ABSTRACT
The authors reported 2 cases of Salter-Harris type IV fracture of the proximal tibial epiphysis in which the fracture line mimicked that of triplane fractures of the distal tibia. X rays and CT aspects were detailed. A surgical management is proposed according to the risk of evolving varus deformity.
Subject(s)
Tibial Fractures/surgery , Adolescent , Epiphyses/injuries , Fracture Fixation, Internal , Humans , Male , Tibial Fractures/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
Sixteen patients suffering from degenerative lumbar stenosis with or without spondylolisthesis underwent surgery following medical treatment failure; symptoms consisted of intermittent claudication, radiculalgia, and lumbago. In all cases, treatment involved dural and nerve root release with extensive lamino-arthrectomy, followed by arthrodesis using the Cotrel and Dubousset Instrumentation with posterolateral arthrodesis in order to avoid postoperative spinal instability. One case met with failure, owing to peridural fibrosis caused by a previous operation, while fifteen good to excellent results were obtained as evaluated according to Stauffer and Coventry criteria.
Subject(s)
Orthopedic Fixation Devices , Spinal Stenosis/surgery , Adult , Aged , Female , Humans , Laminectomy , Male , Middle Aged , Nerve Compression Syndromes/etiology , Nerve Compression Syndromes/surgery , Spinal Fusion , Spinal Nerve Roots , Spinal Stenosis/complicationsABSTRACT
Three hundred eleven operations for patellar instability were reviewed after 2 to 10 years. Best results were obtained with surgical procedures on the quadriceps, especially with plasty of the vastus medialis and occasional transposition of the tibial tuberosity. If the procedure was limited to the patellar cartilage or the tibial tuberosity only, the results were not as good. Good results were achieved in 84 per cent of 269 patients: 14 per cent were satisfactory and 2 per cent were failures.
