RESUMO
Benign symmetric lipomatosis is a rare disease. Its main characteristic is the symmetric deposition of fat, in an unencapsulated form, at typical sites in the body, but primarily in the head and neck region. Its aetiopathogenesis is unknown. A disturbance of lipid metabolism is involved, and there is a proven connection with chronic alcoholism. Problems with the differential diagnosis of the characteristic clinical picture arise from the fact that this disease is not widely recognized. Over a period of 30 years, the authors treated 31 patients with benign symmetric lipomatosis. They review the pertinent literature and report retrospectively on the fates of the 11 surviving patients.
Assuntos
Lipomatose Simétrica Múltipla/cirurgia , Adulto , Alcoolismo/complicações , Aspartato Aminotransferases/sangue , Complicações do Diabetes , Feminino , Seguimentos , Humanos , Hipertensão/complicações , Lipomatose Simétrica Múltipla/sangue , Lipomatose Simétrica Múltipla/classificação , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Pescoço/cirurgia , Recidiva , Estudos Retrospectivos , Triglicerídeos/sangue , gama-Glutamiltransferase/sangueRESUMO
Authors differentiate four etiological groups of vertical talus. In their material the congenital and symptomatic rocker bottom foot was rarer than the paralytic one. Good result can be expected mainly from the operative treatment. From 69 cases good clinical and radiological result was reached in 58, whereas in 6 cases the treatment had no result. It was their experience that a reduction of the talus and of the navicular bone can be reached by tenotomies and capsulotomies and by these a normal form of the foot can be secured. In the conservation of the operative results the significance of the organized care is stressed.
Assuntos
Deformidades do Pé/cirurgia , Tálus/cirurgia , Seguimentos , Deformidades do Pé/diagnóstico por imagem , Deformidades do Pé/etiologia , Humanos , Lactente , Ortopedia/métodos , Radiografia , Resultado do TratamentoRESUMO
Authors demonstrate, based on animal experiment first in the literature of this country both the synthetic and the natural (coral) apatite as a bone substituting material. Complete and partial bone defects in 24 animals of the experience were filled with the materials examined. The speed of healing after the transplantation of the two implants, the mechanical characteristics of the healing bone (fracture solidity) are evaluated using both materials and in both types of the defect. It is stated that evaluable difference could not be observed from the viewpoint of the duration of healing between the two materials whereas considering the fracture solidity the coral substitution proved to be significantly better. The differences between the groups considering the complications (suppuration, pseudoarthrosis) are also assessed.
