Clinical orthopaedics and related research
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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.
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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.
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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.
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Clin. Orthop. Relat. Res. · Mar 1984
Case ReportsInstillation of continuous tube irrigation in the septic knee at arthroscopy. A technique.
The arthroscope was employed to install a continuous closed tube irrigation system in four septic knees in three patients who had complex medical problems. This simple technique may be accomplished by the orthopedic surgeon with limited arthroscopic expertise. In the open drainage versus closed aspiration dilemma that surrounds the management of septic arthritis, this semi-invasive procedure offers promise as an alternative treatment in complicated cases of pyarthrosis of the knee.
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Clin. Orthop. Relat. Res. · Jan 1984
Preliminary results with abrasion arthroplasty in the osteoarthritic knee.
A retrospective survey of 110 patients treated by arthroscopic debridement of the knee joint was conducted; 73 of 100 operations included abrasion arthroplasty. The average follow-up period was one year. All patients had Grade IV articular changes. ⋯ In a comparable group of 37 patients treated by medial compartment debridement and medial meniscectomy without abrasion only 32% showed improvement. Thus, tentative results in this small series of patients treated by abrasion arthroplasty are encouraging. Further investigations in a larger series are warranted to determine the long-term results of the procedure.