RESUMO
Femoral fractures sustained during revision total hip arthroplasty (THA) are a serious complication. The incidence of intraoperative femur fractures in the period from 1982 to 1986 was ten in 159 (6.3%) THA revisions. The patients were treated primarily by surgical stabilization with compression plates and screws. All of the fractures healed, but of the ten, only six patients ultimately regained satisfactory THA function.
Assuntos
Fraturas do Fêmur/etiologia , Fixação Interna de Fraturas , Prótese de Quadril , Idoso , Idoso de 80 Anos ou mais , Placas Ósseas , Parafusos Ósseos , Feminino , Fraturas do Fêmur/cirurgia , Humanos , Complicações Intraoperatórias/etiologia , Complicações Intraoperatórias/cirurgia , Masculino , Pessoa de Meia-Idade , ReoperaçãoRESUMO
This study presents seven cases of lateral meniscal cysts treated arthroscopically. All were noted to have meniscal lesions at the time of surgery; there were five flap tears and two radial tears. Partial arthroscopic meniscectomy was performed and the contents of the cysts were manipulated into the joint in six of seven cases. One patient underwent open cyst excision in addition to partial arthroscopic meniscectomy. Followup ranged from 18 months to 4 years with an average of 28 months. There were no cyst recurrences. The pathologic basis of the meniscal cyst is controversial, but recent work suggests the etiology is infiltration of joint fluid through micro and macro tears in the meniscus. Partial meniscectomy retains valuable meniscal function while minimizing the likelihood of cyst reformation. We found arthroscopic partial meniscectomy with manipulation of the contents of the cyst into the joint to be a successful alternative to complete open meniscectomy.
