RESUMO
Exchange femoral nailing is the preferred method for treating femoral nonunions. When the index femoral nail is broken, the difficulty of exchange nailing increases dramatically. In this article, we describe a new technique for removing a broken retrograde nail--advancing it out of the proximal end of the femur.
Assuntos
Pinos Ortopédicos , Remoção de Dispositivo/métodos , Fraturas do Fêmur/cirurgia , Fixação Intramedular de Fraturas/instrumentação , Falha de Equipamento , Fixação Intramedular de Fraturas/efeitos adversos , Fraturas não Consolidadas/cirurgia , HumanosAssuntos
Artroplastia do Joelho/métodos , Fenômenos Eletromagnéticos , Articulação do Joelho/diagnóstico por imagem , Articulação do Joelho/cirurgia , Cirurgia Assistida por Computador/instrumentação , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Cuidados Pós-Operatórios , Cuidados Pré-Operatórios , Radiografia , Estudos RetrospectivosRESUMO
This is a retrospective study of the functional status of children who underwent a lower extremity amputation for complications of myelodysplasia. With a computerized surgical database, 12 children with myelodysplasia who underwent an amputation at the Boyd level or above at a single children's referral hospital between 1983 and 2001 were identified. Four patients could not be contacted, but the remaining 8 patients were evaluated through chart review and interview to assess the impact of the amputation on their function. With a mean follow-up time of 9 years (range, 5-15 years), all 6 of the patients with a below-knee or Boyd amputation continued to ambulate using a prosthesis. Most patients occasionally reported having ulcers on their residual limb, but these cases were easily managed and did not result in amputation revisions.The only patient in this series with an above-knee amputation and the only patient with a knee disarticulation were exclusively wheelchair ambulators and no longer owned a prosthesis. This study supports the notion that children with myelodysplasia can have amputations and successfully wear a prosthesis to maintain their ambulation.
Assuntos
Amputação Cirúrgica/reabilitação , Membros Artificiais , Perna (Membro) , Defeitos do Tubo Neural/reabilitação , Adolescente , Adulto , Criança , Humanos , Lactente , Recuperação de Função Fisiológica , Estudos Retrospectivos , Inquéritos e QuestionáriosRESUMO
Minimally invasive TKA is in the early stages of development. Healthy skepticism is appropriate until long-term data has been reported. Early results with the quadriceps-sparing technique are encouraging. It appears to be less painful and entail a shorter recovery time. We hope the results will remain stable as the follow-up time increases.
