Archives of orthopaedic and trauma surgery
-
Arch Orthop Trauma Surg · Jul 2003
Treatment of distal radioulnar joint disorders with a modified Sauvé-Kapandji procedure: long-term outcome with special attention to the DASH Questionnaire.
An intact distal radioulnar joint (DRUJ) is essential for normal functioning of the upper limb. Osteoarthritis of the DRUJ often leads to ulnar wrist pain, limitation of forearm rotation and reduced grip strength, all of which limit activities of daily living. Once the joint is damaged, salvage procedures are recommended. ⋯ Our clinical and radiological findings suggest that the Sauvé-Kapandji procedure is indicated in symptomatic, non-reconstructable disorders of the DRUJ. The DASH questionnaire provides a general view of the functional outcome after the Sauvé-Kapandji procedure. The DASH questionnaire is very helpful in evaluating the effect of the Sauvé-Kapandji procedure on the entire upper limb.
-
Inferior dislocation of the glenohumeral joint or luxatio erecta humeri is a rare form of injury, accounting for only 0.5% of all shoulder dislocations. Bilateral cases are even less frequent, with only eight cases reported in the literature. ⋯ Based on this case and the pertinent literature, the pathophysiology, diagnosis, and treatment of this rare injury are discussed.
-
Arch Orthop Trauma Surg · Jul 2003
Comparative StudyA comparative clinical outcome evaluation of smooth (10-13 year results) versus rough surface finish (5-8 year results) in an otherwise identically designed cemented titanium alloy stem.
We retrospectively compared the influence of surface finish with respect to the long-term durability of a cemented titanium alloy stem of the same design but different surface finish. ⋯ The implantation of titanium alloy stems with a rough surface finish cannot be recommended because of its high aseptic loosening rate.
-
Arch Orthop Trauma Surg · Jul 2003
Comparative StudyStress fractures of the femoral neck and coxa vara.
Theoretically, coxa vara substantially modifies the biomechanical conditions of the femoral neck, increasing the effect of direct muscle pull and leading to fatigue of opposing muscle groups; such modifications would appear to favour the appearance of stress fractures. ⋯ It is suggested that coxa vara predisposes to femoral neck stress-fracture.
-
Arch Orthop Trauma Surg · Jul 2003
Case ReportsMonteggia type I equivalent lesion: diaphyseal ulna and radius fractures with a posterior elbow dislocation in an adult.
A rare type I Monteggia equivalent lesion with a posterior dislocation associated with a diaphyseal radius and ulna fracture in an adult is described. The probable mechanisms of injury are speculated to include flexion of the elbow and pronation of the forearm. ⋯ Early reduction of the dislocation and rigid fixation of the fractures helped to achieve excellent results.