RESUMEN
The authors report their results in 17 hips treated by distal transposition of the great trochanter in patients suffering from coxa vara resulting either from congenital dislocation of the hip or Perthes disease. The results, evaluated both clinically and radiologically, were excellent. We would emphasize that distal transposition inevitably implies lateralization, which restores the normal musculo-skeletal relationship. The "hyperlordosis" sign is described and its mechanism explained. This simple physical sign is a useful test in evaluating the indications for this type of operation.
Asunto(s)
Necrosis de la Cabeza Femoral/cirugía , Fémur/cirugía , Luxación Congénita de la Cadera/cirugía , Enfermedad de Legg-Calve-Perthes/cirugía , Adolescente , Adulto , Niño , Femenino , Luxación Congénita de la Cadera/diagnóstico por imagen , Humanos , Enfermedad de Legg-Calve-Perthes/diagnóstico por imagen , Métodos , Osteotomía/métodos , Huesos Pélvicos/cirugía , RadiografíaAsunto(s)
Escoliosis/diagnóstico , Femenino , Humanos , Masculino , Ortopedia , Radiografía , Escoliosis/diagnóstico por imagen , Escoliosis/terapiaRESUMEN
Thirty patients with articular pain had been treated with proglumetacin during average 12 days. Twenty-three (77%) responded well to very well to the treatment. Total symptom score decreased by 49%, and each tested symptom (painful, inflammatory and functional) significantly improved, in spite of the short observation period. Tolerance was defined good to excellent in 26 patients (87%). Overall, 10 patients complained of mild to moderate accessory symptoms, mainly heartburn and epigastric pain. No C.N.S. symptoms were observed, nor variations of the laboratory tests, carried out in 16 patients. Proglumetacin, therefore, showed to be a suitable drug for the fast and safe management of articular pain of orthopedic interest.
Asunto(s)
Ácidos Indolacéticos/uso terapéutico , Artropatías/tratamiento farmacológico , Dolor/tratamiento farmacológico , Adulto , Anciano , Brazo , Evaluación de Medicamentos , Tolerancia a Medicamentos , Femenino , Mano , Humanos , Masculino , Persona de Mediana Edad , Enfermedades de la Columna Vertebral/tratamiento farmacológicoRESUMEN
A case of open fracture of the tibia with skin loss and osteitis is reported. It was successfully treated by Papineau's method, which deals with the infection and bone loss before restoring the skin cover.