Asunto(s)
Fracturas del Cuello Femoral/cirugía , Fijación Intramedular de Fracturas/efectos adversos , Adulto , Anciano , Clavos Ortopédicos/efectos adversos , Femenino , Estudios de Seguimiento , Articulación de la Cadera/diagnóstico por imagen , Humanos , Luxaciones Articulares/etiología , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias/epidemiología , RadiografíaAsunto(s)
Bursitis/etiología , Tuberculosis Osteoarticular/complicaciones , Anciano , Brazo , Femenino , HumanosAsunto(s)
Prótesis Articulares/métodos , Articulación del Hombro , Adulto , Anciano , Artritis/cirugía , Femenino , Estudios de Seguimiento , Humanos , Prótesis Articulares/efectos adversos , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Diseño de Prótesis , Radiografía , Articulación del Hombro/diagnóstico por imagenAsunto(s)
Accidentes de Tránsito , Heridas y Lesiones/epidemiología , Adolescente , Adulto , Anciano , Niño , Preescolar , Dinamarca , Femenino , Humanos , Masculino , Persona de Mediana EdadAsunto(s)
Accidentes de Tránsito , Heridas y Lesiones/etiología , Adolescente , Adulto , Anciano , Niño , Preescolar , Dinamarca , Humanos , Persona de Mediana Edad , Heridas y Lesiones/fisiopatologíaAsunto(s)
Violencia , Heridas y Lesiones/epidemiología , Accidentes , Adolescente , Adulto , Niño , Preescolar , Dinamarca , Femenino , Humanos , Lactante , Recién Nacido , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Población Urbana , Heridas y Lesiones/etiologíaAsunto(s)
Intoxicación Alcohólica , Alcoholismo , Violencia , Heridas y Lesiones/etiología , Adulto , Dinamarca , Femenino , Homicidio , Humanos , MasculinoAsunto(s)
Accidentes , Violencia , Heridas y Lesiones/etiología , Adulto , Dinamarca , Femenino , Homicidio , Humanos , Masculino , Heridas y Lesiones/epidemiologíaRESUMEN
During the period from April 1980 to July 1982 a total of 148 patients with acute femoral neck fractures had primary hemiarthroplasties with the Christiansen trunnion-bearing endoprosthesis. Dislocations occurred in six patients (4 per cent). Five of these required reoperation due to separation of the femoral head in relation to the stem or of the plastic head and the metallic cap of the prosthetic head.
Asunto(s)
Luxación de la Cadera/diagnóstico por imagen , Fracturas de Cadera/cirugía , Prótesis de Cadera , Anciano , Humanos , Complicaciones Posoperatorias , Diseño de Prótesis , Radiografía , ReoperaciónRESUMEN
Eleven cases of simultaneous fracture of the carpal scaphoid and neighbouring bones are presented. The factors necessary for the occurrence of such injuries are discussed.
Asunto(s)
Huesos del Carpo/lesiones , Fracturas Óseas/complicaciones , Fracturas del Radio/complicaciones , Adulto , Anciano , Fractura de Colles/complicaciones , Femenino , Humanos , Hueso Semilunar/lesiones , Masculino , Persona de Mediana EdadRESUMEN
Six cases with chronic inflammatory hyperostotic and sclerotic changes of the clavicle are reported. No causative organisms could be detected. Four patients had involvement of other bones including the thoracic spine, the femur, the tibia and the sternal end of the other clavicle. These may be classified as having "chronic recurrent multifocal osteomyelitis" (CRMO). The remaining two patients with similar clavicular changes might have an, as yet, unifocal CRMO.
Asunto(s)
Clavícula/patología , Hipertrofia/patología , Adolescente , Adulto , Sedimentación Sanguínea , Niño , Enfermedad Crónica , Clavícula/cirugía , Femenino , Humanos , Hipertrofia/cirugía , Masculino , Osteomielitis/patología , EsclerosisRESUMEN
The efficiency of a knee brace with a 0 degree-30 degrees range of motion was studied in 17 patients with anterior knee pain. Eighteen patients with identical symptoms served as controls. The brace was worn for 6 weeks. Follow-up was performed after 6 weeks and 3 and 12 months. After 6 weeks, 82% of the patients treated with the brace were classified as improved, compared with 44% without it, according to a strict evaluation system. However, after 12 months only 35% of the patients treated with the knee brace could be rated as improved. Despite this marked deterioration, the brace should be considered an alternative to immobilization, because it minimizes the load on the patellofemoral joint and prevents atrophy of the quadriceps muscle.
Asunto(s)
Tirantes , Enfermedades de los Cartílagos/terapia , Luxaciones Articulares/terapia , Articulación de la Rodilla , Adolescente , Adulto , Femenino , Humanos , Masculino , Rótula/lesiones , Rótula/patología , Polímeros , Estudios Prospectivos , Distribución Aleatoria , TerpenosRESUMEN
In 46 amputations performed on account of peripheral occlusive arterial disease, the morphine puncture test (MPT) and the local skin perfusion pressure measurement (SPP) were carried out preoperatively. Below-knee (BK) amputation was performed when the SPP was greater than or equal to 40 mm Hg unless clinical criteria indicated otherwise. Out of 12 BK amputations without any clinical skin changes, where the SPP was greater than or equal to 40 mm Hg but the MPT was negative, healing was achieved in 11 patients. Thus, if the MPT had been used as an objective method to determine the amputation level, 11 knees would have been sacrificed. The MPT is thus not suitable for determination of amputation level in patients with peripheral occlusive arterial disease.
Asunto(s)
Amputación Quirúrgica/métodos , Arteriopatías Oclusivas/cirugía , Morfina , Adulto , Anciano , Arteriopatías Oclusivas/fisiopatología , Presión Sanguínea , Femenino , Humanos , Inyecciones Intradérmicas , Pierna/irrigación sanguínea , Masculino , Persona de Mediana Edad , Perfusión , Piel/irrigación sanguínea , Pruebas CutáneasRESUMEN
We have prospectively studied the effect of 1-day prophylactic antibiotic therapy in lower-limb amputation for ischaemia. Twenty-seven patients were treated with Meticillin 1 g X 4 intravenously on the day of operation; 23 control patients did not receive any antibiotics. Eight patients in the control group had postoperative wound infections compared to none in the Meticillin group. Seven patients were re-amputated because of infection. Preoperatively, Staphylococcus aureus was isolated in 5/8 of the patients in the Meticillin and 6/8 in the control group. In the postoperatively infected stumps, S. aureus occurred in 6/8 of the patients in the control group, and one patient developed gas gangrene.