BACKGROUND Impaction grafting in hip revision surgery is widely used but studies with mid- and long-term follow-up are scarce. PATIENTS, METHODS AND RESULTS A 5-year radiostereometric (RSA) follow-up of 15 hip revisions with the Exeter stem, morselized impacted allograft bone and cement revealed that 3 stems had not migrated between 2 and 5 years after revision, 11 stems had migrated to a min...

Introduction Total elbow design has evolved dramatically over the last century. Prior to 1947, resection and interposition arthroplasty were the primary surgical procedures for the treatment of severe posttraumatic deformity, trauma, and rheumatoid arthritis. In 1947, surgeons began performing partial elbow replacements of the distal part of the humerus and proximal part of the ulna as well as ...

Humeral shaft aseptic nonunions occur in 2% to 10% of patients managed conservatively and 10% to 15% of patients treated surgically. The complex muscular and neurovascular anatomy of the upper limb makes the surgical approach to the fracture site demanding and risky, especially when previous surgeries have been attempted. The clinical consequence of atrophic humeral shaft nonunions is a severe ...

We reviewed 142 consecutive primary total hip replacements implanted into 123 patients between 1988 and 1993 using the Exeter Universal femoral stem. A total of 74 patients (88 hips) had survived for ten years or more and were reviewed at a mean of 12.7 years (10 to 17). There was no loss to follow-up. The rate of revision of the femoral component for aseptic loosening and osteolysis was 1.1% (...

BACKGROUND Patients with disabling pain and loss of shoulder function with associated proximal humeral bone loss following shoulder arthroplasty have limited reliable treatment options. Our objective was to report the results, obtained as part of a prospective outcomes study, of the use of a reverse shoulder prosthesis-allograft composite in these patients. METHODS Between 2002 and 2005, 353 ...

Allograft-prosthesis composite (APC) can restore capsular and ligamentous tissues of the knee sacrificed in a tumor extirpation. We asked if performing APC would restore knee stability and allow the use of nonconstrained arthroplasty while preventing aseptic loosening. We retrospectively compared 50 knee APCs performed with non-constrained revision knee prosthesis (Group 1) with 36 matched APCs...

background: intra-articular t- type or y- type fractures of the distal end of the humerus are relatively rare, and consequently few surgeons will be able to attain extensive experience with the surgical treatment of these injuries. the current emphasis is on operative intervention with rigid internal fixation and early mobilization. methods: in this prospective and retrospective study, we revie...

We describe the survival of 134 consecutive JRI Furlong hydroxyapatite-coated uncemented total hip replacements. The mean follow-up was for 14.2 years (13 to 15). Patients were assessed clinically, using the Merle d'Aubigné and Postel score. Radiographs were evaluated using Gruen zones for the stem and DeLee and Charnley zones for the cup. Signs of subsidence, radiolucent lines, endosteal bone ...

Complex displaced proximal humerus fractures are frequently treated with a fracture prosthesis. This paper outlines the indications, introduces various fracture prostheses, describes the surgical technique, and rehabilitation for treatment of proximal humerus fractures with a fracture prosthesis hemiarthroplasty. Outcomes are noted to be improved when near anatomic humeral head height, and retr...

INTRODUCTION Injuries combining a humeral head fracture-dislocation and a shaft fracture of the ipsilateral humerus are very rare. They should be separated from extended fractures of the humeral head to the shaft [1]. CASE REPORT We present the case of an active 84-year-old man who sustained a three-part fracture-dislocation of the proximal humerus combined with a long spiral humeral middle t...