Evalation of total shoulder joint replacement in rheumatoid arthritis

Twenty total shoulder joint replacements were performed in 17 patients with Rheumatoid arthritis. The mean age of the patients was 53 years and the female to male ratio was 3:1. The indication for surgery was disabling pain and limited function. The prosthesis used was non-constrained and modular with cementing of both glenoid and humeral components. At an average follow up period of 9 months, there was significant pain relief in 19 shoulders [95%] whereas the gain in the range of motion was moderate. The average improvement in the Constant score was 33 points. Radiological analysis showed non-progressive lucency in 8 glenoid components less than 1mm;

Post poliomyelitic fixed abduction contracture of one hip: Natural history of the unaffected side Report of four cases

One hip following poliomyelitis presented in early adult life with progressive subluxation of the other hip and degenerative arthritis

Closed locked intramedullary nailing in the treatment of femoral shaft fractures: a preliminary report

Closed locked intramedullary nailing was performed in fifteen femoral shaft fractures in fifteen male patients. Thirteen cases were simple closed fractures and only one case was infected, compound fracture treated primarily with external fixator. Static locking was employed in 12 cases and dynamic locking in 3 cases. Union and consolidation of the fracture occurred in 14 cases [93.3%]. The average mean time for consolidation was 3.6 months. Return of motion of hip and knee of the injured limb was restored completely in 13 patients usually before the end of the 5th month postoperatively. No patient had clinical evidence of thromboembolic disease or fat embolism syndrome. None of the patients developed deep infection or inequality of limb length

Cast brace treatment of fractures of the lower third of the humerus

Thirty eight patients with recent fracture of the lower third of the humerus were treated with a functional brace. Radial nerve palsy was associated in 6 patients [15.8%]. Union was achieved in 32 patients [84.2%] after an average period of 63.6 days of brace application. At the time of brace removal, all patients had a full range of elbow motion even those who developed nonunion. Six patients [15.8%] passed to nonunion. Eighteen patients healed with a varus deformity averaging 15.6. Four patients healed with anterior angulation averaging 4 and two patients healed with posterior angulation averaging 15