South West Orthopaedic Club, November 1990 Meeting
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چکیده
surface in 11 cases, depressed in 13, and displaced upwards in 7. The mean displacement was 4 mm (range 2-9 mm). In 21 cases the fragment was in valgus (mean 21 degrees, range 540). The lateral wall consisted of the lateral joint fragment in 8 cases, the body fragment in 9 (when the lateral fragment was not in valgus), or by both fragments in 14 cases. The body fragment was impacted in 27 cases (mean 6 mm, range 3-12 mm) and in varus in 22 cases (mean 14 degrees, range 5-30). Operative management must reduce the body and lateral joint fragments separately onto the sustentacular fragment. Through a lateral approach: the lateral fragment is identified and rotated outwards. The body fragment is disimpacted and rotated. The medial wall is reduced and held witha temporary coronal K wire. The lateral joint fragment is reduced; held with a lag screw and the 3 major fragments stabilized with a lateral Y-shaped plate.
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South West Orthopaedic Club, Spring 1990 Meeting
nent. The knee was explored and a synovial biopsy showed changes compatible with a hypersensitivity reaction. Aerobic and anaerobic cultures were negative. An arthrodesis using Stainless Steel pins was done for intractable symptoms. She developed cellulitis around all four pin sites. S. Aureus was cultured from one site, but she failed to settle on appropriate antibiotics. The pins were removed...
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متن کاملSouth West Orthopaedic Club
Clinical material: Since February 1985 (4.2 years) 75 implants have been inserted. 62 Mark I ligaments and since January 1989, 13 Mark II ligaments. This paper discusses the experience with the 62 Mark I ligaments. 56 male, 61 ACL?in all but one, giving way, either at sport or at leisure was the predominant presenting symptom. Correlation between the laxity signs and instability symptoms were n...
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