Subject(s)
Arthritis, Rheumatoid , Choline , Glucose , Magnetic Resonance Spectroscopy/methods , Osteoarthritis/diagnosis , Synovial Membrane , Arthritis, Rheumatoid/diagnosis , Arthritis, Rheumatoid/metabolism , Biomarkers/analysis , Biomarkers/metabolism , Choline/analysis , Choline/metabolism , Chromatography, Ion Exchange/methods , Diagnosis, Differential , Female , Glucose/analysis , Glucose/metabolism , Humans , Male , Mass Spectrometry/methods , Middle Aged , Reproducibility of Results , Risk Assessment , Synovial Fluid/metabolism , Synovial Membrane/metabolism , Synovial Membrane/pathologyABSTRACT
The end result after open reduction and internal fixation in distal leg fractures is jeopardized by soft tissue complications. Functional conservative treatment of the same type of fractures often results in delayed and non-union, malunion or non-optimal functional result concerning ankle mobility. Mini-invasive plateosteosynthesis was performed in ten patients with sustained juxta or intra-articular fractures of the distal tibia. In all patients, stable osteo-fixation could be achieved and soft tissue complications did not affect the final result in any of the patients. Mini-invasive plateosteosynthesis seems to be a good treatment alternative in extra- or intraarticular fractures of the distal leg.
Subject(s)
Bone Plates , Fracture Fixation, Internal/methods , Minimally Invasive Surgical Procedures/methods , Tibial Fractures/surgery , Adult , Aged , Bone Screws , Female , Fracture Healing , Humans , Male , Middle Aged , Radiography , Tibial Fractures/diagnostic imaging , Wound HealingABSTRACT
With a soft-tissue plasty, stability could be obtained in 17 of 22 patients with unstable hips after total hip arthroplasty. While in 16 of 18 patients with a posterior instability stability was achieved, only 1 of 3 patients with a unstable hip for dislocation in all directions was successfully treated. No stability could be achieved in one patient with a hip which dislocated anteriorly. The method described should only be used for posterior recurrent dislocations after total hip arthroplasty.