RESUMO
The Rochester bone trephine is a useful instrument for performing small joint arthrodesis in the foot. The technique involves harvesting a dowel graft from the iliac crest and then inserting the graft into a recipient bed across the small joints in the foot. Minimal surgical trauma and patient discomfort result from this technique. Three cases are presented to illustrate the usefulness and diversity of this system.
Assuntos
Artrodese/instrumentação , Transplante Ósseo/instrumentação , Articulações Tarsianas/cirurgia , Adulto , Idoso , Feminino , Fraturas Ósseas/cirurgia , Hallux Valgus/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Articulações Tarsianas/lesõesRESUMO
We present the first reported cases of individuals with mental retardation who have subsequently become infected with human immunodeficiency virus (HIV). The implications of this finding for agencies which provide services to persons with mental retardation are described. Where conflicts arise, the authors propose that ethical review committees provide consultation to service agencies who must ultimately determine how they will provide for the needs of their clients.
