ABSTRACT
A retrospective study of arthroscopic meniscal repair in 101 consecutive patients was conducted. Sixty-three patients constituted our study group. The arthroscopic technique used for meniscal repair was the inside-out method using malleable cannulas. Forty-five patients were available for clinical examination, with a mean follow-up of 27 months. Tegner and Lysholm scores were comparable to those previously reported for arthroscopic meniscal repair. The HSQ (similar to the SF-36) scores were equal to those from an age- and sex-matched normal population, indicating that individuals with repaired menisci do not have any residual negative effects on global health at mean 26.9 months' follow-up. The physical functioning subscale of the HSQ was found to be sensitive to patient perception of results. Complications included one case of restricted knee range of motion requiring arthroscopy and lysis of adhesions. Overall clinical results were 64% excellent, 27% good, and 9% failure. Age, sex, and length of the meniscal tear had no affect on clinical outcome.
Subject(s)
Endoscopy , Menisci, Tibial/surgery , Adolescent , Adult , Arthroscopy , Female , Follow-Up Studies , Humans , Male , Middle Aged , Retrospective Studies , Rupture , Tibial Meniscus Injuries , Treatment OutcomeSubject(s)
Acromioclavicular Joint/injuries , Acromioclavicular Joint/surgery , Foreign-Body Reaction/etiology , Joint Dislocations/surgery , Ligaments, Articular/surgery , Polyethylene Terephthalates/adverse effects , Prostheses and Implants/adverse effects , Adult , Foreign-Body Reaction/surgery , Humans , MaleABSTRACT
Catastrophic failure of two zirconia-ceramic modular femoral heads occurred, despite the theoretical improved toughness of zirconia-ceramic relative to alumina-ceramic. This experience led the authors to return to cobalt-chromium as the metal of choice for articulation against polyethylene in total hip arthroplasty.
Subject(s)
Ceramics , Hip Prosthesis , Postoperative Complications/surgery , Zirconium , Adult , Humans , Male , Middle Aged , Postoperative Complications/diagnostic imaging , Prosthesis Failure , Radiography , Reoperation , Surface PropertiesABSTRACT
Eighty-two adolescent patients with symptomatic spondylolysis or spondylolisthesis were treated by nonoperative modalities. Patients' ages ranged from 6.5 to 21 years, and follow-up ranged from 1 to 14.3 years. Thirty-one patients became asymptomatic, 17 had significant but incomplete relief of pain, nine had no relief, and 25 required surgical treatment for pain. Of 12 patients with grade 3 or 4 slip, only one had significant relief of pain, whereas 48 of 70 patients with lesser degrees of slip had significant relief of pain. Nonoperative treatment of degrees of spondylolisthesis of less than or equal to grade 2 can reliably relieve pain in two-thirds of patients.
Subject(s)
Back Pain/therapy , Spondylolisthesis/therapy , Spondylolysis/therapy , Adolescent , Braces , Casts, Surgical , Child , Exercise Therapy , Female , Follow-Up Studies , Humans , Male , Prognosis , Retrospective Studies , TractionABSTRACT
Exogenous steroids are known to induce aseptic necrosis in the femoral head of adults. This case report of a 9-year-old girl with corticosteroid induced femoral head necrosis demonstrates effective treatment with an abduction device in a manner similar to that prescribed for the treatment of Legg-Calve-Perthes disease.