ABSTRACT
No disponible
Subject(s)
Humans , Female , Adult , Subcutaneous Emphysema/etiology , Pain, Postoperative/etiology , Tooth, Unerupted/surgery , Tooth Extraction/adverse effects , Iatrogenic Disease , Postoperative Complications/diagnosis , Radiography, Panoramic/methodsABSTRACT
In the treatment of unstable pelvic ring fractures, external fixators have the limitation of not adequately stabilizing the injured posterior elements. This article presents a novel and simple technique of temporary external fixation of the pelvic ring, able to produce compression of both the anterior and posterior pelvic elements. A curved flexible carbon-fiber rod is used, pre-tensioned before attachment to supra-acetabular Schanz screws. Although more extensive clinical experience is required, favorable preliminary results in a series of 13 patients with unstable pelvic fracture were encouraging: the aim of closing the posterior and anterior elements of the pelvic ring was achieved in all cases treated with this technique, and 12 patients survived. Radiological results were excellent in 3 cases and good in 9 cases. No major complications, such as secondary displacement, vertical re-displacement or deep infection, were observed. Mean operative time was 25min, compatible with emergency management.
Subject(s)
External Fixators , Fracture Fixation/methods , Fractures, Bone/surgery , Joint Dislocations/surgery , Pelvic Bones/surgery , Acetabulum/surgery , Adult , Aged , Bone Screws , Female , Fracture Fixation/instrumentation , Fractures, Bone/diagnostic imaging , Humans , Joint Dislocations/diagnostic imaging , Male , Middle Aged , Operative Time , Pelvic Bones/diagnostic imaging , Pelvic Bones/injuries , RadiographyABSTRACT
An unusual case of an area of necrosis on the talar neck of a girl with a 2-year history of gradually increasing pain following an ankle sprain is presented. Initial radiographs were normal but follow-up radiography showed irregularity in the anterior talar neck. A definitive diagnosis was made by magnetic resonance imaging. Arthroscopic removal of a necrotic fragment from the anterior talar neck that was impinging on the tibia relieved her symptoms. Two years after the operation the patient has normal radiographs and full activity.
Subject(s)
Arthroscopy , Endoscopy , Talus/pathology , Adolescent , Ankle Injuries/complications , Female , Humans , Necrosis , Talus/surgeryABSTRACT
Fifty-one knees with patellofemoral symptoms, but with normal conventional radiographs, were studied by CT-scan. All but five showed evidence of malalignment, and when operated on had an abnormality of the articular cartilage. The authors conclude that in many cases a CT-scan is the best diagnostic procedure for the evaluation of disorders of the patellofemoral joint.
