ABSTRACT
We report the histological findings of a reconstructed calcar region four years after femoral impaction bone grafting using metal wire mesh for a case with massive defect of the proximal part of the femur. Thin cortical bone was formed just beneath the metal wire mesh and viable trabecular bone containing a small amount of granulation tissue was observed even at the bone-cement interface. Almost no necrotic bone was seen throughout the remodeled bony layer. Histological findings of the present case suggest that calcar reconstruction with impaction bone grafting using a metal wire mesh is a biologically and mechanically favorable reconstruction method for femoral revision cases combined with proximal medial segmental cortex defect.
Subject(s)
Bone Remodeling , Bone Transplantation/methods , Surgical Mesh , Aged , Arthroplasty, Replacement, Hip/methods , Bone Cements , Female , Femur/pathology , Humans , Metals , Necrosis , Plastic Surgery Procedures , ReoperationSubject(s)
Antifungal Agents/administration & dosage , Arthritis/drug therapy , Fusariosis/drug therapy , Fusarium/isolation & purification , Pyrimidines/administration & dosage , Triazoles/administration & dosage , Adolescent , Arthritis/microbiology , Bone Marrow Transplantation/adverse effects , Fusariosis/microbiology , Histocytochemistry , Humans , Immunocompromised Host , Injections, Intra-Articular , Male , Microscopy , Skin/pathology , VoriconazoleABSTRACT
We encountered a very rare case of eosinophilic gastroenteritis accompanied with fasciitis of the extremities. The patient was a 28-year-old woman with epigastralgia, eosinophilia plus leukocytosis, massive pleural effusion and ascites, and thickening of the walls of the intestine. Increase of the eosinophilic fraction in her ascites led to a diagnosis of eosinophilic gastroenteritis. She soon developed resting pain in all limbs and MRI revealed fasciitis. Prednisolone was effective in treating both gastroenteritis and fasciitis.
