Radiohumeral arthrodesis for salvage of failed total elbow arthroplasty.

Ulnohumeral arthrodesis is the standard technique for elbow fusion. The geometry and surface area of the distal humerus and proximal ulna enhance the chances of fusion while maintaining some wrist motion. A case of a patient with multiple failed elbow procedures in which the standard ulnohumeral fusion was not possible is presented.

What to do about a dropped bone graft.

Autogenic bone graft operations are common. Although it is not often mentioned, most orthopedic surgeons are aware of instances in which the graft has been dropped on the operating room floor. The current forms of sterilization cause damage to the graft and loss of its advantages over allograft bone.

Cancer mortality (1965-77) in relation to diesel fume and coal exposure in a cohort of retired railway workers.

A cohort study of 43,826 male pensioners of the Canadian National Railway Company was conducted. The cause of death of 17,838 pensioners who died between 1965 and 1977 was ascertained by computerized record linkage to the Canadian national mortality data base. The main finding was an elevated risk of lung cancer for those employed in occupations involving exposure to diesel fumes and coal dust, with highly significant dose-response relationships observed.