ABSTRACT
102 cases of fractures of the odontoid process have been seen by the author - 73 recent cases and 29 old ones. It was important to distinguish basal fractures (29 cases), which all united after conservative treatment by reduction and skull traction for six weeks followed by a plaster cast for six to eight weeks, and fractures of the body (44 cases). 41 body fractures were treated conservatively, of which 6 died and only 20 united. The authors consider that treatment by skull traction must always be tried. An eventual indication for surgery can be made at about the 20th day if displacement is found to be present in spite of treatment. Fusion in these cases must be limited to C1-C2. It is best obtained by a combination of wiring and grafting.
Subject(s)
Axis, Cervical Vertebra/injuries , Fractures, Bone/therapy , Fractures, Closed/therapy , Adolescent , Adult , Aged , Axis, Cervical Vertebra/pathology , Axis, Cervical Vertebra/surgery , Casts, Surgical , Child , Female , Humans , Male , Middle Aged , TractionABSTRACT
After trochanteric fractures, the rate of survival of old patients was best when treated by the Ender method: 15% died during 3 months following the fracture. The procedure is uneasy and an excellent radiologic technique is necessary. The position of the proximal end of the first nail in the femoral head is most important. Excessive external rotation was frequent, but little desabling. Secondary displacement of the nails toward the distal end occurred in 25% of the cases and was difficult to avoid but remained moderate. The procedure is indicated in old people with porotic bones. It should not be done in subtrochanteric fractures.
Subject(s)
Bone Nails/adverse effects , Hip Fractures/surgery , Adult , Age Factors , Aged , Female , Humans , Male , Methods , Middle Aged , Postoperative ComplicationsSubject(s)
Bone Plates , Animals , Bone Plates/adverse effects , Bone and Bones/pathology , Dogs , Male , Stress, MechanicalABSTRACT
The authors have performed lumbar venography on 120 occasions in patients with low back pain. In 58 patients in whom the herniated disc was confirmed, the result of venography was positive and the localisation was precise in 67 cases. It is concluded that the method is safe, reliable and allows precision in diagnosis to allow better selection for surgical treatment. The examination is particularly useful in recurrent sciatica, fractures of the lumbar spine, recent or old, and in spinal stenosis. It may be associated with discography when the result is not clear cut.
Subject(s)
Intervertebral Disc Displacement/diagnostic imaging , Phlebography , Spine/blood supply , Arthritis/diagnostic imaging , Back Pain/diagnostic imaging , Fractures, Bone/diagnostic imaging , Humans , Intervertebral Disc Displacement/surgery , Lumbar Vertebrae/surgery , Sciatica/diagnostic imaging , Spinal Injuries/diagnostic imagingSubject(s)
Heparin/administration & dosage , Hip Prosthesis , Postoperative Complications/prevention & control , Thrombophlebitis/prevention & control , Aged , Female , Heparin/therapeutic use , Humans , Injections, Subcutaneous , Male , Middle Aged , Postoperative Care , Preoperative Care , Thrombophlebitis/etiologySubject(s)
Fracture Fixation/methods , Tibial Fractures/surgery , Adolescent , Adult , Aged , Bone Plates , Bone Screws , Female , Follow-Up Studies , Fracture Fixation, Internal , Humans , Male , Middle Aged , Postoperative ComplicationsSubject(s)
Cineradiography/methods , Intervertebral Disc Displacement/physiopathology , Intervertebral Disc/physiology , Adult , Computers , Female , Humans , Intervertebral Disc/diagnostic imaging , Intervertebral Disc Displacement/diagnostic imaging , Lumbar Vertebrae , Movement , Spondylitis/diagnostic imagingABSTRACT
Twenty six patients (without thrombosis) had a normal 125I-fibrinogen test, among whom 15 had a normal phlebography; 18 patients (with thrombosis) had a positive 125I-fibrinogen test among whom 11 had a positive phlebography. There was a discrepancy between phlebography and 125I-fibrinogen test in 2 patients. In patients with thrombosis, there is a significantly increase of FgE levels for several days after the intervention. However the measurement of FgE is not a reliable test (4% of false positive and 38% of false negative); but it is always elevated in femoral and popliteal thrombosis.
