Operative treatment of cervicobrachialgia and vertigo due to uncovertebral joint arthritis.

In the field of cervical spondylosis, cervicobrachialgia caused by uncovertebral joint arthritis has been well defined and classified, as it is seen quite commonly in clinical practice. Non-operative treatment relieves the symptoms in most cases. Operative treatment is used when the neurovascular structures are involved and the patient does not respond to conservative treatment. The authors present the surgical technique they employed on 38 patients with neck and arm pain due to uncovertebral joint arthritis, and they report the long-term results.

[Osteochondritis dissecans of the elbow (presentation of 2 rare cases)]. / L'osteocondrite dissecante del gomito (presentazione di due rari casi).

The authors show two cases of dissecting osteochondritis of elbow, confirming the frequent absence of a clinical symptomatology in the initial stages of such disease and the benignancy of its course. From a careful study of the casuistries present in literature, what emerges is the rareness of this location, together with a prudent therapeutical trend with periodic clinical and radiographical checkings, reserving the surgical solution to the cases of articular free body with episodes of block.

[Alkaptonuria and ochronosis: presentation of a clinical case]. / Alcaptonuria e ocronosi: presentazione di un caso clinico.

In the present work a case of alcaptonuric arthropathy is described. The rareness of such type of pathology has suggested us a re-examination of the ptrtaining literature; after a necessary introduction concerning the etiopathogenetic and anatomo-pathological part, we detailedly explain the clinico-diagnostical aspect. We subsequently document the case we had the opportunity to observe. Due to the seriousness of the articular involvement, we subjected it to radical surgical treatment, from which it enjoyed a real advantage.

[Triple screwing in sub-capitated fractures of the neck of the femur (our experience)]. / Il triplice avvitamento nelle fratture sottocapitate del collo del femore.

The authors showed a method of treatment of the fractures of femur-neck under head, being persuaded of its validity, for the good remote results in the 38 cases shown, the lighter trauma caused to this type of patients, and the lower risk and operative care required.

[Considerations on the treatment of fractures of the olecranon]. / Considerazioni sul trattamento delle fratture di olecrano.

The authors illustrated the principles of dynamic osteosynthesis applied to olecranon, showed the good results obtained in 40 cases, and pointed out the importance of the early mobilization on a stabilized fracture focus.

[Fractures of the radial capitellum. Resection of the capitellum (remote results)]. / Fratture del capitello radiale. Resezione del capitello (risultati a distanza).

The authors showed 32 cases of resection of radial capital, inspected 2 years after operation, the results of which, as compared with those obtained through other methods, revealed a good remote validity. This is true in cases where no other important lesions, especially in the periarticular soft parts, were present.

[Arthrography of the operated meniscus]. / L'artrografia nel menisco operato.

The authors performed 20 double contrast arthrographits in syntomatic patients after meniscectomy. The results demonstrate that the lesions occur more frequently in partially excised menisc compared with totally existed ones. In some cases no meniscal regeneration has been found for menisci excised 2 to 4 years before.

[Clinico-functional evaluation of patients operated for the removal of total prosthesis of the hip]. / Valutazione clinico funzionale dei pazienti operati di rimozione di protesi totale d'anca.

The authors report the clinico-functional results observed in 109 patients subjected to removal of a total hip replacement. After remarking the progressive increase in the aseptic mobilizations recorded during the last years, and after shortly stating the criteria whereby the prosthesized patients are controlled along with the time, they detailedly set forth the results. In conclusion, the results recorded are generally satisfactory, although the operation for removal of the replacement is an expedient badly fitting subjects in young or, anyhow, working age.

[Physiopathology of uncarthrosis]. / La fisiopatologia dell'uncoartrosi.

In the present work some concepts of physiopathology and pathogenesis of cervico-brachial neuralgiae due to uncoarthrosis are punctualized; after a short specification about diagnostics, the possibility of a surgical treatment is schematically represented.

[Bennett's fracture-luxation]. / La frattura-lussazione di Bennett.

Authors refer your experience in the treatment of Bennett' fracture with no surgical open treatment but a conservative treatment.

[Limits of prosthetic restoration of the hip joint and possibilities of recovery in failures]. / Limiti della protesizzazione dell'anca e possibilita' di recupero negli insuccessi.

The Authors report on treatment of patients with total prosthesis of the hip, in whom mobilisation of the prosthesis or one or both its components has occurred. In particular, stress is put on the results of the operation of removal of the prosthesis, which finds its major indications in cases of acute or remote, deep sepsis, and in case of aseptic mobilisation when the theoretical presuppositions allowing its substitution do not exist.