RESUMEN
The case of a 75-year-old woman treated by 1-stage exchange arthroplasty for fungal infection of a total knee arthroplasty is reported.
Asunto(s)
Artritis Infecciosa/cirugía , Artroplastia de Reemplazo de Rodilla , Candidiasis/cirugía , Articulación de la Rodilla/microbiología , Anciano , Antifúngicos/uso terapéutico , Artritis Infecciosa/tratamiento farmacológico , Artritis Infecciosa/microbiología , Candida/aislamiento & purificación , Candidiasis/tratamiento farmacológico , Candidiasis/etiología , Femenino , Estudios de Seguimiento , Humanos , Articulación de la Rodilla/diagnóstico por imagen , Articulación de la Rodilla/cirugía , Radiografía , Estudios Retrospectivos , Cicatrización de HeridasRESUMEN
Hysterical illness may be defined as symptoms normally associated with disease without pathological basis. Orthopaedics attracts more of these patients than most specialties. They are intensively and expensively investigated, yet clinicians remain anxious they are missing genuine pathology. We use examination under pentothal, without analgesia, to help distinguish real from imagined symptoms. The results of a review of patients evaluated under pentothal over the past two years are presented.
Asunto(s)
Hipnóticos y Sedantes , Histeria/diagnóstico , Enfermedades Musculoesqueléticas/diagnóstico , Dolor/etiología , Tiopental , Adolescente , Adulto , Niño , Diagnóstico Diferencial , Femenino , Humanos , Masculino , Persona de Mediana Edad , Dolor/psicología , Estudios RetrospectivosRESUMEN
Use of the fibula as a free bone graft has been advocated in the treatment of femoral neck fractures, either fresh or where there is established non-union. There is debate about the best surgical technique; we present ours, which is simple and trouble-free.
Asunto(s)
Tornillos Óseos , Trasplante Óseo/métodos , Fracturas del Cuello Femoral/cirugía , Peroné , Fijación Interna de Fracturas/métodos , Fracturas no Consolidadas/cirugía , HumanosRESUMEN
The intrinsic blood supplies of 13 human patellae with varying degrees of articular surface degeneration were studied by perfusion techniques. Disruption of the normal pattern of arterial arcades correlated with increasing surface wear.
Asunto(s)
Enfermedades de los Cartílagos/patología , Cartílago Articular/patología , Rótula/irrigación sanguínea , Anciano , Anciano de 80 o más Años , Humanos , Isquemia/patología , Prótesis de la Rodilla , Persona de Mediana Edad , Rótula/patologíaRESUMEN
Routine blood pressure measurements are performed on all non-ambulatory patients attending the Accident and Emergency Department, Leicester Royal Infirmary, England. However, the patient's general practitioner is not always informed of the reading, even if it is found to be raised. One of the chief reasons for this omission is the fact that single, elevated blood pressure readings taken in an accident and emergency department are considered to be of doubtful significance. Sixty patients with a single, elevated blood pressure measurement were studied. Fifteen of these patients were found to continue to have an elevated blood pressure measurement when reviewed in a quiet, relaxed environment. Fourteen of these 15 patients are currently being treated for hypertension after independent assessment by their family practitioners. It was concluded that single, elevated blood pressure readings are useful indicators of hypertension in non-ambulatory patients attending accident and emergency departments. It is, therefore, important to inform general practitioners of incidentally raised blood pressure readings.
