ABSTRACT
Thirty-five patients with recurrent dislocation of the peroneal tendons were operated a.m. Du Vries. One patient had bilateral dislocations. The dislocation was traumatic in 28 cases and idiopathic in eight. Peroperative complications occurred in eight of the 36 patients due to malposition of a screw, fracture of the malleolus and/or fracture of the bone graft. The follow-up period was 5 years. In 31 cases the functional results were satisfactory. Five cases were unsatisfactory due to re-dislocation, subluxation or a vague feeling of instability. The inserted screw was the cause of moderate complaints in 15 cases. The Du Vries' operation is technically difficult; the sliding bone graft must be of adequate size; the position of the screw should be checked radiographically during the operation; and the screw should be removed when the bone graft has healed.
Subject(s)
Tendon Injuries/surgery , Adolescent , Adult , Ankle Joint/surgery , Bone Screws , Bone Transplantation , Casts, Surgical , Female , Fibula/surgery , Follow-Up Studies , Humans , Male , Middle Aged , RecurrenceABSTRACT
Os odontoideum is a rare condition in which instability may damage the upper cervical cord. A delay in diagnosis is not uncommon. This paper describes a series of 11 patients with os odontoideum. The presenting symptoms were divided into three groups: posttraumatic neck-pain, gradually appearing signs of medullary compression and an asymptomatic group. Eight patients had atlanto-axial instability. Six had interlaminar fusion between atlas and axis. No serious complications were seen. Stability was obtained in all patients postoperatively. In case of significant instability, fusion is indicated. In patients with cerebral palsy a closer examination of the upper cervical cord is recommended.
Subject(s)
Atlanto-Axial Joint/physiopathology , Cervical Vertebrae/abnormalities , Adult , Aged , Cervical Vertebrae/injuries , Cervical Vertebrae/surgery , Child , Female , Humans , Joint Dislocations/etiology , Male , Middle Aged , Neck , Pain/etiology , Spinal Cord Injuries/etiologySubject(s)
Axis, Cervical Vertebra/diagnostic imaging , Cervical Atlas/diagnostic imaging , Joint Dislocations/diagnostic imaging , Axis, Cervical Vertebra/injuries , Cervical Atlas/injuries , Child , Child, Preschool , Female , Humans , Joint Dislocations/etiology , Joint Dislocations/therapy , Male , RadiographySubject(s)
Burns/epidemiology , Adolescent , Adult , Aged , Burns/classification , Burns/therapy , Burns, Electric/epidemiology , Child , Child, Preschool , Denmark , Female , Humans , Male , Middle Aged , Surgery Department, HospitalSubject(s)
Burns/epidemiology , Occupational Diseases/epidemiology , Adolescent , Adult , Aged , Burns/etiology , Denmark , Female , Humans , Male , Middle Aged , Occupational Diseases/etiologySubject(s)
Humerus/pathology , Osteonecrosis/diagnostic imaging , Child , Epiphyses/pathology , Female , Humans , Male , Radiography , SyndromeSubject(s)
Burns/etiology , Occupational Diseases/etiology , Tars , Adolescent , Adult , Burns/therapy , Denmark , Follow-Up Studies , Humans , Male , Occupational Diseases/therapyABSTRACT
The present study was conducted to assess whether immune complex (IC) activity, measured by a complement consumption assay (CC) could be used to indicate a forthcoming rejection crisis in the early phase after renal transplantation. Complement factor B and C4 determinations by immunoassays were performed also. Consecutive specimens were drawn from each patient (n = 14) from zero to nineteen days after transplantation. In seven of the fourteen patients elevated levels of IC activity were demonstrated prior to transplantation. About three weeks later only 2 of the patients had demonstrable IC in circulation. Activated factor B (B) was found in 11 of the patients just before transplantation; however, only three of the patients were factor B positive nineteen days later. During the same observation time ten of the patients (71%) had indication of one or several rejection crises. With a few exceptions only minor individual fluctuation in C4 serum-concentrations were seen. It is concluded that circulating IC occurred in a rather high percentage of patients with glomerulonephritis or pyelonephritis and that IC determination by the CC assay had no value in the prediction or diagnosis of rejection episodes following renal allotransplantation.
