La Clinica ortopedica最新文献

The Authors present a total hip arthroprosthesis studied at Verona Orthopaedic Clinic. This prosthesis presents a complete interchangeability of wear components, not only socket or head. Advantages and premises of this solution are examined and clinical evaluation is referred.

Surgical treatment of aseptic necrosis of the femoral head is discussed. Results of 30 hip procedures performed in 26 patients, followed up for a variable period from 8 months to 8 years after the first visit, are reported. The importance of early diagnosis is stressed. Surgery is recommended as the only suitable treatment. It aims to reduce and re-form the femoral head in acute cases and to stabilize and correct the displacement in the less rapidly progressive forms. Cases were divided into 3 groups according to the degree of displacement (less than 30 degrees, from 30 degrees to 45 degrees and greater than 45 degrees). Fixation in situ was carried out in the first group and Imhauser's three-dimensional intertrochanteric osteotomy and osteotomy of the head and neck of the femur in the second and third group respectively. Good results were obtained in 23 (76.6%). In the other 7 cases (23.4%) the outcome was unsatisfactory.

The results of surgical treatment, in children, of 10 supracondylar factures of the humerus, complicated by vascular and neurological disturbances were so satisfactory that open reduction is proposed for all those cases with severe lesions and oedema requiring a prolonged period of continuous trans-skeletal traction even without neurological and vascular problems.

Taking the institution of a new Hospital as a hint, the author underlines the need for the newly realized Hospitals to be planned, equipped and organized in a rational way so that they may offer a "quality leap" in the sanitary assistance raising it to the levels already reached in other Countries. For this purpose some planning devices and technical innovations are to be suggested (in services of medical interest) which aim at making the stay in hospital of an orthopedic-traumatologic patient more advantageous. Next to the constructive solutions, passive, it is necessary to underline the utility of the stay in hospital to become "active". With this term the author means both the way of conceiving the stay in hospital, characterized by the so-called "bed physical exercises", organized by a "ward physioterapist", and a real "active" participation of a patient in the life of the ward in its daily aspects even the smallest ones.

The authors examine actual problems in total hip endoprostheses fixation and dwell upon solutions used up to date. The authors propose a new technique of prosthethic socket fixation based on endosseous implantology. This method should increase long term stability utilizing at the same time the immediate stability offered by methyl-methacrylate cement.

Present orientation on surgical treatment of pluriligamentous lesions of external knee compartment. Author faces the problem of serious external knee loosening treatment. Reports some data on functional anatomy and physiopathology in order to entroll the single elements, capsule and ligaments, in complex articular function. The author dwells upon the method used in the treatment of recent and inveterate lesions, describing the technique and concludes reporting the results obtained after operation.

The authors face the problem of the treatment in chronic arthrosynovitis. After some general premises they dwell upon the use of osmic acid in such cases and report the results and casuistr of Verona Orthopaedic Clinic.

Recognised forms of neurogenic osteo-arthropathy, their aetiology and pathogenesis are reviewed. Seven unusual cases are presented. Chronic alcoholism was a possible pathogenetic factors in these cases of neurogenic osteo-arthropathy from persistant drunkeness and not osteo-arthropathy occurring in alcoholics. Thus a new clinical entity is proposed.

The Authors discussed the problem of femoral over intracondylar structures, that industrial and highway accidents have increased we consider as necessary a perfect anatomical repair of articular surfaces, in order to avoid any rigidity or secondary artrosys. It's considered essential on such purpose surgical reconstruction, which, thanks to new methods and antibiotics it's to be considerate much more sure than once. After short recollection of functional anatomy one stops on surgical treatment adopted at the orthopedic clinic of Verona, separated office of Padua University, and reporting at the end obtained results in 18 cases of such fractures.