The Orthopedic Clinics of North America 1991: Vol 22 Index

13 Pages·1991·3.3 MB·English

Cumulative Index 1991
Volume 22
January LIMB SALVAGE IN THE TREATMENT OF MUSCULOSKELETAL
TUMORS, pages 1-180
April CAUSES AND CURE OF LOW BACK PAIN AND SCIATICA, pages
181-362
July ORTHOPEDIC INFECTION, pages 363-553
October LIMB LENGTHENING, pages 555-747
Note: Page numbers of article and issue titles are in boldface type.
Abscess, epidural, 496 Ambulation, after limb lengthening, 726-727
Achondroplasia, limb lengthening in, 658 Aminoglycosides, and bacterial resistance, 385
patient selection and management in, with leg length- toxicity of, 442-451
ening, 589-599 Amphotericin B, toxicity of, 446-447
diagnosis, 589-590 Amputation, for diabetic foot infection, 480-484
discussion, 598-599 for total knee arthroplasty infection, 537
problems of short stature, 590-593 Anaphylactoid reaction, to vancomycin, 460
Sheffield practice, 593-598 Anatomy, of nerve roots and dorsal root ganglia, 196-201
Acquired diseases, and musculoskeletal infections in normal lumbar, 284—288
immunocompromised hosts, 391-393 and sciatica, 223-228
Adolescents, limb lengthening in, 655-657 of spinal nerve roots, 223-226
Adults, limb lengthening in, 658—659 Anemia, from beta-lactam antibiotics, 449
AIDS patients, co-trimoxazole intolerance in, 454 Anesthesia, local, and pain response to tissue stimulation
Alcohol, and interaction with beta-lactam antibiotics, 449 in operations on lumbar spine, 181-187
and interaction with metronidazole, 458 Aneurysmal bone cyst, 12
Algorithm, back pain, 315-317 Angular deformities, limb lengthening with correction of,
Allograft arthrodesis, after bone tumor resections of 657-658
shoulder, 42-43, 44, 45 Angulation, with lower extremity lengthening by
Allograft-endoprosthesis composites, for reconstruction of Wagner's method and callus distraction, 647
proximal femur, 99, 100-101, 102 Ankle equinus, from limb lengthening, 628-629
Allograft prosthetic composite, for reconstruction of distal Ankylosing spondylitis, 317
femur, 114-115 Annulus fibrosis, and origin of low back pain, 186
Allograft reconstructions of shoulder, after bone tumor Antacids, and interaction with ciprofloxacin, 452
resections, 37-48 Antianxiety agents, for chronic orthopedic infection pain,
allograft arthrodesis, 42-43, 44, 45 544
indications, 39-40 Antibiotics, aminoglycoside, toxicities of, 442-451
osteoarticular allograft arthroplasty, 38-39, 40-41, beta-lactam, toxicity of, 447-451
44 choice and duration of, in open fractures, 433-437
scapular allografts, 44, 46 bacterial contamination, 433
Allografts, intercalary, for reconstruction of proximal irrigation and topical antibiotic therapy, 436
femur, 92 length of antibiotic therapy, 435-436
osteoarticular, after bone tumor resections of shoulder, selection of antimicrobial agents, 433-435
38-39, 40-41, 44 for diabetic foot infection, 484-488
for bone tumors in proximal tibia, 141-145 resistance to, 379
for distal femur reconstruction, 113 in musculoskeletal sepsis, 368-369
for distal radius reconstruction, 63 topical, for irrigation in prophylaxis of wound infections,
for proximal femur reconstruction, 97-99 419-426
in periacetabular reconstructions, 84—85 for open fractures, 436
scapular, after bone tumor resections of the shoulder, for total knee arthroplasty infection, 532-533
44, 46 uptake of, 381
736 Cumulative Index 1991
Anticoagulants, and interaction with beta-lactam methodology, 305-310
antibiotics, 449 results, 310-311
and interaction with rifampin, 459 Axial deviation, with limb lengthening, 627-628
Antidepressants, for chronic orthopedic infection pain,
544-545
Antimicrobial agents, for open fractures, selection of, 433-
435 Back pain. See also Industrial back pain complaints; Low
for osteomyelitis, toxicities of. See Osteomyelitis, toxici- back pain.
ties of antimicrobial agents used to treat. benign, as diagnostic category for artificial intelligence,
Arterial supply, and ischemic radiculopathy and 305
myelopathy, 213-216 central modulation of, 243-244
Arthritis, adult septic, 503-514 chemical mediators of, 240-243
diagnosis, 507-509 gate control theory of, 236-238
etiology, 503-505 neurogenic and nonneurogenic. See Neurogenic and
joint involvement, 505-506 nonneurogenic pain, and inflammatory mediators.
organisms involved in, 505 neurologic, and ischemic radiculopathy and myelopathy,
pathophysiology, 506-507 216-218
treatment, 509-512 prevention of complications in surgical management,
enteropathic, 318 345-351
infectious, in immunocompromised hosts, 393-394 imaging, 346-347
psoriatic, 318 patient selection, 345-346
Arthrodesis, allograft, after bone tumor resections of surgical considerations, 347-350
shoulder, 42-43, 44, 45 referred, to lumbosacral spine, 323-324
centralization of hand on ulna, for reconstruction after and spinal changes in microgravity, 255-262
distal radius tumors, 54, 56 International Microgravity Laboratory-1, 258-259
distal ulnar translocation, for reconstruction after distal International Microgravity Laboratory-2, 259-261
radius tumors, 56-57, 58-59 retrospective study, 257-258
fibular, for reconstruction after distal radius tumors, 51- significance, 261
53 Bacterial cell wall, and bacterial resistance, 381
iliac crest interpositional, for reconstruction after distal Bacterial colonization of surfaces, as mechanism of
radius tumors, 53-54, 55 musculoskeletal sepsis, 363-364
ischiofemoral, for pelvic resections, 83-84 Bacterial contamination, of open fractures, 433
resection, for bone tumors in proximal tibia, 140 Bacterial resistance, 379-388
tibial bone graft, for reconstruction after distal radius aminoglycosides, 385
tumors, 54 antibiotic resistance, 379
for total knee arthroplasty infection, 534-535 antibiotic uptake, 381
Arthroplasty, endoprosthetic, for bone tumors in proximal bacterial cell wall, 381
tibia, 141 beta-lactamase, 382-383
infected total joint, diagnosis and management of, 523- beta-lactamase inhibitors, 383
530 beta-lactams, 383-385
intercalary allograft/prosthetic composite, after bone tu- clindamycin, 386
mor resections of shoulder, 44 Enterococcus faecalis, 379
nonvascularized fibular, 57 glycopeptides, 385
osteoarticular allograft, after bone tumor resections of macrolides, 386
shoulder, 38-39, 40-41, 44 nosocomial surveillance, 379-380
for bone tumors in proximal tibia, 141-145 plasmid-mediated resistance, 381-382
for distal femur reconstruction, 113 principles of, 380
for distal radius reconstruction, 63 quinolones, 385-386
for proximal femur reconstruction, 97-99 rifampicin, 385
resection, for reconstruction of proximal femur, 99, 101 tetracyclines, 386
for total knee arthroplasty infection, 533-534 transposon-mediated resistance, 382
total knee, management of infection of, 531-538 Beta-blockers, and interaction with rifampin, 460
diagnostic procedures, 531-532 Beta-lactamase, and bacterial resistance, 382-383
treatment options, 532-537 Beta-lactamase inhibitors, and bacterial resistance, 383
amputation, 537 Beta-lactams, and bacterial resistance, 383-385
antibiotic suppression, 532 toxicity of, 447-451
arthrodesis, 534-535 Biomaterials, and musculoskeleta] sepsis, 366-367, 368
debridement with antibiotic treatment, 532-533 Biopsy, of proximal humeral tumors, 27
resection arthroplasty, 533-534 of scapular tumors, 11
two-stage reimplantation, 535-537 of soft-tissue sarcomas, 165-166
unicondylar, for bone tumors in proximal tibia, 140-141 Bladder pain, and low back pain, 323
vascularized fibular grafts, 57, 59-62 Blood flow volume, of nerve roots and dorsal root ganglia,
vascularized iliac, for reconstruction after distal radius 203, 205
tumors, 62 Blood supply, of nerve roots and dorsal root ganglia, 195-
Artificial intelligence, in diagnosis of low back pain, 303- 211
314 anatomic structure, 196-201
background, 304-305 blood flow volume, 203, 205
conclusion and current work, 313-314 blood vessels, 201-203
discussion, 311-313 effect of mechanical compression, 205-209
Cumulative Index 1991
Blood vessels, of nerve roots and dorsal root ganglia, 201- Collagen vascular disease, in immunocompromised hosts,
203 393
Bone, effect of distraction upon, 563-567 Colonic pain, and low back pain, 324
Bone cysts, aneurysmal, 12 Compartment syndrome, after limb lengthening, 630
unicameral, 21-22 Complications, prevention of, in surgical management of
Bone effects, of ciprofloxacin, 451 back pain and sciatica, 345-351
Bone formation, regenerate, and Sequoia circular fixator Compression injuries, of spinal nerve roots, 228-231
for limb lengthening, 671 Computed tomography, of musculoskeletal infection, 402
Bone grafts, autogenous, for reconstruction of proximal Congenital diseases, and musculoskeletal infections in
femur, 92-94 immunocompromised hosts, 390-391
for osteomyelitis, 515-516 Contracture, equinus, preventing and overcoming, during
Bone involvement, with diabetic foot infections, 478 lengthening of tibia, 633-641
Bone problems, from limb lengthening, 627-628 evolving, after limb lengthening, 727
with upper extremity lengthening and deformity correc- hip, from limb lengthening, 629
tion, by Ilizarov technique, 705-706 knee flexion, from leg lengthening, 629
Bone scanning, of musculoskeletal infection, 402-404 from limb lengthening, 628, 629
Bone tumor resections, allograft reconstructions of with upper extremity lengthening and deformity correc-
shoulder after, 37-48 tion, by Ilizarov technique, 704-705
allograft arthrodesis, 42-43, 44,45 Contrast agents, paramagnetic, in MRI for low back pain,
indications, 39-40 296
osteoarticular allograft arthroplasty, 38-39, 40-41, Corticotomy, of humerus, 702
44 in percutaneous osteotomy, femoral, 617-619
scapular allografts, 44, 46 Gigli saw method, 619-621
of proximal tibia, prosthetic reconstruction after, 149- modification, 619
160 tibial, 615-617
endoprosthetic design, 150-151 postoperative treatment for lengthenings of, 702-703
operative technique, 151-155 of radius, 698
postoperative regimen, 155-156 of ulna, 698-699
preoperative evaluation, 149-150 Co-trimoxazole, toxicity of, 453-455
Breast feeding, and toxicity of antimicrobial agents for Cyclosporine, and interaction with erythromycin, 456
osteomyelitis, 439-440, 442, 445, 447, 450, 452, 453, and interaction with fluconazole, 457
455, 456, 457, 458-459, 460, 461
Brive technique, for Ilizarov method, 681
Brucellosis, 499
Bursitis, septic, in immunocompromised hosts, 396 DeBastiani technique of callus distraction, 645
Debridement, for diabetic foot infections, 478—480
for total knee arthroplasty infection, 532-533
Degenerative disc disease, 288-295
Cadaver studies, of venous return impairment in ischemic transpedicular fixation systems for, 338, 340, 342
radiculopathy and myelopathy, 218-219 Delay, importance of, in distraction of osteotomies, 569-
Callotasis, in limb lengthening, 625-626, 652-653 579
Callus distraction technique, for lower extremity clinical use of delay, 577-578
lengthening, 645 definition of problem, 569-570
Carbamazepine, and interaction with erythromycin, 456 delay as influential factor, 571-575
Carcinoma, metastasizing to proximal humerus, 23 mechanism of action of delay, 575-577
Central nervous system effects, of ciprofloxacin, 451 Delayed consolidation, with limb lengthening, 627
Cephalosporins, and bacterial resistance, 383-385 Dermatologic effects, of beta-lactam antibiotics, 448
Chemonucleolysis, 327-329 of co-trimoxazole, 454
and percutaneous discectomy, current status, 327-332 of rifampin, 459
Chemotherapy, adjuvant systemic, for soft-tissue sarcomas Diabetes mellitus, in immunocompromised hosts, 391
of extremity, 171-172 Diabetic foot infections, 473-489
intra-arterial fusion, for soft-tissue sarcomas of extrem- amputation, 480-484
ity, 170-171 antibiotics, 484-488
intra-arterial perfusion, for soft-tissue sarcomas of ex- debridement and drainage, 478-480
tremity, 171 diagnosis and classification, 475-478
Children, diskitis in, 498-499 diagnostic imaging of, 413-415
limb lenghtening in, 655-657 pathophysiology and microbiology, 473-475
with tumors of proximal tibia, limb salvage in, 145-146. wound care and management, 488—489
See also Limb salvage surgery, pediatric. Digoxin, and interaction with erythromycin, 456
Chondroblastoma (Codman’s tumor), 22 Disc, degeneration of, 288-295
Chondrosarcomas, 12, 14, 22 free fragment, 292-294
Chronic granulomatous disease, in immunocompromised protruded, 291-292
hosts, 393 sequestered, 292-294
Chronic pain syndrome, 543-544 Discectomy, and chemonucleolysis, current status, 327-
Ciprofloxacin, toxicity of, 451-452 332
Clindamycin, and bacterial resistance, 386 Diskitis, in children, 498-499
toxicity of, 452-453 Distal femur, malignant tumors of, mobile knee
Coagulation defects, and beta-lactam antibiotics, 349 reconstructions after resection of, 105-119
Coaptation, in pelvic resections, 84 complications, 115-118
738 Cumulative Index 1991
Distal femur (Continued) results, 190-193
imaging and staging, 106 Equinus contractures, preventing and overcoming during
indications and contraindications, 106—107 lengthening of tibia, 633-641
operative technique, 111-115 Erythromycin, toxicity of, 455-456
postoperative care, 115 Evolving contractures, after limb lenthening, 727
preoperative planning, 107-111 Ewing's sarcoma, 12-13
Distal radius, resections and reconstructions of tumors in, Extremity, soft-tissue sarcomas of, resection and
49-64 reconstruction for, 161-176
tumors in, preoperative evaluation and staging, 49-50
reconstruction, 51-63
arthrodesis, 51-57
arthroplasty, 57-63 Facet joint, and origin of low back pain, 186
resection, 50-51 Failed back surgery syndrome, 296-300
Distraction, calculating rate and duration of, for deformity Fascia, lumbar, and origin of low back pain, 183
correction with Ilizarov technique, 601-611 Femur, distal. See Distal femur.
callus, for lower extremity lengthening, 645 proximal. See Proximal femur.
effect of, upon bone, muscle, and periosteum, 563-567 Fibrositis, 319
of osteotomies, importance of delay in, 569-579 Fibular hemimelia, management of, using Ilizarov
clinical use of delay, 577-578 method, 715-722
definition of problem, 569-570 classification and management, 716—721
delay as influential factor, 571-575 conclusions, 721
mechanism of action of delay, 575-577 materials and methods, 715-716
postoperative management of, during limb lengthening,
results, 721
728-732
Fixation systems, transpedicular, for stabilization of
screw, era of, in leg lengthening, 557-559 lumbar spine. See Transpedicular fixation systems.
‘Distraction calculations, duration of, 607-610 Fixator, performance of, in lower extremity lengthening
formula, 608-609 by Wagner’s method and callus distraction, 647
nomogram, 609-610 removal of, after limb lengthening, 733
rate of, 602-607 Sequoia circular, for limb lengthening, 663-675
rule of concentric circles, 605-607
Fluconazole, toxicity of, 457-458
rule of similar triangles, 602-605
Foot, diabetic, infections of. See Diabetic foot infections.
Disulfiram reactions, with beta-lactam antibiotics, 448
Forearm, lengthening and deformity correction of, 690-
Diuretics, and interaction with amphotericin B, 447
Dorsal root ganglia, blood supply of nerve roots and, 699, 702-703
lengthening both bones of, 697-698
anatomic structure, 196-201
blood flow volume, 203, 205 Foreign body, and musculoskeletal sepsis, 364
blood vessels, 201-203 Fractures, infected, diagnostic imaging of, 412-413
effect of mechanica! compression, 205-209 with limb lengthening, 628
and low back pain, 238-244 with lower extremity lengthening by Wagner’s method
Drainage, for diabetic foot infections, 478-480 and callus distraction, 646
Dressing changes, for diabetic foot infections, 488-489 of lumbar spine, transpedicular fixation systems for,
Drug interactions, with aminoclycoside antibiotics, 445 336-338
with amphotericin B, 447 open. See Open fractures.
with beta-lactam antibiotics, 449 Type III open. See Type III open fractures.
with ciprofloxacin, 452 Fungal infections, of spine, 499-500
with clindamycin, 453 Fusion, ileofemoral, in pelvic resections, 84
with co-trimoxazole, 454-455 of lumbosacral spine, without internal fixation, 334
with erythromycin, 456 problems unique to, 333-334
with fluconazole, 457
with metronidazole, 458-459
with rifampin, 459-460
Duodenal pain, and low back pain, 324 Gallbladder pain, and low back pain, 324
Dural injuries, from surgery for back pain and sciatica, Gallium, for diagnostic imaging of musculoskeletal
349 infection, 404—405
Gastrointestinal effects, of beta-lactam antibiotics, 449-
450
of ciprofloxacin, 451
Edema, after limb lengthening, 630 of clindamycin, 452-453
Endocrinologic disorders of lumbosacral spine, 321-322 of co-trimoxazole, 453
Endoprostheses, proximal femoral, for reconstruction of of erythromycin, 455
proximal femur, 94-95, 97 of fluconazole, 457
proximal tibial, 141 of metronidazole, 458
Energy sources, and nutrition, 374 Gastrointestinal tract pain, and low back pain, 324
Enterococcus faecalis, 379 Gate control theory, of pain and neuropeptides, 236-238
Enteropathic arthritis, 318 Genital organ pain, female, and low back pain, 323-324
Epidural abscess, 496 Giant-cell tumor, 12, 13
Epidural space, lymphatic drainage of, in rabbits, 189-194 Gigli saw method for tibial corticotomy, 619-621
discussion, 193-194 Glucocorticoids, and interaction with rifampin, 460
materials and methods, 190 Glycopeptides, and bacterial resistance, 385
Cumulative Index 1991 739
Hematologic disorders of lumbosacral spine, 323 large cavities, 520
Hematologic effects, of amphotericin B, 447 multiloculated cavitary, 520
of beta-lactam antibiotics, 449 radical debridement and bone transport, 516-520
of co-trimoxazole, 454 Imaging, diagnostic, of musculoskeletal infection, 401-418
of vancomycin, 461 for surgery for back pain and sciatica, 346-347
Hematologic malignancy, in immunocompromised hosts, Immunocompromised hosts, musculoskeletal infections in,
391 389-399
Hemimelia, fibular. See Fibular hemimelia. clinical syndromes, 393-396
Hemoglobinopathies, and low back pain, 323 diagnosis and management, 396—397
Hemophilia, in immunocompromised hosts, 391 pathogenesis of immunodefiency and, 389-393
Hemostasis, in surgery for back pain and sciatica, 348-349 Immunosuppression, pharmacologic, in immunocomprised
Hepatobiliary effects, of beta-lactam antibiotics, 449 hosts, 391-392
Hepatotoxicity, of erythromycin, 455 Indium-111-labeled leukocytes, for evaluation of
of rifampin, 459 osteomyelitis, 405-407
Herniation of nucleus pulposus, as diagnostic category for Indium-111-labeled polyclonal immunoglobulins, for
artificial intelligence, 305 evaluation of musculoskeletal infection, 407-408
Hindfoot, amputation of, 482 Industrial back pain, complaints, 273-282
Hip contracture, from limb lengthening, 629 failed attempts to reduce, 273-274
Hip prostheses, infected, 411-412 practical implications, 278-279
Host defense systems, and mechanisms of musculoskeletal predictors, 274-278
sepsis, 369-370 medical history, 275
Human immunodeficiency virus infection, in physical capacities, 277
immunocompromised hosts, 391 physical examination measures, 276-277
Humerus, correction of deformity of, 700-702 physical work environment, 277-278
corticotomy of, 702 psychosocial factors, 278
double-level lengthening of, 702 smoking, 275-276
lengthening of, 699-700 problem defined, 274
proximal. See Proximal humerus. Infection, chronic orthopedic, effect of, on quality of life,
Hyperbaric oxygen, in treatment of osteomyelitis, 467- 539-547
471 pain management, 542-546
clinical studies, 469-470 patient participation in medical decision making,
laboratory studies, 467—469 542
Hypersensitivity reactions, immediate, from beta-lactam psychologic status, 540-541
antibiotics, 448 social support, 541-542
Hypertension, with limb lengthening, 630 diabetic foot, 473-489
Hypogammaglobulinemia, in immunocompromised hosts, amputation, 480-484
390 antibiotics, 484-488
Hypoglycemic agents, and interaction with fluconazole, debridement and drainage, 478—480
457 diagnosis and classification, 475-478
Hypoprothrombinemia, from beta-lactam antibiotics, 449 diagnostic imaging of, 413-415
pathophysiology and microbiology, 473-475
wound care and management, 488—489
fungal, of spine, 499-500
Ileofemoral coaptation, in pelvic resections, 84 with lower extremity lengthening by Wagner’s method
Ileofemoral fusion, in pelvic resections, 84 and callus distraction, 646
Ilizarov era, in leg lengthening, 560 of lumbosacral spine, 319-320
Ilizarov method, Brive technique, 681 and malnutrition, 375-376
calculating rate and duration of distraction for deformity musculoskeletal, diagnostic imaging of, 401-418
correction with, 601-611 in immunocompromised hosts, 389-399
Kurgan technique, 678 clinical syndromes, 393-396
lengthening and deformity correction of upper extrem- diagnosis and management, 396-397
ity by, 689-713 pathogenesis of immunodeficiency and, 389-393
alignment considerations, 689-690 operative wound, in orthopedic surgery, topical anti-
complications, 703—706 biotic irrigation in prophylaxis of, 419-426
discussion, 712-713 orthopedic, 363-554
forearm, 690-699, 702-703 relationship of nutrition to, 373-377
humerus, 699-703 correction of malnutrition, 376
results, 707-712 energy sources, 374
Lombardy technique, 678-679 infection and malnutrition, 375-376
management of fibular hemimelia with, 715-722 nutritional assessment, 373-374
classification and management, 716-721 nutritional needs, 374-375
conclusions, 721 pin-tract, with limb lengthening, 626
materials and methods, 715-716 prevention, in surgery for back pain and sciatica, 349-
results, 721 350
Rancho technique, 677-688, 681-687 total knee arthroplasty, management of, 531-538
Rome technique, 680-681 diagnostic procedures, 531-532
Verona technique, 679-680 treatment options, 532-537
Ilizarov perspective on osteomyelitis, 515-521 amputation, 537
bone grafting, 515-516 antibiotic suppression, 532
740 Cumulative Index 1991
Infection (Continued) circular callotasis, 625-626
arthrodesis, 534-535 complications, 626-631
debridement with antibiotic treatment, 532-533 bone problems, 627-628
resection arthroplasty, 533-534 joint problems, 628-629
two-stage reimplantation, 535-537 neurovascular problems, 629
with upper extremity lengthening and deformity correc- pin-tract infection, 626-627
tion, by Ilizarov technique, 703 psychological, 630-631
Infectious diseases, of spine, 491-501 vascular problems, 630
diskitis in children, 498-499 experience with the Orthofix device for, 651-661
epidural abscess, 496 in achondroplasia, 658
miscellaneous causes of, 499-500 in adults, 658-659
postoperative spine infections, 497-498 biomechanical considerations, 651-652
pyogenic vertebral osteormy«!'tis, 491-496 callotasis, 652-653
tubercular spondylitis, 496-497 in children and adolescents, 655-657
Inflammatory mediators, neurogenic and nonneurogenic and correction of angular and rotational deformities,
pain and, 235-346 657-658
Infusion related effects, of amphotericin B, 446 pitfalls and complications, 659-660
Intercalary allograft/prosthetic composite arthroplasty, technique, 653-655
after bone tumor resections of shoulder, 44 lower extremity, by Wagner’s method and by callus
Internal fixation, of lumbosacral spine, without fusion, 334 distraction, 643-649
Irrigation, for open fractures, 436 postoperative management during, 723-734
topical antibiotic, in prophylaxis of operative wound Sequoia circular fixator for, 663-675
infections in orthopedic surgery, 419-426 clinical examples, 673
animal studies, 421 complications, 671-673
antibiotic considerations, 420 postoperative tactics, 667-671
bacteriologic considerations, 420 regenerate new bone formation, 671
clinical studies, 421-423 removal, 671
discussion, 424-425 standard operative technique and follow-up with,
historical considerations, 419-420 666-667
in vitro studies, 420-421 speed of, in preventing equinus contractures, 633, 635
technical considerations, 423-424 substantial, problems with, 625-631
Ischiofemoral arthrodesis, for pelvic resections, 83-84 techniques of, 625-626
Ischiofemoral coaptation, in pelvic resections, 84 of tibia, preventing and overcoming equinus contrac-
tures during, 633-641
uniplanar callotasis, 625
Wagner uniplanar, 625
Joint effects, of ciprofloxacin, 451 Limb length inequality, projected, selecting patients for
Joint problems, from limb lengthening, 628-629 surgery, 581-587
Limb salvage, in children with tumors of proximal tibia,
145-146
pediatric, 121-131
Ketoconazole, and interaction with rifampin, 460 materials and methods, 125-126
Kidney pain, and low back pain, 323 patient evaluation, 121-122
Knee, mobile, reconstruction of. See Mobile knee results, 126-130
surgical options, 122-125
reconstructions.
Knee flexion contracture, from limb lengthening, 629 for sarcomas, introduction to, 1-5
Knee prostheses, infected, 411-412 for soft-tissue sarcomas of extremity, 172-173
Kurgan technique, for Ilizarov method, 678 in treatment of musculoskeletal tumors, 1-180
Lombardy technique, for Ilizarov method, 678-679
Low back pain, artificial intelligence in diagnosis of, 303-
314
Lactation. See Breast-feeding. background, 304-305
Late bending, with limb lengthening, 628 conclusion and current work, 313-314
Leg lengthening, historical perspective, 555-561 discussion, 311-313
the beginning, 555-556 methodology, 305-310
era of patient mobility, 559-560 results, 310-311
era of screw distraction, 557-559 causes and cure of, 181-362
era of skeletal traction, 556-557 cost, 267-269
current approach to medical diagnosis of, 315-325
Ilizarov era, 560
patient selection and management in achondroplasia, algorithmic, 315-317
589-599 endocsrpiinnoel,o g3i2c1 -a3n2d2 metabolic disorders of lumbosacral
diagnosis, 589-590
discussion, 598-599 hematologic disorders of lumbosacral spine, 323
problems of short stature, 590-593 infections of lumbosacral spine, 319-320
Sheffield practice, 593-598 referred pain, 323-324
Ligament, posterior longitudinal, and origin of low back rheumatologic diseases of lumbosacral spine, 317-319
pain, 186 tumors of lumbosacral spine, 320-321
Limb lengthening, 555-734. See also Leg lengthening. magnetic resonance imaging in evaluation of, 283-301
amount of, in preventing equinus contractures, 635 degenerative disc disease, 288-290
Cumulative Index 1991 741
imaging sequelae of degeneration, 290-295 endocrinologic and metabolic disorders of !umbosacral
normal anatomy, 284-288 spine, 321-322
paramagnetic contrast agents, 296 hematologic disorders of lumbosacral spine, 323
scar versus disc, 296-300 infections of lumbosacral spine, 319-320
technique, 283-284 referred pain, 323-324
overview of incidences and costs, 263-271 rheumatologic diseases of lumbosacral spine, 317-319
prevalence and incidence, 263-264 tumors of lumbosacral spine, 320-321
spinal surgery, 269-270 Metabolic disorders of lumbosacral spine, 321-322
symptoms, 264—267 Metastases, skeletal, 321
tissue origin of, 181-187 Methotrexate, and interaction with co-trimoxazole, 454
Lower extremity lengthening by Wagner's method and by Metronidazole, toxicity of, 458—459
callus distraction, 643-649 Microbial adhesion, molecular mechanisms of, in
Lumbar fascia, and origin of low back pain, 183 musculoskeletal sepsis, 365-366
Lumbar spine. See also Lumbosacral spine. Microgravity, back pain and spinal changes in, 255-262
clinical implications of vibration-induced changes in, International Microgravity Laboratory-1, 258-259
247-253 International Microgravity Laboratory-2, 259-261
in vivo study of pain production in, 182-183 retrospective study, 257-258
local anesthesia in operations, 181-187 significance, 261
role of transpedicular fixation systems for stabilization Midfoot, amputation of, 481-482
of, 333-344 Mobile knee reconstructions, after resection of malignant
advantages of pedicle screw systems, 334 tumors of distal femur, 105-119
case examples, 336-342 complications, 115-118
fusion without internal fixation, 334 imaging and staging, 106
limitations, 334-336 indications and contraindications, 106-107
nontranspedicular fixation systems, 334 operative technique, 111-115
problems unique to fusion, 333-334 postoperative care, 115
surgery, perioperative care in, 353-358 preoperative planning, 107-111
intraoperative measures, 355-357 Mobility, patient, era of, in leg lengthening, 559-560
nonsteroidal anti-inflammatory medications, 355 MRI. See Magnetic resonance imaging.
postoperative period, 357-358 Multiple myeloma, 320-321
preoperative patient education, 353-354 Muscles, effect of distraction upon, 563-567
smokers versus nonsmokers, 354 and origin of low back pain, 183
transfusion, 354-355 Musculoskeletal tumors, limb salvage in treatment of,
Lumbosacral spine. See also Lumbar spine. 1-180
advantages of pedicle screw systems, 334 Myelopathy and ischemic radiculopathy, significance of
endocrinologic and metabolic disorders, 321-322 venous return impairment in, 213-221
fusion without internal fixation, 334 arterial supply, 213-216
hematologic disorders, 323 cadaver studies, 218-219
infections, 319-320 neurologic pain, 216-218
nontranspedicular fixation systems for, 334 recent studies, 219-220
problems unique to fusion. 333-334 spinal stenosis, 219
referred pain, 323-324 Myofascial tissues, postoperative management of, during
rheumatologic diseases, 317-319 limb lengthening, 723-724
tumors, 320-321 Myositis, infectious, in immunocompromised hosts, 395—
Lymphatic drainage, of epidural space in rabbits, 189-194 396
discussion, 193-194
materials and methods, 190
results, 190-193
Lymph node metastasis, with soft-tissue sarcomas of Narcotic analgesics, for chronic orthopedic infection pain,
extremity, 173-174 545
Nephrotoxicity, of aminoglycosides, 442—443
of amphotericin B, 446—447
of beta-lactam antibiotics, 449
Macrolides, and bacterial resistance, 386 of co-trimoxazole, 454
Magnetic resonance imaging, in evaluation of low back of rifampin, 459
pain, 283-301 of vancomycin, 460-461
degenerative disc disease, 288-290 Nerve injury, during limb lengthening, 629
imaging sequelae of degeneration, 290-295 Nerve roots, and dorsal root ganglia, blood supply of,
normal anatomy, 284—288 195-211
paramagnetic contrast agents, 296 anatomic structure, 196-201
scar versus disc, 296-300 blood flow volume, 203, 205
technique, 283-284 blood vessels, 201-203
of musculoskeletal infection, 409 effect of mechanical compression, 205-209
Malnutrition, and infection, 375-376 and origin of low back pain, 183, 185
Mechanical compression, effects of, on nerve roots and spinal. See Spinal nerve roots.
dorsal root ganglia, 205-209 Nerve supply, to low back, 235-236
Medical diagnosis of low back pain, current approach to, Nervous system effects, of metronidazole, 458
315-325 Neurogenic and nonneurogenic pain, and inflammatory
algorithmic, 315-317 mediators, 235-246
742 Cumulative Index 1991
Neurogenic and nonneurogenic pain (Continued) Orthofix device, experience with, for limb lengthening,
definition, 235-236 651-661
dorsal root ganglion, 238-244 in achondroplasia, 658
gate control theory of pain and neuropeptides, 236- in adults, 658-659
238 biomechanical considerations, 651-652
neuropeptides in degeneration of functional spine callotasis, 652-653
unit, 238 in children and adolescents, 655-657
Neuroleptic drugs, for chronic orthopedic infection pain, and correction of angular and rotational deformi-
544 ties, 657-658
Neurologic deficit, from lower extremity lengthening by pitfalls and complications, 659-660
Wagner's method and callus distraction, 647 technique, 653-655
Neurologic effects, of beta-lactam aniibiotics, 448 Osteoarticular allograft arthroplasty, after bone tumor
Neurologic pain, and ischemic radiculopathy and resections of shoulder, 38-39, 40-41, 44
myelopathy, 216-218 for bone tumors in proximal tibia, 141-145
Neuromuscular blocking agents, and interaction with for distal femur reconstruction, 113
clindamycin, 453 for distal radius reconstruction, 63
Neuropathy, and diabetic foot infections, 475 for proximal femur reconstruction, 97-99
Neuropeptides, in degeneration of functional spinal unit, Osteochondromas, 11-12
238 Osteoid osteoma, 320
gate control theory of pain and, 236-238 Osteomalacia, of lumbosacral spine, 322
Neurovascular problems, with limb lengthening, 629 Osteomyelitis, chronic and recurrent, 410-411
with upper extremity lengthening and deformity correc- debridement and drainage in, 479-480
tion, by Ilizarov technique, 703-704 hyperbaric oxygen in treatment of, 467-471
Neurovascular tissues, postoperative management of, clinical studies, 469-470
during limb lengthening, 723 laboratory studies, 467-469
‘Neutral fixation, postoperative management of, during Ilizarov perspective, 515-521
limb lengthening, 732-733 bone grafting, 515-516
Neutropenia, from beta-lactam antibiotics, 449 large cavities, 520
Night positioning, after limb lengthening, 725-726 multiloculated cavitary osteomyelitis, 520
Nociception, chemical mediators of, 240 radical debridement and bone transport, 516-520
Nonneurogenic and neurogenic pain, and inflammatory in immunocompromised hosts, 394-395
mediators, 235-246 pin-site, with limb lengthening, 627
Nonsteroidal anti-inflammatory medications, and lumbar pyogenic vertebral, 491-496
spine surgery, 355 toxicities of antimicrobial agents used to treat, 439-465
Nonunion, in lower extremity lengthening by Wagner aminoglycoside antibiotics, 442-451
method, 647 ciprofloxacin, 451-452
Nosocomial surveillance, 379-380 clindamycin, 452-453
Nucleus pulposus, herniation, as diagnostic category for co-trimoxazole, 453-455
artificial intelligence, 305 erythromycin, 455--456
Nutrition, relationship of, to orthopedic infections, 373- fluconazole, 457—458
377 metronidazole, 458-459
correction of malnutrition, 376 pregnancy categories and breast feeding, 439-440,
energy sources, 374 442
infection and malnutrition, 375-376 rifampin, 459-460
nutritional assessment, 373-374 vancomycin, 460-461
nutritional needs, 374-375 vertebral, 319-320
and wound healing, 428—429 Osteoporosis, of lumbosacral spine, 321-322
Nutritional assessment, in patients with orthopedic Osteosarcomas, 12, 23, 24, 25
infection, 373-374 Osteotomies, distraction of, importance of delay in, 569-
Nutritional needs, of surgical patients, 374-375 579
clinical use of delay, 577-578
definition of problem, 569-570
delay as influential factor, 571-575
Occupational therapy, for chronic orthopedic infection mechanism of action of delay, 575-577
pain, 545-546 percutaneous, osteotome and Gigli saw techniques,
Open fractures, choice and duration of antibiotics in, 433- 613-624
437 corticotomy technique, 615-621
bacterial contamination, 433 discussion, 621-623
irrigation and topical antibiotic therapy, 436 Ototoxicity, of aminoglycosides, 443-445
length of antibiotic therapy, 435-436 of erythromycin, 455-456
selection of antimicrobial agents, 433-435 of vancomycin, 461
Type III. See Type III open fractures. Oxygen, hyperbaric, in treatment of osteomyelitis, 467-
Operative level, for surgery for back pain and sciatica, 471
347-348
Oral contraceptives, and interaction with beta-lactam
antibiotics, 449
and interaction with rifampin, 459-460 Pain, back. See Back pain; Industrial back pain
Organ transplantation, solid, in immunocompromised complaints; Low back pain.
hosts, 392-393 definition of, 543
Cumulative Index 1991 743
Pain drawings, in artificial intelligence for diagnosis of low Prostheses, expandable, in pediatric limb-salvage surgery,
back pain, 307-308 121-131
Pain management, for chronic orthopedic infection, 542— implant fixation, 123, 125
546 soft-tissue coverage, 122-123
chronic pain syndrome, 543-544 for reconstruction of proximal femur, 94
definition of pain, 543 infected hip and knee, 411-412
pharmacologic treatment, 544-545 metallic, for reconstruction of proximal femur, 92
physical treatment, 545-546 for periacetabular reconstructions, 85
psychologic treatments, 546 for proximal humeral reconstruction, 31—32
Pancreatic pain, and low back pain, 324 Prosthetic reconstruction, after bone tumor resections of
Paralysis, neuromuscular, from aminoglycosides, 445 proximal tibia, 149-160
Patient mobility, era of, in leg lengthening, 559-560 endoprosthetic design, 150-151
Patient positioning, for surgery for back pain and sciatica, operative technique, 151-155
347 postoperative regimen, 155-156
Patient selection, in leg lengthening for achondroplasia, preoperative evaluation, 149-150
589-599 Proximal femur, tumors involving, reconstructions after
diagnosis, 589-590 resections of, 87-103
discussion, 598-599 preoperative planning, 88—90
problems of short stature, 590-593 surgical technique, 90-101
Sheffield practice, 593-598 Proximal humerus, tumors of, 19-34
for limb length inequality surgery, 581-587 Proximal tibia, bone tumors in, resection and
Pediatrics, osteomyelitis in, 409-410 reconstruction for, 133-148
Pedicle screw systems, advantages of, in lumbosacral anatomic considerations, 134
spine, 334 biopsy, 135-136
Pelvic resections, Rizzoli Institute experience, 65-86 clinical presentation, 134-135
complications, 72-75 excision methods, 136-139
limb salvage in children, 145-146
discussion, 78-79, 81-85
reconstruction methods, 139-145
material and methods, 65-66
soft-tissue coverage, 146
oncologic results, 67, 72
operative techniques, 66-67, 68-71 staging, 135-136
prosthetic reconstruction after bone tumor resections of,
reconstructional and functional outcome, 75-77
149-160
Penicillins, and bacterial resistance, 383-385
endoprosthetic design, 150-151
Percutaneous discectomy, 329-331 operative technique, 151-155
and chemonucleolysis, current status, 327-332 postoperative regimen, 155-156
Percutaneous osteotomies. See Osteotomies, preoperative evaluation, 149-150
percutaneous, osteotome, and Gigli saw techniques. Psoriatic arthritis, 318
Perioperative care in lumbar spine surgery, 353-358 Psychogenic regional pain disturbance, as diagnostic
intraoperative measures, 355-357 category for artificial intelligence, 305
nonsteroidal anti-inflammatory medications, 355 Psychological problems, with limb lengthening, 630-631
postoperative period, 357-358 Psychological status, with chronic orthopedic infection,
preoperative patient education, 353-354 540-541
smokers versus nonsmokers, 354 Psychological treatments, for chronic orthopedic infection,
transfusion, 354-355 546
Periosteum, effect of distraction upon, 563-567 Psychopharmacologic agents, for chronic orthopedic
Phenytoin, and interaction with co-trimoxazole, 454 infection pain, 544-545
and interaction with fluconazole, 457 Pulmonary effects, of amphotericin B, 447
Phlebitis, from amphotericin B, 446
from erythromycin, 456
Physiotherapy, for chronic orthopedic infection pain, 545
after limb lengthening, 724—725 Quinolones, and bacterial resistance, 385-386
Pin insertion, technique for preventing equinus
contractures during tibial lengthening, 638-640
Pin loosening, with lower extremity lengthening by
Wagner's method and callus distraction, 646 Rabbits, lymphatic drainage, in rabbits, discussion, 193-—
Pin-tract infection, with limb lengthening, 626 194
Plasmid-mediated resistance, 381-382 materials and methods, 190
Platelet aggregation, and beta-lactam antibiotics, 449 results, 190-193
Polymyalgia rheumatica, 318-319 lymphatic drainage of epidural space, 189-194
Posterior longitudinal ligament, and origin of low back Radiation therapy, for soft-tissue sarcomas of extremity,
pain, 186 167, 169-170
Postoperative management, during limb lengthening, Radiculopathy, ischemic, and myelopathy, significance of
723-734 venous return impairment in, 213-221
Pregnancy, and toxicity of antimicrobial agents for arterial supply, 213-216
osteomyelitis, 439-440, 442, 445, 447, 450, 452, 453, cadaver studies, 218-219
455, 456, 457, 458-459, 460, 461 neurologic pain, 216-218
Premature consolidation, with limb lengthening, 627 recent studies, 219-220
with lower extremity lengthening by callus distraction, spinal stenosis, 219
647 Radiologic assessment, of limb length inequality, 583-584
744 Cumulative Index 1991
Radiology, of vertebral osteomyelitis, 493 of malignant tumors of distal femur, mobile knee recon-
Radionuclide studies, of vertebral osteomyelitis, 493-494 structions after resection of, 105-119
Radius, corticotomy of, 698 complications, 115-118
with deformity, correction of, 694-696 imaging and staging, 106
without deformity, lengthening of, 693-694 indications and contraindications, 106-107
distal. See Distal radius. operative technique, 111-115
Rancho technique, for Ilizarov method, 681-687 postoperative care, 115
Reconstructions, for bone tumors in proximal tibia, 133- preoperative planning, 107-111
148 pelvic, Rizzoli Institute experience, 65-86
anatomic considerations, 134 complications, 72-75
biopsy, 135-136 discussion, 78-79, 81-85
clinical presentation, 134-135 material and methods, 65-66
excision methods, 136-139 oncologic results, 67, 72
limb salvage in children, 145-146 operative techniques, 66-67, 68-71
reconstruction methods, 139-145 reconstructional and functional outcome, 75-77
soft-tissue coverage, 146 shoulder girdle, classification, 8-10
staging, 135-136 for soft-tissue sarcomas of extremity, 161-176
mobile knee, after resection of malignant tumors of chemotherapy, 170-172
distal femur, 105-119 clinical evaluation, 162-164
complications, 115-118 histology, 164-165, 166
imaging and staging, 106 limb salvage by anatomic site, 173
indications and contraindications, 106-107 management of lymph node metastasis, 173-174
operative technique, 111-115 radiation therapy, 167, 169-170
postoperative care, 115 staging, 165, 167
preoperative planning, 107-111 surgery, 166-167
' prosthetic, after bone tumor resections of proximal treatment, 165-166, 168
tibia, 149-160 limb-salvage surgical technique, 172-173
endoprosthetic design, 150-151 of tumors in distal radius, 49-64
operative technique, 151-155 preoperative evaluation and staging, 49-50
postoperative regimen, 155-156 reconstruction, 51-63
preoperative evaluation, 149-150 arthrodesis, 51-57
of proximal humerus after resection, 31-32 arthroplasty, 57-63
after resections of tumors involving proximal femur, 87- of tumors involving proximal femur, reconstructions
103 after, 87-103
preoperative planning, 88-90 preoperative planning, 88—90
surgical techniques, 90-101 surgical technique, 90-101
for soft-tissue sarcomas of extremity, 161-176 Resection arthrodesis, for bone tumors in proximal tibia,
chemotherapy, 170-172 140
clinical evaluation, 162-164 Resection arthroplasty, for reconstruction of proximal
histology, 164-165, 166 femur, 99, 101
limb salvage by anatomic site, 173 Rheumatoloyic diseases of lumbosacral spine, 317-319
limb salvage surgical technique, 172-173 Rifampicin, and bacterial resistance, 385
management of lymph node metastasis, 173-174 Rifampin, toxicity of, 459-460
radiation therapy, 167, 169-170 Rizzoli Institute experience with pelvic resections, 65-86
staging, 165, 167 complications, 72-75
surgery, 166-167 discussion, 78-79, 81-85
treatment, 165-166, 168 material and methods, 65-66
of tumors in distal radius, 49-64 oncologic results, 67, 72
Referred pain, to lumbosacral spine, 323-324 operative techniques, 66-67, 68-71
Regenerate bone formation, and Sequoia circular fixator reconstructional and functional outcome, 75-77
for limb lengthening, 671 Roentgenology, of musculoskeletal infection, 402
Reimplantation, two-stage, for total knee arthroplasty Rome technique, for Ilizarov method, 680-681
infection, 535-537 Rotational deformities, limb lengthening with correction
Reiter's syndrome, 317-318 of, 657-658
Resection, bone tumor, of proximal tibia, prosthetic Rotationplasty, after proximal femoral resection, 94
reconstruction after, 149-160 Rule of concentric circles, for calculating rate of
endoprosthetic design, 150-151 distraction, 605-607
operative technique, 151-155 Rule of similar triangles, for calculating rate of distraction,
postoperative regimen, 155-156 602-605
preoperative evaluation, 149-150
for bone tumors in proximal tibia, 133-148
anatomic considerations, 134
biopsy, 135-136 Sarcomas, limb-salvage surgery for, introduction to, 1-5
clinical presentation, 134-135 soft-tissue. See Soft-tissue sarcomas.
excision methods, 136-139 Scapula, total replacement, 17, 19, 20
limb salvage in children, 145-146 tumors of, 10-11
reconstruction methods, 139-145 Scapular allografts, after bone tumor resections of the
soft-tissue coverage, 146 shoulder, 44, 46
staging, 135-136 Scapulectomy, for tumors of shoulder girdle, 15-17