RESUMO
Four patients with septic arthritis of the hip and one with suspected septic arthritis were treated with arthroscopic irrigation, debridement, and drainage. Follow-up averaged 20.4 months. Arthroscopic treatment of septic arthritis of the hip is as effective as open arthrotomy, yet with much lower morbidity.
Assuntos
Artrite Infecciosa/diagnóstico , Artrite Infecciosa/cirurgia , Artroscopia , Articulação do Quadril , Infecções Estafilocócicas/diagnóstico , Infecções Estafilocócicas/cirurgia , Infecções Estreptocócicas/diagnóstico , Infecções Estreptocócicas/cirurgia , Adolescente , Idoso , Artrodese , Criança , Desbridamento , Drenagem , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Irrigação TerapêuticaRESUMO
Oxygen saturation was monitored during the reaming and intramedullary nailing of 15 femoral fractures (three impending) to assess the relationship between intramedullary reaming and nailing and the production of hypoxemia. There were no statistically significant drops in oxygen saturation during this procedure in either the fractured or intact (impending fractures) femora.
Assuntos
Fraturas do Fêmur/cirurgia , Fixação Intramedular de Fraturas , Oxigênio/sangue , Adolescente , Adulto , Embolia Gordurosa/etiologia , Humanos , Hipóxia/sangue , Pessoa de Meia-Idade , Oximetria , Fatores de RiscoRESUMO
The objective of our study was to compare injuries sustained by a large group of children to those of injured adults and a control population of skiers selected from the Sugarbush North ski area in northern Vermont. We reviewed all 3182 injuries which occurred over nine ski seasons (1972 to 1973 through 1980 to 1981) at Sugarbush North. Six hundred and ninety-six (22%) of these injuries occurred in children 16 years of age or younger. For all injuries combined, those under 11 years of age had the same rate of injury as adults. Adolescents had a higher injury rate. Foot and ankle injuries were more common in younger children. Knee injuries made up one-fifth of all injuries in all age groups and in older skiers tended to be relatively more serious. Tibia fractures were more prevalent in younger skiers and declined in all age groups over the period of study. Head and spine injuries comprised 6.2% of the pediatric injuries, and were more prevalent in children than in adults. Upper body injuries were less common in children than in adults. We found height, weight, and proximal tibial diameter to vary with age, but in any given age group there was no significant difference with injury type or the controls. Skiers with less skill or experience had a higher incidence of injuries than more experienced skiers or the control population. Injured skiers in all age groups were less likely to own their equipment. Adjustment of equipment by a professional or the skier did not vary with age or injury type.
