The Journal of bone and joint surgery. American volume
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J Bone Joint Surg Am · Oct 1975
Intramedullary nailing in the treatment of open fractures of the tibia and fibula.
Intramedullary nailing of thirty acute displaced open fractures of the tibia and fibula resulted in union with only one superficial infection. The low incidence of sepsis is attributed to the use of the curved malleable Hodgkinson tibial nail which requires no reaming, renders the operation less difficult and traumatic, and interferes minimally with bone vascularity. Fibular nailing was an effective means of stabilizing nine of the twelve fractures close to the ankle joint.
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J Bone Joint Surg Am · Oct 1975
Case ReportsArthroplasty of both hips and both knees in rheumatoid arthritis.
Eleven patients with rheumatoid arthritis underwent total joint replacement of both hips and both knees (four-joint arthroplasty). All patients had increased function and decreased pain. Severe rheumatoid arthritis in both hips and knees does not preclude a satisfactory result after replacement arthroplasty.
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Ten cases of septic arthritis due to Pseudomonas occurred in users of heroin. Nine cases were monarticular, two each occurring in the sternoclavicular and the sacro-iliac joints. ⋯ Pseudomonas infection associated with drug abuse should be suspected in cases of isolated sternoclavicular inflammation. The drugs used for treatment of septic arthritis due to Pseudomonas should include gentamicin and carbenicillin, in conjunction with adequate drainage by aspiration or surgery.
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J Bone Joint Surg Am · Apr 1975
Surgical treatment of the symptomatic unstable cervical spine in rheumatoid arthritis.
In rheumatoid arthritis spontaneous subluxation of cervical vertebrae is not infrequent and can usually be managed by conservative treatment. Surgical treatment, however, is necessary when there is neural involvement. ⋯ When conservative treatment fails, reduction by halo traction and arthrodesis of the cervical spine is the method recommended, but the best method of post-operative care remains uncertain. In these patients postoperative immobilization was provided by various methods, including a halo cast or brace, but no method appeared to be superior.