Asunto(s)
Fracturas del Fémur/etiología , Prótesis de Cadera , Anciano , Femenino , Fracturas del Fémur/diagnóstico por imagen , Fracturas del Fémur/prevención & control , Fracturas del Fémur/cirugía , Estudios de Seguimiento , Fijación Interna de Fracturas , Prótesis de Cadera/efectos adversos , Humanos , Persona de Mediana Edad , Complicaciones Posoperatorias , Falla de Prótesis , RadiografíaRESUMEN
In adult patients with considerable loss of function due to an unreduced congenital dislocation of the hip with a false acetabulum, the authors posed the question "Is it feasible, with a reasonable chance of success, to perform an arthroprosthesis in the "pathological" position, using the false acetabulum as a seating for the cup?" The aim of this study was to assess, in particular, the holding properties of the cup which has to be fitted after appropriate reaming, into this rather precarious false acetabulum. They define the indications for this procedure and describe their technique. The results of 34 operations, followed up for an average of 5 years, confirm the validity of this procedure.
Asunto(s)
Acetábulo , Luxación Congénita de la Cadera/cirugía , Prótesis de Cadera , Factores de Edad , Anciano , Femenino , Estudios de Seguimiento , Luxación Congénita de la Cadera/complicaciones , Luxación Congénita de la Cadera/diagnóstico por imagen , Humanos , Masculino , Persona de Mediana Edad , Osteoartritis/diagnóstico por imagen , Osteoartritis/etiología , RadiografíaRESUMEN
Decompensated arthrosis secondary to genu varum is always a severely disabling condition. In English speaking countries there is an increasing trend towards prosthetic replacement surgery, but the present paper aims to show that valgising tibial osteotomy is still a valid form of treatment. The authors also discuss the various techniques that have been used and describe the advantages and results of their own preferred technique of "domed" osteotomy.
Asunto(s)
Artritis/cirugía , Articulación de la Rodilla/cirugía , Osteotomía/métodos , Tibia/cirugía , Artritis/diagnóstico por imagen , Femenino , Estudios de Seguimiento , Humanos , Articulación de la Rodilla/diagnóstico por imagen , Ligamentos Articulares/diagnóstico por imagen , Ligamentos Articulares/cirugía , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias/diagnóstico por imagen , Radiografía , Tibia/diagnóstico por imagen , Cicatrización de HeridasRESUMEN
This study is an evaluation of intertrochanteric osteotomy in cases of idiopathic osteonecrosis of the femoral head (I.O.F.H.) in patients too young to be suitable for prosthetic replacement. The variety of material, the length of follow-up, and the detailed evaluation on a points system, are sufficient for valid comparison with more recently introduced methods of treatment.
Asunto(s)
Necrosis de la Cabeza Femoral/cirugía , Fémur/cirugía , Osteotomía , Adulto , Estudios de Evaluación como Asunto , Femenino , Fémur/diagnóstico por imagen , Necrosis de la Cabeza Femoral/diagnóstico por imagen , Estudios de Seguimiento , Humanos , Masculino , Osteotomía/métodos , Radiografía , Factores de TiempoRESUMEN
There are obvious advantages in intramedullary osteosynthesis by closed reduction as compared with open reduction and osteosynthesis using a plate and screws in non-articular fractures of the long bones. This has led to a modification of Küntscher's nail with a view to improving its effectiveness and enlarging the indications.