Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jan 1991
Review Case ReportsMacrodystrophia lipomatosis in the foot. A case report and review of the literature.
A rare case of macrodystrophia lipomatosis in the foot is reported. The literature is reviewed and the different presentations of macrodactyly are discussed.
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Arch Orthop Trauma Surg · Jan 1991
ReviewKnee ligament injuries combined with ipsilateral tibial and femoral diaphyseal fractures: the "floating knee".
The incidence of rupture of the knee ligaments was retrospectively studied in 47 patients with ipsilateral fractures of the femoral and tibial diaphyseal shaft. Fifteen patients proved to have an instability of the knee at the time of follow up. Disruption of the knee ligaments had not been recognised initially. ⋯ After stabilisation of both fractures in these cases, the knee ligaments had been repaired; at re-examination these patients had no complaints and their knees were perfectly stable. In view of the high incidence of missed cases, the possibility of disruption of the knee ligaments should be considered in all patients with fractures of both the femoral and tibial shaft. Meticulous examination of the knee at the time of injury is strongly advocated.
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Arch Orthop Trauma Surg · Jan 1991
Review Case ReportsBilateral simultaneous rupture of the patellar tendon. Case report and review of the literature.
A case of bilateral simultaneous rupture of the patellar tendon due to apicitis patellae is presented. Clinical picture, diagnosis, pathogenesis and treatment are discussed. In addition, the literature on the subject is reviewed.
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Arch Orthop Trauma Surg · Jan 1990
Review Case ReportsIrreducible dorsal dislocation of the metatarsophalangeal joint of the hallux.
Irreducible dorsal dislocation of the metatarsophalangeal joint of the hallux is a rare injury. A case is presented and the literature is reviewed, with emphasis on pathomechanics and treatment alternatives.
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Arch Orthop Trauma Surg · Jan 1990
ReviewClinical experience with titanium implants, especially with the limited contact dynamic compression plate system.
AO/ASIF with its collaborating laboratories has developed cold worked pure titanium material for implants with an outstanding biocompatibility. The first prospectively controlled clinical series dates back to 1966 and was reported to be most successful. Pure titanium also became the material of choice for implants to be used in patients suffering from metal allergy. ⋯ Pilot clinics started to implant titanium LC-DCP in 1987, and already 271 plates have been used, mainly for the treatment of fresh fractures. Some 57 plates have so far been removed. The preliminary results are most favourable; they confirm especially the outstanding biocompatibility of pure titanium.