ABSTRACT
Two turret exostoses in one hand were simultaneously excised--one with good results, one with recurrence of adhesions. Photographic documentation, starting with the original injury, shows that the periosteum was widely lacerated. Tenolysis with fat tissue graft interposition failed. A second tenolysis with interposition of Silastic membrane was successful.
Subject(s)
Exostoses/surgery , Fingers/surgery , Exostoses/diagnostic imaging , Exostoses/etiology , Finger Injuries/complications , Finger Injuries/surgery , Humans , Male , Middle Aged , Radiography , RecurrenceABSTRACT
When both the medial and patellofemoral compartments of the knee joint are involved with osteoarthritis, combining the Coventry high tibial osteotomy with the Maquet tibial tubercle advancement in one single operation has the following advantages: only one incision is necessary; no donor site is needed; and the sagittal alignment of the tibial shaft with the tibial plateau is preserved, which allows a better contact of the cut surfaces and better biomechanical stability. Modified techniques provide for medial displacement of the patellar ligament and may reduce the risk of ischemic necrosis.
