ABSTRACT
We describe a patient with a femoral neck fracture undergoing an aortic valve replacement. The study design was a case report. An 82-year-old female with an untreated right femoral neck fracture, and a severe aortic valve stenosis was admitted to a cardiac surgery department for surgical treatment of the valve disease. She underwent aortic valve replacement with a sutureless biological valve prosthesis through a partial sternotomy. At an early stage, the patient was instructed to make postural changes in the standing position. As a result, she was able to perform body movements associated with either a sitting or standing position. This case shows that appropriate early mobilization of a patient with a femoral neck fracture is feasible after aortic valve replacement, even though this does not necessarily mean that the patient needs to walk.
Subject(s)
Aortic Valve Stenosis/surgery , Femoral Neck Fractures/complications , Heart Valve Prosthesis Implantation , Heart Valve Prosthesis , Posture , Aged, 80 and over , Aortic Valve Stenosis/complications , Female , Heart Valve Prosthesis Implantation/methods , Humans , Patient Positioning/methods , Treatment OutcomeABSTRACT
A total of 89 patients with simple traumatic dislocation treated at the Rizzoli Orthopaedic Institute between 1975 and 1986 were reviewed. The authors considered trauma mechanism, treatment, and results. The evaluation showed that elbow dislocation without joint fracture has a favorable prognosis with return to complete functions. Frequently, para-articular calcifications do not negatively affect joint function. Immediate reduction and plaster immobilization for 2 to 3 weeks are required to obtain soft tissue repair, and in order to avoid functional restriction as a result of prolonged immobilization. After removal of plaster active mobilization is sufficient to obtain complete joint function.
Subject(s)
Elbow Injuries , Joint Dislocations , Adolescent , Adult , Aged , Aged, 80 and over , Casts, Surgical , Child , Elbow Joint/diagnostic imaging , Female , Humans , Immobilization , Joint Dislocations/diagnostic imaging , Joint Dislocations/therapy , Male , Middle Aged , Radiography , Time FactorsABSTRACT
Ceramic materials utilized in orthopaedic surgery can be divided into bioinert, causing minimum tissue reaction, and bioactive types, capable of stimulating bone tissue growth, establishing a bond capable of supporting physiological loads. Alumina is a bioinert ceramic which shows excellent mechanical resistance and an extremely low level of wear when given appropriate structural characteristics. It is therefore used to make prosthetic hip components (head and acetabulum), to coat metal prosthetic shafts and to make prostheses for small joints. Among the bioactive ceramics, bioglass, bioglaze and hydroxylapatite are included in the study. At present, bioglass and bioglaze appear interesting, but not sufficiently so as to find a precise niche in orthopaedic surgery. Currently the bioactive ceramic with the most possibilities for use in orthopaedic surgery is hydroxylapatite. The close interfacial bond which is established with bone tissue allows it to be used as a filler for defective bones in various skeletal diseases and as a coating for metal prosthetic substrates.
Subject(s)
Biocompatible Materials/therapeutic use , Ceramics/therapeutic use , Joint Prosthesis , Orthopedics , Aluminum Oxide , Biocompatible Materials/classification , Biomechanical Phenomena , Ceramics/classification , Durapatite/therapeutic use , Humans , Materials Testing , Weight-BearingABSTRACT
The authors describe two cases of subacute epiphysiolysis with severe slipping submitted to corrective subcapitate osteotomy of the femur with an anterior approach. The patients were followed-up after approximately 7 years, and satisfactory results were observed: movement in flexo-extension was preserved with mild limitation of intrarotation. The accuracy of the osteotomy during surgery is emphasized in order to avoid necrosis of the femoral head, and hypercorrection in valgus to avoid shortening.
Subject(s)
Epiphyses, Slipped/surgery , Femur Neck/surgery , Hip Joint , Osteotomy/methods , Adolescent , Child , Epiphyses, Slipped/diagnostic imaging , Femur Neck/diagnostic imaging , Follow-Up Studies , Humans , Male , Radiography , Time FactorsABSTRACT
The authors reviewed 61 cases of cervico-brachialgia due to posterolateral disc herniation treated at the Rizzoli Orthopaedic Institute between 1975 and 1985. Results were positive in 69.3% of the cases, partially negative or negative in 30.7%. An analysis of the results reveals a high correspondence between clinical diagnosis and surgical findings (82%): but the percentage of error in clinical diagnosis (18%) cannot be overlooked. For this reason the clinical diagnosis must be confirmed by CT and/or MRI. In our experience, the posterior approach has proven to be suited to resolving most cervico-brachial pain syndromes due to posterolateral disc herniation.
