ABSTRACT
A year after anterolateral spondylodesis for progressive scoliosis, the patient showed a flexion gait pattern with recurrent deformity, due to late infection. Surgical debridement resolved all symptoms. Whereas most postoperative infections occur after posterior spondylodesis and present with back pain and mild increase of infection parameters, late infection after anterolateral approach is rare. In this case the patient did not present with the classic symptoms.
Subject(s)
Back Pain/surgery , Scoliosis/surgery , Staphylococcal Infections/surgery , Surgical Wound Infection/surgery , Adolescent , Anti-Bacterial Agents/therapeutic use , Back Pain/etiology , Debridement , Female , Floxacillin/therapeutic use , Humans , Recurrence , Scoliosis/complications , Staphylococcal Infections/complications , Staphylococcal Infections/drug therapy , Staphylococcus aureus , Surgical Wound Infection/complications , Surgical Wound Infection/drug therapy , Treatment OutcomeABSTRACT
The use of a visual analog scale (VAS) for the assessment of total hip prostheses was evaluated in 54 patients (58 hips), on average 3.4 years following operation. The Harris hip scores were determined in each case and the patients were also asked to record their overall assessment of their new hips on a VAS. Five patients (6 hips) were unable to understand and use the VAS. For the remaining 49 patients (52 hips), the Harris hip score averaged 84 (41-100) and the VAS score 75 (2-100). There was a high correlation between the Harris hip scores and the VAS scores (+0.84). Use of a VAS provides a simple and reliable basis for the assessment of a total hip arthroplasty.
Subject(s)
Hip Prosthesis/adverse effects , Pain Measurement/methods , Pain, Postoperative/classification , Adult , Female , Follow-Up Studies , Humans , Male , Middle Aged , Pain, Postoperative/etiology , Reproducibility of ResultsABSTRACT
Between 1986 and 1991, 68 Harris-Galante femoral prostheses were implanted in 63 patients. 53 patients (57 hips) attended for follow-up after a mean of 3.4 (2-6) years. The average Harris Hip Score (HHS) was 39 preoperatively and 81 postoperatively. Only 34 hips were excellent (27) or good (7). Mid-thigh pain occurred in 30 cases. 10 femoral components were radiographically loose because of osteolysis. Although 7 cups seemed to be radiographically loose, they probably played only a minor role in the poor overall early clinical results.
Subject(s)
Arthritis/surgery , Hip Prosthesis/adverse effects , Adult , Arthritis/pathology , Female , Follow-Up Studies , Humans , Male , Middle Aged , Prosthesis Design , Prosthesis Failure , Treatment OutcomeABSTRACT
The efficacy of flurbiprofen was studied by means of a double-blind randomized clinical trial involving 50 patients with an acute lateral ankle distortion (grade I). It could not be demonstrated that the NSAID shortened the duration of convalescence after this injury. Neither the pain nor the swelling showed a statistically significant decrease. Side effects were more frequent in patients treated with flurbiprofen. In view of these findings use of flurbiprofen in the treatment of acute ankle distortions is to be regarded as inadvisable.
