1,720,975 research outputs found
The subcutaneous achilles tendon rupture comparison of three surgical techniques
No full textThe authors report their experience with subcutaneous Achilles tendon rupture: its frequency, the morbidity of the different surgical treatments and the related results at different periods of time from the end of treatment.
The study population consists of 55 patients who were treated in the Orthopedic and Traumatologic Clinic of the University of Padova from 1994 to 2000. Twenty-four patients were treated with heavy suture of Silverskiöld, modified by Vigliani; 22 with end-to-end ‘placed’ suture; and 9 with the modified percutaneous suture according to Ma and Griffith.
All 55 patients have been seen with an average follow-up of 3 years and 6 months (range from 1 year to 5 years and 9 months) from surgery. The results have been satisfactory in all the patients with the same score, regardless of the surgical technique applied. Of the three main surgical techniques examined, the one with the least morbidity is the end-to-end ‘placed’ suture
Chirurgia aperta versus chirurgia percutanea nelle lesioni acute sottocutanee del tendine di Achille.
No full textA case of progressive scoliosis in a patient with craniocleidopelvic dysostosis
No full textThe authors describe a case of craniocleidopelvic dysostosis in a patient with progressive scoliosis. They attribute the pathogenesis of the vertebral deformity to imbalance of the shoulder girdle muscles and dysplasia of the vertebral metameres. They agree with the majority of authors in regarding craniocleidopelvic dysostosis as a specific clinical manifestation of a complex hereditary syndrome
Osteochondritis dissecans of the talus. A report on 7 cases
No full textThe clinical and radiological findings in 7 cases of osteochondritis dissecans of the talus indicate that this is a potentially progressive condition. Surgical treatment was carried out in 4 cases while the remaining 3 were treated conservatively. Surgery produced good clinical and radiological results. The conservative treatment consisted of immobilisation and abstention from weight-bearing. This was unsuccessful in 2 adult patients but in a 9 year old girl it led to a virtually complete recovery in 3 months
Su di un caso di condromatosi sinoviale bilaterale della prima metatarso-falangea Bilateral synovial chondromatosis of the first metatarsophalangeal joint: a report case
No full textDescrizione di un caso di condromatosi sinoviale bilaterale della prima metatarso-falange
[Bilateral synovial chondromatosis of the first metatarsophalangeal joint: a case report. ].
No full textThe tantalum screw for treating femoral head necrosis: rationale and results.
No full textFemoral head necrosis (FHN) is a progressive pathology due to the failure of blood supply to the proximal femoral epiphysis, with consequent necrosis of the sub-chondral bone and collapse of the articular cartilage and loss of congruity between the head and the acetabulum. Borrowing the biological and mechanical principles from the vascularized fibular graft technique for the femoral neck, the tantalum screws have been introduced. They show an extraordinary porosity, osteoconductivity, biocompatibility and very good osteoinductivity. Vitreous tantalum can be processed to take the form of a screw, with a round medial extremity and a 25 mm threaded lateral extremity that can be inserted into the neck of the femur, thereby supporting the articular cartilage, stimulating the repair process, interrupting the interface between necrotic and healthy tissue and favoring local vascularization. We have drawn up a treatment protocol for early-stage FHN, based on the insertion of a tantalum screw into the femoral neck. The implant has a cylindrical shape, with a 10 mm diameter in the smooth part and 15 mm in the threaded part. It is available in different sizes from 70 to 130 mm, with 5 mm increments. The aim of the study is to describe the clinical and instrumental results of the tantalum screw for FHN. From June 2004 to June 2006 we performed 15 implants. The tantalum screw was inserted with an incision on the trochanteric region with traction and under X-ray control. For the clinical evaluation of the hip, we used the Harris hip score (HHS). For diagnosis and staging we used standard X-rays in two views and/or MRI, using the Steinberg classification (J Bone Joint Surg Br 77:34–41, 1995) and CT. In all cases, the osteonecrosis extended to not more than 30% of the joint surface and the cartilage was intact with no collapse. To assess the results, we compared the pre-operative and the post-operative HHS, calculated the percentage differences between the two. We then compared X-rays, CT scans and MRI before and some time after the operation to assess whether the problem had been addressed, taking into account the intracancellous edema and the possible extension of necrosis. After an average follow-up period of 15.43 ± 5.41 months, ten implants (seven patients out of ten) were examined and all but one patient showed a marked improvement in HHS (the average increase was 127.9%), with no further progression of the disease. We believe that this procedure can be suitable for young patients with limited first or second stage osteonecrosis. The objective for the foreseeable future is to resolve the pain, improve the quality of life and prevent or at least postpone arthroplasty
Spondylocostal dysplasia (Jarcho-Levin syndrome)
No full textThe authors report 3 cases of rare spondylocostal dysplasia (Jarcho-Levin syndrome) associated with multiple visceral anomalies (V.A.C.TE.R.L. syndrome). The difficulty encountered in treating the disease because of the complexity and multiplicity of the visceral anomalies, and the extent and type of associated vertebral deformities is emphasized. The cases described revealed a moderate amount of progression, and were able to be treated non-surgically. It is also emphasized that even when there is moderate scoliosis associated costal deformities may cause anti-cosmetic thoracic gibbosity
Il trattamento chirurgico della osteocondrite dissecante dell'astragalo:la nostra esperienza
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