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
ReviewCircumferential fusion of the lumbar and lumbosacral spine.
Seventy-four patients with circumferential fusion of the lumbosacral spine have been assessed after a mean follow up of 49.8 months. For the ventral procedure, an anterior interbody fusion with tricortical iliac bone graft was performed. The additional dorsal fusion was according to various techniques with mainly transpedicular internal fixation. ⋯ The results favour the technique of a combined anterior/posterior approach for fusion of the lumbosacral spine in patients with instability and deformity of all three columns, such as fractures and spondylolisthesis of more than 50%. Optimal stability with satisfactory reduction of the deformity may be achieved. The one-stage operation proved to be superior, with less complications and a shorter hospital stay.
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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 1991
Randomized Controlled Trial Clinical TrialHematomas and subcutaneous suture techniques in total hip replacement. An ultrasound study.
Thirty-five patients undergoing total hip replacement due to primary arthrosis were randomized into two groups. In one group each subcutaneous suture included a stitch in the fascia; in the other group the fascia was not included in the suture. Ultrasonography examination showed no significant difference in the number of subcutaneous hematomas in each group. ⋯ Three patients had a clinical diagnosis of hematoma and in only one of these did ultrasonography support the diagnosis. It appears that the clinical diagnosis of hematomas, even subcutaneous hematomas, is unreliable. Careful hemostasis is recommended.
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Arch Orthop Trauma Surg · Jan 1991
Long-term results of tibial plafond fractures treated with open reduction and internal fixation.
In this study a series of 41 consecutive cases of operatively treated fractures of the tibial plafond was retrospectively analysed. The fractures were classified into types I (9.75%), II (41.5%) and III (48.75%) as defined by Rüedi. The 10-year average follow-up revealed 66% good and 24% fair objective results overall. ⋯ With adequate open reduction and internal fixation, satisfactory results can be obtained in severe tibial plafond fractures. Meticulous soft tissue care and handling at surgery are important. Various fixation devices may need to be incorporated to ensure optimal soft tissue status for fracture healing.