The Journal of bone and joint surgery. American volume
-
J Bone Joint Surg Am · Jul 1980
The surgical management of patients with Scheuermann's disease: a review of twenty-four cases managed by combined anterior and posterior spine fusion.
Twenty-four patients with Scheuermann's kyphosis underwent correction of the deformity through a combined anterior and posterior spine fusion. All patients had a solid arthrodesis and most were relieved of their preoperative pain. Deformity was improved in all patients. Significant loss of correction did not occur in the fusion area but it did occur below the posterior arthrodesis in five patients.
-
To determine the effects of osteogenesis imperfecta and its treatment on adult life, thirty-one patients with osteogenesis imperfecta were examined at an average of nineteen years postoperatively. Seventy-two per cent of the operations that had been performed on these patients in childhood consisted of multiple osteotomies with intramedullary fixation to reduce fracture frequency and prevent bowing of the lower limbs. Only eight patients had remained non-ambulatory, seven of whom had severe long-bone deformity. Based on the study of these patients, we suggest that the severity of diaphyseal tapering and of disease are related; that scoliosis is frequent in adults with osteogenesis imperfecta; that the improvement gained at operation is maintained and enhances ambulation; and that as adults, these patients are generally very productive and socially adaptable individuals.
-
We studied the complications involving the patella following total knee arthroplasty in eighty-six knees in which thirty-four unconstrained and fifty-two offset hinge prostheses had been implanted. The abnormalities that we studied included: patellar dislocation, five knees; subluxation, eighteen knees; localized wear, three knees; and generalized wear, four knees. ⋯ The complications were attributed partly to mechanical factors inherent in the prosthetic design and partly to anatomical abnormalities. Failure of the surgeon to compensate adequately for both of those factors at the time of operation was a factor in most of the complications.