Archives of orthopaedic and trauma surgery
-
Arch Orthop Trauma Surg · Jan 1991
Case ReportsMalignant fibrous histiocytoma in the course of chronic osteomyelitis.
Malignant fibrous histiocytoma (MFH) was found in the femur of a 28-year-old man who had suffered from chronic osteomyelitis. The patient had undergone surgery for a valgus knee deformity and the procedure was complicated by chronic osteomyelitis which lasted for 12 years. ⋯ The patient died 4 months later. Histopathological and immunohistochemical examinations indicated the diagnosis of MFH.
-
Arch Orthop Trauma Surg · Jan 1991
Influence of immobilization on autograft healing in the knee joint. A preliminary study in a sheep knee PCL model.
The influence of immobilization on patellar tendon autograft healing was investigated in 12 sheep with replaced posterior cruciate ligaments of the knee (PCLs). In one group achillotomy immobilized the operated knee joint. In another group initial reduced weight-bearing was obtained by hanging the sheep in a special trapeze. ⋯ The best data were observed in the no-protection group. This study demonstrates the negative effect of immobilization on autograft healing in a sheep PCL model. Even early in the healing process tissue may be extremely sensitive to stress and strain.
-
Arch Orthop Trauma Surg · Jan 1991
Review Case ReportsTraumatic dislocation of the hip in young children.
Traumatic dislocation of the hip joint is an uncommon injury in children. The present report on this traumatic emergency is based on the authors' own observations of three cases and a review of the literature. ⋯ The crucial therapeutic intervention to avoid this serious complication seems to be immediate, usually closed, reduction under general anaesthesia. A management protocol is presented.
-
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.
-
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.