Periacetabular osteotomy for stabilization of recurrent post-traumatic dislocation of the hip.

This article reports on the case of a twenty-eight-year-old woman who developed recurrent hip dislocation after open reduction and internal fixation of a posterior wall hip fracture-dislocation with an associated femoral head fracture. Because of the posterior wall deficiency, a modified periacetabular osteotomy was performed to stabilize the hip. At the two-year follow-up, there was no evidence of osteonecrosis in the remaining femoral head and the joint space was maintained.

Survival and polyethylene wear of porous-coated acetabular components in patients less than fifty years old: results at nine to fourteen years.

Background: Younger patients (those who are less than fifty years old) have been shown to have a high rate of failure of cemented acetabular components following total hip arthroplasty. In this report, we present the results associated with the use of an uncemented acetabular component in young patients who were evaluated at a minimum of nine years postoperatively.

Methods: Between December 1984 and December 1989, the senior author performed 174 primary total hip arthroplasties with use of a single design of porous-coated acetabular component.

Change over time of SF-36 functional outcomes for operatively treated unstable ankle fractures.

Objective: Ankle fractures are one of the most common operatively treated lower extremity fractures. Several studies indicate that patients often have residual effects after this injury. The purpose of this study is to use the SF-36 questionnaire at two times to assess patients' functional recovery and residual effects after operative stabilization of an unstable ankle fracture.