Reverse shoulder arthoplasty as treatment for comminuted proximal humeral fractures in elderly patients.

The results of hemiarthroplasty as treatment for comminuted humerus fractures are poor in elderly patients. While hemiarthroplasty is also an unreliable treatment for rotator cuff tear arthropathy, reverse shoulder arthroplasty (RSA) has been a reliable salvage procedure. The present study examines the result of RSA as treatment for comminuted proximal humeral fractures in elderly patients.

Cementless titanium tapered-wedge femoral stem: 10- to 15-year follow-up.

This investigation is an ongoing clinical and radiographic analysis of a titanium tapered-wedge femoral component with a proximal plasma-spray porous coating. Integral femoral stems (Biomet, Warsaw, IN) were implanted in 200 hips in 186 patients. Nineteen patients died before 10-year follow-up, and 50 patients were lost to follow-up.

Thirteen year results of total hip arthroplasty using a tapered titanium femoral component inserted without cement in patients with type C bone.

Although cementless arthroplasty with a tapered titanium femoral component has proven reliable in young patients with excellent bone quality, studies involving patients with poor bone quality are lacking. The present study evaluates the results of total hip arthroplasty (THA) using such a femoral component in patients with Type C femoral bone. Ninety-two THAs were performed in 81 patients aged 65 years and older using a tapered titanium cementless femoral component.

Achilles tendon ruptures: functional outcome of surgical repair with a "pull-out" wire.

This is a retrospective review of 30 consecutive patients with acute Achilles tendon ruptures treated surgically by a single surgeon between 1992 and 1999. Repair was effected with a 26-gauge "pull-out" wire technique. A compressive dressing reinforced with plaster was employed to immobilize the ankle in neutral for 6 weeks.