Arthroscopic release of the diabetic persistent frozen shoulder

Sixteen diabetic patients who developed frozen shoulder which failed to respond to conservative treatment were subjected to arthroscopic shoulder release between January 2000 and March 2001. They had persistent pain, stiffness and limited function. They were followed up for an average period of 22 months, ranging between 19 and 24 months and evaluated according to the modified score of UCLAwith an average improvement of 16.25 points; 3 patients scored excellent [18.75%], 12 good [75%] and 1 fair [6.25%] result. In addition, the patients were assessed preoperatively and postoperatively for forward flexion, external rotation, abduction and internal rotation. The study revealed a good measurable increase in the range of motion in all planes. The study also considered arthroscopic release of the diabetic persistent frozen shoulder to be an effective method of treatment

Periprosthetic fractures around the hip

Authors reviewed their experience with 19 cases of periprosthetic fractures in 19 patients [No bilateral cases]. Follow up period ranged between 18 months and 39 months [mean average of 28 months]. Patients aged between 42 years and 67 years [mean average 58 years]. There were 11 males and 8 females. All patients were classified according to the classification. Two were type A, 13 type B and 4 type C. Treatment was tailored according to stem stability varying from simple wiring or screw fixation for greater trichinae fractures [Ag type] to compete revision using made prosthesis. We had only one case of failed fixation [5.3%]. We concluded that sound and tailored surgical management based on a proper classifications gives good results on the final outcome