RESUMO
Forty-four patients with 53 quadriceps tendon ruptures were studied retrospectively with an average follow up of 67.2 months (range: 24 to 155). The type of repair was not associated with differences in functional outcome, patient satisfaction, range of motion, or isokinetic testing. Patients with a delay in surgical treatment in comparison to those immediately repaired had significantly worse functional results (P < .05), lower satisfaction scores (P < .05), and lower isokinetic data for both the injured and uninjured extremities, however, their range of motion and comparative extensor power results were nearly identical. On reviewing all patients, the ultimate range of motion was within an average of 2 degrees of the uninjured side in nearly all patients. Based on the results of this study, all surgical methods can be expected to give comparable results as long as treatment is begun within 1 week of the injury. Regaining range of motion comparable to the uninjured side was not a problem in this series despite a delay in treatment.
Assuntos
Traumatismos dos Tendões/cirurgia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Ruptura , Traumatismos dos Tendões/fisiopatologia , Coxa da Perna/lesões , Resultado do TratamentoRESUMO
A 48-year-old previously healthy white man had progressive painful swelling of his proximal index finger and the proximal interphalangeal (PIP) joint. A biopsy revealed Mycobacterium terrae septic arthritis and osteomyelitis. Six months of therapy with isoniazid, rifampin, and ethambutol were not accompanied by any improvement and amputation was necessary.
Assuntos
Artrite Infecciosa/complicações , Infecções por Mycobacterium , Osteomielite/complicações , Humanos , Masculino , Pessoa de Meia-Idade , Mycobacterium/isolamento & purificaçãoRESUMO
The biomechanics of the Murphy procedure for correction of equinus in cerebral palsy are presented. A series of 79 surgical procedures on 48 patients, with a follow-up period of from one to four years, is reviewed. Correction of equinus was succeswful in 89-9 per cent of the procedures. Using the Murphy procedure the following advantages over other methods of correction are anticipated: (1) no loss on 'push-off' in gait; (2) no loss of correction (recurrence) during longitudinal growth of the child, necessitating repeated surgery; and (3) no need for continual night bracing during the growth period.
