Orthop Traumatol Sur
-
Orthop Traumatol Sur · Nov 2009
Total hip arthroplasty in severe segmental femoral bone loss situations: use of a reconstruction modular stem design (JVC IX). Retrospective study of 23 cases.
Management of extensive proximal femur bone loss secondary to tumor resection or major osteolysis remains controversial. The possible options include a composite allograft/stem prosthesis, a modular type megaprosthesis or a custom-made megaprosthesis. Modularity allows versatility at reconstruction and avoids the delay required manufacturing a custom-made implant. Hypothesis and type of study: A retrospective radiological and clinical study investigated whether a special reconstruction modular stem design (JVC IX) would provide medium term success in the treatment of severe proximal femur bone loss. ⋯ Level IV retrospective, therapeutic study.
-
Orthop Traumatol Sur · Nov 2009
Case ReportsA rare cause of non discal sciatica: schwannoma of the sciatic nerve.
Schwannomas are peripheral nerve sheath tumors. Schwannomas arising in the sciatic nerve are considered a rare condition. Their symptomatology usually mimics sciatic pain due to a herniated disc, which can delay the diagnosis. ⋯ Excision of the tumor was easily performed without neural lesioning. Histopathological examination revealed the tumor to be a schwannoma. No neurologic deficit was noted postoperatively which confirms the good prognosis of this tumor.
-
Orthop Traumatol Sur · Nov 2009
Comparative StudyTreatment of sickle cell disease's hip necrosis by core decompression: a prospective case-control study.
The young age of patients, total arthroplasties complications risks, and implant costs justify evaluation of the results of core decompression in the treatment of sickle-cell disease avascular necrosis of the femoral head (ONFH). ⋯ Level III case-control therapeutic study.
-
Orthop Traumatol Sur · Nov 2009
Elderly patient's mortality and morbidity following trochanteric fracture. A prospective study of 100 cases.
Trochanteric fractures are a major source of mortality, morbidity and functional impairment in the elderly. Morbidity is closely related to the degree of instability and comminution and is substantially influenced by the quality of reduction and internal fixation. Advanced age and associated co-morbidities are two decisive factors of mortality secondary to trochanteric fracture. ⋯ Level III: Prospective diagnostic study.