[Symphysis rupture during partus].

A few hours after the birth of her first child a 36-year-old woman developed anterior pelvic pain. The pain worsened on walking. It proved that during the birth the patient had felt something 'give'.

The "Oxford Heup Score": the translation and validation of a questionnaire into Dutch to evaluate the results of total hip arthroplasty.

Background: The evaluation of a total hip prosthesis would be most complete if the opinion of the patient, surgeon and the radiographs are combined. Disease specific patient outcome questionnaires are scarce, especially in Dutch.

Methods: The disease-specific 12-item questionnaire on the perception of patients with total hip replacement was translated into Dutch.

Femoral fit predicts radiologic changes, but not clinical results, in Mallory-head total hip arthroplasties.

We prospectively studied the clinical and radiologic results of three groups of patients: 89 patients who had standard primary total hip replacements; 63 patients with hip dysplasia who had primary total hip replacements; and 48 patients who had revision total hip replacements. We studied the differences in clinical and radiologic behaviors of a titanium hydroxyapatite-coated stem with variations in the tightness of fit of the prosthesis in the femoral canal, operative group, stem size, grade of osteoporosis, and morphometric features of the femur. The clinical results in all three groups are slightly favorable for the standard primary group.