Surgical treatment of neglected congenital dislocation of the HIP joint

Sixteen cases of congenital dislocation of hip joint with an age range between 9 months and 6 years at the time of presentation were operatively treated by open reduction combined with Salter pelvic osteotomy in one stage, to be followed 3 - 4 weeks later by varus derotation femoral osteotomy. The patients were followed up to 4 years after surgery and the results were all satisfactory. In all cases the joint was well reduced except in one case in which concentric reduction and perfect containment could not be achieved. No cases of avascular necrosis or head collapse were recorded. The range of movements was almost full in all directions apart from limitation of the last degrees of abduction and external rotation

Granulocytic sarcoma in bone preceding diagnosis of acute leukemia a report of two cases

Granulocytic sarcomas may develop during the course of, or as a presenting sign of, myelogenous leukemia. Rarely, however, an extramedullary neoplasm composed of poorly differentiated granulocytic cells occurs in patients without peripheral blood or bone marrow evidence of leukemia. We encountered two cases of granulocytic sarcoma [chloroma] of bone with negative blood and bone marrow finding. Before and after biopsy taking we were confused about the diagnosis and we had to review the literature. The aim of this work is to put this lesion in focus, so that orthopaedic surgeons may not be confused on facing such lesion

Reconstruction of anterior cruciate ligament using Leeds Keio ligament system

Twelve cases of chronic knee instability due to anterior cruciate ligament insufficiency were treated using Leeds Keio implant as a synthetic ligament. All the cases were young active males with an average age of 26 years. The follow up period ranged from 6 months to 2 years. Results were satisfactory as regard knee instability [-ve Lachman and anterior drawer tests] with some limitation of flexion of the knee