Clinical orthopaedics and related research
-
Clin. Orthop. Relat. Res. · Apr 1984
Transtrochanteric rotational osteotomy in the treatment of idiopathic and steroid-induced femoral head necrosis, Perthes' disease, slipped capital femoral epiphysis, and osteoarthritis of the hip. Indications and results.
Transtrochanteric rotational osteotomies were successful in 342 hips (274 patients) for the treatment of idiopathic and steroid-induced osteonecrosis of the femoral head, Perthes' disease, slipped capital femoral epiphysis, osteoarthritis, and other disorders. One hundred fifty-eight hips (113 patients) with idiopathic and steroid-induced necrosis were followed up for two to 11 years. In 121 of 158 hips, excellent results were obtained clinically and roentgenographically. ⋯ Ten of these patients were followed up for two to nine years; nine of ten showed excellent results. In only one hip with a severely dysplastic acetabulum was there a recurrence of pain and narrowing of joint space. These results suggest that this procedure may be used not only for femoral head necrosis but for patients with Perthes' disease, slipped capital epiphysis, and osteoarthritis of the hip as well.
-
Clin. Orthop. Relat. Res. · Apr 1984
Case ReportsPes cavovarus following ankle fracture. A case report.
Pes cavovarus as a late sequela of tibial shaft fractures is well recognized. A similar deformity following an ankle fracture is rare. The patient in the present report had a cavovarus deformity following a trimalleolar fracture. A deep posterior compartment syndrome may follow an ankle fracture and should be considered in any patient with unrelenting pain.
-
Clin. Orthop. Relat. Res. · Apr 1984
Case ReportsBrachial artery disruption following closed posterior elbow dislocation in a child--assessment with intravenous digital angiography. A case report with review of the literature.
An 11-year-old boy sustained complete brachial artery disruption following closed posterior elbow dislocation. This is the first documentation in the English-language literature of this type of arterial transection following closed elbow dislocation in a child. It is also the first report of surgical repair of the brachial artery following elbow dislocation in a child. ⋯ This procedure is relatively painless compared with conventional angiography with percutaneous arterial puncture. The procedure provides the treating physician with an objective method for assessing brachial artery integrity. Arterial repair may decrease the potential risks of delayed complications, e.g., cold intolerance, potential growth disturbance, and possible delayed neurovascular residues associated with localized ischemia to the forearm and hand.