Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Jan 2000
Case ReportsSynovial sarcoma with a large hematoma in the inguinal region.
We report the case of a patient with synovial sarcoma and a large hematoma of the inguinal region. The patient underwent tumor resection of the lower 2/3 of the acetabulum after preoperative chemotherapy. Twenty-four months after surgery, she is alive without any relapse and can walk without support.
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Arch Orthop Trauma Surg · Jan 2000
Postoperative ambulatory level after hip fracture in the elderly predicts survival rate.
The purpose of this study was to evaluate whether the ambulatory level premorbid or at discharge reflected the survival rate better. Ambulatory level was retrospectively evaluated as a postoperative indicator of survival rate following operative treatment in 301 consecutive patients over 65 years old. ⋯ The postoperative ambulatory level at discharge reliably reflected the survival rate in the elderly after hip fracture, better than the premorbid ambulatory level. It is confirmed that the planning of the operation and rehabilitation to maintain the premorbid ambulatory level after hip fracture might be critical.
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Arch Orthop Trauma Surg · Jan 2000
Scintigraphic evaluation of impaction grafting for total hip arthroplasty revision.
To determine the fate of an impacted allograft after a minimum follow-up of 1 year, we examined 9 of 40 patients who underwent revision arthroplasty with the impaction grafting technique. The allograft used in this study was morselized cancellous freeze-dried allograft. We examined these 9 patients with technetium-99 m methylene diphosphonate bone scintigraphy at an average of 14 (range 12-20) months after surgery. ⋯ Scintigraphic examination demonstrated that the area corresponding to the allograft had a remarkable radioactivity accumulation suggesting new bone formation. The allograft in total hip revision using the impaction grafting technique undergoes a significant neovascularization and new bone formation. This study suggests than when vigorous impaction is used, freeze-dried cancellous allograft can be used for impaction grafting.
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Arch Orthop Trauma Surg · Jan 2000
Case ReportsStress fracture of the cuboid in an 8-year-old boy: a characteristic magnetic resonance imaging diagnosis.
A stress fracture of an 8-year-old boy diagnosed on magnetic resonance (MR) images is presented. Stress fractures of the cuboid are probably more common than previously reported. The diagnosis should be considered even when a history of trauma or chronic overload is absent. The MR appearance of the stress fracture was characteristic.
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Arch Orthop Trauma Surg · Jan 2000
Case Reports Comparative StudyThe 'mirrored' Bennett fracture of the base of the fifth metacarpal.
Fractures of the base of the metacarpals are usually treated conservatively. The intra-articular fracture of the base of the first metacarpal ('Bennett fracture') is an exception to this rule because inadequate repositioning and fixation of the dislocated radial fragment lead to permanent deformity of the joint and subsequent degenerative joint disease. ⋯ Inadequate repositioning will lead to pain, reduced strength and early degenerative joint disease. We present six patients with dislocated intra-articular fractures of the base of the fifth metacarpal to illustrate the necessity of surgical reduction and fixation.