Component wear after total knee arthroplasty (TKA) with extruded metallosis in the extra-articular tissue of the calf secondary to a periprosthetic fracture is a rare complication. A 77-year-old man with a failed Insall-Burstein II TKA prosthesis presented with calf cellulitis after a fall. Radiologic evaluation revealed severe osteolysis and loosening of prosthetic components and an intramuscu...

INTRODUCTION Kienbock's disease is an osteonecrosis of lunate bone (lunatomalacia) seen more commonly in males in the second to fourth decade of life. The exact etiology is unknown and symptoms include wrist pain and stiffness of wrist. Advanced stages of disease may require lunate excision and filling of the void by various substitutes like silicone implants, tendon grafts etc. We report a cas...

We have reviewed 15 patients with infected total knee replacements after removal of the prosthesis, rigorous debridement, antibiotic irrigation, and prolonged systemic antibiotics. Infection was permanently eradicated in all patients; they were left with a functioning limb, on which they could walk with either a caliper (8 patients), a simple splint (3), crutches, or sticks. Three were disappoi...

BACKGROUND Juxtaarticular giant cell tumors around the knee are common and pose a special problem of reconstruction after tumor excision. This article analyzes the functional outcome after resection of juxtaarticular giant cell tumors around the knee and replacement by custom mega prosthetic arthroplasty. MATERIALS AND METHODS One hundred and forty-three patients with juxtaarticular giant cel...

©2005 British Editorial Society of Bone and Joint Surgery doi:10.1302/0301-620X.87B1. 15188 $2.00 J Bone Joint Surg [Br] 2005;87-B:104-6. Gathorne Girdlestone was born in Oxford in 1881. He was educated at Charterhouse and New College, Oxford and trained at St. Thomas’ Hospital in London. In 1910 he joined a surgical practice near Oswestry. He met Robert Jones and began visiting patients with h...

INTRODUCTION Tuberculous involvement of metacarpals and phalanges is a rare presentation of extrapulmonary tuberculosis in adult. Tuberculous infection of the metacarpals, metatarsal and phalanges of hands and feet is known as tubercular dactylitis. CASE REPORT A 65 years old female with history of pain and swelling at 1st metacarpal of left hand, since 3 months which gradual in onset and pro...

One thousand and forty-two McKee-Farrar prostheses of the present design inserted in Norwich from January 1965 to December 1972 have been reviewed retrospectively to determine the incidence of complications needing revision. Of prostheses implanted for more than two years, 6-6 per cent needed revision for loosening (cup 3-5 per cent; stem 2-2 per cent; both components 0-9 per cent). Of the tota...

Introduction Several mechanisms are involved in ischemia or mechanical compression of ulnar nerve at the elbow. Presentation of case We hereby present the case of a road accident victim, who received a radial head excision for an isolated fracture of the radial head and complicated by onset of cubital tunnel syndrome. This outcome could be the consequence of an iatrogenic valgus of the elbow ...

Radial head fractures are the most common type of elbow fractures. Although a consensus has emerged that favors the nonsurgical treatment of undisplaced fractures, controversy surrounds the treatment of displaced radial head fractures. Further research is necessary to provide a better scientific rationale for making treatment recommendations. Options for the treatment of displaced fractures inc...

background: the infection after total hip arthroplasty is one of the major and catastrophic complications and often cause multiple procedures, heavy cost and life threatens and disability for the patient. in this study, we report our experience about infected total hip arthroplasty. methods: in this study, among patients referred to kashani hospital in isfahan, iran from 2001 to 2007, 659 patie...