ABSTRACT
One hundred and ninety-five male patients developed urinary retention following Charnley low friction arthroplasty. Seventy required prostatectomy, with a mortality rate of 8.6%. The overall deep sepsis rate of the implant was 6.2%. Males with urinary tract symptoms should be investigated and treated before being accepted for total hip replacement.
Subject(s)
Hip Prosthesis/adverse effects , Surgical Wound Infection/etiology , Urination Disorders/etiology , Adult , Aged , Hip Prosthesis/mortality , Humans , Male , Middle Aged , Prostatectomy/mortality , Urinary Tract Infections/complicationsABSTRACT
Total hip replacements without ensuing infection were performed in 31 patients in the presence of infection in the contralateral hip. Infection in the opposite hip was proved bacteriologically in the follow-up in 19 cases averaged 5 years (2 years 3 months to 10 years). In another 12 hips in the same circumstances, without positive bacteriological evidence of active infection on the opposite side, healing occurred without infection.
Subject(s)
Hip Prosthesis/adverse effects , Adult , Aged , Anti-Bacterial Agents/therapeutic use , Arthritis/complications , Follow-Up Studies , Humans , Joint Diseases/etiology , Joint Diseases/prevention & control , Middle Aged , Pseudarthrosis/complications , Staphylococcal Infections/etiology , Staphylococcal Infections/prevention & controlABSTRACT
After having dealt with over 150 cases of fracture-dislocations of the cervical spine, the authors conclude that conservative orthopaedic treatment leads to the best results. The lesions are classified in upper and lower cervical spine. The latter has been divided into two subgroups according to the presence or abscense of neurological involvement. The importance of skull traction and of a well-moulded minerva plaster jacket is stressed. An adjustable leather collar is a useful alternative for immobilisation and exercises, favouring spontaneous fusion. In neither group, should surgical fusion be considered a routine procedure.
