RESUMEN
A prospective, randomized study comparing the Dynamic Hip screws and the Gouffon screws in the treatment of femoral neck fractures was terminated before the planned number of patients had been admitted, owing to a preponderance of early failure of the Gouffon screws (P 0.014); thus only 73 patients entered the study. After three years' follow-up, 25/38 Gouffon screws and 12/35 Dynamic Hip screws had failed. Six patients treated with Gouffon screws and 14 treated with Dynamic Hip screws had died. The outcome still favoured the use of Dynamic Hip screws (P 0.02).
Asunto(s)
Tornillos Óseos , Fracturas del Cuello Femoral/cirugía , Anciano , Anciano de 80 o más Años , Distribución de Chi-Cuadrado , Femenino , Humanos , Modelos Logísticos , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias/etiología , Estudios ProspectivosRESUMEN
Achilles tendon rupture is a common condition for which several short-term studies have been published. This paper describes an investigation of the long-term disability as well as persistent complications and complaints arising from Achilles tendon rupture.
Asunto(s)
Tendón Calcáneo/lesiones , Traumatismos en Atletas/cirugía , Traumatismos de los Tendones/cirugía , Adulto , Anciano , Articulación del Tobillo/fisiología , Fenómenos Biomecánicos , Estudios de Seguimiento , Humanos , Persona de Mediana Edad , Movimiento , RoturaAsunto(s)
Amputación Quirúrgica , Isquemia/diagnóstico , Pierna/irrigación sanguínea , Adulto , Anciano , Femenino , Humanos , Isquemia/cirugía , Pierna/cirugía , Masculino , Persona de Mediana Edad , PronósticoRESUMEN
Five patients with fractures of the lateral tibial condyle were treated operatively by resurfacing of the lateral tibial plateau by means of a Marmor polyethylene tibial prosthesis. The indications were persistent pain and valgus deformity. In four patients, in whom the cartilage of the lateral femoral condyle was normal at the time of operation, the results were excellent. One patient with osteoarthritic cartilage degeneration of the femoral condyle was not improved by the operation.