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DerOrthopaede.80270743.eng.abstr
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DerOrthopaede.80270743.eng.abstr
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"The periacetabular osteotomy is a strategy for the treatment of residual hip dysplasia in young adults with the aim of preventing secondary coxarthrosis . This polygonal , juxta-articular osteotomy respects the vascular blood supply to the acetabular fragment and thus facilitates an extensive acetabular reorientation with improvement of the insufficient coverage of the femoral head , including medial displacement of the fragment . All osteotomies are performed by one approach , the modified Smith-Petersen , which allows an anterior capsulotomy . Inspection of the joint not only provides information on acetabular rim pathologies , but also facilitates the control of impingement-free range of motion after the correction . The posterior column remains partially intact , allowing minimal internal fixation of the acetabular fragment and early mobilization similar to that after an intertrochanteric osteotomy . The dimensions of the true pelvis are unchanged , providing the capacity to have an unimpeded delivery in women . This paper describes the preoperative evaluation , current indications , surgical technique , postoperative care , and the results of this osteotomy ."
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DerOrthopaede.80270751.eng.abstr
|
DerOrthopaede.80270751.eng.abstr
|
[
{
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"type": "abstract",
"text": [
"To this point , we have only a relatively short term followup in 32 patients with known labral lesions who have been treated by combined periacetabular osteotomy ( PAO ) and debridement of the damaged anterior labrum . A positive clinical history in association with pain demonstrated with the impingement test of flexion-adduction-internal rotation nearly always indicates macroscopic pathology within the anterior portion of the hip joint . Labral lesions associated with acetabular dysplasia seem more common with increasing age . Labral lesions seem to correlate with arthrosis . We suspect that uncorrected impinging lesions of the anterior rim have led to some of our early clinical failures after PAO . We feel that intra-articular treatment of certain impinging lesions may improve the clinical outcome in these patients . Correction of the pathological mechanics in the mature , dysplastic hip certainly requires restoration of stability by reorienting osteotomy . If intra-articular derangements of the anterior rim are also present , though , intra-articular surgery may also be necessary to optimize the outcome . Our early results suggest that the earlier and more complete the correction of the disordered mechanics in the dysplastic hip , the more complete and long-lasting will be both relief of clinical symptoms and preservation of a joint free from arthrosis . Anterior arthrotomy to explore the anterior rim , carried out at the time of PAO , employing the direct anterior abductor-sparing approach ( DAA ) , seems a safe and useful adjunct in treating the mature , dysplastic hip . Much longer clinical followup and larger treatment groups will be necessary to allow firm conclusions concerning optimal treatment programs for different patient subgroups of the adult hip dysplasia syndrome ."
],
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1812
]
]
}
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DerOrthopaede.80270759.eng.abstr
|
DerOrthopaede.80270759.eng.abstr
|
[
{
"id": "DerOrthopaede.80270759.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Acetabular dysplasia represents the most common aetiology for secondary osteoarthritis of the hip joint in Japan . On radiographs progress of the disease can be classified in four stages ( I to IV ) . Labral lesions are common accompanying findings in acetabular dysplasia , representing an important prognostic factor . Therefore we routinely use conventional arthrography to classify labral lesions in three types ( normal , torn and detached ) . From 1978 to 1983 a modified Chiari osteotomy of the pelvis ( dome osteotomy ) was performed in 64 hip joints without arthrotomy . The preoperative radiography showed labral lesions in 66 % . After an average follow-up of 4 years , 43 of the 44 patients with a normal or torn labrum showed excellent or good results . On contrast , 50 % of the 20 patients with a detached labrum showed fair and poor results only . From 1984 to 1989 an arthrotomy was combined with dome osteotomy in 29 hip joints and labral lesions had to be resected in 16 cases . The results were generally good in patients with arthrosis grade I and II , but in stage III they were only fair . Thus , the success of labral surgery can only be achieved in early stages of dysplasia . Based on our findings dome osteotomy combined with arthrotomy and labral surgery can be recommended in patients with labral lesions and hip dysplasia grade I and II ."
],
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]
}
] |
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DerOrthopaede.80270765.eng.abstr
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DerOrthopaede.80270765.eng.abstr
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"Concomitant pathologies ( labral lesions , intra-/extra-osseous ganglia and stress bone marrow edema ) in adult residual hip dysplasia ( RHD ) might influence the outcome of conservative hip surgery . The aim of our prospective clinical study was to assess the value of preoperative MR arthrography in diagnosing concomitant lesions and in making surgical decisions in RHD . The first 37 consecutive patients with a minimum follow-up of 18 months have been analysed . All 37 patients presented RHD with the clinical symptomatology of labral lesions and underwent routine preoperative MRA . According to clinical , radiological and MR arthrographical criteria , these 37 patients were subdivided into four therapeutic subgroups : ( 1 ) reorientation of the acetabulum using the Toennis triple pelvic osteotomy ( TPO ) ; ( 2 ) intertrochanteric varisation osteotomy ( IVO ) ; ( 3 ) palliative decompression with only symptomatic partial resection of the torn labrum ( PALL ) ; ( 4 ) primary total hip replacement ( TEP ) . Based on the preliminary clinical and radiological outcomes of these four subgroups , the following conclusions can be drawn : labral lesions are considered to be a sign of chronic joint instability . Therefore , acetabular malorientation should be corrected by redirectional osteotomy of the acetabulum ( TPO-subgroup ) even in low grades of RHD if labral lesions are present . \" Palliative \" labral resections without corrective osteotomy ( PALL subgroup ) in secondary osteoarthritis due to RHD are definitively obsolete , because they rapidly progress to severe osteoarthritis due to surgically accelerated joint instability . In RHD with highly osteoarthritic hip joints and concomitant lesions , one should not hesitate to perform primary THR even in young patients ."
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[] |
[] |
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DerOrthopaede.80270794.eng.abstr
|
DerOrthopaede.80270794.eng.abstr
|
[
{
"id": "DerOrthopaede.80270794.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Innervation of the head and neck differs from other regions of the body in certain respects . In particular , besides the external cuneate nucleus , thick-calibre neck muscle afferents project directly , to the vestibular nuclear complex . This projection is most prominent in segments C2 and 3 and is sparse or absent in more caudal segments . Thus , proprioceptive neck muscle afferents gain direct access to vestibulospinal , vestibulooculomotor and other secondary or even higher order vestibular neurons that receive labyrinthine input . Proprioceptive input via indirect spinovestibular pathways is also most prominent from C2 and 3 compared to more caudal levels . Likewise , thin calibre , mainly nociceptive afferents from cervical segments are channelled via the parabrachial nuclei in the rostral pons to limbic structures different from the targets of thoracolumbar afferents . It is tempting to consider these neuroantomical peculiarities relevant for the pathogenesis of the puzzling symptoms after whiplash injury ."
],
"offsets": [
[
0,
1030
]
]
}
] |
[
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],
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11
]
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{
"id": "DerOrthopaede.80270794.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"head"
],
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23
]
],
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DerOrthopaede.80270802.eng.abstr
|
DerOrthopaede.80270802.eng.abstr
|
[
{
"id": "DerOrthopaede.80270802.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Whiplash injuries of the cervical spine are of special medical and socio-economic importance . Biomechanical studies of the injury have proven , that a hypertranslation of the capito-cervical region takes place first , leading to ligamentous hyperdistension and ruptures , when exceeding elastic deformation , thus possibly resulting in mechanical disturbance and rotatory malpositioning . Diagnosis of so called \" functional disorders \" bears difficulties concerning objective tests for structural lesions . This demands the definition of diagnostic parameters and clinical signs , which also consider vegetative phenomena . This paper aims at a systematic clinical and radiological check . Adequate therapeutic means have to be concordant to prognosis . Therefore functional parameters should already determine differential diagnosis . This is based on technical feasibilities and needs future scientific efforts ."
],
"offsets": [
[
0,
916
]
]
}
] |
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DerOrthopaede.80270813.eng.abstr
|
DerOrthopaede.80270813.eng.abstr
|
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"text": [
"The article reports a new hypothesis of whiplash injury based on a series of experimental studies using isolated human cadaveric specimens . Although the clinical symptoms of whiplash are widely known , the understanding of the underlying injury mechanism is poor . The prevailing view of neck-hyperextension as the essential injury mechanisms was not supported by recent experiments . In a series of experiments using eight human cadaveric specimens which underwent experimental stepwise whiplash acceleration from 2.5 to 10.5 g functional radiographs and flexibility tests were performed at the end of each acceleration step . Ligament strains , vertebral alignment and elongation of the vertebral artery were monitored during the whiplash trauma by highspeed cinematography and specially designed transducers . After the trauma CT- and MRI-scans were taken and specimens were sectioned using Cryomicrotomy . We found a distinct bi-phasic kinematic response of the cervical spine to whiplash trauma . In the first phase the spine formed an S-shaped curve with flexion at the upper levels and hyper-extension at the lower levels . This phase was found to be the vulnerable phase of whiplash trauma . The largest dynamic elongation of the capsular ligaments was observed at the C6-C7 level during this initial S-shaped phase of whiplash . The maximum elongation of the vertebral artery could be observed synchronously in the first S-shaped curve of the cervical spine . In the second phase of whiplash all levels of the cervical spine were extented , so that the head reached is maximum extension . No injuries were observed in the second phase . We propose , based on our experimental findings , that with low accelerations the anterior structures of the lower cervical spine are injuried during the first phase of whiplash , when the cervical spine forms an S-shaped curve and before the neck is fully extended . At higher trauma accelerations there is also a tendency for the injuries to occur at upper levels of the cervical spine . Based on our findings the traditional view of whiplash as hyper-extension injury can be modified by a differentiated , time dependent , biphasic biomechanical model of the injury , thus allowing better and more effective injury prevention , diagnosis and therapy ."
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DerOrthopaede.80270827.eng.abstr
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DerOrthopaede.80270827.eng.abstr
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"Motion analysis of the cervical spine is a sensitive tool in the fields of preventive and clinical biomechanics of whiplash . In the field of preventive biomechanics motion analysis contributes to validation and optimisation of dummy based crash test experiments and simulations . In the clinical field motion analysis up to now is of restricted value . Data exist about restrictions and pathologies of movement and motion of the cervical spine , coordinative disturbances , postural control , TMJ-function and oculomotor disturbances after whiplash . The standardisation of technical and clinical set-ups is necessary to establish a well proven biomechnical model of whiplash and whiplash related biomechanical dysfunction . Without this model the value of motion analysis for clinical use will be restricted due to lack of comparable data on sensitivity and specificity although motion analysis of the cervical spine is neither cost- nor time consuming and free of adverse effects . Within a prospective series of 28 patients ( 14 m/ 14 f ) with a follow-up to six weeks we were lucky to describe numerically two different types of reaction to low energy ( v 20 km/h ) rear end collision : Type I with disturbances in complex movements only , Type II with overall restriction of movement . Control of angular velocity during cyclic movements of the head was disturbed by oscillations of higher frequency in all patients . Recovery from whiplash within 6 weeks could be monitored ."
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DerOrthopaede.80270834.eng.abstr
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DerOrthopaede.80270834.eng.abstr
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"The cervical spine is an extremely complex functional unit and has always been the subject of impassioned discussions among surgeons , orthopedic specialists and neurologists . In the presence of injuries affecting this section of the spine , which sometimes have grave consequences - including implications for legal insurance aspects , neurologists are usually at the end of the line when it comes to diagnosis and treatment . In fact , in view of the clinical and technical neurophysiological options available to neurologists , it would be desirable for them to be involved as early as possible . In this paper the relative value of neurology , compared with orthopedics and surgery , in the diagnosis and treatment of whiplash injury to the cervical spine is discussed . The newer options available - particularly in neurophysiology - are highlighted , as are the differential diagnosis and problems concerned with official expert assessments , which also involve other specialties ."
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] |
DerOrthopaede.80270841.eng.abstr
|
DerOrthopaede.80270841.eng.abstr
|
[
{
"id": "DerOrthopaede.80270841.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In the case of typical whiplash after low- energy rear-end collision we recommend a clear and structured therapeutic regimen to overcome and prevent neuromuscular deficits . Patients with bony and discoligamentous lesions have to be excluded , as well as patients with distinct neurologic deficits . A therapeutic rationale is the basis of full neuromuscular recovery ad integrum ."
],
"offsets": [
[
0,
381
]
]
}
] |
[
{
"id": "DerOrthopaede.80270841.eng.abstr-s1-t1",
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"whiplash"
],
"offsets": [
[
23,
31
]
],
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{
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"db_id": "C0043145"
}
]
},
{
"id": "DerOrthopaede.80270841.eng.abstr-s1-t2",
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],
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[
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116
]
],
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}
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},
{
"id": "DerOrthopaede.80270841.eng.abstr-s2-t1",
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"text": [
"Patients"
],
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[
174,
182
]
],
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{
"id": "DerOrthopaede.80270841.eng.abstr-s2-t2",
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"patients"
],
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263
]
],
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{
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}
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},
{
"id": "DerOrthopaede.80270841.eng.abstr-s2-t3",
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],
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[
278,
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]
],
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{
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},
{
"id": "DerOrthopaede.80270841.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"therapeutic"
],
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[
302,
313
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0039796"
}
]
}
] |
[] |
[] |
[
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DerOrthopaede.80270846.eng.abstr
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DerOrthopaede.80270846.eng.abstr
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[] |
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DerOrthopaede.80270854.eng.abstr
|
DerOrthopaede.80270854.eng.abstr
|
[
{
"id": "DerOrthopaede.80270854.eng.abstr-passage-0",
"type": "abstract",
"text": [
"This article focuses on the problems encountered when giving an expert opinion on the results of slight distortion of the cervical spine after low-velocity rear-end collisions . Special attention is paid to the non-medical reasons for discontent of injured ( innocent ) passengers due to the current system of compensation ."
],
"offsets": [
[
0,
324
]
]
}
] |
[
{
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{
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"attention"
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{
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"compensation"
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{
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"db_id": "C0220808"
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}
] |
[] |
[] |
[
{
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DerOrthopaede.90280004.eng.abstr
|
DerOrthopaede.90280004.eng.abstr
|
[
{
"id": "DerOrthopaede.90280004.eng.abstr-passage-0",
"type": "abstract",
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"Articular cartilage has only a small capacity for regneration . This makes the repair of articular surfaces difficult . In 1959 Pridie described his method of resurfacing osteoarthritic knee joints . This operation is still in widespread use today . Pridie introduced the principle of drilling exposed subchondral bone with the objective of encouraging a fibro-cartilaginous repair . The newly formed fibrocartilaginous layer that develops over the lesion in osteoarthritis may be enough to decrease patients symptoms . Bone drilling into the subchondral layer is also effective in promoting healing of osteochondrosis dissecans . The choice of the treatment should be based on factors such as age of the patient , serverity of symptoms , activity level and functional demands on the joint , site and stage of the lesion . The drilling operation remains useful in osteoathritis and osteochondrosis dissecans ."
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[] |
[] |
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] |
DerOrthopaede.90280019.eng.abstr
|
DerOrthopaede.90280019.eng.abstr
|
[
{
"id": "DerOrthopaede.90280019.eng.abstr-passage-0",
"type": "abstract",
"text": [
"It is well known that the capacity of articular cartilage for repair is limited . There have been many attempts to address this problem . However , treatment options are limited and the long-term outcome is uncertain . This article will focus on the osteochondral autograft transplantation ( OAT ) , which is currently the only surgical cartilage repair technique that provides and retains proper hyaline articular cartilage . Osteochondral autograft transplants have been associated with a good rate of success , but further long-term follow-up and biomechanical evaluation are essential . Limitations : size and depth of osteochondral defects , availability of donor autologous grafts , potential for damaging donor sites , the dead spaces between circular grafts and integration of donor and recipient hyaline cartilage ."
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},
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"id": "DerOrthopaede.90280019.eng.abstr-s6-r17-t3.2-t1.1",
"type": "developmental_form_of",
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},
{
"id": "DerOrthopaede.90280019.eng.abstr-s6-r18-t5.2-t3.2",
"type": "derivative_of",
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"arg2_id": "DerOrthopaede.90280019.eng.abstr-s6-t3",
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}
] |
DerOrthopaede.90280026.eng.abstr
|
DerOrthopaede.90280026.eng.abstr
|
[
{
"id": "DerOrthopaede.90280026.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Full thickness defects of the articular cartilage rarely heal spontaneously . While some patients do not develop clinically significant problems from chondral defects , most eventually develop degenerative changes associated with the cartilage damage over time . Techniques to treat chondral defects include abrasion , drilling , tissue autografts , allografts , and cell transplantation . The senior author has developed a procedure referred to as the \" microfracture \" . This technique enhances chondral resurfacing by providing a suitable environment for tissue regeneration and by taking advantage of the body's own healing potential . This technique has now been used in more than 1400 patients . Specially designed awls are used to make multiple perforations , or \" microfractures \" , into the subchondral bone plate . The perforations are made as close together as necessary , but not so close that one breaks into another . Consequently , the microfracture holes are approximately three to four millimeters apart ( or 3 to 4 holes per square centimeter ) . Importantly , the integrity of the subchondral bone plate is maintained . The released marrow elements form a \" super clot \" which provides an enriched environment for tissue regeneration . Follow up with long term results of more than 8 years have been positive and very encouraging ."
],
"offsets": [
[
0,
1350
]
]
}
] |
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{
"id": "DerOrthopaede.90280026.eng.abstr-s1-t2",
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"cartilage"
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"id": "DerOrthopaede.90280026.eng.abstr-s1-t3",
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"articular cartilage"
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30,
49
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"id": "DerOrthopaede.90280026.eng.abstr-s2-t3",
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"id": "DerOrthopaede.90280026.eng.abstr-s3-t2",
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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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},
{
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},
{
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},
{
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},
{
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},
{
"id": "DerOrthopaede.90280026.eng.abstr-s11-r2-t1.1-t6.1",
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},
{
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},
{
"id": "DerOrthopaede.90280026.eng.abstr-s11-r4-t1.1-t3.1",
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},
{
"id": "DerOrthopaede.90280026.eng.abstr-s11-r5-t3.1-t6.1",
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},
{
"id": "DerOrthopaede.90280026.eng.abstr-s11-r6-t1.1-t3.1",
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},
{
"id": "DerOrthopaede.90280026.eng.abstr-s11-r7-t1.1-t6.1",
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},
{
"id": "DerOrthopaede.90280026.eng.abstr-s11-r8-t6.1-t3.1",
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},
{
"id": "DerOrthopaede.90280026.eng.abstr-s11-r9-t5.1-t6.1",
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"normalized": []
},
{
"id": "DerOrthopaede.90280026.eng.abstr-s11-r10-t1.1-t5.1",
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"arg1_id": "DerOrthopaede.90280026.eng.abstr-s11-t1",
"arg2_id": "DerOrthopaede.90280026.eng.abstr-s11-t5",
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},
{
"id": "DerOrthopaede.90280026.eng.abstr-s11-r11-t5.1-t3.1",
"type": "location_of",
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"arg2_id": "DerOrthopaede.90280026.eng.abstr-s11-t3",
"normalized": []
}
] |
DerOrthopaede.90280045.eng.abstr
|
DerOrthopaede.90280045.eng.abstr
|
[
{
"id": "DerOrthopaede.90280045.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In this study large osteochondral defects on the weight-bearing surface of the medial and lateral femoral condyle were treated by transplantation of the autologous posterior condyle in 20 patients . The cartilage defects , type Outerbridge IV , ranged in size from 2 x 1,5 cm to 5 x 3,5 cm . 8 condyle transfers were done from 1984-1996 at the orthopaedic clinic of the university of Balgrist , Zuerich . 12 condyle transfers at the department of orthopedic sports medicine at the technical university of Munich from 1996-1998 . Patients were operated before the condyle transfer , 2 times on average . In 9 patients a high tibial osteotomy was performed simultaneously . Clinical evaluation was done according to the Lysholm score . The Lysholm score improved in the patient serie from 1996 from preoperatively 62 ( 54-81 ) points to postoperatively 85 ( 74-95 ) points . The follow-up was on average 9,8 ( 2-26 ) months . 18 patients reported about pain relief , 2 patients didn ' t improve . We describe the operative technique . Despite the lack of long-term results the transfer of the autologous posterior condyle seems to be an effective alternative for the knee prosthesis , especially for young patients with a great cartilage damage in the weight bearing area ."
],
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] |
[] |
[] |
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DerOrthopaede.90280052.eng.abstr
|
DerOrthopaede.90280052.eng.abstr
|
[
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"id": "DerOrthopaede.90280052.eng.abstr-passage-0",
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],
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[] |
[] |
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DerOrthopaede.90280061.eng.abstr
|
DerOrthopaede.90280061.eng.abstr
|
[
{
"id": "DerOrthopaede.90280061.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Clinical results using transplantation of precultivated autologous chondrocytes for treatment of circumscribed chondral injuries in the knee joint have been presented 1994. The quality of this method for clinical use can not be evaluated at the moment since controlled randomized trials comparing this method with bone drilling , use of periostal flaps or conservative treatment do not exist . According to recent experimental results , techniques using precultivated cells , growth factors and different scaffolds for repair of limited cartilage defects are not satisfactory yet , and it is unproven whether these methods are superior to simple bone-drilling . Use of precultivated cells and growth factors might nevertheless have a potential in the future , when we have learned to use them under optimized conditions . Unless these conditions have been developed and proven to reliably improve cartilage repair above previous methods , in a clinical case the treatment should be chosen which is the least invasive ."
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] |
DerOrthopaede.90280068.eng.abstr
|
DerOrthopaede.90280068.eng.abstr
|
[
{
"id": "DerOrthopaede.90280068.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Chondrocytes can be cultured on different three-dimensional culture systems suitable for transplantation to enhance the repair of localized cartilage defects . Articular cartilage chondrocytes from adult rabbit knees and from bovine calf metacarpophalangeal joints were isolated by enzymatic digestion and cultured in a monolayer system to amplify cell count . After amplification the cells were seeded on different biocompatible materials . We investigated two types of bioresorbable polymer fleece matrices ( a composite fleece of polydioxanon and polyglactin and a resorbable poly-L-lactic acid fleece ) and lyophilized dura as a biological carrier . On all three types of transport media the phenotypic and morphological appearance of cultured chondrocytes could be observed . The production of glycosaminoglycans was revealed by Alcian blue staining and immunohistochemical detection of Chondroitin-4 and 6-sulfate in the created constructs . The material properties of the carriers allow for transplantation of the artificial cartilage-like products into full thickness articular cartilage defects and could therefore improve the minor intrinsic healing capacity of cartilage tissue . Bioartificial cartilage may become a future perspective in the treatment options of orthopaedic and plastic surgery ."
],
"offsets": [
[
0,
1308
]
]
}
] |
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}
] |
[] |
[] |
[
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"type": "part_of",
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},
{
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},
{
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] |
DerOrthopaede.90280076.eng.abstr
|
DerOrthopaede.90280076.eng.abstr
|
[
{
"id": "DerOrthopaede.90280076.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Current concepts in treating arthritis by gene transfer are described , including different vector systems and strategies of gene transfer into target cells . Promissing antiarthritic gene products are a variety of growth factors which facilitate increased matrix synthesis and mitogensis in articular chondrocytes . Furthermore , rheumatoid joint destruction can be treated genetically by the transfer of certain antiinflammatory cytokine genes , which provide locally high concentrations of the antiinflammatory gene product . First clinical trails using the IRAP gene ( interleukin I receptor antagonist protein ) to eliminate the inflammatory reaction caused by interleukin I in rheumatoid joints are on its way . In order to investigate potential improvement in cartilage regeneration retroviral TGF- gene transfer in rabbit articular chondrocytes has been carried out . The TGF- group showed an in vitro increase in collagen type II neosynthesis by 304 % , compared to normal chondrocytes ."
],
"offsets": [
[
0,
996
]
]
}
] |
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] |
DerOrthopaede.90280100.eng.abstr
|
DerOrthopaede.90280100.eng.abstr
|
[
{
"id": "DerOrthopaede.90280100.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Our primary club foot therapy consists of a combination of plaster cast manipulation , physiotherapy and surgical correction . The initial plaster cast method of 4 to 6 weeks is followed by a functional mobilisation of the foot . The main aim being the reduction of the malpositioned talus in the ankle mortise . If there is residual deformity surgery is planned after six month . We use the Cincinati approach with the possibility of the dorsal , medial and lateral release enabling a correction of the hind- , mid- and forefoot . The main part of postoperative care is seen in the functional rehabilitation of the foot by physiotherapy , in order to achieve a cosmetic foot with good functions . Physiotherapy is advised until the child enters school in order to preserve function and form into adult life . A high frequency of satisfactory results can be expected using this protocol ."
],
"offsets": [
[
0,
888
]
]
}
] |
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],
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]
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{
"id": "DerOrthopaede.90280100.eng.abstr-s1-t2",
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],
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],
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{
"id": "DerOrthopaede.90280100.eng.abstr-s2-t2",
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"id": "DerOrthopaede.90280100.eng.abstr-s2-t3",
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"foot"
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"id": "DerOrthopaede.90280100.eng.abstr-s2-t4",
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"plaster cast"
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{
"id": "DerOrthopaede.90280100.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"talus"
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"db_id": "C0039277"
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"id": "DerOrthopaede.90280100.eng.abstr-s3-t3",
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"text": [
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"id": "DerOrthopaede.90280100.eng.abstr-s5-t2",
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] |
DerOrthopaede.90280110.eng.abstr
|
DerOrthopaede.90280110.eng.abstr
|
[
{
"id": "DerOrthopaede.90280110.eng.abstr-passage-0",
"type": "abstract",
"text": [
"About 25 % of operated clubfeet will develop a recurrency or show a marked residual deformity . As main factor the failure of concentric reduction at the time of initial surgery has to be considered . Residual forefoot adduction and supination are the most common persistent deformities . Based on the experience with 94 recurrent/residual clubfeet ( patients 10 years ) the surgical treatment at different age-groups is presented . As a general rule soft tissue release is applicable as a repeated procedure until the age of about eight to ten years . For revision in patients between two and eight years we recommend a closing wedge osteotomy of the cuboid and a tibialis transfer additional to repeated release-procedures . In patients older than eight to ten years mid-tarsal osteotomies , correction according to Ilizarov with the external fixator or triple arthrodesis are to be considered as single or combined procedures ."
],
"offsets": [
[
0,
930
]
]
}
] |
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{
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"treatment"
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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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},
{
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},
{
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},
{
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},
{
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},
{
"id": "DerOrthopaede.90280110.eng.abstr-s7-r25-t2.1-t1.1",
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},
{
"id": "DerOrthopaede.90280110.eng.abstr-s7-r26-t5.1-t4.1",
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"arg2_id": "DerOrthopaede.90280110.eng.abstr-s7-t4",
"normalized": []
}
] |
DerOrthopaede.90280125.eng.abstr
|
DerOrthopaede.90280125.eng.abstr
|
[
{
"id": "DerOrthopaede.90280125.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Polydactyly may be preaxial or tibial ( halluxside ) , postaxial or ulnar ( side of the little toe ) and central ( middle toes ) . The duplication may appear at the distal and medial phalanges or at the whole digit . The metatarsal bone may be partwise or completely duplicated , the accessory toes may share only one metatarsal . Surgical intervention may be indicated in shoeproblems , for esthetic reasons or , especially in duplication of the metatarsales , because of secondary deviation of the toes and therefore shoeproblems or plantar callosities . Preoperative analysis including x-ray is of great importance to achieve good functional and cosmetic results ."
],
"offsets": [
[
0,
667
]
]
}
] |
[
{
"id": "DerOrthopaede.90280125.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"Polydactyly"
],
"offsets": [
[
0,
11
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0152427"
}
]
},
{
"id": "DerOrthopaede.90280125.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"halluxside"
],
"offsets": [
[
40,
50
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0018534"
}
]
},
{
"id": "DerOrthopaede.90280125.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"toe"
],
"offsets": [
[
95,
98
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0040357"
}
]
},
{
"id": "DerOrthopaede.90280125.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"toes"
],
"offsets": [
[
122,
126
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0040357"
}
]
},
{
"id": "DerOrthopaede.90280125.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"metatarsal"
],
"offsets": [
[
221,
231
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0025584"
}
]
},
{
"id": "DerOrthopaede.90280125.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"bone"
],
"offsets": [
[
232,
236
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0262950"
}
]
},
{
"id": "DerOrthopaede.90280125.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"toes"
],
"offsets": [
[
294,
298
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0040357"
}
]
},
{
"id": "DerOrthopaede.90280125.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"metatarsal"
],
"offsets": [
[
318,
328
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0025584"
}
]
},
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DerOrthopaede.90280143.eng.abstr
|
DerOrthopaede.90280143.eng.abstr
|
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"The lack of muscle control in neurological disorders often leads to deformities of the foot . The equinus ( a contracture of the triceps surae muscle ) , the abduction and clubfoot deformity are the most common ones . The present paper describes the deformities and stresses the functional relevance for the patient . Therapeutic principles of the conservative orthopaedic means are described with special emphasis on the need of an adequate height of the aide and the foot position . Casting and the application of Botulinun toxine are described having a major side effect of muscle weakening . A combination of the different procedures , surgical interventions included , need to be selected for each patient offering the best management for each individual problem ."
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[] |
[] |
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DerOrthopaede.90280151.eng.abstr
|
DerOrthopaede.90280151.eng.abstr
|
[
{
"id": "DerOrthopaede.90280151.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The management of neuromuscular foot deformities in children and adolescents must be individualized because of differences in etiology and pathomechanics . If conservative treatment fails or reaches a plateau early soft tissue procedures are recommended . Treatment should focus not only at correction of the deformity but also at reestablishment of muscular balance . Early postoperative mobilisation is usually possible provided adequate orthotic control is maintained . Regular clinical follow-ups help to minimize postoperative problems . The general aim should be an optimization of functions and only rarely to achieve a normal foot . The basic principles of management can be described as correction of deformity , stabilization of unstable joints and balance of muscle power ."
],
"offsets": [
[
0,
784
]
]
}
] |
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] |
[] |
[] |
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DerOrthopaede.90280159.eng.abstr
|
DerOrthopaede.90280159.eng.abstr
|
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{
"id": "DerOrthopaede.90280159.eng.abstr-passage-0",
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"Many parents are anxious because of the insufficient arch of the feet of their children . A true congenital deformity ( congenital vertical talus ) is extremely rare . In children the arch is physiologically flattened with a hypervalgus of the hindfoot . Those feet do not need treatment . If there is no medial recess in the footprint in a child over 3 years of age , then we are talking about a flexible flatfoot . When the load of the foot is more pronounced at the medial rather than at the lateral side , operative treatment can be indicated , such as a lengthening osteotomy of the calcaneum . If the flatfoot is rigid , the reason for it is usually a tarsal coalition . Operative transection of the osseous bridge with fat interposition can solve the problem . Flatfeet may also occur in neuromuscular diseases . Depending on the severity of the deformity , splints can be effective , or - in the more severe cases - operative treatement such as a triple arthodesis can be indicated ."
],
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0,
991
]
]
}
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[] |
[] |
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] |
DerOrthopaede.90280173.eng.abstr
|
DerOrthopaede.90280173.eng.abstr
|
[
{
"id": "DerOrthopaede.90280173.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Foot pain is a relatively common problem in children and adolescents . Most frequently the pain is localized at the heel , the mid- and forefoot are less common sites of discomfort . In this article we discuss the etiology of pain in thoses cases , where the foot has a normal clinical aspect . Sever's disease is most common in adolescents with strenuous athletic activity or with obesity . The calcaneal apophysis is overloaded . Usually the radiologic aspect of the calcis is normal . Treatment consists in reduction of the athletic activity , soft bedding of the heel in the shoes and reduction of weight . Avascular necrosis of the metatarsal head II or III ( Freiberg's disease ) is also relatively common , while necrosis of the navicular bone ( Koehler's disease ) is very rare . Treatment in these cases is always conservative . Pain can also originate from tarsal coalition . While in the beginning the foot has a normal aspect , lateron a rigid flatfoot can develop . In unclear cases stress fractures of the metatarsal bones , infections and tumors also have to be considered ."
],
"offsets": [
[
0,
1089
]
]
}
] |
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}
] |
[] |
[] |
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DerOrthopaede.90280191.eng.abstr
|
DerOrthopaede.90280191.eng.abstr
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[] |
[] |
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DerOrthopaede.90280201.eng.abstr
|
DerOrthopaede.90280201.eng.abstr
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"An overview of the 30 years history and developement of documentation and information systems in the Orthopedic University Hospital Heidelberg is presented . Since the foundation in 1967 four developmental phases can be described : first initiatives of medical doctors , establishment of a basic documentation system for scientific purposes , strategic information system planning and realisation of information systems with the possibility of controlling in medical areas and thereby steering of the services . Planning and realisation were accomplished within the framework of the masterplans and concepts of the university clinics of the state of Baden-Wuerttemberg ."
],
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0,
670
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]
}
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DerOrthopaede.90280218.eng.abstr
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DerOrthopaede.90280218.eng.abstr
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"The high complex requirements on information and information flow in todays hospitals can only be accomplished by the use of modern Information Systems ( IS ) . In order to achieve this , the Stiftung Orthopaedische Universitaetsklinik has carried out first the Project \" Strategic Informations System Planning \" in 1993. Then realizing the neccessary infrastructure ( network ; client-server ) from 1993 to 1997 , and finally started the introduction of modern IS ( SAP R/3 and IXOS-Archive ) in the clinical area . One of the approved goal was the replacement of the paper medical record by an up-to-date electronical medical record . In this article the following three topics will be discussed : the difference between the up-to-date electronical medical record and the electronically archived finished cases , steps performed by our clinic to realize the up-to-date electronical medical record and the problems occured during this process ."
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[] |
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DerOrthopaede.90280243.eng.abstr
|
DerOrthopaede.90280243.eng.abstr
|
[
{
"id": "DerOrthopaede.90280243.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Culpable deficits of the preoperative information cause a complete illegality of the whole medical intervention and lead to liability for any resulting damage . In cases of controversy it's the physician's due to prove the correct preoperative information . To reduce these liability-risks a computer based information system has been developed . With its help an working sheet is provided which is individually adjusted for the patient . Based upon this record the real preoperative information takes place . After the patient signed the record the physician keeps it at his disposal for proving the contents of the preoperative information . The conception's use over many years shows that overlooking essential aspects and misunderstanding can grossly be excluded for the patient and a high quality of information can be reached ."
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[] |
[] |
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DerOrthopaede.90280250.eng.abstr
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DerOrthopaede.90280250.eng.abstr
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[] |
[] |
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DerOrthopaede.90280261.eng.abstr
|
DerOrthopaede.90280261.eng.abstr
|
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"id": "DerOrthopaede.90280261.eng.abstr-passage-0",
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"text": [
"In the following report we give a definition of the terms nomenclature and classification . We find out , that the two terms are very similar . They include the keys for diagnosis and therapy . We propose a method to construct new coding-systems . Furthermore we report about the existing coding-systems in Orthopaedics and Traumatology . We cite a list of national and international coding-systems . Because of the actuality we finally give a definition of the term \" Indikationsspezifische Komplikation \" , which is of importance since the \" 5. Aenderungsverordnung \" of the \" BPFLV-95\" within the classification of the \" Fallpauschalen \" . \" Fallpauschalen \" are a system like the American DRG's ( Diagnosis related groups ) , but not exacly the same ."
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DerOrthopaede.90280270.eng.abstr
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DerOrthopaede.90280270.eng.abstr
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DerOrthopaede.90280277.eng.abstr
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DerOrthopaede.90280277.eng.abstr
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DerOrthopaede.90280285.eng.abstr
|
DerOrthopaede.90280285.eng.abstr
|
[
{
"id": "DerOrthopaede.90280285.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Introduction : Increasing demands on quality assurance und medical performance documentation require an immedate and evaluable documentation in the outpatients ' department . Presentation of a new computer-based diagnostic system for reporting and medical performance documentation . Methods : Development and initial application of the system in three big orthopeadical or traumatological hospitals . Judegements about the feasibility of immediate documentation in outpatients ' departments . Results : Presentation of an outpatients ' departments diagnostic system with textblock-oriented anamnesis or anatomy-related diagnosis through pre-structured examination checklists . Coding of ICD-9/-10 as well as AO-classification and AIS ( abbreviated injury scale ) . Implementation of scorings . Medical performance documentation through forms including pre-defined billing codes . Presentation of the documentation flow and its transfer into other contexts . Discussion : Pure text-based clinical results do not allow sufficient evalutation for quality assurance and medical performance documentation . However , a computer-based and immediate documentation in outpatients ' departments should not mean a significantly increased workload for physicians ."
],
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0,
1254
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}
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DerOrthopaede.90280292.eng.abstr
|
DerOrthopaede.90280292.eng.abstr
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"arg2_id": "DerOrthopaede.90280299.eng.abstr-s4-t1",
"normalized": []
},
{
"id": "DerOrthopaede.90280299.eng.abstr-s4-r3-t3.1-t1.1",
"type": "isa",
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{
"id": "DerOrthopaede.90280299.eng.abstr-s4-r4-t3.1-t1.3",
"type": "isa",
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}
] |
DerOrthopaede.90280316.eng.abstr
|
DerOrthopaede.90280316.eng.abstr
|
[
{
"id": "DerOrthopaede.90280316.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Patients suffering from von-Willebrand-disease or hemophilia A or B are the most common patients with coagulation disorders in orthopedic hospitals . Patients suffering from hemophilia A or B are treated with pure factor VIII or IX concentrates . We prefer recombinant products . The goals are normal levels of F VIII or F IX activity during the operation and postoperatively . In order to save costs the continuous infusion is recommended . Approximately 30 % of products and costs my be saved . The prevalence of von-Willebrand-disease is very high in Europe and USA ( 1 % ) . Typical presentation of these patients is the uncontrollable bleeding during an operation ; typical is also the bleeding from mucous membranes . Patients with mild disorders are treated with DDAVP . Patients suffering from type 3 need substitution therapy with von-Willebrand-factor containing concentrates ( for example Humate P ) ."
],
"offsets": [
[
0,
912
]
]
}
] |
[
{
"id": "DerOrthopaede.90280316.eng.abstr-s1-t1",
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"Patients"
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0,
8
]
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"db_id": "C0030705"
}
]
},
{
"id": "DerOrthopaede.90280316.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"hemophilia"
],
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[
50,
60
]
],
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{
"db_name": "UMLS",
"db_id": "C0019069"
}
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"id": "DerOrthopaede.90280316.eng.abstr-s1-t3",
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"patients"
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"db_id": "C0030705"
}
]
},
{
"id": "DerOrthopaede.90280316.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"coagulation"
],
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102,
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]
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"db_id": "C0005790"
}
]
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"type": "umlsterm",
"text": [
"disorders"
],
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[
114,
123
]
],
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{
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"db_id": "C0012634"
}
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},
{
"id": "DerOrthopaede.90280316.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"orthopedic"
],
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127,
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]
],
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"db_id": "C0029355"
}
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},
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"id": "DerOrthopaede.90280316.eng.abstr-s1-t7",
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"text": [
"hospitals"
],
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"db_id": "C0019994"
}
]
},
{
"id": "DerOrthopaede.90280316.eng.abstr-s1-t8",
"type": "umlsterm",
"text": [
"hemophilia A"
],
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50,
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]
],
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}
]
},
{
"id": "DerOrthopaede.90280316.eng.abstr-s1-t9",
"type": "umlsterm",
"text": [
"coagulation disorders"
],
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[
102,
123
]
],
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{
"db_name": "UMLS",
"db_id": "C0005779"
}
]
},
{
"id": "DerOrthopaede.90280316.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"Patients"
],
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[
150,
158
]
],
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"db_id": "C0030705"
}
]
},
{
"id": "DerOrthopaede.90280316.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"hemophilia"
],
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174,
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]
],
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}
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},
{
"id": "DerOrthopaede.90280316.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"hemophilia A"
],
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[
174,
186
]
],
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{
"db_name": "UMLS",
"db_id": "C0019069"
}
]
},
{
"id": "DerOrthopaede.90280316.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"factor VIII"
],
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214,
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]
],
"normalized": [
{
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"db_id": "C0015506"
}
]
},
{
"id": "DerOrthopaede.90280316.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"goals"
],
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]
],
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"db_id": "C0018017"
}
]
},
{
"id": "DerOrthopaede.90280316.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"operation"
],
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[
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],
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}
]
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"id": "DerOrthopaede.90280316.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"costs"
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{
"db_name": "UMLS",
"db_id": "C0220812"
}
]
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"id": "DerOrthopaede.90280316.eng.abstr-s6-t1",
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"costs"
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{
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}
]
},
{
"id": "DerOrthopaede.90280316.eng.abstr-s7-t1",
"type": "umlsterm",
"text": [
"prevalence"
],
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"db_id": "C0220900"
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]
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{
"id": "DerOrthopaede.90280316.eng.abstr-s7-t2",
"type": "umlsterm",
"text": [
"Europe"
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"db_id": "C0015176"
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"id": "DerOrthopaede.90280316.eng.abstr-s8-t1",
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},
{
"id": "DerOrthopaede.90280316.eng.abstr-s8-t2",
"type": "umlsterm",
"text": [
"operation"
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}
]
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{
"id": "DerOrthopaede.90280316.eng.abstr-s8-t3",
"type": "umlsterm",
"text": [
"mucous"
],
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}
]
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{
"id": "DerOrthopaede.90280316.eng.abstr-s8-t4",
"type": "umlsterm",
"text": [
"membranes"
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"db_id": "C0025255"
}
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"id": "DerOrthopaede.90280316.eng.abstr-s8-t5",
"type": "umlsterm",
"text": [
"mucous membranes"
],
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705,
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"id": "DerOrthopaede.90280316.eng.abstr-s9-t2",
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"disorders"
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{
"id": "DerOrthopaede.90280316.eng.abstr-s9-t3",
"type": "umlsterm",
"text": [
"DDAVP"
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"db_id": "C0701195"
}
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"id": "DerOrthopaede.90280316.eng.abstr-s10-t1",
"type": "umlsterm",
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"Patients"
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"id": "DerOrthopaede.90280316.eng.abstr-s10-t2",
"type": "umlsterm",
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"need"
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{
"id": "DerOrthopaede.90280316.eng.abstr-s10-t3",
"type": "umlsterm",
"text": [
"therapy"
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}
]
},
{
"id": "DerOrthopaede.90280316.eng.abstr-s10-t4",
"type": "umlsterm",
"text": [
"Humate P"
],
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[
900,
908
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0086428"
}
]
}
] |
[] |
[] |
[
{
"id": "DerOrthopaede.90280316.eng.abstr-s1-r1-t4.1-t2.1",
"type": "associated_with",
"arg1_id": "DerOrthopaede.90280316.eng.abstr-s10-t4",
"arg2_id": "DerOrthopaede.90280316.eng.abstr-s10-t2",
"normalized": []
},
{
"id": "DerOrthopaede.90280316.eng.abstr-s1-r2-t7.1-t2.1",
"type": "causes",
"arg1_id": "DerOrthopaede.90280316.eng.abstr-s1-t7",
"arg2_id": "DerOrthopaede.90280316.eng.abstr-s10-t2",
"normalized": []
},
{
"id": "DerOrthopaede.90280316.eng.abstr-s1-r3-t1.1-t4.1",
"type": "performs",
"arg1_id": "DerOrthopaede.90280316.eng.abstr-s10-t1",
"arg2_id": "DerOrthopaede.90280316.eng.abstr-s10-t4",
"normalized": []
},
{
"id": "DerOrthopaede.90280316.eng.abstr-s1-r4-t7.1-t6.1",
"type": "issue_in",
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"arg2_id": "DerOrthopaede.90280316.eng.abstr-s1-t6",
"normalized": []
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{
"id": "DerOrthopaede.90280316.eng.abstr-s1-r5-t7.1-t4.1",
"type": "carries_out",
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{
"id": "DerOrthopaede.90280316.eng.abstr-s1-r6-t7.1-t1.1",
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{
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{
"id": "DerOrthopaede.90280316.eng.abstr-s1-r8-t1.1-t6.1",
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"id": "DerOrthopaede.90280316.eng.abstr-s1-r9-t3.1-t7.1",
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"normalized": []
},
{
"id": "DerOrthopaede.90280316.eng.abstr-s1-r10-t1.1-t7.1",
"type": "uses",
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{
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{
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},
{
"id": "DerOrthopaede.90280316.eng.abstr-s1-r15-t3.1-t6.1",
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},
{
"id": "DerOrthopaede.90280316.eng.abstr-s1-r16-t4.1-t6.1",
"type": "method_of",
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},
{
"id": "DerOrthopaede.90280316.eng.abstr-s1-r17-t4.1-t5.1",
"type": "associated_with",
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},
{
"id": "DerOrthopaede.90280316.eng.abstr-s1-r18-t7.1-t8.1",
"type": "causes",
"arg1_id": "DerOrthopaede.90280316.eng.abstr-s1-t7",
"arg2_id": "DerOrthopaede.90280316.eng.abstr-s1-t8",
"normalized": []
},
{
"id": "DerOrthopaede.90280316.eng.abstr-s1-r19-t7.1-t5.1",
"type": "causes",
"arg1_id": "DerOrthopaede.90280316.eng.abstr-s1-t7",
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"normalized": []
},
{
"id": "DerOrthopaede.90280316.eng.abstr-s2-r1-t4.1-t2.1",
"type": "diagnoses",
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},
{
"id": "DerOrthopaede.90280316.eng.abstr-s2-r2-t2.1-t1.1",
"type": "occurs_in",
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},
{
"id": "DerOrthopaede.90280316.eng.abstr-s2-r3-t3.1-t1.1",
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},
{
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"type": "affects",
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"arg2_id": "DerOrthopaede.90280316.eng.abstr-s10-t3",
"normalized": []
},
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"id": "DerOrthopaede.90280316.eng.abstr-s2-r5-t2.1-t4.1",
"type": "produces",
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},
{
"id": "DerOrthopaede.90280316.eng.abstr-s2-r6-t4.1-t3.1",
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},
{
"id": "DerOrthopaede.90280316.eng.abstr-s2-r7-t4.1-t2.1",
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},
{
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"normalized": []
},
{
"id": "DerOrthopaede.90280316.eng.abstr-s7-r1-t1.1-t2.1",
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},
{
"id": "DerOrthopaede.90280316.eng.abstr-s8-r1-t5.1-t2.2",
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"normalized": []
},
{
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DerOrthopaede.90280341.eng.abstr
|
DerOrthopaede.90280341.eng.abstr
|
[
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"id": "DerOrthopaede.90280341.eng.abstr-passage-0",
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"Radiological and orthopaedic outcome in severe and moderate haemophilia A and B patients undergoing long-term prophylactic treatment were prospectively investigated focusing on the age of onset of prophylaxis and the number of joint bleedings prior to treatment . We report on 21 patients with severe and moderate haemophilia A and B receiving prophylactic treatment of between 3.1 and 16.1 years duration . Three patient groups were evaluated according to the age at onset of prophylaxis . In group I ( n = 8 ) prophylactic treatment was initiated in the first 2 years of life . Patients of group II ( n = 6 ) received prophylaxis at the age of 3-6 years . Late-onset or secondary prophylactic treatment was started at the age of 6 years and above in 7 patients ( group III ) . All patients received virus-inactivated F VIII or F IX concentrates at dosages of 30-40 IU , in some cases up to 50 IU/kg body weight i . v. three times per week for those with haemophilia A and twice per week for those with haemophilia B. Elbow , knee and ankle joints were investigated at 3-4 yearly intervals according to the radiological and orthopaedic scores recommended by the World Federation of Haemophilia ( WFH ) . The total number of joint bleedings before and after start of prophylaxis were recorded in all patients . In group I 7 out of 8 patients had unaffected joints with constant radiological and orthopaedic scores of zero or 1 , after a median of 11.25 years of prophylactic treatment . One patient in this group demonstrated mild radiological alterations ( score 4 ) . Patients of group II showed neither radiological nor orthopaedic alterations at study entry . Worsening joint scores could be detected despite ongoing prophylaxis after the 3-year interval ( median orthopaedic score 4 , median radiological score 8 ) . Treatment group III already showed considerable joint damage at study entry with a median radiological score of 11 ( 0-33 ) and a median orthopaedic score of 4 ( 0-11 ) . Despite prophylactic treatment both , orthopaedic ( median 8 , range 2-12 ) and radiological scores ( median 19.5 , range 2-47 ) deteriorated after 3 years . Prior to onset of prophylaxis no or only one joint bleeding occurred in treatment group I. In group II , a median of 6 joint bleeds ( range 1-8 ) were reported before prophylaxis was started . Patients of group III usually experienced a median of more than 10 joint haemorrhages ( range 6-10 or more ) . Under prophylactic treatment the number of joint bleedings decreased significantly in groups II and III . However , radiological and orthopaedic scores increased as a sign of progressing osteoarthropathic alterations in patients reporting more than 6 joint haemorrhages before onset of prophylaxis whereas no joint alterations could be assessed in patients with no or only one joint bleeding episode prior to prophylaxis . Even a small number of joint bleedings seems to cause irreversible osteoarthropathic alterations leading to haemophilic arthropathy . Once apparent , further progression of joint damage could not be arrested despite of prophylactic treatment ( group II and III ) . In order to prevent haemophilic arthropathy , effective prophylaxis should be started before or at least after the first joint bleeding in severe haemophilia A and B."
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DerOrthopaede.90280347.eng.abstr
|
DerOrthopaede.90280347.eng.abstr
|
[
{
"id": "DerOrthopaede.90280347.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Intraarticular bleeding and muscle bleeding occur spontaneously or as a result of trauma in hemophilia A or B. The most common sites for hemarthrosis are the knees joints , elbows and ankles joints . Resorption of intraarticular blood induces reactive hemophilic synovitis . Hyperplasia of the synovium can be followed by recurrent bleedings . These early reactions can change to a chronic synovitis and cause cartilage damage , finally resulting in a complete destruction of the joint . Since 1981 158 adults and 61 children with a hemophilia A or B were treated at the Center for hemophilic disorders Frankfurt in an interdisciplinary approach . Consequent prophylactic treatment with factor substitution can prevent the incidence of severe hemarthrosis . Minor joint bleedings are treated by adequate factor substitution , temporarily non-weight bearing of the extremity , application of ice-packs and physical therapy . More severe joint hemorrhages should be aspirated in order to reduce the acute synovitis . This is followed by a consequent physical therapy ( joint and soft tissue techniques ) and anti-inflammatory drugs . The goal is a sufficient muscular balance of the joint , the improvement of the coordination , and the proprioception . The chronic synovitis is less painful and poorly responses to conservative interventions . Local ice application , sytemic and local anti-inflammatory treatment support the physical therapy . Soft heel shock absorber , elastic and semi-rigid bandages prevent recurrent bleeding episodes by shock absorption and decrease of synovial impingement . Synovectomy is indicated in cases of chronic persistent synovitis . Radiosynoviorthesis ( RSO ) , which is an alternative in certain cases , has been performed with great success in 12 cases in our hospital . In advanced arthropathy joint mobilization should be the emphasis of the physical therapy . Bandages , crutches and ortopaedic shoe devices improve the walking capacity ."
],
"offsets": [
[
0,
1977
]
]
}
] |
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DerOrthopaede.90280356.eng.abstr
|
DerOrthopaede.90280356.eng.abstr
|
[
{
"id": "DerOrthopaede.90280356.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Hemophilic arthropathy is the result of recurrent joint bleedings in patients with severe haemophilia A or B and von Willebrand Syndrome . Conservative orthopaedic treatment is preferred in every stage of the arthropathy . Synovectomy is indicated only after failure of the conservative regimen after 3 to 6 months in order to control synovitis and recurrent bleeding . This paper presents the indications , methods , and results of different joint preserving operations . Especially synovectomy of the elbow joint with or without radial head resection shows very good long term results . Radiosynoviorthesis is an alternative in certain cases . The end stages of hemophilic arthropathy are characterised by pronounced joint contractures . We achieved very good long term results by implanting total hip joints ( n = 13 ) and total knee joints ( n = 20 ) with a median follow up of 102 respectively 53 months . No perioperative complications like bleeding or infection were registrated . Only one aseptic loosening of a cemented cup occurred 14 years postoperatively as well as one septic loosening 14 months postoperatively in an HIV-positive haemophilic . Another HIV positive patient developed a hematogenic abscess on both operated on hips without loosening of the endoprosthesis . Bicondylar prosthesis ( n = 14 ) showed 6 very good , 6 good and 2 fair results in the HSS-score . Only one subsidence of an uncemented tibia plateau without definitive loosening occurred 55 months later . The functional results of constrained knee endoprostheses ( n = 6 ) were not as good ( 2 good , 2 fair , 2 poor ) . However , these patients suffered preoperatively from severe contractures and malalignments . Aseptic loosening or late infections did not occur even in case of HIV infections ."
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] |
[] |
[] |
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DerOrthopaede.90280366.eng.abstr
|
DerOrthopaede.90280366.eng.abstr
|
[
{
"id": "DerOrthopaede.90280366.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The von Willebrand's Disease affects about 1-3 % of the population and it is undiagnosed in most people . Originally described by the Finish physician Erik von Willebrand in 1926 this disorder is associated with mucous membran bleeding including epistaxis , hypermenorhoea and excessive bleeding from surgery and dental procedures . In von Willebrands disease the patients have a quantitative or qualitative abnormality in the von Willebrand Factor ( vWF ) which has two major functions : it serves by bridging between platelets and injury site in the blood vessel wall , and it circulates as a complex with factor VIII , protecting it from rapid degradation . More than 20 different types and subtypes of vWD have been described but almost all patients can be classified as having 1 of the 2 most common types of vWD . About 70 % of patients have type 1 and about 10-20 % present themself with type 2A and 2B vWD type 3 in about 10 % . By taking a clinical history of bleeding it is important to think about vWD and to make the appropriate diagnosis . If the vWD is suspected diagnostic tests should include an activated partial thromboplastin time , bleeding time , factor VIII : C , Ristocetin cofactor , and vWF antigen . Additional testing of ristocetin induced plattlet adhesion ( RIPA ) , the multimeric structure and collagen binding test and gen-analysis allow diagnosing the different types of v. Willebrand Disease . The treatment of choice in mild forms is the synthetic agent desmopressin . In patients with severe type 1 , type 2B , 2N and type 3 or in people who do not response to desmopressin , the appropriate treatment is a factor VIII concentrate that is rich of vWF . Until now no recommendations in the orthopaedic literature have been found regarding diagnosis and treatment of vWS patients . Based on the experience with 43 orthopaedic patients presenting vWD over the last 15 years a contemporary guideline for the successful perioperative management of vWD in orthopaedic surgery is presented . In a close collaboration between the orthopaedic surgeon and the specialized haemostaseologist every invasive procedure in patients with vWD can be undertaken without the risk of excessive bleeding ."
],
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]
]
}
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] |
DerOrthopaede.90280375.eng.abstr
|
DerOrthopaede.90280375.eng.abstr
|
[
{
"id": "DerOrthopaede.90280375.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Bone and joint tuberculosis , as all other types of tuberculosis is generally treated with antituberculotic combination chemotherapy . This has to be continued for a minimum of six months , or nine months in case of extensive spreading . A two- to three-month initial phase with four or five different drugs ( H , R , Z , and additionally E and/or S ) is followed by a four- to six-month therapy with H and R alone , provided the pathogen is fully susceptible to a standard regimen . The main side effects are hepatotoxic or allergic reactions . A frequent contra-indication is existing , often toxicity-induced , liver damage . The main local complications requiring surgery are spinal instability or neurologic deficiencies ."
],
"offsets": [
[
0,
727
]
]
}
] |
[
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4
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"id": "DerOrthopaede.90280375.eng.abstr-s3-t2",
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],
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{
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"db_id": "C0011155"
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}
] |
[] |
[] |
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DerOrthopaede.90280385.eng.abstr
|
DerOrthopaede.90280385.eng.abstr
|
[
{
"id": "DerOrthopaede.90280385.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Fractures of the atlas account for 1-2 % of all vertebral fractures . We divide atlas fractures into 5 groups : isolated fractures of the anterior arch of the atlas , isolated fractures of the posterior arch , combined fractures of the anterior and posterior arch ( so-called Jefferson fractures ) , isolated fractures of the lateral mass and fractures of the transverse process . Isolated fractures of the anterior or posterior arch are benign and are treated conservatively with a soft collar until the neck pain has disappeared . Jefferson fractures are divided into stable and unstable fracture depending on the integrity of the transverse ligament . Stable Jefferson fractures are treated conservatively with good outcome while unstable Jefferson fractures are probably best treated operatively with a posterior atlanto-axial or occipito-axial stabilization and fusion . The authors preferred treatment modality is the immediate open reduction of the dislocated lateral masses combined with a stabilization in the reduced position using a transarticular screw fixation C1/C2 according to Magerl . This has the advantage of saving the atlanto-occipital joints and offering an immediate stability which makes immobilization in an halo or Minerva cast superfluous . In late instabilities C1/2 with incongruency of the lateral masses occurring after primary conservative treatment , an occipito-cervical fusion is indicated . Isolated fractures of the lateral masses are very rare and may , if the lateral mass is totally destroyed , be a reason for an occipito-cervical fusion . Fractures of the transverse processes may be the cause for a thrombosis of the vertebral artery . No treatment is necessary for the fracture itself ."
],
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0,
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}
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[] |
[] |
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DerOrthopaede.90280394.eng.abstr
|
DerOrthopaede.90280394.eng.abstr
|
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],
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381
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}
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DerOrthopaede.90280401.eng.abstr
|
DerOrthopaede.90280401.eng.abstr
|
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"Over a period of two and half years , the Spinal Surgery Working Group of the Deutsche Gesellschaft fuer Unfallchirurgie ( German Association for Trauma Surgery ) DGU has carried out a prospective study of relevant injuries of the cervical vertebral column in 544 patients . The lower section C3 to Th1 of the cervical vertebral column was affected in 308 cases ( 56 per cent ) . The injuries of the cervical vertebral column were caused primarily by accidents in road traffic and in the pursuit of recreational activities . More than half of the patients had multiple injuries . The share of degenerative concomitant changes as a cause for relevant injuries increased with age considerably . In case of a qualified trauma with the suspicion of an injury , the immobilisation of the cervical vertebral column has to be retained until the X-ray diagnosis inclusive of a computer tomography has been completed as this is obligatory for the clarification of suspected findings or for pre-operative planning , respectively . The diagnostic range is complemented by guided function imaging to reveal instabilities , and magnetic resonance imaging , which has to be carried out in case any X-ray pathology is absent and neurological functional deficit exists . Patients with neurological deficits , which were found in 43 per cent of the cases suffering from injuries of the lower cervical vertebral column , should be treated as quickly as possible with a high dose of methyl prednisolon . A recovery of the neurological abolition by at least one ASIA level was observed in 10 per cent of the patients concerned . A conservative therapy with a cervical collar was pursued in 24 per cent of the cases with stable injuries . An operative treatment indication , which was diagnosed in 76 per cent of the cases , aims at the early recovery of the anatomy with decompression of the spinal cord , reposition , and stabilisation of segments concerned . The point of the operation was determined by the neurological status , the existing dislocation , and the increasing instability as well as the concomitant injuries . Positioning necessary for intensive medical interventions required an early stabilisation of the spinal column . The front access with plate spondylodesis as a standard procedure with various special implants has proved to be safe and reliable in the healing result . Dorsal accesses shall remain reserved for definable individual indications and should be prevented in case of injuries of the cervical medulla , if possible , to spare the cervical muscles ."
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DerOrthopaede.90280424.eng.abstr
|
DerOrthopaede.90280424.eng.abstr
|
[
{
"id": "DerOrthopaede.90280424.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The vertebral bodies and vertebral arches show a characteristic distribution of cortical and cancellous bone . The pedicles are loaded by uniplanar bending that is reflected by the arrangement of the Corticalis . The ligaments of the vertebral column consist of longitudinal and ( with exception of the lig . longitudinale anterius ) horizontal/oblique segmental ligament bundles . In combination with the anulus fibrosus , the ligaments work as a kind of gear system . They regulate the process of movements of adjactent vertebral bodies in a very precise manner and control the final phase of motion . Besides maintaining the necessary amount of pretension the intervertebral disc distributes the loads uniformly onto the adjacent vertebral bodies . The intervertebral joints are important for guided motion , by restricting the extent in specific planes and directions . Because of their position , they are able to take up the shear forces and to simultaneously restrict them in different planes . The integrity of the fascia thoracolumbalis warrants the protective function of the autochthonuos muscles ."
],
"offsets": [
[
0,
1109
]
]
}
] |
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DerOrthopaede.90280441.eng.abstr
|
DerOrthopaede.90280441.eng.abstr
|
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{
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"Traumatic injuries of the thoracic and lumbar spine are rare in children and differ in pathomorphology , healing process and prognosis from those in adults . Before growth arrest the vertebral epiphysis has an important role in pathomorphology and prognosis ; therefore , treatment should recognize the age-dependent potential for growth and remodelling . This study demonstrates the different anatomic and pathomorphologic characteristics of traumatic spinal injuries in 40 children . Additionally , prognosis and the various forms of treatment are discussed in the context of the recent literature . In total we observed 85 % compression-type injuries and 15 % distraction- and rotation-type injuries . Vertebral body fractures were treated conservatively and segmental disruptions by fusion . Long-term follow-up was performed on average 8 years after the accident in 26 patients clinically and in 21 patients radiologically . Most patients had no physical complaints or clinical symptoms . Additionally , the radiographs did not demonstrate any post-traumatic defects . In summary , spinal injuries up to the age of 12 without initial neurologic symptoms have a favorable prognosis ."
],
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1187
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}
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] |
[] |
[] |
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] |
DerOrthopaede.90280451.eng.abstr
|
DerOrthopaede.90280451.eng.abstr
|
[
{
"id": "DerOrthopaede.90280451.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The loads acting on internal spinal fixation devices were measured for different activities in ten patients using telemeterized bisegmental implants . The highest loads were found for walking and lateral bending of the upper body while standing . When bending forwards the upper body , the fixator loads were only slightly altered . The forces and moments were not higher during sitting than during standing . Therefore , sitting should be allowed for patients with instrumented spines as soon as getting up is allowed . The forces and moments in the fixators were often altered due to anterior interbody fusion . Especially in patients with degenerative instability , the implant loads were higher after anterior interbody fusion than before . Braces were not able to markedly reduce the fixator loads . Therefore , it does not seem helpful to brace patients after mono- or bisegmental stabilization of the thoracic or lumbar spine ."
],
"offsets": [
[
0,
934
]
]
}
] |
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] |
[] |
[] |
[] |
DerOrthopaede.90280460.eng.abstr
|
DerOrthopaede.90280460.eng.abstr
|
[
{
"id": "DerOrthopaede.90280460.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Dorsoplantar motion in the upper ankle joint is around one \" transverse \" rotational axis . In relation to the lower leg this axis is oblique joining the tips of the malleoli . Talocrural motion is highly precise compared to other human joints . Most of the stability and undisturbed motion in the loaded joint is afforded by the intimate osteocartilagineous contact . The rule of the collateral ligaments is secondary stabilisation , buffering of abnormal stresses and centering the talus in the extremes of motion . The posterior talofibular ligament is the universal lateral stabilizer , the deep portion of the deltoid ligament is the predominant medial ligament structure . Ligament tension without strain and under valgusabduction load as a rule makes only a difference in a quantitative way . Under varusadduction-stress load patterns are usually changed . Fibula and the distal syndesmotic ligaments , in the presence of valgusabduction- and external rotation stress , predominate over the medial joints structures . Remaining joint steps , especially in Volkmanns triangle ( posterior malleolus ) are prearthritic deformities . Nevertheless primary traumatic lesion of the cartilage has a major prognostic meaning . In cadaver joints as in vivo permanent lesions of only a singular fasciculus of the deltoid or lateral collateral ligament result in clearly detectable motion abnormalities . Concerning clinical therapy at present as in the past complete reconstruction of all that damaged singular structures must be claimed for . There is generally only a small tolerance against instability and malposition in the upper ankle joint . Even after one hundred years of research today factors defining the individual breadth of tolerance are not fully understood . In the presence of treatment regimes , that stood the test of time , it is therefore difficult to recommend treatment alternatives , relaying on individual biomechanical tolerance ."
],
"offsets": [
[
0,
1953
]
]
}
] |
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"id": "DerOrthopaede.90280460.eng.abstr-s1-t2",
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"id": "DerOrthopaede.90280460.eng.abstr-s2-t3",
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DerOrthopaede.90280469.eng.abstr
|
DerOrthopaede.90280469.eng.abstr
|
[
{
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"Sprains in the lateral ligaments of the ankle produce the most common ligamentous injuries of the human body . The mechanism of injury is complex , while supination represents the main component of foot movement . Classifying lateral ankle ligament injuries , many authors use a system of three degrees , which includes mild , moderate and severe sprains . Despite this scientific categories , in our opinion is the differentiation between elongation and complete ruptures of practical relevance . Under a biomechanical point of view , ligamentous trauma of the lateral ligaments lead to acute antero-lateral rotational instability ( ALRI ) . Following the retrospective clinical study of Zwipp with 1235 patients , in 70 % of complete disruptions , the anterior talo-naviculare and fibulo-calcanear ligaments are involved together . Syndesmotic injuries have been reported at a rate up to 10 % of ankle sprains with deltoid ligaments at 2,5 % . Rarely , the classic ankle sprain leads to injuries which affect the foot on a so called \" supination fracture line \" . A rate of 7,4 % is reported for these accompanying injuries . Therefore , clinical examination of ankle sprains should not only address on the distal tip of the fibula . Critical bony and ligamentous structures like the fifth metatarsal base , the calcaneo-cuboideal ligament , the ligaments of the anterior calcaneal process , the talus and syndesmotic ligaments have to be screened for pain and swelling . In our opinion , careful clinical examination and plain radiographs in two plains are sufficient for diagnosing ankle sprains and functional therapy ."
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] |
DerOrthopaede.90280476.eng.abstr
|
DerOrthopaede.90280476.eng.abstr
|
[
{
"id": "DerOrthopaede.90280476.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In lateral ankle ligament tears , the anterior talofibular ligament ruptures most commonly , often in conjunction with the calcaneofibular ligament . The posterior talofibular ligament is rarely affected . Associated injuries at the adjacent ligamentous structures or at the articular cartilage of the ankle commonly occur . The diagnosis is established clinically with the anterolateral drawer sign and an increased lateral talar tilt . Stress radiographs in two planes demonstrate talar tilt and anterior displacement of the talus , in comparison to the unaffected side . Magnetic resonance imaging provides an early diagnosis of concomitant injuries . Simple , acute lateral ankle ligament tears are treated non-operatively . Surgery is indicated in dislocated bone avulsions and in chondral or osteochondral fractures . A recurrent tear in an athletic patient should also be treated operatively . Athletic endeavours , the number of torn ligaments and patient age are no useful indicators for surgical treatment . Conservative treatment consist of oedema therapy , immobilization of the fibular ligaments with as little compromise of ankle joint function as possible , and rehabilitation with muscle strengthening and proprioception training . During surgery , the ligament stumps are reapproximated in anatomic position , reinforced with local tissue if necessary , and the articular surface is examined for concomitant injuries ."
],
"offsets": [
[
0,
1435
]
]
}
] |
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DerOrthopaede.90280483.eng.abstr
|
DerOrthopaede.90280483.eng.abstr
|
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"id": "DerOrthopaede.90280483.eng.abstr-passage-0",
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"According to the literature , chronic ankle instability occurs after acute rupture of the lateral ankle ligaments in 10-20 % of the cases . The etiology of the instability are ligamentous damage and functional neuromuscular disorder of the peroneal muscles . The standards of diagnostics are the history with the frequency of inversion trauma per period and the interval from the primary trauma , the clinical examination and radiological stress tests . Newer diagnostic methods , up to now not well established in clinical routine , include stabilometry , cybex-measurements of the pronator muscles , the evaluation of peroneal reaction time on a tilting platform and dynamic pedography . Conservative management of chronic ankle instability consists of wearing ankle braces and rehabilitation programs concerned with peroneal muscle strengthening and coordination training . The indication for surgical reconstruction of the ankle ligaments are a well-documented mechanical instability with the neuromuscular reflexes intact and a failed physiotherapeutic training program . The surgical procedure should be selected according to a priority list : 1. anatomical repair , eventually augmented with periosteum from the fibula , 2. Watson-Jones tenodesis , and 3. Chrisman-Snook tenodesis to treat a concomittant subtalar instability ."
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DerOrthopaede.90280493.eng.abstr
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DerOrthopaede.90280493.eng.abstr
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"In German literature , ankle joint fractures are mostly classified in three groups according to Weber . In cases of the type A , the fracture line runs below , in cases of type B at height of the syndesmotic ligaments . C-type fractures are typically seen above this region . However , this practical and simple classification allows no inferences at accompanying injuries which in turn influence the functional outcome . We observed isolated fractures of the lateral malleolus in more than 60 % of all type B-fractures , as soon as in the majority the type A-fractures . Since isolated medial ankle fractures occur very rarely , careful exclusion of further injuries is advisable here . In order to differentiate stable ones from unstable type B ankle injuries , we carry out a manual stress test , if there is less than 2 mm fracture dislocation and a congruent ankle mortise . In this manner we could find that stable lateral ankle fractures are characterized with a combination of an intact dorsal syndesmotic and medial ligament . Stable type B and undisplaced type A fractures were treated conservatively with an ankle brace ( Aircast ? ) . Unstable ankle injuries were treated by ORIF . Conservative treatment for undisplaced medial malleolar fractures is recommended , if x-rays showed less than 2 mm dislocation which allows a tibio-talare impingement . Biomechanical investigations could prove a significant increase in ankle joint stability , when an axial load of 300 N was applied to various horizontal loads . The talus does not follow automatically a displaced fibular fracture . The dorsal syndesmotic and the medial deltoid ligaments control ankle joint stability ."
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DerOrthopaede.90280509.eng.abstr
|
DerOrthopaede.90280509.eng.abstr
|
[
{
"id": "DerOrthopaede.90280509.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Each patient has the right of a dedicated pain therapy according to the state of the art . However an efficient pain therapy is not possible without knowing the cause of pain . In most posttraumatic pain situations peripheral nociceptors are activated and normal afferences are conducted via an intact nociceptive system . In contrast , neuropathic pain pain is caused by lesions of the nervous system itself . Mechanisms of central sensibilization and involvement of the sympathetic nervous system may lead to chronification of such pain conditions . The therapeutic regime of nociceptive and neuropathic pain is demonstrated by algorithms of treatment modalities . Apart from classic non-opioid analgesics , co-analgesics and opioids have an important status in chronic pain management as well . Prescription of these substances has to follow strictly defined standards of pain therapy . Blockades with local anaesthetics as mono-therapy of chronic pain are obsolete . In posttraumatic pain , however , a certain number of adjuvant blockades or infiltrations of triggerpoints may be helpful . The exeptional place of sympathetic blockades are in diagnosis and therapy of sympathetic maintained pain ( SMP ) ."
],
"offsets": [
[
0,
1210
]
]
}
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DerOrthopaede.90280518.eng.abstr
|
DerOrthopaede.90280518.eng.abstr
|
[
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"id": "DerOrthopaede.90280518.eng.abstr-passage-0",
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"Peripheral talar fractures are frequently overlooked and should be considered in the differential diagnosis of patients with acute and chronic ankle pain . Early diagnosis allows specific treatment options to prevent long-term complications and enables better overall results . Computertomography is obligatory for definite evaluation of the pathology and to determine the need for conservative or operative treatment . Conservatively treated displaced fractures lead to pain and decreased range of motion from ongoing arthrosis of the subtalar joint . Large or displaced fragments require , according to the scare literature , open reduction and internal fixation . Comminution or small fragments are best addressed by surgical excision , although alteration in the biomechanics of the subtalar joint may occur ."
],
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}
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[] |
[] |
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DerOrthopaede.90280538.eng.abstr
|
DerOrthopaede.90280538.eng.abstr
|
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"Based on the one experience and the information that is available in the literature indications for ankle arthroscopy are given , surgical equipment , patient placement and surgical technique of different procedures are described . Finally the results and possible complications are presented . Removal of loose bodies as well as synovectomies in case of an acute infection or rheumatoid arthritis are good indication . Arthroscopic treatment of anterior pathology in the athletic ankle need a thorough diagnostic work-up ; the results of the treatment do not always meet the expectations of this especially demanding population . Cartilage treatment is technically possible , however , long term results are still missing . This is also true for the treatment on osteochondritis dissecans . In patients with degenerative joint disease arthroscopic debridement can only lead to a temporary benefit . Arthroscopic assisted arthrodeses ( AAA ) is technically demanding , but can serve as an excellent alternative to conventional open techniques . The complication rate in ankle arthroscopy is high compared to other joints , which is especially true for neurologic complications and postoperative infections . This should be addressed when performing the informed consent ."
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DerOrthopaede.90280550.eng.abstr
|
DerOrthopaede.90280550.eng.abstr
|
[
{
"id": "DerOrthopaede.90280550.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Charcot foot in its original sense is equivalent to stage 4 of hereditary motor and sensory neuropathy ( HMSN ) which is known as Charcot-Marie-Tooth disease since 1886. This entity , which can be subdivided into 3 groups including subgroups , predominantly begins during childhood and progresses slowly . The first symptom , often unnoticed by the patient for a long period , is weakness of the intrinsic foot muscles with consecutive hammer-toe formation and mobile pes cavus . Progredient atrophy of the peroneal , extensor , tibialis posterior and finally triceps surae muscles leads to fixed pes cavus varus excavatus with severe varus deformity of the hindfoot , secondary varus position of the talus at the ankle level and subsequent arthrosis of the medial compartment . Permanent varus deformity of the ankle almost invariably leads to stress fractures of the malleoli because of repetitive microtrauma ( stage 5 of HMSN ) ."
],
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0,
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]
}
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[] |
[] |
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DerOrthopaede.90280559.eng.abstr
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DerOrthopaede.90280559.eng.abstr
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] |
DerOrthopaede.90280565.eng.abstr
|
DerOrthopaede.90280565.eng.abstr
|
[
{
"id": "DerOrthopaede.90280565.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Since the clinical benefit of knee braces has yet to be defined , discussion about braces after reconstructive surgery of the anterior cruciate ligament remains controversial . The use of prophylactic braces in sport did not prove to be effective . In ACL insufficient knee joints , the operative treatment is preferred over the use of functional knee braces . Therefore , the postoperative rehabilitation presents the main application of braces . Modern operative techniques with an initial strong fixation of the ACL graft make a functional postoperative treatment without external fixation possible . In the presented metaanalysis of the literature about knee braces , results from clinical and experimental studies are compared . No published clinical data have shown that braces have any effect on postoperative outcome after ACL-reconstruction . Also , no evidence of a significant bracing effect could be demonstrated in the experimental in vivo or in vitro studies , except a limited stabilizing function for lower shear stress below the physiological loads . Consequently , the systematic use of braces in the rehabilitation after ACL reconstruction cannot be recommended ."
],
"offsets": [
[
0,
1182
]
]
}
] |
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DerOrthopaede.90280572.eng.abstr
|
DerOrthopaede.90280572.eng.abstr
|
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[] |
[] |
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DerOrthopaede.90280579.eng.abstr
|
DerOrthopaede.90280579.eng.abstr
|
[
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"id": "DerOrthopaede.90280579.eng.abstr-passage-0",
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"The decision about operative or non-operative treatment of herniated lumbar discs has to be based on the results of clinical and neurological examination . Results of imaging techniques as CT or MRI are secondary . Various percutaneous endoscopic or open techniques have been described . The most appropriate technique is determined by the anatomical situation of the dislocated lumbar disc tissue . Intradiscal percutaneous therapies such as percutaneous nucleotomy and laser decompression are possible , but they revealed poor results in prospective randomized and controlled studies . Chemonucleolysis remains as an effective intradiscal technique at the time , but is afflicted with side effects and complications . Endoscopic transforaminal or interlaminary techniques are still experimental . Whenever open surgery is necessary , microsurgical techniques are preferred . If a certain technique is to be applied , there has to be the correct indication , technical support for and experience in using the choosen method ."
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0,
1026
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] |
[] |
[] |
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] |
DerOrthopaede.90280593.eng.abstr
|
DerOrthopaede.90280593.eng.abstr
|
[
{
"id": "DerOrthopaede.90280593.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Lumbar Microdiscectomy requires special instruments and provides a good view with a narrow approach . The microscope is the best surgical aid . Alternatives are a retractorintigrated light or headlamp . A specific complication of lumbar microdiscectomy - the wrong level - can be minimized by an exact preoperative planning . Other complications like dural lesions and exessive bleeding are less frequent with the microscope because of the better view . The most severe complications that can occur with any lumbar disc operation , major vessel or visceral injury , can be avoided by lusing the new rongeur with a depth guard ."
],
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0,
627
]
]
}
] |
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DerOrthopaede.90280598.eng.abstr
|
DerOrthopaede.90280598.eng.abstr
|
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{
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"The discussion on the results of open spinal surgery , in particular , on complications as a result of open surgery , e . g . , the so-called post-discotomy syndrome , has led to the development of less invasive methods , especially for treatment of lumbar disc prolapses . Percutaneous nucleotomy procedures are based on a variety of intradiscal diagnostic and therapy methods , such as discography , retroperitoneal spinal disc fenestration or chemonucleolysis . Since the 1970 s , various methods such as mechanical percutaneous nucleotomy , automated percutaneous nucleotomy , intradiscal laser procedures and , in part , endoscopic intradiscal procedures have been developed and also used clinically . The clinical results vary from 30 % good/very good results to almost 100 % good/very good results , depending on the author and study . It is obvious that not many prospective randomized studies using either conservatively or surgically treated control groups have been conducted . The results of these studies on intradiscal therapy methods are often analyzed more critically and with lower success rates than the partially retrospective studies of a single method , which often have large case numbers , but do not always meet the demanding criteria for scientific study design . To attain good results , percutaneous nucleotomy procedures can only be used to treat select cases of lumbar disc disorders according to strict indication criteria . At the present time it can be concluded that , in comparison to endoscopic und microsurgical methods , percutaneous nucleotomy procedures must be restricted to a small number of cases ."
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DerOrthopaede.90280609.eng.abstr
|
DerOrthopaede.90280609.eng.abstr
|
[
{
"id": "DerOrthopaede.90280609.eng.abstr-passage-0",
"type": "abstract",
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"Concerning the so-called minimal invasive procedures currently available for the treatment of lumbar disc prolapse ( percutaneous endoscopic discectomy , APLD , laser decompression , chemonucleolysis ) , the intradiscal application of Chymopapain represents the method with the longest period of clinical use and experience . Long-term studies have shown good clinical results . When considering of the indication and the few contraindications - particularly allergic diathesis - chemonucleolysis provides a low-risk , efficient , minimally invasive therapy that closes the therapeutic window between conservative and open surgical treatment ."
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}
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] |
[] |
[] |
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{
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}
] |
DerOrthopaede.90280637.eng.abstr
|
DerOrthopaede.90280637.eng.abstr
|
[
{
"id": "DerOrthopaede.90280637.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The break with the demand for maximum rigity of implant fixation of a traumatized unstable lower cervical spine is based on analyis and implementation of scientific and clinical data on the biomechanics of the native , the unstable and the implant-fixed spinal column . In view of these facts , recommendations for stabilization of the lower cervical spine can presently be formulated as follows : ..."
],
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[
0,
401
]
]
}
] |
[
{
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},
{
"id": "DerOrthopaede.90280637.eng.abstr-s1-t2",
"type": "umlsterm",
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[] |
[] |
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DerOrthopaede.90280651.eng.abstr
|
DerOrthopaede.90280651.eng.abstr
|
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"id": "DerOrthopaede.90280651.eng.abstr-passage-0",
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"For posttraumatic atlantoaxial instabilities posterior transarticular screw fixation according to Magerl represents the treatment of choice . In order to be able to insert the screws steep enough the soft tissues of the neck have to be dissected down to C7. Several authors therefore described a percutaneous technique . We analysed 30 patients with a sagittal atlantoaxial instability treated with one of both methods between the years 1995 and 1998 to detect amny differences of either technique . In 19 cases we used a modified percutaneous technique with special instruments as has been published by McGuire and Harkey . On lateral plain films the angle between the screws and the lower endplate of C2 was measured . 6 to 24 months after the accident 26 patients could be seen clinically and controlled radiologically , 4 patients had died in the meanwhile . The angle of the screws were significantly different with 10 degrees ( percutaneous group 73,9 degrees , open group 63,9 degrees , p = 0,001 ) . Time needed for the operativ procedure averaged 35 minutes shorter with the canulated technique ( 93 to 128 minutes , p = 0.05 ) . All posterior fusions had healed radiologically . Active motion of the c-spine was restricted in both groups equally . We checked subjective criteria concerning pain and function with a visual analog scale and a special score . With these instruments advantages for the percutaneous procedure could be found ( freedom of pain 43 points ( percutaneous ) versus 39 points ( open ) , p = 0.05 ) . We conclude that the soft tissue preserving percutaneous technique of screw application for C1/C2 posterior fusion allows for a better and easier placement of screws . It also leads to a shorter operating time and better subjective results . The method offers particularly advantages in cases where only a temporary satbilization of the C1/C2 complex without a regular fusion is needed ."
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] |
[] |
[] |
[
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DerOrthopaede.90280662.eng.abstr
|
DerOrthopaede.90280662.eng.abstr
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"Abstract The purpose of a fracture classification is to help the surgeon to choose an appropriate method of treatment for each and every fracture occuring in a particular anatomical region . The classification tool should not only suggest a method of treatment , it should also provide the surgeon with a reasonably precise estimation of the outcome of that treatment . But to use a classification before its workability has been proved is inapproproiate and can lead to confusion and more conflicting results . Any classification system should be proved to be a workable tool before it is used in a discriminatory or predictive manner . The radiographs of fourteen fractures of the lumbar spine were used to assess the interobserver reliability of the AO classification system . The radiographs and CT scans were reviewed in twenty two hospitals experienced with spinal trauma . The mean interobserver agreement for all fourteen cases was found to be 67 % ( 41-91 % ) , when only the three main types ( A , B , C ) were used . The corresponding kappa value of the interobserver reliability showed a coefficient of 0,33 ( range , 0,30 to 0,35 ) . The reliability decreased by increasing the categories . For some injuries the interobserver reliability was found to be over 90 % and also for the recommended therapeutic procedure there was an acceptable agreement . But the decision between an posterior approach alone or an additionally anterior procedure seems to be the most important question in treatment of spinal injuries at that time ."
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[] |
[] |
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DerOrthopaede.90280693.eng.abstr
|
DerOrthopaede.90280693.eng.abstr
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"Pedicular fixation has found great acceptance as a modality for spinal fusions . Being a \" blind technique \" it is associated with a potential high risk of neural and vascular morbidity . In an attempt to evaluate and/or establish a uniformly accepted concept of surgical management we designed a questionaire composed of seventeen questions dealing with different pre- , intra- and postoperative procedures in transpedicular fixation . This was sent to 31 experienced surgeons organized in the working group \" spine \" of the german trauma association . Half of the answers to each question were similar . The other half however , showed a wide variation of thought . It is thus deduced that although some concepts are frequently applied there is no general agreement to an optimal method of surgical handling . Most surgeons use conventional operative cushions for positioning the patients ( 22/31 ) . Access is usually proceeded by sharp dissection of the lumbodorsal fascia using a scalpell instead of cauterisation ( 21/31 ) , consciously avoiding traumatisation of paravertebral muscle insertion to the transverse processes ( 22/31 ) , as well as sparing the dorsal branch of segmental arteries ( 25/31 ) . Intraoperative orientation is attained by inspection coronarly and fluoroscopy sagittaly ( 15/31 ) . Most surgeons remove cortical bone using a Rongeur ( 22/31 ) , transpedicular drill hole is prepared by means of a k-wire ( 11/31 ) , for orientation again the fluoroscop is made use of ( 15/31 ) . On perforating the medial boundry of the pedicle thirteen operators correct the direction on drilling , on perforating the lateral boundry twelve medialise the screws on fixation , and eleven surgeons would leave the screws in place if firm holding is warranted . Half of the questioned surgeons simply lateralise the screws if cerebrospinal fluid leaked from the drill holes . If a malposition of the pedicle screws is not suspected no control computer tomography is performed ( 21/31 ) . Regarding these facts a comparative evaluation of the different techniques used in transpedicular fixation is lacking . In our opinion further multicenter evaluation is neccessary to establish a unified method and thus optimize postoperative results ."
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DerOrthopaede.90280703.eng.abstr
|
DerOrthopaede.90280703.eng.abstr
|
[
{
"id": "DerOrthopaede.90280703.eng.abstr-passage-0",
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"The aim of this retrospective study was to determine the late result after operative treatment of acute thoracolumbar fractures and fracture dislocations . 29 patients , treated between 1988 and 1995 at the Department of Trauma Surgery , Hannover Medical School with posterior stabilization and interbody fusion with transpedicular cancellous bone grafting , were reexamined 3 1/2 years after surgery . The incorporation and effect on the fusion was analyzed with spiral CT scan after implant removal and the patients were seen for clinical and conventional radiologic examination . We treated 24 type A , 4 type B and 1 type C lesion according to the Magerl classification . 27 patients were stabilized with an internal fixator , 2 with a plate system . The mean operative time totalled 2:50 hours , the intraoperative fluoroscopy time averaged 4:07 minutes and a mean blood loss counted 376 ml . 4 patients out of 6 with an incomplete neurologic lesion ( Frankel/ASIA D ) improved to Frankel/ASIA grade E. 2 complications were observed : 1 delayed wound healing and 1 venous thrombosis with secondary pulmonary embolism . Compared to the preoperative status our follow-up examinations demonstrated permanent social sequelae : The percentage of individuals able to do physical labor was reduced ( 15 to 5 patients ; p 0.01 ) whereas the share of unemployed or retired patients increased ( 2 to 12 patients ; p 0.01 ) . The assessment of complaints and functional outcome with the \" Hannover Spinal Trauma Score \" reflected a significant difference ( p 0.001 ) between the status before injury ( 96.6/100 points ) and at the time of follow-up ( 64.4/100 points ) . The correlation between the \" Hannover Spinal Trauma Score \" and the finger-ground-distance was found to be significant ( Coefficient rSpearman = -0 . 71 ; p 0.01 ) ."
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] |
[] |
[] |
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DerOrthopaede.90280723.eng.abstr
|
DerOrthopaede.90280723.eng.abstr
|
[
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"Anterior thoracoscopic interbody stabilization and fusion was performed in 163 patients . Lesions treated were located between T4 and L3, most frequently occuring at T12/L2. Operative time decreased dramatically as experience was gained with the procedure . 2 patients early in the series successfully were converted to an open procedure . One positioning related pressure harm on the thoracodorsal nerve and one irritation of the L1 root at the entrance site were both transitory . Postoperative control by X-ray and CTscan showed correct positioning of the bone graft , as well as the fixation device in all patients . Our experience with this minimally invasive procedure demonstrated the feasibility of the method . Major advantages compared to the open procedure are reduced morbidity of the approach , postoperative pain reduction , early recovery of function and shortened hospital stay ."
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DerOrthopaede.90280731.eng.abstr
|
DerOrthopaede.90280731.eng.abstr
|
[
{
"id": "DerOrthopaede.90280731.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The reason for inadequate results after the treatment of spinal lesions may be due to the misinterpretation of the type of lesion thus leading to incorrect therapy . Frequently the biofunctional construction principles of the spine are ignored and biomechanically based reconstruction of the spine is not done . Unsuitable approaches and fusion techniques may result in insufficient stabilisation with predictable failure . In both the first surgery and the salvage procedure , the principles of the load-sharing system as well as the posterior tension band principle must be respected . These principles and the surgery techniques are demonstrated in individual examples . Special attention is drawn to the impact of segmental deformities on the general statics of the spine . Frequently , residual deformities with the typical clinical picture lead to decompensation and the reduction of efficiency only after ten to fifteen years ."
],
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[
0,
934
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}
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] |
[] |
[] |
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{
"id": "DerOrthopaede.90280731.eng.abstr-s6-r1-t2.1-t1.1",
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"arg2_id": "DerOrthopaede.90280731.eng.abstr-s7-t1",
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{
"id": "DerOrthopaede.90280731.eng.abstr-s6-r2-t1.1-t2.1",
"type": "result_of",
"arg1_id": "DerOrthopaede.90280731.eng.abstr-s7-t1",
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{
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{
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"type": "causes",
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DerOrthopaede.90280750.eng.abstr
|
DerOrthopaede.90280750.eng.abstr
|
[
{
"id": "DerOrthopaede.90280750.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The position of the talus and the os calcaneum has consequences for the architecture of the forefoot . Medial tilting of the talus with vertical position provokes flattening of the medial arch and abduction of the forefoot . Varus position of the calcis and lateral direction of the talus ( as in residual clubfoot ) , however , causes supination and adduction of the forefoot . Repair of deformities in the hindfoot therefore also influences the forefoot . A large number of various osteotomies have been proposed at both bones . The most popular ones are Dwyer's osteotomy at the corpus of the calcis and its modification described by Mitchell at the same location for correction of the cavus foot and the residual clubfoot , and the lengthening osteotomy at the neck of the calcaneum according to Evans . Indication and operative technique of these three procedures are described in detail . The closing wedge osteotomy according to Dwyer is indicated in cases of cavus feet . In clubfeet the os calcis is usually too short and the medial opening wedge osteotomy provokes skin problems . In these cases an osteotomy according to Mitchell with lateral displacement of the tuber calcanei is more suitable . In flat- and skewfeet a lengthening osteotomy at the neck of the calcaneum according to Evans can be indicated , especially when the load of the foot is bigger medially under the talus rather than at the lateral margin of the foot . If these procedures are carried out carefully , they have low complications rates ."
],
"offsets": [
[
0,
1524
]
]
}
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DerOrthopaede.90280760.eng.abstr
|
DerOrthopaede.90280760.eng.abstr
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"The purpose of this paper is to present principle and technique of proximal lateral column lengthening by calcaneal osteotomy and to critically analyze our preliminary results . 16 patients ( 7 female , 9 male ; average age 52.3 years [ 24-72 years ] ) were treated for stage II to III posterior tibial tendon insufficiency by calcaneal osteotomy and medial soft tissue reconstruction ( tendon reconstruction , 15 ; tendon transfer , 8 ; deltoid ligament repair , 10 ) . When the AOFAS Ankle-Hindfoot Rating Scale was applied , these patients were shown to have significantly increased their scores from an average preoperative value of 49.1 to a mean postoperative value of 91.1 after a mean follow-up of 24.6 months . In all but one case no loss of achieved foot correction was noted . In one case , a fusion of the calcaneocuboid joint had to be performed after 5 months due to painful degenerative joint disease . At follow-up , all patients had satisfactory restoration of their medial longitudinal arch , reduction of forefoot abduction , and restored arch height . All patients were able to fully weight-bear the operated foot , and all patients were satisfied with the achieved result . In the pes planovalgus deformity occurring in stage II to III ( as significant degenerative joint disease has not already occurred ) , osteotomies appear to have a significant role in the operative management and to function by restoring more normal biomechanics , thus allowing tendon reconstruction and tendon transfers to return to successfull function ."
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DerOrthopaede.90280778.eng.abstr
|
DerOrthopaede.90280778.eng.abstr
|
[
{
"id": "DerOrthopaede.90280778.eng.abstr-passage-0",
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"The purpose of this work was to present our technique of anatomic reconstruction of the lateral ankle ligaments using a free plantaris tendon graft . Between 1988 and 1997 , 52 ankles ( 48 patients ) were treated for chronic ankle instability resisting to a training program of minimally 3 months . The average age was 28.6 years ( 16 to 46 years ) at the time of surgery . There were 30 ankles in men and 22 ankles in females . 4 patients were treated on both ankles . 50 ankles were available for a follow-up investigation after a mean of 3.5 years ( 1 to 10 years ) . Based on the AOFAS-Hindfoot-Scale an average score of 97.9 points ( 90 to 100 points ) was found . The functional result was found to be excellent in 39 ankles ( 78 % ) , good in 9 ankles ( 18 % ) , fair in 2 ankles ( 4 % ) , and poor in 0 ankle ( 0 % ) . Dorsi-/plantarflexion was not restricted in any ankle . Supination was slightly restricted in 2 ankles , but not increased in any ankle . High patient's satisfaction with respect to the achieved stability was found in all but one ankle . No deterioration with time was observed in any case . The overall good and excellent results with this method may be explained by the strictly anatomic reconstruction that did not alter the kinematics nor the mechanics of the ankle joint complex . In addition the peroneal tendons were not weakened . We feel that this procedure is a better alternative to other more complex ligament reconstructions , especially tenodesis operations by using the peroneal tendon ."
],
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] |
DerOrthopaede.90280785.eng.abstr
|
DerOrthopaede.90280785.eng.abstr
|
[
{
"id": "DerOrthopaede.90280785.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Results of surgical synovectomy and radiation synovectomy ( radiosynoviorthesis ) of the tibiotalar joint in rheumatoid patients are reported . The staged concept for management of the rheumatoid ankle joint is presented which is based on the radiographic appearance of disease progression . Results of 16 rheumatoid patients with disease to the ankle joint suggest that pain and walking capability is positively influenced by synovectomy and radiosynoviorthesis . Follow-up of 30 months revealed no deterioration of postoperative clinical improvement . In the absence of contraindications to radiosynoviorthesis it is suggested to combine arthroscopic synovectomy with radiosynoviorthesis for the treatment of early stages of rheumatoid disease of the ankle joint . Open synovectomy is prefered to arthroscopic synovectomy , if tenosynovectomy is simultaneously required ."
],
"offsets": [
[
0,
873
]
]
}
] |
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] |
[] |
[] |
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DerOrthopaede.90280792.eng.abstr
|
DerOrthopaede.90280792.eng.abstr
|
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{
"id": "DerOrthopaede.90280792.eng.abstr-passage-0",
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"We evaluated the short- to mid-term results of an unconstrained total ankle prosthesis ( S. T. A. R. ) with uncemented fixation . Fifty consecutive ankle replacements were performed in 48 patients between 1996 and 1999. The initial diagnosis was posttraumatic osteoarthrosis in 31 cases ( 62 % ) , primary osteoarthrosis in 8 cases ( 16 % ) , and systemic joint affection in 11 cases ( 22 % ) , e . g . rheumatoid arthritis ( 6 cases ) , hemochromatosis ( 2 cases ) , psoriasis arthritis ( 1 case ) , lupus erythematodes ( 1 case ) , and sclerodermia ( 1 case ) . There were two perioperative complications : one superficial wound dehiscence that healed uneventfully , and one injury to the dorsal foot artery that necessitated primary reconstruction . Seven revisions , all in cases of posttraumatic arthrosis , were necessary : local revision of the fibula for painful lateral impingement ( 3 cases ) , posteromedial soft tissue revision for painful restriction of dorsiflexion ( 2 cases ) , percutaneous lengthening of the Achilles tendon ( 1 case ) , and osteotomy and callus distraction for angular correction after stress fracture of the distal tibia ( 1 case ) . At the last follow-up control , 21 patients ( 62 % ) were very satisfied , 10 patients ( 29 % ) were satisfied , and 3 patients ( 9 % ) were satisfied with reservations . The obtained range of motion was 30 ° ( range , 15 to 55 ° ) , with a maximal plantarflexion of 25 ° ( range , 15 to 45 ° ) and dorsiflexion of 5 ° ( -3 to 20 ° ) . When the AOFAS-Hindfoot-Score was applied , the 34 patients scored 84.1 points ( range , 44 to 100 points ) . After settling of the implants within 6 weeks , no migration was noted in any case , and all implants were considered to be stable . The favorable results were considered to be a result of the mechanical properties of the S. T. A. R. total ankle prosthesis that allows for unconstrained motion of the polyethylene inlay on the tibial component , e . g . anteroposterior translation , mediolateral translation and axial rotation . The success of implantation may depend on exact technique , correct hindfoot alignement , sufficient capsuloligamentous stability of the ankle , and a solid bone stock . Although our first results are very encouraging , a longer follow-up is mandatory to answer the question whether ankle replacement is a viable alternative to ankle arthrodesis ."
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DerOrthopaede.90280804.eng.abstr
|
DerOrthopaede.90280804.eng.abstr
|
[
{
"id": "DerOrthopaede.90280804.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The results of ankle arthroplasty have generally been disappointing compared to other forms of arthroplasty . The present survey of results of ankle arthroplasty deals with the anatomical , the kinemasiological the biomechanical and the biological features of the ankle joint . These features all seem important prerequisites for a successful total ankle prosthesis design . From the study of the results displayed in the literature and those of my own series it can be stated that a modern ankle arthroplasty should respect the normal anatomy and kinemasiology . Biomechanically it should work as a normal ankle joint i . e . cylindrical mobility , congruency and a possibility for normal torque within the ankle mortise . The prosthesis components should only be fixed in solid subchondral bone , and preferably without cement . Only compressible forces should act at the bone-prosthesis interface . The axis of the ankle joint as well as of that of the hindfoot should be aligned to normal . Meticulous surgery and special guide instruments are absolute necessities . Restoration of muscle power and gait postoperatively are essential for a good and lasting result . The indication for ankle arthroplasty is mainly cases of osteoarthritis ( primary or traumatic ) and rheumatoid arthritis . Contraindications are talus necrosis , Charcot joints , extreme osteoporosis , severe arteriosclerosis , and very aggressive arthritis . Mental disorders and neurological disorders may also be contraindications . Furthermore , the patients should agree not to perform sports involving jumping and running or other ankle demanding activities . The average annual failure rate should not exceed 1 % if these recommendations are followed ."
],
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0,
1730
]
]
}
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] |
DerOrthopaede.90280822.eng.abstr
|
DerOrthopaede.90280822.eng.abstr
|
[
{
"id": "DerOrthopaede.90280822.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The stability of the carpus is determined by a precise interaction of the osseous and ligamentous elements . The main load of the carpus responsible for the adaptation of concerned tissues is a longitudinal compression caused by the force of the muscles of the forearm with their insertions to the metacarpus and fingers . As a consequence , the proximal row is distracted due to the wedge-shaped form of the hamatum together with the capitatum . It is the function of the mainly oblique orientated ligaments to take these transverse tensional forces , supported by the circular arrangement of the retinacula . Here , the ligaments are described in respect of their precise course into three groups . The distribution of material which is needed for bearing the enormous static and dynamic forces is minimised by the integration in a system of oblique fibre bundles which guaranties that all elements , osseous as well as ligamentous , are involved in the force distribution . This is the prerequisition for the minimalisation of osseous material . On the other hand , damage of only one element can cause severe consequences to the stability of the whole system ."
],
"offsets": [
[
0,
1164
]
]
}
] |
[
{
"id": "DerOrthopaede.90280822.eng.abstr-s1-t1",
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"text": [
"carpus"
],
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21,
27
]
],
"normalized": [
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"db_id": "C0043262"
}
]
},
{
"id": "DerOrthopaede.90280822.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"interaction"
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55,
66
]
],
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{
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}
]
},
{
"id": "DerOrthopaede.90280822.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"elements"
],
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[
98,
106
]
],
"normalized": [
{
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}
]
},
{
"id": "DerOrthopaede.90280822.eng.abstr-s2-t1",
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"text": [
"carpus"
],
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130,
136
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],
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{
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}
]
},
{
"id": "DerOrthopaede.90280822.eng.abstr-s2-t2",
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"text": [
"adaptation"
],
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157,
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}
]
},
{
"id": "DerOrthopaede.90280822.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"tissues"
],
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[
181,
188
]
],
"normalized": [
{
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"db_id": "C0040300"
}
]
},
{
"id": "DerOrthopaede.90280822.eng.abstr-s2-t4",
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"text": [
"muscles"
],
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246,
253
]
],
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}
]
},
{
"id": "DerOrthopaede.90280822.eng.abstr-s2-t5",
"type": "umlsterm",
"text": [
"forearm"
],
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261,
268
]
],
"normalized": [
{
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}
]
},
{
"id": "DerOrthopaede.90280822.eng.abstr-s2-t6",
"type": "umlsterm",
"text": [
"metacarpus"
],
"offsets": [
[
298,
308
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0025526"
}
]
},
{
"id": "DerOrthopaede.90280822.eng.abstr-s2-t7",
"type": "umlsterm",
"text": [
"fingers"
],
"offsets": [
[
313,
320
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016129"
}
]
},
{
"id": "DerOrthopaede.90280822.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"form"
],
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]
],
"normalized": [
{
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"db_id": "C0376315"
}
]
},
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"id": "DerOrthopaede.90280822.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"function"
],
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]
],
"normalized": [
{
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}
]
},
{
"id": "DerOrthopaede.90280822.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"ligaments"
],
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},
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}
]
},
{
"id": "DerOrthopaede.90280822.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"ligaments"
],
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622,
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"normalized": [
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]
},
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"id": "DerOrthopaede.90280822.eng.abstr-s6-t1",
"type": "umlsterm",
"text": [
"distribution"
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]
},
{
"id": "DerOrthopaede.90280822.eng.abstr-s6-t2",
"type": "umlsterm",
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},
{
"id": "DerOrthopaede.90280822.eng.abstr-s8-t1",
"type": "umlsterm",
"text": [
"hand"
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},
{
"id": "DerOrthopaede.90280822.eng.abstr-s8-t2",
"type": "umlsterm",
"text": [
"element"
],
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]
],
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{
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"db_id": "C0013879"
}
]
}
] |
[] |
[] |
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DerOrthopaede.90280833.eng.abstr
|
DerOrthopaede.90280833.eng.abstr
|
[
{
"id": "DerOrthopaede.90280833.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Advances in MRI technology have greatly improved visualization of the radio-carpal region . With todays high-resolution imaging , even very small anatomic structures like the triangular fibrocartilage may be seen . Established indications include the osteonecroses ( scaphoid and lunate ) ; however , MR images always should be evaluated in conjunction with plain radiographs . By delineating bone marrow edema , MRI is well suited for the detection of microfractures . Visualization of small soft tissue tumors , soft tissue extension of bone tumors and for staging of tumors in general may also be regarded as indications generally agreed upon . Promising indications include pathology of ligaments and similar structures ."
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}
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[] |
[] |
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DerOrthopaede.90280840.eng.abstr
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DerOrthopaede.90280840.eng.abstr
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DerOrthopaede.90280846.eng.abstr
|
DerOrthopaede.90280846.eng.abstr
|
[
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"id": "DerOrthopaede.90280846.eng.abstr-passage-0",
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"Fractures of the distal radius represent one of the most common fractures and do have high social-economic relevance . For treatement they need practicable classification and therapeutic standards . The demand for stable osteosynthesis of A3-, B2-B3 and C1-C2-fractures is connected to dorsal or volar internal fixation with plate and practical autogenous cancellous bone grafting , even for the elder patient . The isolated external fixation with K-wires represent special situation . Supply of implants and biodegradable materials will support this development ."
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}
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[] |
[] |
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] |
DerOrthopaede.90280853.eng.abstr
|
DerOrthopaede.90280853.eng.abstr
|
[
{
"id": "DerOrthopaede.90280853.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The distal radius fracture is the most common human skeletal injury . Predominantly woman in the 6th to 7th decade are found . There is a high correlation to the post menopause high turn over osteoporosis and its negative calcium balance . Due to the various multifactoral radius fracture combinations is a detailed classification with its correlated treatment important . The operative intervention in the past played a secondary roll . The newest concepts demand an exact reconstruction of the articulating surfaces through closed reposition and K-wire support , screw osteosynthesis , external fixation and its combinated forms . The posttraumatical joint changes with secondary palmar and dorsal dislocation of the radius base after reduction caused the exact therapy scheme with respect to the AO-classification to be developed . In the clinic and policlinic Oskar-Helene-Heim of the Free University in Berlin 213 patients were surgicly treated on distal radius fractures either from volar or dorsaly with a plate osteosynthesis between 1988-1998 . In cases of multidirectionional fractures with compression of the articular surfaces we combined a bicortal bone block or spongiosa to support and to avoid the secondary dislocation and thus arthrosis . The study was devided in three sections , beginning with the clinical inspection . Further followed the X-ray evaluation and the assessment of the DASH-scores ."
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[] |
[] |
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DerOrthopaede.90280872.eng.abstr
|
DerOrthopaede.90280872.eng.abstr
|
[
{
"id": "DerOrthopaede.90280872.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The inflammation of the wrist occurs very early in Rheumatoid arthritis . In cases of wrist deviation the biomechanics of the hole hand are affected . Carpal collaps will severly influence the range of motion ( ROM ) of the fingers . Operative techniques of how to maintain hand function are discussed . There are different procedures available - partial arthrodesis , arthrodesis and arthroplasty ."
],
"offsets": [
[
0,
399
]
]
}
] |
[
{
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"inflammation"
],
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4,
16
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}
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"wrist"
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"arthritis"
],
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106,
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{
"id": "DerOrthopaede.90280872.eng.abstr-s2-t3",
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"hand"
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[
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135
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{
"id": "DerOrthopaede.90280872.eng.abstr-s3-t3",
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"text": [
"fingers"
],
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224,
231
]
],
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{
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"db_id": "C0016129"
}
]
},
{
"id": "DerOrthopaede.90280872.eng.abstr-s3-t4",
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193,
208
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{
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"function"
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]
},
{
"id": "DerOrthopaede.90280872.eng.abstr-s5-t2",
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"text": [
"arthrodesis"
],
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366
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"id": "DerOrthopaede.90280872.eng.abstr-s5-t3",
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{
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"db_id": "C0003893"
}
]
}
] |
[] |
[] |
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"id": "DerOrthopaede.90280872.eng.abstr-s5-r14-t1.1-t2.2",
"type": "associated_with",
"arg1_id": "DerOrthopaede.90280872.eng.abstr-s5-t1",
"arg2_id": "DerOrthopaede.90280872.eng.abstr-s5-t2",
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},
{
"id": "DerOrthopaede.90280872.eng.abstr-s5-r16-t4.1-t2.2",
"type": "associated_with",
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"arg2_id": "DerOrthopaede.90280872.eng.abstr-s5-t2",
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}
] |
DerOrthopaede.90280878.eng.abstr
|
DerOrthopaede.90280878.eng.abstr
|
[
{
"id": "DerOrthopaede.90280878.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Scapholunate instability is more or less caused by injury . The ligament instability between lunate and scaphoid is not easily to be identified even there is only a little widening of this space between both bones . The instability may be proved by physical examination , by x-ray and by arthroscopy . The scapholunate instability may occure in a different manner . It is divided in three stages . In stage I a none operative treatment is suficiant . For the other stages an operative treatment is necessary : The operative treatment begins with suture of the ligament , continues with ligamentoplasty and ends with intracarpal fusions . At least a total arthrodesis of the wrist is necessary ."
],
"offsets": [
[
0,
694
]
]
}
] |
[
{
"id": "DerOrthopaede.90280878.eng.abstr-s1-t1",
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"text": [
"injury"
],
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51,
57
]
],
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"db_id": "C0175677"
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{
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"db_id": "C0021501"
}
]
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"ligament"
],
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[
64,
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{
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"db_id": "C0023685"
},
{
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"db_id": "C0023686"
}
]
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"lunate"
],
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[
93,
99
]
],
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{
"db_name": "UMLS",
"db_id": "C0036624"
}
]
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"scaphoid"
],
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104,
112
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"db_id": "C0223724"
}
]
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"bones"
],
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208,
213
]
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{
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"db_id": "C0262950"
}
]
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"arthroscopy"
],
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288,
299
]
],
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"db_id": "C0003904"
}
]
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"physical examination"
],
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[
249,
269
]
],
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"db_id": "C0031809"
}
]
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"stages"
],
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389,
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]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0027646"
}
]
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s6-t1",
"type": "umlsterm",
"text": [
"stage"
],
"offsets": [
[
401,
406
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0027646"
}
]
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s6-t2",
"type": "umlsterm",
"text": [
"treatment"
],
"offsets": [
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426,
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]
],
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},
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}
]
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s7-t1",
"type": "umlsterm",
"text": [
"stages"
],
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465,
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]
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}
]
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s7-t2",
"type": "umlsterm",
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"treatment"
],
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485,
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},
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"db_id": "C0039798"
}
]
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s7-t3",
"type": "umlsterm",
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"treatment"
],
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524,
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"db_id": "C0087111"
},
{
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"db_id": "C0039798"
}
]
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s7-t4",
"type": "umlsterm",
"text": [
"ligament"
],
"offsets": [
[
560,
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]
],
"normalized": [
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"db_id": "C0023685"
},
{
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"db_id": "C0023686"
}
]
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s8-t1",
"type": "umlsterm",
"text": [
"arthrodesis"
],
"offsets": [
[
655,
666
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0003881"
},
{
"db_name": "UMLS",
"db_id": "C0003090"
}
]
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s8-t2",
"type": "umlsterm",
"text": [
"wrist"
],
"offsets": [
[
674,
679
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0043262"
}
]
}
] |
[] |
[] |
[
{
"id": "DerOrthopaede.90280878.eng.abstr-s2-r1-t1.1-t4.1",
"type": "developmental_form_of",
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"normalized": []
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s2-r2-t1.1-t2.1",
"type": "developmental_form_of",
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"arg2_id": "DerOrthopaede.90280878.eng.abstr-s8-t2",
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},
{
"id": "DerOrthopaede.90280878.eng.abstr-s2-r3-t1.1-t3.1",
"type": "developmental_form_of",
"arg1_id": "DerOrthopaede.90280878.eng.abstr-s8-t1",
"arg2_id": "DerOrthopaede.90280878.eng.abstr-s7-t3",
"normalized": []
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s3-r1-t2.1-t1.1",
"type": "precedes",
"arg1_id": "DerOrthopaede.90280878.eng.abstr-s8-t2",
"arg2_id": "DerOrthopaede.90280878.eng.abstr-s8-t1",
"normalized": []
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s6-r1-t1.1-t2.1",
"type": "precedes",
"arg1_id": "DerOrthopaede.90280878.eng.abstr-s8-t1",
"arg2_id": "DerOrthopaede.90280878.eng.abstr-s8-t2",
"normalized": []
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s6-r2-t1.1-t2.1",
"type": "evaluation_of",
"arg1_id": "DerOrthopaede.90280878.eng.abstr-s8-t1",
"arg2_id": "DerOrthopaede.90280878.eng.abstr-s8-t2",
"normalized": []
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s7-r1-t4.2-t2.1",
"type": "location_of",
"arg1_id": "DerOrthopaede.90280878.eng.abstr-s7-t4",
"arg2_id": "DerOrthopaede.90280878.eng.abstr-s8-t2",
"normalized": []
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s7-r2-t1.1-t3.1",
"type": "evaluation_of",
"arg1_id": "DerOrthopaede.90280878.eng.abstr-s8-t1",
"arg2_id": "DerOrthopaede.90280878.eng.abstr-s7-t3",
"normalized": []
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s7-r3-t1.1-t3.1",
"type": "precedes",
"arg1_id": "DerOrthopaede.90280878.eng.abstr-s8-t1",
"arg2_id": "DerOrthopaede.90280878.eng.abstr-s7-t3",
"normalized": []
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s7-r4-t2.1-t1.1",
"type": "location_of",
"arg1_id": "DerOrthopaede.90280878.eng.abstr-s8-t2",
"arg2_id": "DerOrthopaede.90280878.eng.abstr-s8-t1",
"normalized": []
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s7-r5-t1.1-t2.1",
"type": "evaluation_of",
"arg1_id": "DerOrthopaede.90280878.eng.abstr-s8-t1",
"arg2_id": "DerOrthopaede.90280878.eng.abstr-s8-t2",
"normalized": []
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s7-r6-t4.2-t2.1",
"type": "surrounds",
"arg1_id": "DerOrthopaede.90280878.eng.abstr-s7-t4",
"arg2_id": "DerOrthopaede.90280878.eng.abstr-s8-t2",
"normalized": []
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s7-r7-t4.2-t1.1",
"type": "location_of",
"arg1_id": "DerOrthopaede.90280878.eng.abstr-s7-t4",
"arg2_id": "DerOrthopaede.90280878.eng.abstr-s8-t1",
"normalized": []
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s7-r8-t2.1-t3.1",
"type": "location_of",
"arg1_id": "DerOrthopaede.90280878.eng.abstr-s8-t2",
"arg2_id": "DerOrthopaede.90280878.eng.abstr-s7-t3",
"normalized": []
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s7-r9-t2.1-t4.2",
"type": "developmental_form_of",
"arg1_id": "DerOrthopaede.90280878.eng.abstr-s8-t2",
"arg2_id": "DerOrthopaede.90280878.eng.abstr-s7-t4",
"normalized": []
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s7-r10-t1.1-t2.1",
"type": "precedes",
"arg1_id": "DerOrthopaede.90280878.eng.abstr-s8-t1",
"arg2_id": "DerOrthopaede.90280878.eng.abstr-s8-t2",
"normalized": []
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s7-r11-t4.2-t3.1",
"type": "location_of",
"arg1_id": "DerOrthopaede.90280878.eng.abstr-s7-t4",
"arg2_id": "DerOrthopaede.90280878.eng.abstr-s7-t3",
"normalized": []
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s8-r1-t2.1-t1.1",
"type": "location_of",
"arg1_id": "DerOrthopaede.90280878.eng.abstr-s8-t2",
"arg2_id": "DerOrthopaede.90280878.eng.abstr-s8-t1",
"normalized": []
},
{
"id": "DerOrthopaede.90280878.eng.abstr-s8-r4-t2.1-t1.2",
"type": "location_of",
"arg1_id": "DerOrthopaede.90280878.eng.abstr-s8-t2",
"arg2_id": "DerOrthopaede.90280878.eng.abstr-s8-t1",
"normalized": []
}
] |
DerOrthopaede.90280883.eng.abstr
|
DerOrthopaede.90280883.eng.abstr
|
[
{
"id": "DerOrthopaede.90280883.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Careful diagnostic and early therapy are especially important in cases of scaphoid fractures . This is due to the patients being mostly young and the high number of non-unions of these carpal bones . Conservative and various operative treatments are therapeutical options . Out of the patients who underwent surgery from January 1993 to February 1999 42 patients with a scaphoid fracture and 88 patients with a scaphoid non-union were , in addition to standard X-ray examination , examined clinically and by MRI pre- and post-operatively . Fractures of the scaphoid were treated by Herbert screw fixtion ."
],
"offsets": [
[
0,
605
]
]
}
] |
[
{
"id": "DerOrthopaede.90280883.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"diagnostic"
],
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8,
18
]
],
"normalized": [
{
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"db_id": "C0348026"
}
]
},
{
"id": "DerOrthopaede.90280883.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"therapy"
],
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29,
36
]
],
"normalized": [
{
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"db_id": "C0087111"
},
{
"db_name": "UMLS",
"db_id": "C0039798"
}
]
},
{
"id": "DerOrthopaede.90280883.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"scaphoid"
],
"offsets": [
[
74,
82
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0223724"
}
]
},
{
"id": "DerOrthopaede.90280883.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"fractures"
],
"offsets": [
[
83,
92
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016658"
}
]
},
{
"id": "DerOrthopaede.90280883.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"patients"
],
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[
114,
122
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerOrthopaede.90280883.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"carpal"
],
"offsets": [
[
185,
191
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0007285"
}
]
},
{
"id": "DerOrthopaede.90280883.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"bones"
],
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[
192,
197
]
],
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{
"db_name": "UMLS",
"db_id": "C0262950"
}
]
},
{
"id": "DerOrthopaede.90280883.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"carpal bones"
],
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185,
197
]
],
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"db_name": "UMLS",
"db_id": "C0007285"
}
]
},
{
"id": "DerOrthopaede.90280883.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"treatments"
],
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[
235,
245
]
],
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"db_name": "UMLS",
"db_id": "C0087111"
},
{
"db_name": "UMLS",
"db_id": "C0039798"
}
]
},
{
"id": "DerOrthopaede.90280883.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"patients"
],
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[
285,
293
]
],
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{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerOrthopaede.90280883.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"surgery"
],
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[
308,
315
]
],
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{
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"db_id": "C0038894"
},
{
"db_name": "UMLS",
"db_id": "C0038895"
}
]
},
{
"id": "DerOrthopaede.90280883.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"patients"
],
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[
354,
362
]
],
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{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerOrthopaede.90280883.eng.abstr-s4-t4",
"type": "umlsterm",
"text": [
"scaphoid"
],
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[
370,
378
]
],
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{
"db_name": "UMLS",
"db_id": "C0223724"
}
]
},
{
"id": "DerOrthopaede.90280883.eng.abstr-s4-t5",
"type": "umlsterm",
"text": [
"fracture"
],
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[
379,
387
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016658"
}
]
},
{
"id": "DerOrthopaede.90280883.eng.abstr-s4-t6",
"type": "umlsterm",
"text": [
"patients"
],
"offsets": [
[
395,
403
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerOrthopaede.90280883.eng.abstr-s4-t7",
"type": "umlsterm",
"text": [
"scaphoid"
],
"offsets": [
[
411,
419
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0223724"
}
]
},
{
"id": "DerOrthopaede.90280883.eng.abstr-s4-t8",
"type": "umlsterm",
"text": [
"standard"
],
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[
452,
460
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0038137"
},
{
"db_name": "UMLS",
"db_id": "C0175675"
}
]
},
{
"id": "DerOrthopaede.90280883.eng.abstr-s4-t9",
"type": "umlsterm",
"text": [
"X-ray"
],
"offsets": [
[
461,
466
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0043299"
},
{
"db_name": "UMLS",
"db_id": "C0043309"
}
]
},
{
"id": "DerOrthopaede.90280883.eng.abstr-s4-t10",
"type": "umlsterm",
"text": [
"MRI"
],
"offsets": [
[
508,
511
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0024485"
}
]
},
{
"id": "DerOrthopaede.90280883.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"Fractures"
],
"offsets": [
[
540,
549
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016658"
}
]
},
{
"id": "DerOrthopaede.90280883.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"scaphoid"
],
"offsets": [
[
557,
565
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0223724"
}
]
},
{
"id": "DerOrthopaede.90280883.eng.abstr-s5-t3",
"type": "umlsterm",
"text": [
"screw"
],
"offsets": [
[
590,
595
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0005975"
}
]
}
] |
[] |
[] |
[
{
"id": "DerOrthopaede.90280883.eng.abstr-s1-r1-t4.1-t2.1",
"type": "associated_with",
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] |
DerOrthopaede.90280899.eng.abstr
|
DerOrthopaede.90280899.eng.abstr
|
[
{
"id": "DerOrthopaede.90280899.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Indications for intercarpal and radiocarpal resectionarthroplasty and fusions are osteoarthritis , KIEHNBOeCK'S disease , rheumatoid arthritis and several posttraumatic disorders of the wrist joint . The resection of carpal bones leads to severe instability patterns of the wrist . In conclusion we recommend resection-arthroplasty just for treatment of the thumb carpo-metacarpal osteoarthritis . Implant resection arthroplasty of the lunate and scaphoid or total wrist implants are still causing multiple problems regarding heavy load . Therefore this implants should be confined to rheumatoid patients . Of the limited carpal arthrodeses the scaphotrapezium-trapezoid arthrodeses is the most frequent performed procedure . It can be indicated for STT-osteoarthritis , KIEHNBOeCK's disease , scapho-lunate instability and scaphoid pseudarthrosis if other surgical procedures had failed presuming there are no signs of arthrosis in the radiocarpal joint . Persisting pain especially in heavy work is quite frequent after limited arthrodesis but can be greatly releaved by simultaneous wrist denervation . In advanced cases of osteoarthritis total wrist arthrodesis is still the best choice for the patient ."
],
"offsets": [
[
0,
1208
]
]
}
] |
[
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],
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44,
65
]
],
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}
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},
{
"id": "DerOrthopaede.90280899.eng.abstr-s1-t2",
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],
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82,
96
]
],
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}
]
},
{
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],
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112,
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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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},
{
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{
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DerOrthopaede.90280907.eng.abstr
|
DerOrthopaede.90280907.eng.abstr
|
[
{
"id": "DerOrthopaede.90280907.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Arthrodesis of the wrist joint is indicated in degenerative joint desease , instability and restricted and painful range of motion . Further indications are : failed reconstruction , partial arthrodesis or arthroplasty/total joint replacement . The surgical technique depends mainly on the quality of bone substance and degree of joint degeneration . Differences can be made concerning the type of bone graft and osteosynthesis being used . The aim is to create , a stable joint in a good functional position . The position of arthrodesis depends on the patients needs . In patients with rheumatoid arthritis a straight position is generally accepted , where as in patients with degenerative joint desease , a slight wrist extension and ulnar deviation is preferred . A stable osteosynthesis with plates is reliable and allows early rehabilitation . We present 28 cases of arthrodesis with intramedullary rods and 61 cases of arthrodesis with plates . The complication rate was low , the functional results were good . We saw significant reduction of pain , increase of strength and handfunction . Arthrodesis of the wrist joint has proven to be a long term reliable and safe procedure . Loss of motion is accepted to obtain sufficient pain relief ."
],
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0,
1249
]
]
}
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DerOrthopaede.90280916.eng.abstr
|
DerOrthopaede.90280916.eng.abstr
|
[
{
"id": "DerOrthopaede.90280916.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Low back ache and pain in the legs are not always due to disc displacement and lumbar spinal degenerative changes . Some infrequent , but really not very rare diseases are presented in order to avoid mistakes which can have serious consequences for the patients . Degenerative changes of the lumbar spine are very common , not only in aged people . A superficial examination of the patient with back ache and/or pain in the legs can lead to a fallacious tie-up between such lesions and disturbances and complaints which are not connected to them ."
],
"offsets": [
[
0,
547
]
]
}
] |
[
{
"id": "DerOrthopaede.90280916.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"ache"
],
"offsets": [
[
9,
13
]
],
"normalized": [
{
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"db_id": "C0234238"
},
{
"db_name": "UMLS",
"db_id": "C0001044"
}
]
},
{
"id": "DerOrthopaede.90280916.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"pain"
],
"offsets": [
[
18,
22
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030193"
}
]
},
{
"id": "DerOrthopaede.90280916.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"legs"
],
"offsets": [
[
30,
34
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0023216"
}
]
},
{
"id": "DerOrthopaede.90280916.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"displacement"
],
"offsets": [
[
62,
74
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0012725"
}
]
},
{
"id": "DerOrthopaede.90280916.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"back ache"
],
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[
4,
13
]
],
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{
"db_name": "UMLS",
"db_id": "C0004604"
}
]
},
{
"id": "DerOrthopaede.90280916.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"Low back ache"
],
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[
0,
13
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0024031"
}
]
},
{
"id": "DerOrthopaede.90280916.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"diseases"
],
"offsets": [
[
159,
167
]
],
"normalized": [
{
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"db_id": "C0012634"
}
]
},
{
"id": "DerOrthopaede.90280916.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"patients"
],
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[
253,
261
]
],
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{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerOrthopaede.90280916.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"spine"
],
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[
299,
304
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0037949"
}
]
},
{
"id": "DerOrthopaede.90280916.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"people"
],
"offsets": [
[
340,
346
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0027361"
}
]
},
{
"id": "DerOrthopaede.90280916.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"patient"
],
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[
382,
389
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerOrthopaede.90280916.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"ache"
],
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[
400,
404
]
],
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{
"db_name": "UMLS",
"db_id": "C0234238"
},
{
"db_name": "UMLS",
"db_id": "C0001044"
}
]
},
{
"id": "DerOrthopaede.90280916.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"pain"
],
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[
412,
416
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030193"
}
]
},
{
"id": "DerOrthopaede.90280916.eng.abstr-s4-t4",
"type": "umlsterm",
"text": [
"legs"
],
"offsets": [
[
424,
428
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0023216"
}
]
},
{
"id": "DerOrthopaede.90280916.eng.abstr-s4-t5",
"type": "umlsterm",
"text": [
"back ache"
],
"offsets": [
[
395,
404
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0004604"
}
]
}
] |
[] |
[] |
[
{
"id": "DerOrthopaede.90280916.eng.abstr-s1-r1-t4.1-t1.1",
"type": "produces",
"arg1_id": "DerOrthopaede.90280916.eng.abstr-s4-t4",
"arg2_id": "DerOrthopaede.90280916.eng.abstr-s4-t1",
"normalized": []
},
{
"id": "DerOrthopaede.90280916.eng.abstr-s1-r2-t1.1-t4.1",
"type": "affects",
"arg1_id": "DerOrthopaede.90280916.eng.abstr-s4-t1",
"arg2_id": "DerOrthopaede.90280916.eng.abstr-s4-t4",
"normalized": []
},
{
"id": "DerOrthopaede.90280916.eng.abstr-s1-r3-t3.1-t4.1",
"type": "result_of",
"arg1_id": "DerOrthopaede.90280916.eng.abstr-s4-t3",
"arg2_id": "DerOrthopaede.90280916.eng.abstr-s4-t4",
"normalized": []
},
{
"id": "DerOrthopaede.90280916.eng.abstr-s2-r1-t1.1-t2.1",
"type": "occurs_in",
"arg1_id": "DerOrthopaede.90280916.eng.abstr-s4-t1",
"arg2_id": "DerOrthopaede.90280916.eng.abstr-s4-t2",
"normalized": []
}
] |
DerOrthopaede.90280922.eng.abstr
|
DerOrthopaede.90280922.eng.abstr
|
[
{
"id": "DerOrthopaede.90280922.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Injectiontherapy as part of orthopaedic pain treatment is of major importance in sciatica . It helps to differentiate unclear complaints and allows a break through of the vitious circle of pain and muscle spasm . Pharmacological principals and possible complications have to be observed . The different techniques need experience and manual training . The paper describes the various injection techniques in detail ."
],
"offsets": [
[
0,
416
]
]
}
] |
[
{
"id": "DerOrthopaede.90280922.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"Injectiontherapy"
],
"offsets": [
[
0,
16
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0021485"
}
]
},
{
"id": "DerOrthopaede.90280922.eng.abstr-s1-t2",
"type": "umlsterm",
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[] |
[] |
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DerOrthopaede.90280932.eng.abstr
|
DerOrthopaede.90280932.eng.abstr
|
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{
"id": "DerOrthopaede.90280932.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Chronic low back pain can be considered to be one of the most frequently treated and most costly diseases in modern industrial societies . Dysfunctions and imbalances of the spine-supporting muscles increase the risk of low back pain . Consequently preventive treatment and rehabilitation have to aim at preserving and restoring the full capacity of the spine-supporting muscles as well as training coordination and spine-friendly behaviour . In addition to various measures of pain therapy , physiotherapeutic treatment including neuro-physiotherapy , physical treatment ( eg electrotherapy ) , balneotherapy and supportive behavioural training , medical rehabilitation therapy ( MRT ) ranks among the most effective ways of treating low back pain . MRT applies guidelines and methods of exercise methodology within medically indicated programmes of preventive treatment and rehabilitation . Various objectives of MRT are outlined with special regard to the stages of MRT treatment , emphasizing positive adaptation of the neuro-muscular system in the course of rehabilitation . Physicians are responsible for MRT diagnosis and control . Taking into account the base disorder and the progress of therapy physiotherapists and the physicians in charge determine MRT objectives and treatment strategies ."
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DerOrthopaede.90280939.eng.abstr
|
DerOrthopaede.90280939.eng.abstr
|
[
{
"id": "DerOrthopaede.90280939.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Based upon the shortly presented survey among the members of the Swiss Medical Association for Manual Medicine , the low back pain problems are approached by the means of manual therapy on average 805 times per year and physician . On average each case with low back pain is treated 1,4 times by a general practitioner with experience in manual medicine while specialists who are dealing with more complexe cases on average 4 to 5 times . The functional disorders of the lumbar spine treated by manual therapy are superior to the physiotherapy approach or in comparison with a \" placebo group \" ( information by general practitioner about low back pain and application of medication ) . An appropriate indication for manual therapy is relevant to avoid or reduce the possible risk of the treatment procedure . The physician who performs the manual therapy has to know the limits of the method . Also the knowledge of contraindications for manual therapy will reduce the incidence of possible complication . However based upon the survey among the swiss association the side effects and complications due to manual therapy of the lumbal spine are extremely seldom ."
],
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1164
]
]
}
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DerOrthopaede.90280958.eng.abstr
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DerOrthopaede.90280958.eng.abstr
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"Back schools are high frequency-low cost interventions . Their effectiveness has lately been regarded with skepticism . The variety of back school programs makes an over-all evaluation difficult . The number of evaluative publications has increased dramatically during the last 10 years , including 18 randomized controlled trials . Results of these studies have been contradictory . The results of two lately published randomized controlled trials , of 18 randomized controlled trials , of five systematic reviews , two publications conducting metaanalyses , and five task forces presenting guidelines for clinical practice are reported . According to the conclusions of the reviews there is limited to strong evidence for the effectiveness of back schools for chronic back pain . The metaanalyses show clear effects for knowledge and behavior change up to 6 months . Three of five task forces recommend back schools for acute pain respectively at worksite . Summarizing the results of the given evidence based recommendations it is concluded that back schools at work sites and back schools with intensive training is effective . There is still need to prove the effectiveness of single elements of the back school programs , of strategies to increase long term effects , the effectiveness for subtypes of patients and the effectiveness of back schools as part of a comprehensive orthopedic pain therapy ."
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[] |
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DerOrthopaede.90280966.eng.abstr
|
DerOrthopaede.90280966.eng.abstr
|
[
{
"id": "DerOrthopaede.90280966.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Successful multimodal conservative treatment of sciatic pain will prevent unfavorable results of life discectomy and accelerates the natural course . In assessment of modalities of conservative treatment of sciatic pain , somatic and psychosomatic aspects have to be considered . Severe neurological deficits caused by lumbar disc herniation have to be treated surgically . Conservative treatment of sciatic pain follows the etiopathogenetic hypothesis of a centrally triggered and radicularly terminated inflammation ; it reflects the biopsychosocial paradigm . Inflammatory alterations in the disc and psychosocial peculiarities of the patients prove this disease model . Conservative treatment of sciatic pain does not determine its , but works by the combined operation of different but etiopathogenetic or scientifically efficient means . Somatic therapy aims at blocking the inflammatory cascade by peridural and systemic antiphlogistic drugs , sufficently applied analgethics and temporally limited bedrest . Physiotherapy and sports therapy for remobiliziation will follow . Psychosomatic therapy works through relaxation , support and interpretation . Physiotherapy , relaxation and verbal intervention work prophylacally , too . The patient-doctor relationship plays a crucial role in conservative treatment of sciatic pain ."
],
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DerOrthopaede.90281015.eng.abstr
|
DerOrthopaede.90281015.eng.abstr
|
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{
"id": "DerOrthopaede.90281015.eng.abstr-passage-0",
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"text": [
"Posttraumatic malalignments are a frequent sequlae of IM nailing of lower extremity fractures . Conventional US has proven to be inferior to CT determinations of tibial or femural length and torsion . A new 3-D US method is presented that allows for accurate single step determination of lower extremity length and torsion without ionizing radiation . A regular US machine with a 5 Mhz linear probe is combined with an US localizer . Reference markers affixed to the lower extremity eliminate errors associated with patient postition or motion . The 3-D US method was compared against CT ( Ulm's method ) in the measurement of torsion and length of the tibia and femur in 50 adults and 50 children . In both methods , the maximum diffence of the intraindividual torsional angles and length measurements was 7 degrees and 7 mm . The maximum standard deviation for reproducibility in length measurement was 1.6 mm and 1.5 degrees for angular torsion . The new 3-D US technique was superior to CT in terms of reliabilty and reproducibilty . Clinical advantages of the 3-D US technique include rapidity , independence from patient motion or postioning and the avoidance of ionizing radiation . Indications for 3-D torsional and length determinations include follow -up evaluation of adult and pediatric tibial and femoral fractures , pediatric limb and gait evaluations , and osteotomy planning ."
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DerOrthopaede.90281023.eng.abstr
|
DerOrthopaede.90281023.eng.abstr
|
[
{
"id": "DerOrthopaede.90281023.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The operative realignment of mechanical axis deviations ( MAD ) is necessary to prevent early joint degeneration and to reach normal load-bearing . Modern types of external fixation systems allow an alignment of the mechanical axis to exact degrees . Predominantly this are corrections of angular deformities . In some cases the analysis of the MAD does not show any angular deformity , but a parallel staggering of the mechanical axis lines of a bone . Such parallel staggering of the mechanical axis lines is defined as a translation deformity of the bone . In combined deformities with angulation and translation the centre of deformity can be established proximal or distal out of the limit of the bone . In translation deformities the realignment of the mechanical axis requires a parallel re-staggering made by a translation-osteotomy or by a counterangulated double osteotomy . In complex deformities with angulation and translation , the translation requires a separate corrective planning . By using external fixator systems to perform acute or progressive corrective osteotomies the position of the Axis of Correction of Angulation ( ACA ) in relation to the n-CORA of the deformity has to be considered . If ACA position is not conform with the n-CORA position relevant geometric effects in relation of length and translation occur . These geometric effects to corrective osteotomies can be calculated by using simple trigonometric formulas or graphical methods . Possibilities to compensate translation and length effects are shown by using unilateral external fixator systems ."
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DerOrthopaede.90281034.eng.abstr
|
DerOrthopaede.90281034.eng.abstr
|
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"text": [
"Fibular hemimelia is a congenital longitudinal deficiency that represents a spectrum of deformities . The management of this condition is controversial and our treatment options are changing with developments in limb reconstruction techniques . For the severely affected child with a predicted limb length discrepancy greater than 25 cm at maturity and with a poor foot and ankle amputation is generally agreed to be the best option . For less severely affected limbs , particularly those with a predicted limb discrepancy of 10 cm or less and with a foot with 3 or more rays which can be made plantigrade , limb reconstruction is recommended . Controversy remains about the best way to manage children with an intermediate deformity ."
],
"offsets": [
[
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735
]
]
}
] |
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"db_id": "C0002688"
}
]
},
{
"id": "DerOrthopaede.90281034.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"limbs"
],
"offsets": [
[
462,
467
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0015385"
}
]
},
{
"id": "DerOrthopaede.90281034.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"limb"
],
"offsets": [
[
506,
510
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0015385"
}
]
},
{
"id": "DerOrthopaede.90281034.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"foot"
],
"offsets": [
[
551,
555
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016504"
}
]
},
{
"id": "DerOrthopaede.90281034.eng.abstr-s4-t4",
"type": "umlsterm",
"text": [
"rays"
],
"offsets": [
[
571,
575
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0851346"
}
]
},
{
"id": "DerOrthopaede.90281034.eng.abstr-s4-t5",
"type": "umlsterm",
"text": [
"limb"
],
"offsets": [
[
608,
612
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0015385"
}
]
},
{
"id": "DerOrthopaede.90281034.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"children"
],
"offsets": [
[
694,
702
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0008059"
}
]
},
{
"id": "DerOrthopaede.90281034.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"deformity"
],
"offsets": [
[
724,
733
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0220818"
},
{
"db_name": "UMLS",
"db_id": "C0000768"
}
]
}
] |
[] |
[] |
[
{
"id": "DerOrthopaede.90281034.eng.abstr-s2-r1-t1.1-t2.1",
"type": "affects",
"arg1_id": "DerOrthopaede.90281034.eng.abstr-s5-t1",
"arg2_id": "DerOrthopaede.90281034.eng.abstr-s5-t2",
"normalized": []
},
{
"id": "DerOrthopaede.90281034.eng.abstr-s2-r2-t1.1-t5.1",
"type": "affects",
"arg1_id": "DerOrthopaede.90281034.eng.abstr-s5-t1",
"arg2_id": "DerOrthopaede.90281034.eng.abstr-s4-t5",
"normalized": []
},
{
"id": "DerOrthopaede.90281034.eng.abstr-s2-r3-t1.1-t5.1",
"type": "result_of",
"arg1_id": "DerOrthopaede.90281034.eng.abstr-s5-t1",
"arg2_id": "DerOrthopaede.90281034.eng.abstr-s4-t5",
"normalized": []
},
{
"id": "DerOrthopaede.90281034.eng.abstr-s2-r4-t3.1-t5.1",
"type": "location_of",
"arg1_id": "DerOrthopaede.90281034.eng.abstr-s4-t3",
"arg2_id": "DerOrthopaede.90281034.eng.abstr-s4-t5",
"normalized": []
},
{
"id": "DerOrthopaede.90281034.eng.abstr-s2-r5-t3.1-t2.1",
"type": "location_of",
"arg1_id": "DerOrthopaede.90281034.eng.abstr-s4-t3",
"arg2_id": "DerOrthopaede.90281034.eng.abstr-s5-t2",
"normalized": []
},
{
"id": "DerOrthopaede.90281034.eng.abstr-s2-r6-t1.2-t1.1",
"type": "result_of",
"arg1_id": "DerOrthopaede.90281034.eng.abstr-s2-t1",
"arg2_id": "DerOrthopaede.90281034.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "DerOrthopaede.90281034.eng.abstr-s2-r7-t5.1-t1.1",
"type": "result_of",
"arg1_id": "DerOrthopaede.90281034.eng.abstr-s4-t5",
"arg2_id": "DerOrthopaede.90281034.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "DerOrthopaede.90281034.eng.abstr-s2-r8-t2.1-t1.1",
"type": "result_of",
"arg1_id": "DerOrthopaede.90281034.eng.abstr-s5-t2",
"arg2_id": "DerOrthopaede.90281034.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "DerOrthopaede.90281034.eng.abstr-s2-r9-t1.1-t2.1",
"type": "result_of",
"arg1_id": "DerOrthopaede.90281034.eng.abstr-s5-t1",
"arg2_id": "DerOrthopaede.90281034.eng.abstr-s5-t2",
"normalized": []
},
{
"id": "DerOrthopaede.90281034.eng.abstr-s2-r10-t3.1-t1.1",
"type": "location_of",
"arg1_id": "DerOrthopaede.90281034.eng.abstr-s4-t3",
"arg2_id": "DerOrthopaede.90281034.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "DerOrthopaede.90281034.eng.abstr-s2-r11-t3.1-t1.1",
"type": "result_of",
"arg1_id": "DerOrthopaede.90281034.eng.abstr-s4-t3",
"arg2_id": "DerOrthopaede.90281034.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "DerOrthopaede.90281034.eng.abstr-s3-r1-t3.1-t5.1",
"type": "location_of",
"arg1_id": "DerOrthopaede.90281034.eng.abstr-s4-t3",
"arg2_id": "DerOrthopaede.90281034.eng.abstr-s4-t5",
"normalized": []
},
{
"id": "DerOrthopaede.90281034.eng.abstr-s3-r2-t1.1-t5.1",
"type": "performs",
"arg1_id": "DerOrthopaede.90281034.eng.abstr-s5-t1",
"arg2_id": "DerOrthopaede.90281034.eng.abstr-s4-t5",
"normalized": []
},
{
"id": "DerOrthopaede.90281034.eng.abstr-s3-r3-t4.1-t5.1",
"type": "location_of",
"arg1_id": "DerOrthopaede.90281034.eng.abstr-s4-t4",
"arg2_id": "DerOrthopaede.90281034.eng.abstr-s4-t5",
"normalized": []
},
{
"id": "DerOrthopaede.90281034.eng.abstr-s3-r4-t2.1-t5.1",
"type": "location_of",
"arg1_id": "DerOrthopaede.90281034.eng.abstr-s5-t2",
"arg2_id": "DerOrthopaede.90281034.eng.abstr-s4-t5",
"normalized": []
},
{
"id": "DerOrthopaede.90281034.eng.abstr-s5-r1-t2.1-t1.1",
"type": "occurs_in",
"arg1_id": "DerOrthopaede.90281034.eng.abstr-s5-t2",
"arg2_id": "DerOrthopaede.90281034.eng.abstr-s5-t1",
"normalized": []
}
] |
DerOrthopaede.90281045.eng.abstr
|
DerOrthopaede.90281045.eng.abstr
|
[
{
"id": "DerOrthopaede.90281045.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Congenital femoral deficiencies remain a surgical challenge . There is no common classification : both radiological and clinical methods are recommended . Depending on the severity of the deformity , reconstructive and lengthening techniques are performed , while accompanying deformations are taken into consideration . In addition , amputation or fusion techniques together with orthotic devices are used . A total of 35 patients ( 37extremities ) with congenital femoral deficiencies have been treated at the Orthopaedic Hospital Vienna-Speising , from 1982 to 1998. 24 extremities were treated with reconstructive and/or lengthening techniques . Results and complications are reported ."
],
"offsets": [
[
0,
690
]
]
}
] |
[
{
"id": "DerOrthopaede.90281045.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"Congenital"
],
"offsets": [
[
0,
10
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0009678"
}
]
},
{
"id": "DerOrthopaede.90281045.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"deficiencies"
],
"offsets": [
[
19,
31
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0011155"
}
]
},
{
"id": "DerOrthopaede.90281045.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"surgical"
],
"offsets": [
[
41,
49
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0038895"
}
]
},
{
"id": "DerOrthopaede.90281045.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"classification"
],
"offsets": [
[
81,
95
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0008902"
},
{
"db_name": "UMLS",
"db_id": "C0008903"
}
]
},
{
"id": "DerOrthopaede.90281045.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"methods"
],
"offsets": [
[
129,
136
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0025663"
},
{
"db_name": "UMLS",
"db_id": "C0025664"
}
]
},
{
"id": "DerOrthopaede.90281045.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"deformity"
],
"offsets": [
[
188,
197
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0220818"
},
{
"db_name": "UMLS",
"db_id": "C0000768"
}
]
},
{
"id": "DerOrthopaede.90281045.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"techniques"
],
"offsets": [
[
231,
241
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0025664"
}
]
},
{
"id": "DerOrthopaede.90281045.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"amputation"
],
"offsets": [
[
335,
345
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0002688"
}
]
},
{
"id": "DerOrthopaede.90281045.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"techniques"
],
"offsets": [
[
356,
366
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0025664"
}
]
},
{
"id": "DerOrthopaede.90281045.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"devices"
],
"offsets": [
[
390,
397
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0699733"
},
{
"db_name": "UMLS",
"db_id": "C0220819"
}
]
},
{
"id": "DerOrthopaede.90281045.eng.abstr-s4-t4",
"type": "umlsterm",
"text": [
"orthotic devices"
],
"offsets": [
[
381,
397
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0029365"
}
]
},
{
"id": "DerOrthopaede.90281045.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"patients"
],
"offsets": [
[
423,
431
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerOrthopaede.90281045.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"congenital"
],
"offsets": [
[
455,
465
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0009678"
}
]
},
{
"id": "DerOrthopaede.90281045.eng.abstr-s5-t3",
"type": "umlsterm",
"text": [
"deficiencies"
],
"offsets": [
[
474,
486
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0011155"
}
]
},
{
"id": "DerOrthopaede.90281045.eng.abstr-s5-t4",
"type": "umlsterm",
"text": [
"Hospital"
],
"offsets": [
[
524,
532
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0019994"
}
]
},
{
"id": "DerOrthopaede.90281045.eng.abstr-s5-t5",
"type": "umlsterm",
"text": [
"extremities"
],
"offsets": [
[
573,
584
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0015385"
}
]
},
{
"id": "DerOrthopaede.90281045.eng.abstr-s5-t6",
"type": "umlsterm",
"text": [
"techniques"
],
"offsets": [
[
637,
647
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0025664"
}
]
},
{
"id": "DerOrthopaede.90281045.eng.abstr-s6-t1",
"type": "umlsterm",
"text": [
"complications"
],
"offsets": [
[
662,
675
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0009566"
}
]
}
] |
[] |
[] |
[
{
"id": "DerOrthopaede.90281045.eng.abstr-s2-r1-t1.2-t2.2",
"type": "isa",
"arg1_id": "DerOrthopaede.90281045.eng.abstr-s3-t1",
"arg2_id": "DerOrthopaede.90281045.eng.abstr-s2-t2",
"normalized": []
},
{
"id": "DerOrthopaede.90281045.eng.abstr-s2-r2-t1.1-t1.2",
"type": "isa",
"arg1_id": "DerOrthopaede.90281045.eng.abstr-s6-t1",
"arg2_id": "DerOrthopaede.90281045.eng.abstr-s3-t1",
"normalized": []
},
{
"id": "DerOrthopaede.90281045.eng.abstr-s2-r3-t1.1-t2.2",
"type": "isa",
"arg1_id": "DerOrthopaede.90281045.eng.abstr-s6-t1",
"arg2_id": "DerOrthopaede.90281045.eng.abstr-s2-t2",
"normalized": []
},
{
"id": "DerOrthopaede.90281045.eng.abstr-s4-r1-t1.1-t3.1",
"type": "uses",
"arg1_id": "DerOrthopaede.90281045.eng.abstr-s6-t1",
"arg2_id": "DerOrthopaede.90281045.eng.abstr-s5-t3",
"normalized": []
},
{
"id": "DerOrthopaede.90281045.eng.abstr-s4-r2-t1.1-t2.1",
"type": "uses",
"arg1_id": "DerOrthopaede.90281045.eng.abstr-s6-t1",
"arg2_id": "DerOrthopaede.90281045.eng.abstr-s5-t2",
"normalized": []
},
{
"id": "DerOrthopaede.90281045.eng.abstr-s4-r3-t2.1-t3.1",
"type": "isa",
"arg1_id": "DerOrthopaede.90281045.eng.abstr-s5-t2",
"arg2_id": "DerOrthopaede.90281045.eng.abstr-s5-t3",
"normalized": []
},
{
"id": "DerOrthopaede.90281045.eng.abstr-s5-r1-t2.1-t1.1",
"type": "manages",
"arg1_id": "DerOrthopaede.90281045.eng.abstr-s5-t2",
"arg2_id": "DerOrthopaede.90281045.eng.abstr-s6-t1",
"normalized": []
},
{
"id": "DerOrthopaede.90281045.eng.abstr-s5-r2-t1.1-t6.1",
"type": "uses",
"arg1_id": "DerOrthopaede.90281045.eng.abstr-s6-t1",
"arg2_id": "DerOrthopaede.90281045.eng.abstr-s5-t6",
"normalized": []
},
{
"id": "DerOrthopaede.90281045.eng.abstr-s5-r3-t2.1-t6.1",
"type": "produces",
"arg1_id": "DerOrthopaede.90281045.eng.abstr-s5-t2",
"arg2_id": "DerOrthopaede.90281045.eng.abstr-s5-t6",
"normalized": []
},
{
"id": "DerOrthopaede.90281045.eng.abstr-s5-r4-t1.1-t2.1",
"type": "uses",
"arg1_id": "DerOrthopaede.90281045.eng.abstr-s6-t1",
"arg2_id": "DerOrthopaede.90281045.eng.abstr-s5-t2",
"normalized": []
}
] |
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