Long-term outcome analysis of the supraclavicular surgical release for the treatment of thoracic outlet syndrome.

Objective: This is a long-term outcome analysis of patients who underwent surgical treatment with a supraclavicular release for thoracic outlet syndrome (TOS).

Methods: All patients undergoing supraclavicular release between January 1, 1987, and December 31, 2000, at University Hospital, Inselspital, Bern, Switzerland, were included in this study. Of 29 treated patients, 22 patients (24 TOS) underwent both long-term clinical follow-up (median 12.

Ganz reinforcement ring for reconstruction of acetabular defects in revision total hip arthroplasty.

Background: In revision total hip arthroplasty, bone loss due to loosening and migration of the acetabular component makes fixation of a new implant difficult. The purpose of this study was to evaluate the clinical and radiographic outcomes of the use of the Ganz reinforcement ring with nonstructural allograft in the reconstruction of acetabular defects.

Methods: Sixty-one acetabular revisions performed with use of the Ganz reinforcement ring and nonstructural allograft, between 1989 and 1992, in fifty-seven patients with aseptic loosening met our selection criteria.

Surgical management of diaphyseal humeral nonunion after intramedullary nailing: Wave-plate fixation and autologous bone grafting without nail removal.

Six patients with a nonunion of the humeral diaphysis after intramedullary nailing were treated with a wave plate and autologous bone graft but without removal of the intramedullary implant. The mean duration of the nonunion was 19 months (range, 6-36 months). At a mean follow-up of 12 months (range, 6-18 months), all six nonunions had healed, and patient satisfaction was high.

Glenohumeral osteoarthritis in active patients: diagnostic tips and complete management options.

In the normal glenohumeral joint, the humeral head and the glenoid articulate via smooth and congruent articular surfaces. In the osteoarthritic shoulder, however, both the articular surface anatomy and orientation may be severely distorted and the soft tissues grossly contracted, leading to pain and loss of function. While replacement arthroplasty is the treatment of choice in the elderly, therapeutic options for young active patients include conservative treatment, arthroplasty, and corrective osteotomy and are directed, whenever possible, toward joint preservation.

Thermal capsulorrhaphy to treat shoulder instability.

The contemporary therapeutic approach of glenohumeral instability is directed at the restoration of anatomy. Thermal capsular modification to treat shoulder instability is a relatively recent modality. Early successful clinical applications have led to a wide use of this low demanding technique.