ABSTRACT
From 1985 to 2001, the Burch-Schneider antiprotrusio cage (B-S APC) was implanted in 57 cases (55 patients) with massive acetabular deficiency. The B-S APC survived until the last review 5 to 21 years after operation in 89.5% of the cases, produced substantial pain relief, and increased range of hip motion and walking capacity. The 10.5% failure rate was due to aseptic loosening in 2 cases and mechanical failure in 4 cases. It appears that application of the B-S APC in extensive acetabular deficiency presents a durable solution provided that proper indications and technique are used.
Subject(s)
Acetabulum/physiopathology , Acetabulum/surgery , Arthroplasty, Replacement, Hip/instrumentation , Arthroplasty, Replacement, Hip/methods , Adult , Aged , Bone Screws , Female , Follow-Up Studies , Hip Joint/diagnostic imaging , Hip Joint/surgery , Humans , Kaplan-Meier Estimate , Longitudinal Studies , Male , Middle Aged , Polyethylene , Radiography , Range of Motion, Articular/physiology , Retrospective Studies , Treatment OutcomeABSTRACT
A total of 233 Autophor 900-S fully porous coated stems were implanted in 220 patients with an average age of 47.5 years and an average follow-up of 13.5 years. The mean d' Aubigne-Postel score improved from 7.9 points preoperatively to 16.9 points postoperatively (P < .001). The overall result was excellent in 74.6%, good in 18.1%, fair in 5.8%, and poor in 1.5% of cases. One hip was revised for septic and two for aseptic loosening. The overall survival rate of this prosthesis was 98.1% in 17 years. The Autophor 900-S femoral stem has offered a very satisfactory clinical outcome together with considerable prosthesis longevity in the young patient population studied. It combines adequate initial stability, satisfactory subsequent bone ingrowth, smooth load transfer, and low-friction bearing surfaces.
Subject(s)
Arthroplasty, Replacement, Hip/instrumentation , Hip Prosthesis , Adult , Aged , Female , Follow-Up Studies , Humans , Male , Middle Aged , Porosity , Prosthesis Design , ReoperationABSTRACT
The results of 39 humeral shaft fractures (37 patients) treated with antegrade locked nailing using a Russell-Taylor nail were reviewed. There were 30 acute fractures, 6 fractures malaligned in a hanging cast or brace, and 3 pathological fractures. Patient age ranged from 26 to 80 years (average, 59.7 years) and average follow-up was 25.7 months (range, 6-48 months). Fracture union was achieved in 92.3% of our cases, while shoulder function was excellent or good in 87.2% of cases. Antegrade locked nailing offers a dependable solution for the treatment of humeral shaft fractures, especially in polytrauma patients and cases of segmental or pathological fractures. Far less satisfactory results were obtained in comminuted fractures of the proximal third in the humerus, especially in osteoporotic patients, and we therefore advocate caution with the use of intramedullary nailing in this type of fracture. Certain technical aspects such as avoiding nailing the fracture in distraction, properly countersinking the tip of the nail, and achieving adequate fixation stability have been found to be of paramount importance to reduce the incidence of delayed union/non-union rate and to obtain better functional results from the shoulder joint.
