RESUMO
Our aim was to compare hip arthroplasty with internal screw fixation in the repair of intertrochanteric fractures in elderly patients with osteoporosis. Of 112 included patient, 70 (81.81 ± 4.88 years) received hip arthroplasty with a prosthesis specially designed for intertrochanteric fractures, and 42 (83.46 ± 5.11 years) underwent plate-screw fixation. The hip arthroplasty group had significantly longer operation time, intraoperative blood loss, and total volume of blood transfused but had shorter time to beginning weight-bearing (5.94 ± 2.76 vs 23.68 ± 22.01 days) and higher postoperative Harris hip score (91.37 ± 4.80 vs 86.14 ± 5.46). In the arthroplasty group, there were 2 dislocations; and in the plate-screw fixation group, there were 5 internal fixation failures. Hip arthroplasty is preferable to internal fixation in elderly patients (age >80 years) with osteoporosis.
Assuntos
Artroplastia de Quadril/instrumentação , Artroplastia de Quadril/métodos , Fixação Interna de Fraturas/instrumentação , Fixação Interna de Fraturas/métodos , Fraturas do Quadril/cirurgia , Prótese de Quadril , Idoso , Idoso de 80 Anos ou mais , Perda Sanguínea Cirúrgica , Placas Ósseas , Parafusos Ósseos , Feminino , Fraturas do Quadril/etiologia , Humanos , Masculino , Osteoporose/complicações , Desenho de Prótese , Estudos Retrospectivos , Falha de Tratamento , Resultado do Tratamento , Suporte de CargaRESUMO
OBJECTIVE: To evaluate the clinical result of allogeneic tendon in treatment of chronic Achilles tendon rupture. METHODS: From July 1996 to November 2000, 6 cases of chronic Achilles tendon rupture were treated by use of allogeneic flexor tendon to repair Achilles tendon with Bosworth way. Five cases were followed up 27-53 months with an average of 38.5 months. RESULTS: According to Arner-Lindholm criteria for curative result, the result was excellent in 1 case and good in 4 cases. CONCLUSION: Allogeneic tendon in repair of chronic Achilles tendon is effective. It can avoid the injury and complication caused by autograft.
Assuntos
Tendão do Calcâneo/lesões , Tendão do Calcâneo/cirurgia , Tendões/transplante , Tendão do Calcâneo/fisiopatologia , Traumatismos em Atletas/complicações , Feminino , Seguimentos , Humanos , Masculino , Procedimentos de Cirurgia Plástica , Ruptura , Transplante Homólogo , Resultado do TratamentoRESUMO
OBJECTIVE: To evaluate the clinical effect of PCB (a new anterior cervical instrumental system combining an intradiscal cage with an integrated plate) in treating traumatic cervical intervertebral disc herniation. METHODS: Anterior decompression and PCB internal fixation were used in 22 patients with traumatic cervical intervertebral disc herniation. They were followed up from 3 to 16 months and analyzed by symptom and image data. Among them, 16 patients underwent fixation at one level and 6 patients at two levels. RESULTS: This technique did not cause intraoperative complications. After surgery no screw backout or device failure was found. Based on the JOA grade, 20 patients improved clinically and 2 gently because of serious cervical stenosis. The general excellent rate was 90.9%. CONCLUSIONS: PCB internal fixation is stable. Morbidity of donor and acceptor sites is less. No collars are needed after surgery.
