Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jan 1998
Review Case ReportsBilateral calcaneal fracture in childhood. Case report and review of the literature.
Calcaneal fractures in young children are rare. Bilateral calcaneal fractures in this age group are exceptional. In the literature only 4 cases of bilateral calcaneal fractures have been reported, and the youngest patient was 6 years old (range 6-17 years). ⋯ This is confirmed by other studies. It is not unlikely that the incidence is indeed higher because the joint involvement in childhood injuries is often subtle, and the fracture can easily be overlooked on initial X-ray examination. We survey the literature and report the case of a 5-year-old boy who sustained bilateral calcaneal fractures and an additional fracture of the neck of the talus on one side, a combination which to our knowledge has never been described before.
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Arch Orthop Trauma Surg · Jan 1998
Review Case ReportsFracture of the axis after dome-like cervical laminoplasty.
We describe a case of fracture of the axial neural arch that occurred after a dome-like cervical laminoplasty and caused dural compression. Cervical laminoplasty with dome-like laminoplasty of the axis was performed on a patient with cervical myelopathy due to ossification of the posterior longitudinal ligament extending from C2 to C6. ⋯ After total axial laminectomy, permanent neurological improvement was obtained. Our experience suggests that care should be taken to avoid an excessive dome-like laminoplasty and that the possibility of axial fracture should be borne in mind.
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Arch Orthop Trauma Surg · Jan 1998
Review Case ReportsIntrapelvic cyst formation after hip arthroplasty with a carbon fibre-reinforced polyethylene socket.
Carbon fibre-reinforced polyethylene cups were inserted in total hip arthroplasties for both hips of a male patient. Ten years after the arthroplasty of the right hip, an intrapelvic cyst was observed. The cyst was connected to the inner acetabular wall. ⋯ Revision arthroplasty with allograft bone and an uncemented endoprosthesis was successfully performed. The fibrotic tissue at the bone-cement interface showed numerous histiocytic cells with cytoplasmic infiltrates of carbon and polyethylene particles. The left hip was also later revised for loosening, but no cyst formation was observed on that side.
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Arch Orthop Trauma Surg · Jan 1998
Follow-up results 17 years after resection arthroplasty of the great toe.
Resection arthroplasty of the first metatarsophalangeal joint is a well-known operation. The follow-up results more than 17 years after arthroplasty for hallux valgus are reported and discussed. Between 1971 and 1980, 335 resection arthroplasties were performed on 205 patients. ⋯ The average hallux valgus angle was 23 degrees at follow-up and 34 degrees prior to surgery. The unacceptably high rate of hallux valgus relapse, especially due to a high intermetatarsal angle, emphasizes the unsatisfactory long-term results of the resection arthroplasty. We now recommend this operation for older patients only, and a differentiated approach using reconstructive procedures according to the clinical and radiographical situation for younger patients.
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Arch Orthop Trauma Surg · Jan 1998
Comparative StudyEffects of percutaneous and conventional plating techniques on the blood supply to the femur.
A cadaveric arterial injection study was performed to study the effects of percutaneous and conventional surgical plating techniques on femoral vascularity. Sixteen-hole dynamic condylar screw and condylar buttress plates were applied on the proximal and distal shafts, respectively, of intact femora in ten human cadavers. On one side, the plate was inserted using a lateral conventional plate osteosynthesis (CPO) technique with elevation of the vastus lateralis muscle to expose the shaft. ⋯ The pattern of periosteal filling of the injected dye was analyzed. The MIPPO technique maintained the integrity of the PAs and exhibited superior periosteal perfusion. The results of this study indicate that the MIPPO technique maintains femoral vascularity and perfusion better than the CPO technique.