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Chronic osteomyelitis represents a progressive inflammatory process caused by pathogens, resulting in bone destruction and sequestrum formation.
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It may present with periods of quiescence of variable duration, whereas its occurrence, type, severity and prognosis is multifactorial.
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The ‘gold standard’ for the diagnosis of chronic osteomyelitis is the presence of positive bone cultures and histopathologic examination of the bone.
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Its management remains challenging to the treating physician, with a multidisciplinary approach involving radiologists, microbiologists with expertise in infectious diseases, orthopaedic surgeons and plastic surgeons.
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Treatment should be tailored to each patient according the severity and duration of symptoms, as well as to the clinical and radiological response to treatment.
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A combined antimicrobial and surgical treatment should be considered in all cases, including appropriate dead space management and subsequent reconstruction. Relapse can occur, even following an apparently successful treatment, which has a major impact on the quality of life of patients and is a substantial financial burden to any healthcare system.
Cite this article EFORT Open Rev 2016;1:128–135. DOI: 10.1302/2058-5241.1.000017.
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Preoperative planning is mandatory to achieve the restoration of a correct and personalized biomechanics of the hip.
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The radiographic review is the first and fundamental step in the planning. Limb or pelvis malpositioning during the review results in mislead planning.
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Correct templating is possible using three different methods: acetate templating on digital X-ray, digital 2D templating on digital X-ray and 3D digital templating on CT scan.
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Time efficiency, costs, reproducibility and accuracy must be considered when comparing different templating methods. Based on these parameters, acetate templating should not be abandoned; digital templating allows a permanent record of planning and can be electronically viewed by different members of surgical team; 3D templating is intrinsically more accurate. There is no evidence in the few recently published studies that 3D templating impacts positively on clinical outcomes except in difficult cases.
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The transverse acetabular ligament (TAL) is a reliable intraoperative soft tissue reference to set cup position.
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Spine–hip relations in osteoarthritic patients undergoing hip joint replacement must be considered.
Cite this article: EFORT Open Rev 2019;4:626-632. DOI: 10.1302/2058-5241.4.180075
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practicing running before hip resurfacing arthroplasty. A total of 92% resumed running, with a mean time devoted to running of three hours per week. In a similar study of 50 patients engaged in high impact activities, 11 82% resumed their sports at a
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the healthcare system and exhausting healthcare workers. All these woes could be avoided today in the face of strong vaccination policies and public health strategies. Studies need to emerge to measure the true impact of the pandemic on patients
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Journals as well as in the Web of Science Core Collection. From 2016 to the end of 2021 around 470 highly cited reviews will have been published. Our first impact factor, scoring an outstanding 2.295, was awarded in June 2020; this year’s impact factor is
Royal National Orthopaedic Hospital, Stanmore, UK
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upgraded for indexing in the Web of Science ‘Science Citation Index Expanded’ (SCIE). The entire journal content is now available in this prestigious index which will have a very positive impact not only on the journal’s readership but also on citations
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Department of Orthopaedic Surgery, Royal Brisbane and Women’s Hospital, Brisbane, Queensland, Australia
Queensland University of Technology (QUT), Brisbane, Queensland, Australia
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Department of Orthopaedics, St. Vincent’s Hospital, Fitzroy, Victoria, Australia
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impacts on patients’ quality of life (QoL), even following successful clearance of the infection ( 3 , 4 , 5 ). Chronic infections may require multiple revision operations, and failure to control infection can lead to the need for joint fusion and even
National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China
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Department of Physical Education and Sport Sciences, Faculty of Literature and Human Sciences, Lorestan University, Khoramabad, Iran
Department of Physical Education and Sport Sciences, Faculty of Literature and Humanities, Vali-E-Asr University of Rafsanjan, Rafsanjan, Iran
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Department of Pediatrics, Kyung Hee University College of Medicine, Seoul, Republic of Korea
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National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China
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National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China
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anabolic properties since its approval in 2003 ( 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 ). Research has broadly documented teriparatide’s impacts on bone mineral density (BMD) and fracture healing across various skeletal sites ( 3
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our anthropocentrism. This virus impacts on all human activities including those in our own musculoskeletal specialty. In our hospitals elective surgery takes the back seat to allow for treatment of COVID-19-affected patients. The supply chains of
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result in unusual stress conditions which may lead to a fracture. Inadequate cleaning of the Morse taper (removal of surgical debris) can lead to abnormal impaction of and position of the head on the trunnion. It is necessary to use clean gloves when
