J Bone Joint Surg Br
-
J Bone Joint Surg Br · Jan 1992
Case ReportsThe floating hip. Ipsilateral pelvic and femoral fractures.
A consecutive series is reported of 17 patients who underwent early surgical treatment for acetabular or unstable pelvic fractures associated with ipsilateral fractures of the femur. Treatment included external and internal fixation, and required careful consideration of the surgical approach and the positioning of the patient. The multiple injuries sustained by these patients required simultaneous procedures by several surgical teams. ⋯ In nine patients the definitive treatment of their other fractures was delayed for an average of 11 days. There were no deaths, and no serious infections. The long-term morbidity resulted from the associated injuries and not from the pelvic or femoral fractures.
-
J Bone Joint Surg Br · Jan 1992
Diagnosis and assessment of pectoralis major rupture by dynamometry.
Four patients with pectoralis major ruptures underwent clinical and dynamometric assessment and one patient underwent late surgical repair. The operation is described. Dynamometry proved a useful and objective method of estimating the loss of strength and indicating patients who might benefit from surgical repair.
-
J Bone Joint Surg Br · Nov 1991
Review Case ReportsLow back pain with fracture of the pedicle and contralateral spondylolysis. A technique of surgical management.
We present a 26-year-old athlete with severe low back pain associated with a fracture of a lumbar pedicle and contralateral spondylolysis. The difficulties of diagnosis are discussed together with the subject of segmental pain referral. A technique of operative management is described involving instrumentation of the symptomatic level alone.