Archives of orthopaedic and trauma surgery
-
Arch Orthop Trauma Surg · Jan 1991
Case ReportsBilateral stress fracture of the scaphoid. A case report.
Bilateral stress fractures of the scaphoid bones in a gymnast are reported and discussed with special consideration of the possible differential diagnoses; bipartite scaphoid and pseudarthrosis of the scaphoid bone. The relevance of the mechanical factors involved and the abduction and dorsiflexion of the wrist in gymnastics are suggested as likely pathomechanisms.
-
Arch Orthop Trauma Surg · Jan 1991
Operative procedure using the improved osteosynthesis technique for intertrochanteric osteotomies. Preliminary report.
Employing a simple sawing gauge system in intertrochanteric osteotomies, it is possible to effect "functional pre-bending" of the angled blade plate osteosynthesis in order to achieve better interfragmentary compression and further improve the precision of the standardized AO technique. This new technique may lead to a further reduction of intraoperative and post-operative failures.
-
Arch Orthop Trauma Surg · Jan 1991
Role of magnetic resonance imaging in the radiological management of musculoskeletal tumors.
The treatment of bone tumors has developed from amputation surgery to refined methods of therapy in the last 20 years. Limb-preserving operations in particular require exact documentation of the intra- and extraosseous extent of the tumors. ⋯ For this reason, MRI can be considered of great value in the radiological management of bone tumors. While CT is in most cases inferior to MRI, there are still special cases which require angiography.
-
Arch Orthop Trauma Surg · Jan 1991
Medial approach open reduction for congenital dislocation of the hip using the Ferguson procedure. A review of 31 hips.
Between January 1979 and October 1984, 31 congenitally dislocated hips in 19 patients were treated using open reduction via the medial approach, as described by Ferguson, at the Ankara University Faculty of Medicine. Patient age at operation ranged from 3 to 33 months (mean 12.1 months). ⋯ Avascular necrosis of the femoral head was observed in 9.7% and slight, transient ischaemic radiographic changes of the femoral head in 22.6% of the hips; 25.8% of the hips have already undergone or are due to undergo subsequent surgery due to an insufficient radiographic result. The medial approach was found to be a reliable procedure for infants who have not had extensive previous conservative treatment and who are between 7 and 18 months of age.