Coccygectomy for coccydynia: case series and review of literature.

Study Design: This is a case series in which case notes review and telephone interview update were used to assess the outcome following coccygectomy.

Objective: To correlate the clinical results of coccygectomy with histology and discography of the sacrococcygeal and intercoccygeal segments.

Summary Of Background Data: Clinicians regard chronic disabling pain in the sacrococcygeal region with much dismay because of the reputed unpredictability of the treatment outcome.

Bilateral fractured neck of the femur in an adult patient with cystic fibrosis.

A 34-year-old man with cystic fibrosis (CF) sustained a bilateral fractured neck of the femur during the course of six grand mal seizures. The fractures were successfully treated with bipolar hemi-arthroplasties. Several risk factors for osteoporosis were present.

Autologous chondrocyte implantation for cartilage repair: monitoring its success by magnetic resonance imaging and histology.

Autologous chondrocyte implantation is being used increasingly for the treatment of cartilage defects. In spite of this, there has been a paucity of objective, standardised assessment of the outcome and quality of repair tissue formed. We have investigated patients treated with autologous chondrocyte implantation (ACI), some in conjunction with mosaicplasty, and developed objective, semiquantitative scoring schemes to monitor the repair tissue using MRI and histology.