede.60250554.eng.abstr-s1-t1",
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"text": [
"pain"
],
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10,
14
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],
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}
]
},
{
"id": "DerOrthopaede.60250554.eng.abstr-s2-t1",
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"text": [
"patients"
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96,
104
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],
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}
]
},
{
"id": "DerOrthopaede.60250554.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"pain"
],
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125
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}
]
},
{
"id": "DerOrthopaede.60250554.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"surgical"
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}
]
},
{
"id": "DerOrthopaede.60250554.eng.abstr-s2-t4",
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"surgical decompression"
],
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159,
181
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},
{
"id": "DerOrthopaede.60250554.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"Exact"
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184,
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{
"id": "DerOrthopaede.60250554.eng.abstr-s3-t2",
"type": "umlsterm",
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"anatomical"
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{
"id": "DerOrthopaede.60250554.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"symptoms"
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273,
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],
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"db_id": "C0683368"
}
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},
{
"id": "DerOrthopaede.60250554.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"findings"
],
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}
]
},
{
"id": "DerOrthopaede.60250554.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"surgery"
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}
]
},
{
"id": "DerOrthopaede.60250554.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"anterior"
],
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]
},
{
"id": "DerOrthopaede.60250554.eng.abstr-s6-t1",
"type": "umlsterm",
"text": [
"lordosis"
],
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571,
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],
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{
"db_name": "UMLS",
"db_id": "C0024003"
}
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}
] |
[] |
[] |
[
{
"id": "DerOrthopaede.60250554.eng.abstr-s2-r1-t3.1-t1.1",
"type": "affects",
"arg1_id": "DerOrthopaede.60250554.eng.abstr-s3-t3",
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"normalized": []
},
{
"id": "DerOrthopaede.60250554.eng.abstr-s2-r2-t3.1-t2.1",
"type": "treats",
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"arg2_id": "DerOrthopaede.60250554.eng.abstr-s4-t2",
"normalized": []
},
{
"id": "DerOrthopaede.60250554.eng.abstr-s2-r3-t1.1-t3.1",
"type": "performs",
"arg1_id": "DerOrthopaede.60250554.eng.abstr-s6-t1",
"arg2_id": "DerOrthopaede.60250554.eng.abstr-s3-t3",
"normalized": []
},
{
"id": "DerOrthopaede.60250554.eng.abstr-s3-r1-t3.1-t4.1",
"type": "co-occurs_with",
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"arg2_id": "DerOrthopaede.60250554.eng.abstr-s3-t4",
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},
{
"id": "DerOrthopaede.60250554.eng.abstr-s3-r2-t4.1-t3.1",
"type": "co-occurs_with",
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"normalized": []
},
{
"id": "DerOrthopaede.60250554.eng.abstr-s4-r1-t1.2-t1.1",
"type": "issue_in",
"arg1_id": "DerOrthopaede.60250554.eng.abstr-s4-t1",
"arg2_id": "DerOrthopaede.60250554.eng.abstr-s6-t1",
"normalized": []
}
] |
DerOrthopaede.60250558.eng.abstr
|
DerOrthopaede.60250558.eng.abstr
|
[
{
"id": "DerOrthopaede.60250558.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The cervical spondylotic myelopathy is the most frequent spinal dysfunction . Its spontaneous course is very variable , from progress to stagnation . This makes prognosis and decision-making difficult for conservative or operative treatment . The authors attempt to provide some basis for decision-making by observing the individual course of neural dysfunction , consideration of morphometric data and the use of functional scores . To advise a patient , the outcome of conservative and operative treatment as described in the literature has to be considered , as well as the possible complications . The advantages and disadvantages of surgery from the anterior and posterior approach are discussed . Operative planning according to the individual condition is suggested . Operative techniques of anterior decompression and fusion are contrasted to laminoplasties ."
],
"offsets": [
[
0,
867
]
]
}
] |
[
{
"id": "DerOrthopaede.60250558.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"myelopathy"
],
"offsets": [
[
25,
35
]
],
"normalized": [
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"db_name": "UMLS",
"db_id": "C0005956"
},
{
"db_name": "UMLS",
"db_id": "C0037928"
}
]
},
{
"id": "DerOrthopaede.60250558.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"dysfunction"
],
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[
64,
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]
],
"normalized": [
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"db_name": "UMLS",
"db_id": "C0031847"
}
]
},
{
"id": "DerOrthopaede.60250558.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"prognosis"
],
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],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0033325"
}
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},
{
"id": "DerOrthopaede.60250558.eng.abstr-s3-t2",
"type": "umlsterm",
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"treatment"
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]
},
{
"id": "DerOrthopaede.60250558.eng.abstr-s4-t1",
"type": "umlsterm",
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"dysfunction"
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],
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"db_id": "C0031847"
}
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},
{
"id": "DerOrthopaede.60250558.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"use"
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]
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"db_id": "C0042153"
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]
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DerOrthopaede.70260007.eng.abstr
|
DerOrthopaede.70260007.eng.abstr
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[] |
[] |
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DerOrthopaede.70260014.eng.abstr
|
DerOrthopaede.70260014.eng.abstr
|
[
{
"id": "DerOrthopaede.70260014.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Hip sonography is the subject of controversial discussion in several countries . This is because of the different demands made on the diagnosis . In principle the techniques described by Harke , Terjesen and Suzuki are satisfied by a differentiation of luxation from non-luxated joints . An evaluation of the hyalin cartilaginous preformed acetabular roof does not exist . Physiological variations dependent on age cannot be differentiated from real dysplasias by the techniques mentioned above . The sonographic examination technique in German-speaking countries evaluates the maturation of the joint and quantifies the cartilage and the bony acetabular roof . Additionally , this coverage is seen in relation to the age , and the deformation of the acetabulum in luxated joints is analysed . Physiological elastic deflection of the hyalin cartilaginous part of the acetabulum can be separated from real instability signs . Oblique positions of the probe during examination of the baby can lead to diagnostic errors , so special examination techniques have to be used . 3D-sonograms may improve the diagnostic possibilities . A general screening of newborns in use in Austria since 1992 has demonstrated that the rate of treatment can be decreased by about 50 % and sonography , used correctly , can avoid overtreatment ."
],
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0,
1322
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]
}
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"id": "DerOrthopaede.70260014.eng.abstr-s1-t1",
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"id": "DerOrthopaede.70260014.eng.abstr-s1-t2",
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] |
[] |
[] |
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DerOrthopaede.70260025.eng.abstr
|
DerOrthopaede.70260025.eng.abstr
|
[
{
"id": "DerOrthopaede.70260025.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The role of hip sonography in neonatal hip screening is still a controversial matter . This paper reports the results of the Austrian ultrasound hip screening program , in which all Austrian babies undergo hip sonography twice : at the birth clinic during the 1st week of life and at an age of 12-16 weeks . Data from all public health insurance companies since 1985 and all ICD data about children hospitalized because of CDH in Austria were collected and analyzed . The rate of sonographically pathological hips was 6.57 % ( 1994 ) . The treatment rate before introduction of hip sonography was 13.16 % ( 1985 ) . The rate of open reduction went down to 0.24 per 1000 newborns , including a high number of unscreened children born abroad and also children with teratological dislocation of the hip . Hip sonography screening proved to be effective in detecting true instability of the hip joint as well as dysplasia . The optimal time for sonographic screening does not seem to be immediately after birth when only \" high risk \" hips ( clinical instability , positive family history , breech delivery ) should undergo hip sonography , but at an age between 4 and 6 weeks when the hip has already shown its true nature . Since one sonographic scan appears to be sufficient for screening , a further reduction of costs could be accomplished . Disability owing to DDH can be avoided in a number of cases , and costs for conservative and surgical treatment as well as for later endoprostheses and early retirement can be economized ."
],
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0,
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DerOrthopaede.70260033.eng.abstr
|
DerOrthopaede.70260033.eng.abstr
|
[
{
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"Therapy for hip dysplasia and DDH by means of sonography . Numerous methods are available for treating \" congenital \" dysplasia of the hip ( CDH ) . The important point seems to be the differentiation between dysplastic hip joints with and without displaced femoral heads . A historical review of the diagnosis of so-called \" congenital dysplasia \" and dislocation of the hip and different indications for therapeutic maneuvers is given . Generally , a three-step plan of treatment is recommended : dislocated heads must be reduced , after which retention is needed until the hip joint is stable . This is followed by maturation period , until the nonossified hyalin cartilagineous performed acetabular roof is ossified . All hip joints , regardless of age , can be assigned to one of these phases . In all cases , measures are taken to prevent ischemic necrosis of the femoral head . To prevent the residual dysplasia of the acetabulum roof and femoral head necrosis , the reduction-retention position should be more than 90 ° flexion in the hip joint , but not more than 45-50 ° abduction . In each therapeutic phase there is a different biomechanical situation in the hip joint . The appropriate orthosis for treatment is chosen according to the particular biomechanical situation . Each sonographic type can be set up according to the our classification in the three-phase treatment system . In this way the adequate orthosis for treatment in each treatment-phase can be chosen ."
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DerOrthopaede.70260043.eng.abstr
|
DerOrthopaede.70260043.eng.abstr
|
[
{
"id": "DerOrthopaede.70260043.eng.abstr-passage-0",
"type": "abstract",
"text": [
"For examination of the infant hip we cannot do without the use of an imaging method . The interpretation of ultrasound and X-ray studies does not always lead to uniform results . To clear up the so far unknown relationship between ultrasound and X-ray studies , sonomorphologic and radiomorphologic examinations were performed on 14 hip joints of children between 36 weeks and 121/2 months of age . A discrepancy between the X-ray and ultrasound image is always found when the contour line of the acetabulum does not correspond to the mid-portion but rather to the ventral or dorsal section of the acetabulum in correct projection of the X-ray image . The evaluation of the ultrasound image is then based on a bony shape differing from the one on the X-ray image . If the radiologic contour line of the acetabulum is determined by the mid-portion of the acetabulum , the angle of the acetabulum in the X-ray image and the alpha angle in the ultrasound image always add up to 90 ° . This leads to the conclusion that a correspondence between ultrasound and X-ray findings only exists when the mid-portion of the acetabulum defines the acetabular contour line in the X-ray image . Generally , however , there is no constant relation between the X-ray summation image and the ultrasound image . The maximum error found by experiment is 8 ° in the X-ray determination of the acetabular angle , 11 ° in the ultrasound determination of the alpha angle and 28 ° in the ultrasound determination of the beta angle . The ultrasound examination has a higher value regardless of its margin of error , which is inherent in any metric method , because the critical mid-portion of the acetabulum can be judged with this procedure . We are of the opinion that the X-ray image is not decisive for therapy and prognostic assessment in these cases ."
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DerOrthopaede.70260049.eng.abstr
|
DerOrthopaede.70260049.eng.abstr
|
[
{
"id": "DerOrthopaede.70260049.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Radiographic examination of infants ' hips is still indicated sometimes in addition to the sonographic examination . The legs have to be kept in a neutral position . The pelvis should not be turned to the side or tilted ."
],
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[
0,
221
]
]
}
] |
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"id": "DerOrthopaede.70260049.eng.abstr-s2-t1",
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{
"id": "DerOrthopaede.70260049.eng.abstr-s3-t1",
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] |
[] |
[] |
[] |
DerOrthopaede.70260059.eng.abstr
|
DerOrthopaede.70260059.eng.abstr
|
[
{
"id": "DerOrthopaede.70260059.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Magnetic resonance imaging ( MRI ) and computed tomography ( CT ) are useful techniques for the objective documentation of the relation between the femoral head and the acetabulum after closed or open reduction of a developmental dislocation of the hip joint . Before the ossification nucleus of the femoral head is sufficiently developed , MRI is preferred . For the evaluation of reduction from the 2nd year on , MRI and CT are equivalent . However , in older children MRI may also be indicated for the evaluation of cartilaginous structures or the diagnosis of femoral head necrosis . CT in older patients may also be useful for 30 analysis of bony structures , e . g . for planning complex osteotomies ."
],
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0,
707
]
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}
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"id": "DerOrthopaede.70260059.eng.abstr-s1-t10",
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DerOrthopaede.70260075.eng.abstr
|
DerOrthopaede.70260075.eng.abstr
|
[
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"text": [
"Lateral acetabular osteotomy in comparison to three-dimensional osteotomies of the pelvis in hip dysplasia is a simple technical procedure . Contraindications are an age over 8 years and an irreducible femoral head . For a long time we have used xenogenic deproteinized bone wedges from animals . We now use autoclaved and deep-frozen wedges from allogenic femoral heads . The wedges are sterilized at 121 °C for 20 min and then kept deep-frozen in the bone bank . Our results in 109 patients show that this method is very successful ; even extreme angles of acetabular index correction are possible with this technique . It is unfortunate that the lateral acetabuloplasty with autoclaved allogenic bone graft is not used frequently and we recommend that this method be installed at all paediatric orthopaedic hospitals ."
],
"offsets": [
[
0,
821
]
]
}
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[] |
[] |
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DerOrthopaede.70260117.eng.abstr
|
DerOrthopaede.70260117.eng.abstr
|
[
{
"id": "DerOrthopaede.70260117.eng.abstr-passage-0",
"type": "abstract",
"text": [
"While the principle of enlarging the surface area has been recognized and used in different ways for some time , there is often no schematic , detailed description or fundamental research . Taking a surface structure consisting of trabecular three-dimensional connecting elements , essential parameters are shown , making it clear that the flexible dynamic reaction of the effective \" anchoring space \" with a suitable specified shape ( construction height , alignment , network ) can be reproducibly shaped and used . This has led to a hip endoprosthesis with a graduated surface structure . The construction height of the trabecular structure varies , decreasing from proximal to distal ."
],
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[
0,
690
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]
}
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[] |
[] |
[
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"id": "DerOrthopaede.70260117.eng.abstr-s1-r1-t2.1-t1.1",
"type": "measures",
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DerOrthopaede.70260125.eng.abstr
|
DerOrthopaede.70260125.eng.abstr
|
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{
"id": "DerOrthopaede.70260125.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The creep and wear behaviour of Chirulen , Hylamer and Enduron , materials which differ only in their manufacturing procedures , was examined and compared . Chirulen is manufactured by being pressed into form by plates , whereas Hylamer and Enduron are shaped by tubes . Hylamer differs from Enduron in that intermediate material processing is undertaken with the goal of improving the initial material . The wear and deformation rate was determined by means of the ring-on-disc testing device after 360,000 cycles and after 1.0 x 106 cycles , respectively . The static tests for the determination of wear were carried out at a contact stress of 5.62 MPa and a testing time of 100 h in analogy to the ring-on-disc tests . Chirulen and Hylamer demonstrated comparable wear with a tendency toward a lower wear rate in Hylamer , while Enduron presented a clearly higher wear rate ."
],
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0,
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}
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"id": "DerOrthopaede.70260125.eng.abstr-s2-t1",
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] |
[] |
[] |
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DerOrthopaede.70260129.eng.abstr
|
DerOrthopaede.70260129.eng.abstr
|
[
{
"id": "DerOrthopaede.70260129.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The present study deals with long-term dimensional changes in cemented Mueller-type total hip endoprostheses . Creep and wear contribute to different extents to the dimensional changes in polyethylene . The total amount of polyethylene wear is represented by the displacement of the femoral head into the socket . Within the first postoperative years , the head shifts up to a relatively high rate of about 0.5 mm per year . This rate diminishes after 5 years to an average of about 0.1 mm ( ceramics ) and 0.2 mm ( metal ) per year . Values exceeding 0.2 mm per year for the shift of the femoral head are considered to be unfavourable with regard to a probable loosening of the prosthesis . In this study we determined the orientation of the centre of the prosthetic head in relation to the wire marker of the polyethylene cup , comprising in all 369 total hip prostheses . After an average of 77 months , 96 % of the prostheses with ceramic heads ( n = 109 ) had a wear rate of less than 0.2 mm per year . Using metal heads ( Protasul-2 and Protasul-10) this rate could only be measured in 71 % ( n = 109 ) of the prostheses ( 61.5 months ) . The combination ceramics-polyethylene produces half of the total amount of wear produced by metal-polyethylene . Younger patients should preferably be treated with a ceramic ballhead ."
],
"offsets": [
[
0,
1329
]
]
}
] |
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"id": "DerOrthopaede.70260129.eng.abstr-s3-t1",
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"Values"
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] |
[] |
[] |
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DerOrthopaede.70260135.eng.abstr
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DerOrthopaede.70260135.eng.abstr
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] |
DerOrthopaede.70260142.eng.abstr
|
DerOrthopaede.70260142.eng.abstr
|
[
{
"id": "DerOrthopaede.70260142.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The still unsolved problem of aseptic loosening in total hip arthroplasties with identification of polyethylene wear particles as one of its major causes , has led to reintroduction of metal-to-metal articulations , as indicated by a few good clinical long-term results with all-metal McKee-Farrar arthroplasties . In this paper , data on 145 patients from a population of more than 1400 , all with implanted McKee-Farrars , who underwent revision surgery for aseptic loosening , are collected and analysed for dependence of duration to brands of the implants and position of the cups . The surface of each of 55 revised implants was measured using a 3-D device . The results showed no interdependence between time of loosening , brand inclination of the cup and deviation in shape of ball and cup . Additionally , the deviations in shape were slight ."
],
"offsets": [
[
0,
852
]
]
}
] |
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75
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},
{
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"polyethylene"
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"metal-to-metal"
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199
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"all-metal"
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275,
284
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{
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] |
[] |
[] |
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] |
DerOrthopaede.70260152.eng.abstr
|
DerOrthopaede.70260152.eng.abstr
|
[
{
"id": "DerOrthopaede.70260152.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Wear of the articulating components ( especially PE-UHMW ) of total hip endoprostheses is the most important technical factor limiting the functional lifetime . To minimize wear debris , ceramic heads , according to ISO 6474 ( Al2O3), have been used , from 1969 paired with Al2O3 and since 1975 paired with PE-UHMW . Al2O3 balls articulating with cups made from CFRP have been in clinical use since 1988. Laboratory experiments and in-vivo testing showed minimized wear debris and mild biological response to wear products using CFRP ( carbon fiber reinforced plastic ) instead of PE-UHMW as the cup material . The articulating surfaces of retrieved ceramic heads ( Al2O3 - Biolox ) and cementless CFRP cups ( carbon fiber reinforced plastic , Caproman ) were compared using sphericity measurement techniques , scanning electron microscopy ( SEM ) and roughness measurements ( including advanced roughness parameters Rvk or Rpk according to ISO 4287 ) . Altogether , the first results of the clinical study showed that the combination Al2O3-ball/CFRP-cup came up to the expected lower wear rates compared with the conventional combinations . The wear rates are comparable with the combination Al2O3/Al2O3 without the material-related problems of ceramic components in all ceramic combinations ."
],
"offsets": [
[
0,
1294
]
]
}
] |
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DerOrthopaede.70260160.eng.abstr
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DerOrthopaede.70260160.eng.abstr
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[] |
[] |
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DerOrthopaede.70260166.eng.abstr
|
DerOrthopaede.70260166.eng.abstr
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[] |
[] |
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DerOrthopaede.70260215.eng.abstr
|
DerOrthopaede.70260215.eng.abstr
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"The purpose of our studies was to investigate experimentally the dose-dependent effects of extracorporeal shock waves on tendon and bone and to unveil therapeutic possibilities in tendopathies and pseudarthroses ."
],
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[
0,
213
]
]
}
] |
[
{
"id": "DerOrthopaede.70260215.eng.abstr-s1-t1",
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106,
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]
},
{
"id": "DerOrthopaede.70260215.eng.abstr-s1-t2",
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121,
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{
"id": "DerOrthopaede.70260215.eng.abstr-s1-t3",
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132,
136
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{
"id": "DerOrthopaede.70260215.eng.abstr-s1-t4",
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"therapeutic"
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151,
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{
"db_name": "UMLS",
"db_id": "C0039796"
}
]
}
] |
[] |
[] |
[
{
"id": "DerOrthopaede.70260215.eng.abstr-s1-r1-t3.1-t2.1",
"type": "surrounds",
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{
"id": "DerOrthopaede.70260215.eng.abstr-s1-r5-t2.1-t3.1",
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DerOrthopaede.70260229.eng.abstr
|
DerOrthopaede.70260229.eng.abstr
|
[
{
"id": "DerOrthopaede.70260229.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A method to determine migration of hip endoprostheses is described . Migration is measured by means of standard AP radiographs and therefore can also be evaluated in retrospective studies . Measurement is conducted on X-ray studies displayed on a computer screen . Enhancement of bony structures by application of filters is available . The developed software can be used with common commercially available computers and X-ray scanners , and does not require special hardware ."
],
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[
0,
477
]
]
}
] |
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{
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"method"
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}
]
},
{
"id": "DerOrthopaede.70260229.eng.abstr-s1-t2",
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22,
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}
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},
{
"id": "DerOrthopaede.70260229.eng.abstr-s1-t3",
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"hip"
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35,
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"db_id": "C0019552"
}
]
},
{
"id": "DerOrthopaede.70260229.eng.abstr-s1-t4",
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"hip endoprostheses"
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35,
53
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],
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"db_name": "UMLS",
"db_id": "C0019560"
}
]
},
{
"id": "DerOrthopaede.70260229.eng.abstr-s2-t1",
"type": "umlsterm",
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"Migration"
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[
69,
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"db_id": "C0600210"
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{
"id": "DerOrthopaede.70260229.eng.abstr-s2-t2",
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"standard"
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"db_id": "C0038137"
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{
"db_name": "UMLS",
"db_id": "C0175675"
}
]
},
{
"id": "DerOrthopaede.70260229.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"radiographs"
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115,
126
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"db_id": "C0043299"
}
]
},
{
"id": "DerOrthopaede.70260229.eng.abstr-s2-t4",
"type": "umlsterm",
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"retrospective"
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166,
179
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"db_id": "C0035363"
}
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{
"id": "DerOrthopaede.70260229.eng.abstr-s2-t5",
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"retrospective studies"
],
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166,
187
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]
},
{
"id": "DerOrthopaede.70260229.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"Measurement"
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190,
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"db_id": "C0242485"
}
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},
{
"id": "DerOrthopaede.70260229.eng.abstr-s3-t2",
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"X-ray"
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"id": "DerOrthopaede.70260229.eng.abstr-s3-t3",
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{
"id": "DerOrthopaede.70260229.eng.abstr-s5-t2",
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{
"id": "DerOrthopaede.70260229.eng.abstr-s5-t3",
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{
"db_name": "UMLS",
"db_id": "C0043309"
}
]
}
] |
[] |
[] |
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"id": "DerOrthopaede.70260229.eng.abstr-s3-r2-t1.1-t2.2",
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"id": "DerOrthopaede.70260229.eng.abstr-s5-r2-t3.1-t1.1",
"type": "uses",
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},
{
"id": "DerOrthopaede.70260229.eng.abstr-s5-r3-t1.1-t3.1",
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{
"id": "DerOrthopaede.70260229.eng.abstr-s5-r4-t3.1-t2.1",
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"arg2_id": "DerOrthopaede.70260229.eng.abstr-s5-t2",
"normalized": []
}
] |
DerOrthopaede.70260237.eng.abstr
|
DerOrthopaede.70260237.eng.abstr
|
[
{
"id": "DerOrthopaede.70260237.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In this paper we present a method for measuring the wear of the polyethylene inlay in knee joint endoprostheses from standard X-ray images . Our approach is to estimate the spatial position of the tibial and femoral components of the prostheses from their contours in the X-ray image . When we know the exact shape of these two components , we can calculate the minimal spatial distance between them which approximates the remaining thickness of the inlay . First results show that this approach might provide sufficient accuracy for the given task ."
],
"offsets": [
[
0,
550
]
]
}
] |
[
{
"id": "DerOrthopaede.70260237.eng.abstr-s1-t1",
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8,
13
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"db_id": "C0030351"
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},
{
"id": "DerOrthopaede.70260237.eng.abstr-s1-t2",
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"db_id": "C0025663"
},
{
"db_name": "UMLS",
"db_id": "C0025664"
}
]
},
{
"id": "DerOrthopaede.70260237.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"polyethylene"
],
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[
64,
76
]
],
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{
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"db_id": "C0137914"
},
{
"db_name": "UMLS",
"db_id": "C0032487"
}
]
},
{
"id": "DerOrthopaede.70260237.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"inlay"
],
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[
77,
82
]
],
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{
"db_name": "UMLS",
"db_id": "C0021513"
}
]
},
{
"id": "DerOrthopaede.70260237.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"knee"
],
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[
86,
90
]
],
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{
"db_name": "UMLS",
"db_id": "C0022742"
}
]
},
{
"id": "DerOrthopaede.70260237.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"joint"
],
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[
91,
96
]
],
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{
"db_name": "UMLS",
"db_id": "C0022417"
}
]
},
{
"id": "DerOrthopaede.70260237.eng.abstr-s1-t7",
"type": "umlsterm",
"text": [
"standard"
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[
117,
125
]
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"db_id": "C0038137"
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{
"db_name": "UMLS",
"db_id": "C0175675"
}
]
},
{
"id": "DerOrthopaede.70260237.eng.abstr-s1-t8",
"type": "umlsterm",
"text": [
"X-ray"
],
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[
126,
131
]
],
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"db_name": "UMLS",
"db_id": "C0043299"
},
{
"db_name": "UMLS",
"db_id": "C0043309"
}
]
},
{
"id": "DerOrthopaede.70260237.eng.abstr-s1-t9",
"type": "umlsterm",
"text": [
"knee joint"
],
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[
86,
96
]
],
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{
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"db_id": "C0022745"
}
]
},
{
"id": "DerOrthopaede.70260237.eng.abstr-s1-t10",
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"X-ray images"
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126,
138
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"db_id": "C0034571"
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},
{
"id": "DerOrthopaede.70260237.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"prostheses"
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234,
244
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"db_id": "C0525024"
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{
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]
},
{
"id": "DerOrthopaede.70260237.eng.abstr-s2-t2",
"type": "umlsterm",
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"contours"
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256,
264
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"id": "DerOrthopaede.70260237.eng.abstr-s2-t3",
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272,
277
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]
},
{
"id": "DerOrthopaede.70260237.eng.abstr-s2-t4",
"type": "umlsterm",
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"X-ray image"
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272,
283
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],
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"db_id": "C0034571"
}
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},
{
"id": "DerOrthopaede.70260237.eng.abstr-s3-t1",
"type": "umlsterm",
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"exact"
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303,
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"db_id": "C0059927"
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},
{
"id": "DerOrthopaede.70260237.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"distance"
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378,
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]
},
{
"id": "DerOrthopaede.70260237.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"inlay"
],
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450,
455
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0021513"
}
]
}
] |
[] |
[] |
[
{
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{
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},
{
"id": "DerOrthopaede.70260237.eng.abstr-s1-r5-t5.1-t9.1",
"type": "adjacent_to",
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{
"id": "DerOrthopaede.70260237.eng.abstr-s1-r6-t3.2-t2.2",
"type": "interacts_with",
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},
{
"id": "DerOrthopaede.70260237.eng.abstr-s1-r7-t7.1-t2.2",
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},
{
"id": "DerOrthopaede.70260237.eng.abstr-s1-r8-t7.1-t8.2",
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{
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] |
DerOrthopaede.70260246.eng.abstr
|
DerOrthopaede.70260246.eng.abstr
|
[
{
"id": "DerOrthopaede.70260246.eng.abstr-passage-0",
"type": "abstract",
"text": [
"X-ray images were taken of 22 patients suffering from different orthopaedic disease patterns using magnification with focus diameters between 0.012 and 0.100 mm . This yielded improved resolution of detailed structures , especially in tumours and aseptic bone necroses . Owing to the relatively low efficiency of the X-ray tube ( affected by the condition of the X-ray equipment ) , however , exposure times of several seconds were required , and the voltage had to be higher than in a conventional X-ray procedure . This resulted in a lack of sharpness owing to movement and a loss of contrast . Hence , the clinical use of focus diameters below 0.1 mm does not seem to be meaningful ."
],
"offsets": [
[
0,
686
]
]
}
] |
[
{
"id": "DerOrthopaede.70260246.eng.abstr-s1-t1",
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"X-ray"
],
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5
]
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]
},
{
"id": "DerOrthopaede.70260246.eng.abstr-s1-t2",
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"patients"
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"id": "DerOrthopaede.70260246.eng.abstr-s1-t3",
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"disease"
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{
"id": "DerOrthopaede.70260246.eng.abstr-s1-t4",
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"text": [
"X-ray images"
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},
{
"id": "DerOrthopaede.70260246.eng.abstr-s2-t1",
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"tumours"
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},
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"id": "DerOrthopaede.70260246.eng.abstr-s2-t2",
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"text": [
"bone"
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"id": "DerOrthopaede.70260246.eng.abstr-s3-t1",
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"text": [
"efficiency"
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"id": "DerOrthopaede.70260246.eng.abstr-s3-t3",
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"X-ray"
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363,
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]
},
{
"id": "DerOrthopaede.70260246.eng.abstr-s3-t4",
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"equipment"
],
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369,
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},
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"id": "DerOrthopaede.70260246.eng.abstr-s3-t6",
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},
{
"id": "DerOrthopaede.70260246.eng.abstr-s3-t7",
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"procedure"
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]
},
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"id": "DerOrthopaede.70260246.eng.abstr-s4-t1",
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"text": [
"movement"
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},
{
"id": "DerOrthopaede.70260246.eng.abstr-s4-t2",
"type": "umlsterm",
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"contrast"
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"id": "DerOrthopaede.70260246.eng.abstr-s5-t1",
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]
}
] |
[] |
[] |
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{
"id": "DerOrthopaede.70260246.eng.abstr-s3-r23-t6.1-t3.2",
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{
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DerOrthopaede.70260251.eng.abstr
|
DerOrthopaede.70260251.eng.abstr
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"Computer-guided robot-assisted surgery in cementless total hip replacement requires exact preoperative planning at the 3D workstation Orthodoc . Only the Robodoc procedure allows the precise execution of the preoperative plan in surgery . Robot-assisted surgery has been undergoing clinical evaluation at the Berufsgenossenschaftliche Unfallklinik , Frankfurt , since November 1994. In all 465 patients , the preoperative plan was successfully carried out intraoperatively . The high precision in reaming , leading to a superb bone implant contact , guarentees absolute initial stability and is likely to promote primary healing between implant and bone . The common and often published incidence of varus or valgus malpositioning and any fractures or fissures could be avoided through the use of Robodoc . Although immediate full-weight bearing was strongly recommended to the patients , no implant subsidence was seen in the regular follow-up X ray studies ."
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[] |
[] |
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] |
DerOrthopaede.70260258.eng.abstr
|
DerOrthopaede.70260258.eng.abstr
|
[
{
"id": "DerOrthopaede.70260258.eng.abstr-passage-0",
"type": "abstract",
"text": [
"With the development of powerful computer systems , computer-assisted medical diagnosis and therapy have become common over the last 10 years . Even in the surgical field , computer- and robotic-assisted techniques are becoming practical but are not yet used on a daily basis . In the orthopaedic field , computer and robotic assistance is used in planning and performing demanding three-dimensional osteotomies , setting pedicle screws in the spine and milling the femoral medullary canal in total hip replacement . This article introduces a computer- and robotic-assisted system for performing arthroplasty in total knee replacement procedures ."
],
"offsets": [
[
0,
647
]
]
}
] |
[
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DerOrthopaede.70260267.eng.abstr
|
DerOrthopaede.70260267.eng.abstr
|
[
{
"id": "DerOrthopaede.70260267.eng.abstr-passage-0",
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"text": [
"In laser-assisted arthroscopic knee surgery , clinical outcome and experimental results are quite different . After laser treatment of local chondromalacia , large cartilage lesions with less tendency towards repair were more often seen than after conventional arthoscopic treatment . Therefore , laser treatment of chondromalacia cannot be recommended . Compared with conventional meniscectomy , laser-assisted meniscal surgery has some advantages , but there is also some risk of inducing gonarthrosis . Some studies show a good hemostatic effect of the laser and the feasibility of precise tissue cutting . On the other hand , laser treatment causes alteration of the tissue . The meniscal tissue becomes stiffer , which may promote the manifestation of gonarthrosis . Percutaneous laser disc decompression has been in successful clinical use since 1986 in the treatment of intervertebral disc prolapses . Studies of multiple orthopedic departments worldwide show a success rate of 75 % . To guarantee the success the indications must be observed . The use of lasers in the arthroscopic treatment of outlet impingement syndrome have some advantages , too . The outcome is better than that of other arthroscopic techniques and there are fewer complications because of the hemostatic effect and the improved vision . Laser-assisted capsular shrinkage combined with arthroscopic labrum reattachment allows convenient laser use . Capsular shrinkage can be achieved with low-level laser energy . If this treatment is not successful , other operative techniques can be performed without restrictions ."
],
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}
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DerOrthopaede.70260273.eng.abstr
|
DerOrthopaede.70260273.eng.abstr
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[] |
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DerOrthopaede.70260304.eng.abstr
|
DerOrthopaede.70260304.eng.abstr
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[
{
"id": "DerOrthopaede.70260304.eng.abstr-passage-0",
"type": "abstract",
"text": [
"During the last few decades , traumatic injuries of the hip joint have significantly increased in number , and traffic accidents have also increased . Depending on the speed , direction of the forces and the position of the femur at the moment of impact , different patterns of injury occur . Basically , they are classified as hip dislocations , dislocation fractures and acetabular fractures . These injuries have in common a high rate of concomitant lesions . Several classification systems have been developed for these injuries . Commonly , Stewart and Milford's or Levin's classification is used for dislocations and dislocation fractures . For acetabular fractures , Judet and Letournel's classification and its newer version developed by Helfet ( AO classification ) are generally accepted . Fractures of the femoral head , though included in these classifications , are typically described by separate classifications like the one presented in 1957 by Pipkin . The multitude of injuries occuring in the hip joint requires vast knowledge of various operative approaches . No single approach exists that would permit the treatment of all injuries in an ideal fashion . Approaches are either considered limited ( Kocher-Langenbeck , ilioinguinal iliofemoral ) when they permit access only to a restricted segment of the joint , or extended ( extended iliofemoral , Maryland , Ruedi ) when they allow all-around visualization of the hip joint . The choice of the best approach for an individual patient depends on the type of injury and also on patient variables like age , preexisting disease , and concomitant injuries . The decision is further influenced by the timing of surgery , the kind of fracture stabilization intended and by complications typically seen with certain approaches . The indication for extended procedures is only seen in patients with complex injury patterns involving both the anterior and the posterior column or in delayed cases undergoing surgery more than 3 weeks after trauma . Extended approaches permit excellent visualization of the fracture , but the extent of the soft tissue trauma is reflected in a high rate of postoperative complications . After a phase in which extended procedures were favored , recently a trend towards more limited approaches can be recognized because of their lower complication rate . This is facilitated by modern fracture-reduction methods using indirect techniques ."
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DerOrthopaede.70260336.eng.abstr
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DerOrthopaede.70260336.eng.abstr
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"Despite the great number of publications during the last 10 years concerning the indication , technique and results of operative treatment of acetabular fractures , conservative treatment still has an important role when considering the therapeutic possibilities . Because of the modern techniques of radiological imaging and improvement of diagnostic facilities , a more defined indication for treatment becomes possible . Conventional X-rays , completed by special projections like the Ala and Obturator view , and a CT scan allow determination of the fracture type ( the Letournel/Judet classification or the AO classification ) . The most suitable treatment can then be adapted to the individual circumstances of the patient , i . e . , age , general condition and overall severity of traumatic impairment . Determination of the intact part of the weight-bearing dome is important in selecting the most adequate therapeutic procedure . The larger the intact roof arc , the better the prognosis . Together with the X-ray controls following axial and facultative lateral extentions , the indication for conservative treatment can be confirmed . Early active motion of the injured limb , followed by walking exercises with partial weight-bearing , are important aspects of nonoperative treatment . Conservative treatment is recommended in non-displaced fractures or in fractures with little displacement , transverse fractures of the lower region or severely comminuted acetabular fractures with no possibility of reconstruction . Our clinical and radiological follow-up of 97 patients with acetabular fractures from the years 1981-1990 showed that the majority were treated conservatively ( approx . 70 % ) . The functional result after an average observation period of more than 70 months was good or excellent ( based on the Merle d ' Aubigné score ) . We feel it is important to look at operative and conservative treatment of acetabular fractures as two complementary non-competitive therapeutic methods . The choice of treatment should be based on an exact diagnosis considering fracture type , the individual circumstances of the patient , and application of the necessary diagnostic facilities . Conservative treatment can lead to excellent long-term results ."
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] |
DerOrthopaede.70260348.eng.abstr
|
DerOrthopaede.70260348.eng.abstr
|
[
{
"id": "DerOrthopaede.70260348.eng.abstr-passage-0",
"type": "abstract",
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"In the Department of Traumatology at the University of Ulm , 26 elderly patients with displaced acetabular fractures were treated with primary implantation of a hip joint endoprosthesis between 1986 and 1996. The principles of operative therapy are stabilization of the acetabular ring , grafting of acetabular defects with autogenous corticocancellous bone and cranial buttressing with a reinforcing ring . This concept permits immediate mobilization of elderly patients and full weight-bearing and thus results in favorable early postoperative results . Secondary complications typically caused by immobilization can therefore be avoided ."
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] |
DerOrthopaede.70260354.eng.abstr
|
DerOrthopaede.70260354.eng.abstr
|
[
{
"id": "DerOrthopaede.70260354.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We see pelvic fractures in about 50 % of all multiple trauma patients . In many cases , these pelvic fractures are complicated by complex pelvic traumata , i . e . , a pelvic fracture with pelvic vessel damage , neurological , visceral or soft-tissue damage , and therefore have the character of life-threatening lesions . The incidence of complex pelvic trauma is extremely high in cases of vertical and rotation instability . Most problems come from massive bleeding as a result of presacral venous plexus laceration . This venous bleeding usually tampons its self after stabilization , e . g . , with an external fixator . In about half of the cases an immediate laparotomy is performed because of remaining circulatory instability , lesions of the urinary tract , or open fractures . In these cases , stabilization of the pelvis is frequently achieved by ORIF , e . g . , plating of the symphysis pubis or the SI joint . Internal stabilization of the pelvis facilitates the following treatment in the ICU , especially when prone-supine positioning is mandatory due to pulmonary indications . For this reason we avoid traction techniques in displaced acetabular fractures , and we achieve stability with a joint-bridging external fixator . Treatment of complex pelvic fracture must be integrated in the overall concept of treatment . Differentiated and situation-adapted action is necessary , depending on the particular situation , as well as the personnel and technical equipment ."
],
"offsets": [
[
0,
1486
]
]
}
] |
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] |
[] |
[] |
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DerOrthopaede.70260360.eng.abstr
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DerOrthopaede.70260360.eng.abstr
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"Because of the controversy that exists about therapy for the Pipkin fracture , the treatment and results of 117 fractures of the femoral head were reviewed and re-evaluated at least 1 year after the trauma had taken place . The cases were taken from eight publications in the literature from 1983 to 1995. The lesions in this collection comprised 35 % ( n = 41 ) type I , 40 % ( n = 47 ) type II , 10 % ( n = 12 ) type III and 15 % ( n = 17 ) type IV fractures classified after the Pipkin system . Seventy-four percent of patients ( n = 87 ) were operated on ; only type I lesions were treated conservatively in 42 % , thus more often than average . There were 57 complications with equally frequent head necroses ( 14.5 % ) and severe coxarthroses . Coxarthrosis was doubled after conservative treatment versus operation ( 23 % vs. 13 % ) . There was no difference in respect to head necrosis . Postoperatively , 18 ( 14 % ) periarticular ossifications were registered . Forty-one ( 75 % ) of 55 Pipkin I and II fractures had an at least \" good \" outcome ; the portion of conservative treatment was highter than operative treatment ( 88 % vs 69 % ) . Still these results have to be seen with respect to the use of treating simple lesions primarily conservatively with the minimum of 6 weeks of traction therapy , thus counting the latter patients in this group . According to the literature , we think that if there are no vital contraindications , all Pipkin fractures should be treated operatively ( early emergency operation ) by reattaching bigger fragments and extracting smaller fragments in Pipkin I and II fractures , trying to save the heads in young , active patients with Pipkin III fractures in contrast to primary endoprotheses in elderly patients with coxarthrosis with Pipkin IV fractures ( unstable and displaced fractures of the acetabulum ) ."
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DerOrthopaede.70260368.eng.abstr
|
DerOrthopaede.70260368.eng.abstr
|
[
{
"id": "DerOrthopaede.70260368.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In the rehabilitation of patients with acetabular fractures , we try to achieve anatomical reconstruction of the joint as well as unlimited mobility . This is important for the patient's reintegration at work and in social life ."
],
"offsets": [
[
0,
229
]
]
}
] |
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}
]
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{
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}
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"joint"
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}
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{
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"work"
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]
],
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}
]
},
{
"id": "DerOrthopaede.70260368.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"life"
],
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[
223,
227
]
],
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{
"db_name": "UMLS",
"db_id": "C0376558"
}
]
}
] |
[] |
[] |
[
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"type": "location_of",
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},
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},
{
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"type": "location_of",
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},
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{
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"arg2_id": "DerOrthopaede.70260368.eng.abstr-s1-t1",
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] |
DerOrthopaede.70260375.eng.abstr
|
DerOrthopaede.70260375.eng.abstr
|
[
{
"id": "DerOrthopaede.70260375.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The long-term functional results of acetabular fractures are assessed in terms of the corresponding criteria of Merle-D'Aubigné and Postel ( pain , mobility , walking ) . Other essential criteria include the quality of reduction and the radiological appearance ."
],
"offsets": [
[
0,
262
]
]
}
] |
[
{
"id": "DerOrthopaede.70260375.eng.abstr-s1-t1",
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"fractures"
],
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[
47,
56
]
],
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}
]
},
{
"id": "DerOrthopaede.70260375.eng.abstr-s1-t2",
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"criteria"
],
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100,
108
]
],
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},
{
"id": "DerOrthopaede.70260375.eng.abstr-s1-t3",
"type": "umlsterm",
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"pain"
],
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[
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145
]
],
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}
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},
{
"id": "DerOrthopaede.70260375.eng.abstr-s2-t1",
"type": "umlsterm",
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"criteria"
],
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[
187,
195
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0243161"
}
]
}
] |
[] |
[] |
[
{
"id": "DerOrthopaede.70260375.eng.abstr-s1-r1-t2.1-t1.1",
"type": "associated_with",
"arg1_id": "DerOrthopaede.70260375.eng.abstr-s1-t2",
"arg2_id": "DerOrthopaede.70260375.eng.abstr-s2-t1",
"normalized": []
},
{
"id": "DerOrthopaede.70260375.eng.abstr-s1-r2-t1.1-t2.1",
"type": "associated_with",
"arg1_id": "DerOrthopaede.70260375.eng.abstr-s2-t1",
"arg2_id": "DerOrthopaede.70260375.eng.abstr-s1-t2",
"normalized": []
}
] |
DerOrthopaede.70260384.eng.abstr
|
DerOrthopaede.70260384.eng.abstr
|
[
{
"id": "DerOrthopaede.70260384.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Acetabular fractures are severe injuries . Making a diagnosis and deciding on therapy are difficult because of the complexity of the anatomic structure and because of the soft tissues . Choosing the most suitable approach is the most important problem when deciding on the operative treatment . Besides standard approaches ( Kocher/Langenbeck , ilioinguinal and extended iliofemoral ) , the \" Maryland approach \" has been established in the last few years . Modifying the steps of preparation , it is possible to begin the operation with a Kocher/Langenbeck approach ( with variation on where the skin incision is made ) and to extend the approach step by step to achieve optimal exposure . Here we describe the results of acetabular fractures treated between 1989 and 1994 ( n = 159 ) in our clinic related to the surgical approach . The \" modified Maryland approach \" as used in our clinic , starts with exposure of the dorsal column , offering the possibility of a universal exposure ."
],
"offsets": [
[
0,
988
]
]
}
] |
[
{
"id": "DerOrthopaede.70260384.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"fractures"
],
"offsets": [
[
11,
20
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016658"
}
]
},
{
"id": "DerOrthopaede.70260384.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"injuries"
],
"offsets": [
[
32,
40
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0175677"
},
{
"db_name": "UMLS",
"db_id": "C0021501"
}
]
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[] |
[] |
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DerOrthopaede.70260408.eng.abstr
|
DerOrthopaede.70260408.eng.abstr
|
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{
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"Nail , plate and external fixator are since decades the most frequently and stabilizers for the surgical treatment of dia- and metaphyseal fractures . These elements are still present today . However , there were important changes in recent years . Together with better knowledge and understanding of fracture healing , fracture biology , implant metallurgy and mechanics and a more and more specified application of these techniques , this resulted in improved possibilities for the treatment of injured patients . Beside an overview about the current discussion of unreamed and reamed nail insertion new trends , techniques and nails are presented for the different long bones ( retrograd nails , spiral blade , flex-nail humerus and a distal aiming device ( DAD ) for interlocking screws ) . In addition , new approach techniques for nailing ( stab incision ) and minimally invasive percutaneous plate osteosynthesis ( MIPO ) for metaphyseal fractures of the proximal and distal femur and proximal tibia are described including the necessary techniques for control of axes and rotation ."
],
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0,
1090
]
]
}
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[] |
[] |
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DerOrthopaede.70260437.eng.abstr
|
DerOrthopaede.70260437.eng.abstr
|
[
{
"id": "DerOrthopaede.70260437.eng.abstr-passage-0",
"type": "abstract",
"text": [
"There are many new options , and those procedures that are interesting from the aspect of traumatology have been selected : ( 1 ) A special positioning aid for the treatment of injuries to the cervical spine . The appliance has proved extremely useful for reduction and immobilization of fractures and dislocations and also allows reliable positioning of the head in all desired surgical positions when ventral and/or dorsal approaches are used . ( 2 ) A new titanium H-plate , which can be fixed either with the usual 3.5-mm-thick screws or with unconventional 4.5-mm-thick screws in the case of lesions to the lower cervical spine . ( 3 ) A new technique for less invasive atlanto-axial screw fixation , with a cannula system extending to the axis from small incisions at the level of the upper thoracic spine , by way of which the C-1 joint block can be drilled , milled and screwed . ( 4 ) Jeanneret's CerviFix rod system . This system has progressed beyond the drawbacks of plating as performed so far for internal fixation of the dorsal cervical spine , in which screws could be inserted only at predetermined intervals and angles . Movable grips , lateral stabilizers and extension pieces mean that the system is very well able to fulfil the demands of a variable and stable implant . ( 5 ) Transthoracic endoscopic spinal surgery , which is excellently suited to fusion of a traumatized segment to supplement reduction and instrumentation from a dorsal approach . ( 6 ) A reduced-invasion method at the thoracolumbar transition , with no insertion of implants from a ventral approach and blocking through a small left lateral thoracotomy with autogeneic shavings from the iliac crest ."
],
"offsets": [
[
0,
1693
]
]
}
] |
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] |
[] |
[] |
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DerOrthopaede.70260459.eng.abstr
|
DerOrthopaede.70260459.eng.abstr
|
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[] |
[] |
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DerOrthopaede.70260463.eng.abstr
|
DerOrthopaede.70260463.eng.abstr
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[] |
[] |
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DerOrthopaede.70260470.eng.abstr
|
DerOrthopaede.70260470.eng.abstr
|
[
{
"id": "DerOrthopaede.70260470.eng.abstr-passage-0",
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"text": [
"Posttraumatic soft tissue defects , alone or combined with fractures , still present challenging problems of diagnosis and choice of treatment , unless they are suitable for primary closure . The reasons are to be found in their varied ethiology and degree of severity . In order to apply the optimal therapy to the patient , a complete understanding of the defect present , an optimal timing of surgery and a full knowledge of all treatment options are mandatory . The treatment concept presented is based on our personal experience between 1981 and 1995 after more than 5000 skin transplantations , some 3000 local tissue fransfer , over 200 distat flap transfers and more than 1200 free microvascular tissue transfer to all regions of the body . New therapy concepts do not entirely replace the elder ones , but are integrated into the treatment schedule ."
],
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0,
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]
]
}
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[] |
[] |
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DerOrthopaede.70260481.eng.abstr
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DerOrthopaede.70260481.eng.abstr
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DerOrthopaede.70260489.eng.abstr
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DerOrthopaede.70260489.eng.abstr
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"The application of biodegradable implants is combined with advantages and disadvan- tages . They offer a great deal of innovative ideas . Best evaluation has been done with pins for the fixation of low loaded osteochondral fractures . When using 2,7 mm Polypin primary mechanical stabilility of distal radius fractures is comparable with the fixation by 1,8 mm K-wires . A prospective and randomised study with two years follow up , including 183 radial head fractures , showed no significant difference in results and complications in metal and polyactide implants . For this localisation and other comparable indications the implant can be recommended . Despite the more extensive degradable device overall costs can be reduced with the polymer implant . Orien- truded polyactide screws showed good clinical results , newetheless resorption was extremely late within 5 to 7 years ."
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[] |
[] |
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DerOrthopaede.70260516.eng.abstr
|
DerOrthopaede.70260516.eng.abstr
|
[
{
"id": "DerOrthopaede.70260516.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Several authors have tried to define segmental lumbar instability ."
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0,
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}
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[] |
[] |
[] |
[] |
DerOrthopaede.70260521.eng.abstr
|
DerOrthopaede.70260521.eng.abstr
|
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{
"id": "DerOrthopaede.70260521.eng.abstr-passage-0",
"type": "abstract",
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DerOrthopaede.70260535.eng.abstr
|
DerOrthopaede.70260535.eng.abstr
|
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{
"id": "DerOrthopaede.70260535.eng.abstr-passage-0",
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"text": [
"The presence of psychological co-morbidity and difficulties in coping with chronic low-back pain are indications for the application of psychological therapy procedures . In the treatment of patients with chronic pain , the aim of therapy as well as the technique of the traditionally employed psychotherapeutic procedures need to be modified . What is of immediate importance is to promote an active pattern of coping with pain and discourage pain-related inactivity and reduce feelings of helplessness and hopelessness . To achieve this , it is necessary to combine various psychological treatment modalities ( relaxation techniques and behavioural or psychodynamic therapy ) with exercise programs as in physiotherapy or sports medicine . In the choice of the appropriate psychotherapeutic modalities , it is important to take into consideration the extent of chronicity of pain , the patient's subjective understanding of the illness , a possible wish of the patient for early retirement , previous experience with chronic pain and the extent to which the patient has been psychologically traumatised ( especially in his childhood and youth ) . Relatives should be integrated in the planning and possibly also in carring out of the treatment . Symptom-specific group therapy might motivate patients to undergo treatment and to change their habitual ways of life . A multimodal treatment approach incorporating orthopaedic , sports medicine , physiotherapeutic , psychological and sociotherapeutic procedures have proved to be more effective in the treatment of chronic pain than one employing monocausal treatment modalities ."
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DerOrthopaede.70260544.eng.abstr
|
DerOrthopaede.70260544.eng.abstr
|
[
{
"id": "DerOrthopaede.70260544.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Low back pain is the most expensive condition in industrialized countries . Approximately 65-80 % of the population will be afflicted with low back pain at some point during their life . Low back pain has many causes and can originate from any of several pain-sensitive foci , among which are facet joints , sacroiliac joint , muscle and ligaments . Primary care in the acute phase consists of nonsteroidal anti-inflammatory drugs to address the biochemical and inflammatory mediators of pain or skeletal muscle spasmolytics to reduce low back pain symptoms . Injection procedures should be reserved for the patients with low back pain who fail to respond to a directed , conservative treatment trial and have had pain for at least 2 weeks ' duration . Eliminating sensation from a certain pain source has been proposed as a way to allow an examiner to determine if that joint is responsible for the patient's pain . Injections of local anesthetic into the facet joint or around its nerve supply are clinical methods of eliminating pain from focal areas such as facet joints or myofascial trigger points . When a particular joint is determined to be the source of pain , long-term relief can be sought by directing therapeutic interventions at that joint . The anatomic accessibility of the most common pain sources of low back pain make diagnostic blocks and therapeutic instillation of corticosteroids particularly appealing . If used , their potential benefit for the individual case needs to be carefully weighed . They should be used to facilitate more aggressive conservative care and not as an isolated treatment . Certainly , if response to corticosteroids does not occur after the first injection , no further administration of corticosteroids is indicated ."
],
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DerOrthopaede.70260563.eng.abstr
|
DerOrthopaede.70260563.eng.abstr
|
[
{
"id": "DerOrthopaede.70260563.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In a retrospective study , we evaluated 180 patients treated for painful spondylolisthesis with combined anterior and posterior fusion . Group I included 90 patients treated by anterior fusion with the transperitoneal approach . Group II included 90 patients operated on with a retroperitoneal approach . Group II showed a higher incidence of pseudarthrosis L5/S1 ( 4 % ) , tear of the common iliac vein ( 1 % ) , postsympathectomy syndrome ( 4 % ) and reversible L4 nerve-root lesion ( 3 % ) . On the basis of our findings , we recommend the transperitoneal approach for anterior interbody fusion L5 to S1 or L4 to S1."
],
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[
0,
619
]
]
}
] |
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330,
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}
]
},
{
"id": "DerOrthopaede.70260563.eng.abstr-s4-t2",
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343,
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]
}
] |
[] |
[] |
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{
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{
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},
{
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"type": "associated_with",
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},
{
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},
{
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},
{
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},
{
"id": "DerOrthopaede.70260563.eng.abstr-s4-r13-t6.1-t5.1",
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},
{
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},
{
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},
{
"id": "DerOrthopaede.70260563.eng.abstr-s4-r16-t6.1-t5.1",
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},
{
"id": "DerOrthopaede.70260563.eng.abstr-s4-r17-t2.1-t6.1",
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},
{
"id": "DerOrthopaede.70260563.eng.abstr-s4-r18-t4.1-t6.1",
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{
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{
"id": "DerOrthopaede.70260563.eng.abstr-s4-r22-t3.1-t4.1",
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{
"id": "DerOrthopaede.70260563.eng.abstr-s4-r23-t6.1-t2.1",
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}
] |
DerOrthopaede.70260568.eng.abstr
|
DerOrthopaede.70260568.eng.abstr
|
[
{
"id": "DerOrthopaede.70260568.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A retrospective study was conducted to compare the results of posterior with combined anterior/posterior lumbar fusion in adults . Seventy-six consecutive posterior cases fused with pedicle screws and 46 combined cases were included and followed for at least 2 years . Subjective assessment was based on the Visual Analogue Scales , Waddel Disability and Impairment Score and the GBB for objective quantification of complaints . Furthermore , a thorough clinical examination was done and X-rays including flexion/extension radiographs , were taken . Questions were asked about the occupational status as well . Pain decreased significantly more in the combined cases than in the posterior fusion cases . In one case a lesion of the common iliac vein occurred during a retroperitoneal approach . Only about half the patients working preoperatively returned to work again . In conclusion , the benefit of better pain relief after combined fusion must be regarded in relation to a higher complication rate due to a second approach ."
],
"offsets": [
[
0,
1029
]
]
}
] |
[
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"id": "DerOrthopaede.70260568.eng.abstr-s1-t1",
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2,
15
]
],
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]
},
{
"id": "DerOrthopaede.70260568.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"posterior"
],
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[
62,
71
]
],
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}
]
},
{
"id": "DerOrthopaede.70260568.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"adults"
],
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[
122,
128
]
],
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{
"db_name": "UMLS",
"db_id": "C0001675"
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},
{
"id": "DerOrthopaede.70260568.eng.abstr-s1-t4",
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[
2,
21
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},
{
"id": "DerOrthopaede.70260568.eng.abstr-s2-t1",
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"posterior"
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155,
164
]
],
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}
]
},
{
"id": "DerOrthopaede.70260568.eng.abstr-s2-t2",
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"screws"
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190,
196
]
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"id": "DerOrthopaede.70260568.eng.abstr-s3-t1",
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"id": "DerOrthopaede.70260568.eng.abstr-s3-t2",
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{
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{
"id": "DerOrthopaede.70260568.eng.abstr-s3-t4",
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{
"id": "DerOrthopaede.70260568.eng.abstr-s4-t1",
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[] |
[] |
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DerOrthopaede.70260586.eng.abstr
|
DerOrthopaede.70260586.eng.abstr
|
[
{
"id": "DerOrthopaede.70260586.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The early development of the brachial plexus shows that it is formed of a dorsal branch supplying the extensor muscles and a ventral branch for the flexor muscles . Although the network becomes more and more complex , a basic pattern is generally preserved . This basic pattern , as well as variants and the topography of the lateral neck triangle , is described ."
],
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0,
364
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]
}
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[] |
[] |
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DerOrthopaede.70260599.eng.abstr
|
DerOrthopaede.70260599.eng.abstr
|
[
{
"id": "DerOrthopaede.70260599.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The precise preoperative clinical and electrophysiological evaluation of the brachial plexus as well as an exact rediological evaluation are the keystones for the treatment of traumatic injuries of the brachial plexus . Furthermore , surgical management and prognosis of traction injuries of the brachial plexus depend on the accurate diagnosis of root avulsion from the spinal cord . Myelography , myelo-computed tomography and recently magnetic resonance imaging are the main radiological methods for preoperative diagnose of cervical root avulsions . Surgical experience shows that in may cases , extraspinal findings diverge from intradural findings . Consequently , only correlation with the intradural surgical findings will allow us to define the factual accuracy of myelo-CT and MRI studies . Accuracy of the preoperative myelo-CT based diagnosis related to the intraoperative intradural findings was 85 % . On the other hand , MRI showed an accuarcy of only 52 % . Therefore , myelo-CT scans with 1 to 3 mm axial slices proves to be the most reliable method to evaluate preoperatively the presence of complete or partial root avulsion in traumatic brachial plexus injuries . However in 15 % of the cases preoperative exact radiological diagnosis is unfortunately not reliable . In these special cases intraspinal surgical exposure of the cervical roots will provide the accurate diagnosis of root avulsion . Accurate clinical evaluation and exact assessment of intraspinal root avulsion simplify enormously the decision concerning the choice of donor nerves for transplantation and/or neurotization during brachial plexus surgery ."
],
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1640
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}
] |
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