[Clinico-pathological and orthopedic-surgical aspects of essential osteolysis (Gorham disease)]. / Az osteolysis idiopathica (Gorham-kór) klinikopatológiai és ortopédsebészi vonatkozásai.

Authors present two cases. One of their patient was followed for 30 years. They discuss the pathological characters and diagnostic difficulties of the disease. They have observed that with radical operations of--according to necessity--serial surgical interventions the outcome of patients can be properly controlled against recent pessimistic opinions.

Surgical solution of femoral fibrosarcoma. Experience obtained by a 9-year follow-up.

Biopsy followed by tumour removal and replacement by autologous bone tumour at the distal end of the femur were performed. Histologically, the tumour proved to be benign. Three years later progression was observed and epiphyseodiaphyseal resection was made because of on excessive tumour. Histology revealed a fibrosarcoma. Consolidation was hindered by osteomyelitis and fracture, recovery could be achieved only by a series of operations. These histological and operative difficulties are documented and the importance of extremity-saving operations is discussed. Our patient has been free of complaints 9 years after epiphyseodiaphyseal reseaction.

[Plastic repair of the acetabular floor for acetabular protrusion in total endoprostheses of the hip joint]. / Pfannenbodenplastik wegen Protrusio acetabuli bei Totalendoprothesen des Hüftgelenks.

The authors describe the early results of the acetabular floor replacement procedure introduced by them. The surgical technique and the exact method of preparing the autograft are described in detail. The authors consider the use of autologous bone preferable to other methods. This technique results in guaranteed bony consolidation. No complications occurred during the three-year observation period, and none of the patients have any complaints.

Arthroplasty combined with cup-plastics in the surgical treatment of congenital dislocation of the hip.

The authors review the arthroplasty combined with cup-plastics in the treatment of congenital dislocation of the hip. The indications and surgical exploration are discussed in detail. Good results are reported. The complications and their solutions are also described. In the recent five years, 100 patients were operated by them. Based on their experiences, they suggest this intervention at an earlier age, too (i.e. 30 to 40 years). Moreover, they believe it to be an important possibility to provide an adequate rehabilitation for patients being still of working age.

Tuberculous spondylitis. Experience with costovertebrotomy--spondylodesis.

After a brief review of the treatment of articular tuberculosis costovertebrotomy-spondylodesis is recommended on the basis of experience in 196 cases. Spondylodesis with the resected rib is performed after cleansing of the focus. The method allows early mobilization of the patient and promotes healing of the destroyed vertebrae. The late results are also discussed.