Archives of orthopaedic and trauma surgery
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We present the outcome of a mould arthroplasty implanted for a congenital hip dysplasia in 1955 to revise a previous cup arthroplasty. This type of prosthesis, which has been developed on the basis of the concept of Smith-Peterson, by Prof. Marino-Zuco in Rome in the early 1940s, showed excellent results and was widely used until the advent of Charnley low-friction arthroplasty.
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Arch Orthop Trauma Surg · Jan 2000
Case ReportsA rare case of osteoporotic spine fracture associated with epidural lipomatosis causing paraplegia following long-term cortisone therapy.
Cushing's syndrome is frequently associated with osteoporosis. Therefore, the incidence of osteoporotic spine fractures is significant. They are a rare cause of paraplegic syndromes. ⋯ Our experience suggests that care should be taken before operative treatment of patients with pathological fractures in combination with Cushing's syndrome. In addition to vertebral fractures, epidural lipomatosis has to be taken into consideration. Those patients with neurological deficits have to be treated by an extensive laminectomy.
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Arch Orthop Trauma Surg · Jan 2000
Comparative StudyUltrasonically driven instruments in the transfemoral approach--an aid to preservation of bone stock and reduction of implant length.
The transfemoral approach to the femur with implantation of the Wagner SL stem provides a means of dealing with the difficult revision problems of extensive endosteolysis and with peri-prosthetic fractures. This surgical approach has been modified such that with the aid of an ultrasonically driven cement removal instrument (OSCAR) the length of the osteotomy is reduced, preserving bone stock, and it is possible to implant a shorter prosthesis in approximately 60% of cases.
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Arch Orthop Trauma Surg · Jan 2000
Case ReportsSnapping of the proximal interphalangeal joint due to the lateral band.
An unusual case is reported of snapping of the proximal interphalangeal joint (PIPJ) of the right little finger in a 14-year-old girl. The lateral band of the radial side slipped over the peak of the condyle of the proximal phalanx at 40 deg of flexion. The lateral band was cut and sutured to the central slip. At follow-up examination 4 months later, there had been no recurrence.
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Arch Orthop Trauma Surg · Jan 2000
Case ReportsA rare case of enthesopathy of the bicipital tuberositas of the radius.
We present a case of a patient with complaints in both elbows, due to a prominent bicipital tuberosity with an enlarged bursa, in which operative resection was successful.