ABSTRACT
Surgical treatment of Achilles tendon ruptures provides excellent functional results in active individuals, although it carries an incidence of wound complications. After experiencing a 25% wound complication rate with the traditional techniques in Achilles tendon ruptures, we modified the Bosworth technique by passing the gastrocsoleus flap percutaneously through the distal stump. This modification eliminated one third of the distal incision, which appears to be the most vulnerable part. We performed the operation in three consecutive cases. At 2-year follow-up there were no wound complications and no reruptures.
Subject(s)
Achilles Tendon/injuries , Tendon Injuries/surgery , Adult , Follow-Up Studies , Humans , Male , Rupture , Surgical Flaps/methods , Tendon Injuries/complicationsABSTRACT
The relationship between a decrease in systolic blood pressure following methylmethacrylate cement insertion in femoral head replacement and femoral canal diameter was investigated in 33 patients. A positive, significant correlation was demonstrated in all patients, especially among the female subgroup. Femoral canal diameters of 21 mm or more were associated with a significantly greater risk of intraoperative hypotension than were diameters of 20 mm or less. This relationship between femoral canal diameter and hypotension appears to be primary and unrelated to the patient's sex or age. In clinical terms, the femoral canal diameter may be easily measured prior to arthroplasty, and a diameter of 21 mm or more indicates an increased risk of hypotension following insertion of cement into the femoral canal.