ABSTRACT
In four missed posterior shoulder dislocations, a trial of closed reduction was successful, but severe instability required further therapy. The glenohumeral joints were immobilized by 3 to 4 percutaneously inserted threaded pins. Removal of the pins after 4 to 6 weeks was followed by physiotherapy. After a follow-up of 4 to 42 months, the functional results of this simple procedure are good and there is no recurrence. Bending of the ends of the pins, a very careful follow-up to deal with pin migration, and adequate prevention of subsequent convulsions in epileptic patients are mandatory.
Subject(s)
Bone Nails , Manipulation, Orthopedic/methods , Shoulder Dislocation/therapy , Adult , Aged , Aged, 80 and over , Follow-Up Studies , Foreign-Body Migration/diagnostic imaging , Foreign-Body Migration/prevention & control , Humans , Physical Therapy Modalities , Range of Motion, Articular , Shoulder Dislocation/diagnostic imaging , Shoulder Dislocation/physiopathology , Tomography, X-Ray ComputedSubject(s)
Athletic Injuries/surgery , Knee Injuries/surgery , Tendons/surgery , Follow-Up Studies , Humans , Male , Menisci, Tibial/surgeryABSTRACT
238 patients undergoing primary total hip replacement had on a routine basis both "clean air system" prophylactic conditions and a one day lasting prophylactic Cefamandole treatment on the day of surgery. All patients had a follow-up during at least one year; the follow-up in some patients was up to 25 months. Deep infections were not seen in any of the patients and E.S.R. returned to normal values one year after the intervention in all patients. Superficial wound infections were seen in 2% of the patients. One fifth of the patients had significant bacteriuria on the day of the intervention. This did not seem to have any implication. In our series both laminar air flow and prophylactic administration of Cefamandole on the day of intervention give an adequate prophylactic coverage to prevent the dangerous deep infection as a complication in total hip surgery.
