[Pyogenic arthritis: case reports and a review of the literature]. / Artrite piogênica: relato de casos e revisão da literatura.

The authors studied septic arthritis in patients of the Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. The pathogeny, the etiology and the diagnosis with clinical and laboratory findings are discussed. Our data are in accordance with those found in the literature. The main site was the knee joint and the etiologic agent Staphylococcus aureus. The authors point to the necessity of an early diagnosis and to the fact that the treatment of septic arthritis must be started as soon as possible.

[Evaluation of treatment of the hip in arthrogryposis multiplex congenita]. / Avaliação do tratamento do quadril na artrogripose múltipla congênita.

In a retrospective review of 77 patients with arthrogryposis multiplex congenita, 21 showed involvement of the hip (28%). The authors studied 18 cases with hip dislocation (11 bilateral and seven unilateral) and three with hip contracture. There were 12 female and nine male patients ranging their age from one month to 14 years. The follow-up in this series lasted from two to 23 years. The treatment was conservative or surgical. The contractures were treated by manipulation and abduction orthosis in one patient and surgically by multiple hip tenotomy in two. The dislocation was treated by abduction orthosis (two cases), closed reduction (two cases) and open reduction (one case) in the 11 cases with bilateral involvement; for the seven unilateral dislocations the treatment was: closed reduction and abduction orthosis (one case), closed reduction with abductor tenotomy and hip spica cast (four cases) and open reduction followed by hip spica and abduction orthosis (one case); one case remained without treatment of the hip involvement because of severity of deformities in knee and foot. Ten patients of this groups were not treated because they were confined to wheelchairs. The overall result was good in six patients, regular in four and poor in two in the dislocation group; for the three cases of hip contracture the result of treatment was good. In conclusion the authors recommend such treatment for the independent ambulatory patients and emphasize the necessity of treatment of patients with unilateral hip involvement.

Estudo comparativo do calo osseo da osteossintese com compressao e sem compressao. / Comparative study of bone callus of osteosynthesis with and without compression

Os autores realizaram o estudo experimental da osteossintese em caes comparando os aspectos histologicos do calo osseo com a utilizacao de osteossintese com compressao em relacao a osteossintese sem compressao.Observaram que no primeiro grupo houve formacao de calo osseo tipo endosteal, com predominio de tecido osseo, enquanto que no outro grupo houve formacao de calo tipo periosteal, com predominio de tecido cartilaginoso

Correction of leg inequality in the Klippel-Trenaunay-Weber syndrome.

Eight patients with Klippel-Trenaunay-Weber syndrome were treated for leg length inequality of as much as 10 cm in one ten year old, and one thirteen year old. In most cases adequate correction was achieved with epiphyseal stapling during active growth or definitive epiphysiodesis in older children. Bone shortening procedures in full-grown individuals may be indicated but the basic condition may make healing difficult. Ligation of the femoral artery had no effect on the growth of the affected leg.

Consideracoes sobre fraturas subcapitais do colo do femur no adulto idoso: consolidacao, necrose asseptica e pseudartrose. / Considerations on subcapital fractures of the femur neck in the aging adult: consolidation,asseptic necrosis and pseudoarthrosis

Os autores fazem consideracoes sobre 155 pacientes entre 30 e 93 anos que sofreram fraturas subcapitais do colo do femur e que foram tratados no Instituto de Ortopedia e Traumatologia do Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo, entre janeiro de 1965 e dezembro de 1978. As consideracoes abrangem desde dados pessoais dos pacientes ate tipos de tratamentos instituidos.Os resultados sao analisados principalmente em relacao a consolidacao das fraturas e suas 2 principais complicacoes: a necrose asseptica e a pseudartrose