{"title":"Osteonecrosis of both medial tibial condyles following short-term steroid therapy. A case report.","authors":"D A Gold, I F Abdelwahab, G Hermann","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors present an unusual case of steroid-induced osteonecrosis in both medial tibial condyles and in no other joint or skeletal site.</p>","PeriodicalId":77501,"journal":{"name":"Bulletin of the Hospital for Joint Diseases Orthopaedic Institute","volume":"49 1","pages":"103-6"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13694602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Surgery of the spine in ankylosing spondylitis. Part I.","authors":"E H Simmons","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77501,"journal":{"name":"Bulletin of the Hospital for Joint Diseases Orthopaedic Institute","volume":"49 2","pages":"111-30"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13701116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Zirconia: the second generation of ceramics for total hip replacement.","authors":"P S Christel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Alumina ceramic was successfully introduced into orthopaedic surgery for total hip replacement 20 years ago. Its mechanical properties are currently optimized, and there is a need to develop new ceramics having higher mechanical properties, mainly in tension. Yttrium-oxide partially stabilized zirconia is one of the new ceramics that exhibits much more toughness than alumina. This article reviews the processing as well as the mechanical and biological properties of this new class of materials which are already in clinical use in Europe.</p>","PeriodicalId":77501,"journal":{"name":"Bulletin of the Hospital for Joint Diseases Orthopaedic Institute","volume":"49 2","pages":"170-7"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13701121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparison of sensory latencies of the median nerve at the carpal tunnel among juveniles and adults.","authors":"P A Nathan, L S Doyle, K D Meadows","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Five hundred and ninety-three juveniles and adults were studied to determine if there was an age-related trend in the occurrence of sensory nerve conduction latencies of the median nerve at the carpal tunnel. Latencies were found to increase with increasing age in both the dominant and nondominant hands of the subjects. A significant and positive correlation was found between the latencies of both hands, indicating that an increased value in one hand is likely to be associated with an increased value in the other. Among the adults, the latencies were found to be consistently greater for the dominant hand.</p>","PeriodicalId":77501,"journal":{"name":"Bulletin of the Hospital for Joint Diseases Orthopaedic Institute","volume":"49 1","pages":"85-93"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13694609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The biomechanical evaluation of a new fixation technique for spondylolysis using single and double tension-band wiring.","authors":"M C Zimmerman, E Gutteling, N A Langrana, C K Lee","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Patients with spondylolysis or spondylolisthesis with persistent symptoms are often marked for surgical treatment. This paper presents the results of a biomechanical study which evaluated the effects of two tension-band wiring methods for this clinical anomaly. Experimental spondylolytic defects were created in canine cadaver lumbar spines, and both wiring techniques were evaluated in cantilever bending. The results demonstrated that experimentally created spondylolytic defects produce a significant decrease in bending stiffness (flexion/extension), and that both the intra- and intersegmental wiring techniques increase the bending stiffness to that of the normal intact spinal segment.</p>","PeriodicalId":77501,"journal":{"name":"Bulletin of the Hospital for Joint Diseases Orthopaedic Institute","volume":"49 2","pages":"131-9"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13701117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Biomechanics of the Ilizarov external fixator.","authors":"F J Kummer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The rigidity of the Ilizarov external fixator was evaluated by means of the techniques of Briggs and Chao, and compared to their findings for the Hoffman-Vidal external factor. A typical fibular fixator consisting of 8 crossed K wires and 4 rings with supporting struts was affixed to a fiberglass-filled epoxy bone fracture model. The ensemble was tested with an MTS servohydraulic testing machine in axial loading, bending (A-P, L-M), and torsion. Displacement transducers were placed on the frame and the bone to determine relative motion. The Ilizarov frame was relatively stiff in compression; failure occurred at about 100 kg due to slippage at the wire holders. In bending, it was much less rigid than the Hoffman-Vidal fixator due to bowing of the transverse wires and slippage of the bone along these wires. Stiffness is related to the wire-bone orientation: wires parallel or nearly parallel to the applied force provide little resistance to deformation. In torsion, the laxity in the system is due primarily to wire deflection or wide spacing between adjacent rings. Stiffness in compression and bending increased as a function of wire tension to about 130 kg (further tightness was not possible due to slippage at the wire holder). The Ilizarov fixator is less rigid than other fixators in all loading modes, particularly in axial compression. This may prove to be clinically beneficial as evidenced by increased osteosynthesis. However, the existing system has many sites of laxity. Care must be taken in frame construction to ensure adequate stability and necessary stiffness.</p>","PeriodicalId":77501,"journal":{"name":"Bulletin of the Hospital for Joint Diseases Orthopaedic Institute","volume":"49 2","pages":"140-7"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13701118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lumbar percutaneous diskectomy.","authors":"S Jacobson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The lumbar percutaneous diskectomy is a new procedure for the treatment of herniated lumbar intervertebral disks that have not advanced to sequestration, fibrosis, or osteophyte formation. The procedure is done under local anesthesia, and there is no entrance into the spinal canal.</p>","PeriodicalId":77501,"journal":{"name":"Bulletin of the Hospital for Joint Diseases Orthopaedic Institute","volume":"48 1","pages":"67-74"},"PeriodicalIF":0.0,"publicationDate":"1988-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13977744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Technical note: a modified Harris trochanteric reattachment technique.","authors":"S A Stuchin, F J Kummer, S D Hanono","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A trochanteric reattachment technique which does not penetrate the femoral canal with wire has been developed for use in revision surgery or with press-fit implants. This technique was shown by in vitro mechanical testing to be comparable in stability to the standard Harris trochanteric reattachment method. It has been used successfully in 15 clinical cases.</p>","PeriodicalId":77501,"journal":{"name":"Bulletin of the Hospital for Joint Diseases Orthopaedic Institute","volume":"48 1","pages":"102-4"},"PeriodicalIF":0.0,"publicationDate":"1988-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13977735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A preliminary review of the use of Cotrel-Dubousset instrumentation for spinal injuries.","authors":"J P Farcy, M Weidenbaum","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Twenty-seven patients with unstable spinal injuries underwent posterior reduction and internal fixation with Cotrel-Dubousset instrumentation. Anterior decompression and fusion was performed as well when the injury was a burst fracture. Neurologic status was assessed at the time of injury and one year later, using both the Frankel classification as well as the Motor Index Score. The study suggests that good fracture reduction, secure internal fixation with CD instrumentation, and satisfactory decompression of neural elements provide a favorable environment to maintain three-dimensional stability and to facilitate neurologic recovery.</p>","PeriodicalId":77501,"journal":{"name":"Bulletin of the Hospital for Joint Diseases Orthopaedic Institute","volume":"48 1","pages":"44-51"},"PeriodicalIF":0.0,"publicationDate":"1988-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13977740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cyclic loading of segmental spinal instrumentation.","authors":"F J Kummer, M Neuwirth, S Yabut","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The ultimate clinical effect of SSI stability and rigidity is not known, but three SSI systems exhibited different displacements during cyclic loading in an in-vitro model. Although no failure of the SSI system occurred at 50,000 cycles, the possibility of fatigue failure cannot be excluded, particularly in view of the minor damage and significant displacements observed at some of the connecting interfaces. For that reason, static testing of SSI should be augmented by cyclic testing whenever possible, as this can elucidate other failure mechanisms, particularly since the expected clinical loading of these systems is greater than 10(6) cycles.</p>","PeriodicalId":77501,"journal":{"name":"Bulletin of the Hospital for Joint Diseases Orthopaedic Institute","volume":"48 2","pages":"204-6"},"PeriodicalIF":0.0,"publicationDate":"1988-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13990907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}