Nerve-root injections for the relief of pain in patients with osteoporotic vertebral fractures

Kim, Don-Jun; Yun, Yeo-Hon; Wang, Jin Man

doi:10.1302/0301-620x.85b2.13289

Cited by 57 publications

(11 citation statements)

References 16 publications

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“…The rate of patients with thigh pain was low in our cohort, comparing well with the lower rates of thigh pain reported in the literature for uncemented stems, which, although not always reported in studies, varies from 0% to 17% [1, 25, 35, 39]. Naumann et al [31] reported 29% of patients had thigh pain during the first months after surgery and 5.6% had pain remaining afterward, for the first generation of the Zweymüller stem.…”

Section: Discussionsupporting

confidence: 84%

“…However, an incidence of thigh pain of 5.7% to 17% was reported with the early designs [25, 35, 39] contrasting with the absence of pain reported by Flecher et al [13, 14] with the anatomic custom stems. Therefore an anatomic cementless stem was designed, based on a computerized three-dimensional (3-D) analysis of a 300 CT scan database, which allowed defining an average metaphyseal femoral shape.…”

Section: Discussionmentioning

confidence: 99%

“…However, the lack of stability and fixation could be assessed clinically with the presence of thigh pain. Despite high survival rates, thigh pain has varied from 0% to 17% in patients [1, 25, 35, 39]. Many factors contributed to the long-term fixation and stability of the SPS stem.…”

Section: Discussionmentioning

confidence: 99%

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High 10-Year Survival Rate with an Anatomic Cementless Stem (SPS)

Sariali

Mouttet

Mordasini

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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BackgroundProximal cementless fixation using anatomic stems reportedly increases femoral fit and avoids stress-shielding. However, thigh pain was reported with the early stem designs. Therefore, a new anatomic cementless stem design was based on an average three-dimensional metaphyseal femoral shape. However, it is unclear whether this stem reduces the incidence of thigh pain.Questions/purposesWe asked whether this stem design was associated with a low incidence of thigh pain and provided durable fixation and high function.MethodsOne hundred seventy-one patients (176 THAs) who had the anatomic proximal hydroxyapatite-coated stem implanted were reviewed. Eleven (6%) patients were lost to followup and 34 (20%) died without revision surgery. We used the Harris hip score (HHS) to assess pain and function. We evaluated femoral stem fixation and stability with the score of Engh et al. and also calculated a 10-year survival analysis. We assessed 126 patients (131 hips) at a mean followup of 10 years (range, 8–11 years)ResultsAt last followup, two patients described slight thigh pain that did not limit their physical activities. All stems appeared radiographically stable and one stem was graded nonintegrated but stable. Five patients had revision surgery: one on the femoral side (for posttraumatic fracture) and four on the acetabular side. Considering stem revision for aseptic loosening as the end point, survivorship was 100% (range, 95.4%–99.9%) at 10 years.ConclusionThis anatomic cementless design using only metaphyseal fixation with a wide mediolateral flare, a sagittal curvature, and torsion, allowed durable proximal stem stability and fixation.Level of EvidenceLevel IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

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High 10-Year Survival Rate with an Anatomic Cementless Stem (SPS)

Sariali

Mouttet

Mordasini

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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“…[2] This problem can occur after injury, high tibial osteotomy or intramedullary nailing of a fractured tibia. [1] Very little literature is present on the treatment aspects of the same.…”

Section: Discussionmentioning

confidence: 99%

A new and simplified functional tendon transfer for a dropped hallux

Singh¹,

Singh²

2010

Indian J Plast Surg

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A case of fracture of the right tibia proximal 1/3rd extending up to diaphysis after a road traffic accident along with a dropped hallux is being reported. The extensor digitorum longus (EDL) was intact. Patient was taken up for surgery for the fracture tibia with conservative management for his dropped hallux for initial six weeks. After six weeks when no improvement was seen surgical intervention was planned for the dropped hallux. The subsequent management of this patient is being described.

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“…In particular, second-generation hard-on-hard bearings, including metal-on-metal (M-M) and ceramic-on-ceramic (C-C), have been introduced into the US market based on laboratory studies showing lower wear rates when compared with M-PE bearings [9, 10, 15]. Lower wear rates associated with hard-on-hard bearings are likely to have the biggest impact on revision rates in younger, more active patients, who are at higher risk for wear-related failures [3, 12, 17, 18, 27]. The long-term benefits of more costly hard-on-hard bearings are less obvious in older patients, who are at lower risk for wear-related failures.…”

Section: Introductionmentioning

confidence: 99%

Risk of Complication and Revision Total Hip Arthroplasty Among Medicare Patients with Different Bearing Surfaces

Bozic

Ong

Lau

et al. 2010

Clinical Orthopaedics &Amp; Related Research

105

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BackgroundTo address the long-term problems of bearing surface wear and osteolysis associated with conventional metal-polyethylene (M-PE) total hip arthroplasty (THA), metal-metal (M-M), and ceramic-ceramic (C-C) bearings have been introduced. These bearing surfaces are associated with unique risks and benefits and higher costs. However the relative risks of these three bearings in an older population is unknown.Questions/purposesWe compared the short-term risk of complication and revision THA among Medicare patients having a primary THA with metal-polyethylene (M-PE), metal-metal (M-M), and ceramic-ceramic (C-C) bearings.MethodsWe used the 2005 to 2007 100% Medicare inpatient claim files to perform a matched cohort analysis in three separate cohorts of THA patients (M-PE, M-M, and C-C) who were matched by age, gender, and US census region. Multivariate Cox proportional-hazards models were constructed to compare complication and revision THA risk among cohorts, adjusting for medical comorbidities, race, socioeconomic status, and hospital factors.ResultsAfter adjusting for patient and hospital factors, M-M bearings were associated with a higher risk of periprosthetic joint infection (hazard ratio, 3.03; confidence interval, 1.02–9.09) when compared with C-C bearings (0.59% versus 0.32%, respectively). There were no other differences among bearing cohorts in the adjusted risk of revision THA or any other complication.ConclusionsThe risk of short-term complication (including dislocation) and revision THA were similar among appropriately matched Medicare THA patients regardless of bearing surface. Hard-on-hard THA bearings are of questionable value in Medicare patients, given the higher cost associated with their use and uncertain long-term benefits in older patients.Level of EvidenceLevel II, prognostic study. See Guidelines for Authors for a complete description of levels of evidence.

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Nerve-root injections for the relief of pain in patients with osteoporotic vertebral fractures

Cited by 57 publications

References 16 publications

High 10-Year Survival Rate with an Anatomic Cementless Stem (SPS)

High 10-Year Survival Rate with an Anatomic Cementless Stem (SPS)

A new and simplified functional tendon transfer for a dropped hallux

Risk of Complication and Revision Total Hip Arthroplasty Among Medicare Patients with Different Bearing Surfaces

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