RESUMEN
The data of 10 cases of traumatic extra-articular ankylosis of temporomandibular joint(TMJ),including the type of trauma and the type of ankylosis,pathology,treatment method,prognosis,and so on were collected and analyzed.A reference of diagnosis and treatment is provided.
RESUMEN
El siguiente trabajo es la presentación de un caso ingresado en el servicio de Medicina Interna del Hospital Provincial Abel Santamaría Cuadrado, provincia Pinar del Río, en septiembre del 2007, con el diagnóstico de Gota Tofácea crónica. Este paciente presentaba una artritis invalidante y la presencia de tofos con grandes dimensiones que han provocado la anquilosis articular y deformaciones significativas. Considerando que es de gran interés semiológico para estudiantes de pre y postgrado, así como personal médico en general, pues en la actualidad es difícil encontrar pacientes con las manifestaciones encontradas al examen físico de este caso, debido a la prontitud del diagnóstico, la sistematicidad del tratamiento que se realiza en estos momentos.
The present study is a case presentation admitted at Internal Medicine Service in Abel Santamaría Cuadrado Provincial Hospital in September 2007 with a diagnosis of chronic tophaceous gout. This patient presented an invalid arthritis and the presence of tophos with large dimensions provoking the articular ankylosis and significant malformations being interesting semiologically to pregraduate and postgraduate students as well as the medical staff in general because it is hard to find out patients with manifestations found in the physical examination at present due to the quickness of diagnosis and systematicity of the treatment.
RESUMEN
12 cases of Thompson's quadricepsplasty for extra-articular ankylosis of the knee joints which we experienced, were evaluated and analyzed. We obtained the following results. 1. Most of our cases had fracture in the middle one third of the femur. 2. Average 62.5 degrees of flexion range was gained by the operation. 3. Among the 2 cases in which extension lag existed before the operation, it has disappeared in one and still remained in the other case after the operation. 4 cases of new extension lags appeared after the operation. Average extension lag after the operation was 13 degrees. 4. Immediate postoperative exercises and adequate physiotherapy are considered to be very important.