The Journal of bone and joint surgery. American volume
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J Bone Joint Surg Am · May 2002
In situ fixation of pelvic nonunions following pathologic and insufficiency fractures.
A nonunion of the pelvic ring after a pathologic or insufficiency fracture of osteopenic bone is rare. The purpose of the present study was to evaluate the radiographic and clinical results of in situ fixation of these nonunions. ⋯ In situ fixation of a nonunion of the pelvic ring following a pathologic or insufficiency fracture can result in a decrease in pelvic pain and instability along with an improvement in walking ability. A high percentage of patients complain of persistent pain, even if there is radiographic evidence of union of the pelvic ring.
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J Bone Joint Surg Am · May 2002
Comparative StudyComparison of anterior and posterior iliac crest bone grafts in terms of harvest-site morbidity and functional outcomes.
Previous studies have demonstrated high complication rates after harvest of iliac crest bone grafts. This study was undertaken to compare the morbidity related to the harvest of anterior iliac crest bone graft with that related to the harvest of posterior iliac crest bone graft and to determine differences in functional outcome. ⋯ In this series, the complication rate was lower than those previously reported by other investigators. Harvest of a posterior iliac crest bone graft was associated with a significantly lower risk of postoperative complications. On the basis of the results of this study, we recommend that iliac crest bone graft be harvested posteriorly whenever possible.
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J Bone Joint Surg Am · May 2002
Scalene regional anesthesia for shoulder surgery in a community setting: an assessment of risk.
A retrospective review of shoulder procedures using scalene block anesthesia was performed. ⋯ Informed consent discussions regarding scalene block anesthesia should include information on the prevalence of complications and the efficacy of the technique.