A modified surgical technique for reconstruction of an acute acromioclavicular joint dislocation.

We report a modified surgical technique for reconstruction of coracoclavicular and acromioclavicular ligaments after acute dislocation of acromioclavicular joint using suture anchors. We have repaired 3 consecutive type III acromioclavicular dislocations with good results. This technique is simple and safe and allows anatomical reconstruction of the ligaments in acute dislocations.

Quantitative analysis of the sympathetic innervation of the rat knee joint.

Retrograde tracing with Fluoro-Gold (FG) was used to identify the complete population of knee joint sympathetic postganglionic efferents in the lumbar sympathetic chain of adult female Wistar rats. In 6 rats, the total number and distribution of FG-labelled neurons in the lumbar sympathetic chain was determined. The rat knee joint is supplied by an average of 187+/-57 sympathetic afferents with the majority at the L3 and L4 levels.

Anticoagulation in spinal surgery. A critical review of the literature.

Objective: To determine the natural incidence of thromboembolic complications and the effect of thromboprophylaxis associated with elective spinal surgery.

Data Sources: A search of the MEDLINE database, using the key words anticoagulation, deep vein thrombosis (DVT) and spine, alone and in different combinations. Individual journals were also searched.

Total hip replacement in dysplastic hips using femoral head shelf autografts.

A consecutive series of 30 dysplastic hips were treated with total hip arthroplasty using femoral head autograft shelf reconstruction and were reviewed. Cemented cups were used in 13 hips and uncemented cups were used in 17 hips. The average followup was 8.

Diagnostic peritoneal lavage versus abdominal computed tomography in blunt abdominal trauma: a review of prospective studies.

Objective: To determine whether abdominal computed tomography (CT) or diagnostic peritoneal lavage (DPL) should be used in the evaluation of hemodynamically stable patients with blunt abdominal trauma and equivocal findings on physical examination.

Data Source: MEDLINE.

Study Selection: Prospective studies of hemodynamically stable trauma patients with blunt abdominal trauma and equivocal findings on physical examination that compared abdominal CT and DPL.

The use of femoral head autograft shelf reconstruction and cemented acetabular components in the dysplastic hip.

In view of the controversy about bulk autografts to provide support for the acetabular cup in reconstruction of the dysplastic hip, a series of 15 dysplastic hips were investigated as follows: Femoral head autograft shelf reconstruction and cemented acetabular components were evaluated at an average follow-up period of 99 months after operation (range, 27-141 months). Hip rating scores and radiographic assessments were done on each patient before surgery and at postoperative examinations. The average preoperative hip score was 43.

Bone grafts in hip replacement surgery. The pelvic side.

Replacement arthroplasty of the hip may require restoration of bone stock to provide support for the acetabular implant and to restore anatomy and leg lengths. This article discusses the indications, surgical technique, results, and controversies of using bulk autograft bone to provide cup support for primary hip replacement in hip dysplasia. In addition, the use of allograft bone to restore bone stock in the revision situation is covered.