The Results of Core Decompression Treatment in Avascular Necrosis of the Femoral Head.

Objective: Avascular necrosis of the femoral head (AVNFH) is a progressive disease seen in young, active patients, leaving significant disability in the joint when untreated. We retrospectively examined the results of patients with early stage AVNFH who had been operated in our clinic.

Methods: In our study, 65 hips of 46 patients were evaluated retrospectively.

Aspergillus fumigatus infection as a delayed manifestation of prosthetic knee arthroplasty and a review of the literature.

Fungal infection after total joint arthroplasty is a very rare but serious complication and a challenge to the treating and consulting physicians. The literature includes little information about the treatment protocol for Aspergillus infection after total knee arthroplasty, since only 3 cases have been reported. We describe the case of a non-immunocompromised patient who lacked predisposing risk factors and presented with pain and swelling.

Treatment of hallux valgus by modified McBride procedure: a 6-year follow-up.

Background: Surgical decision-making was reevaluated by comparison with an algorithm designed to analyze treatment of hallux valgus deformities.

Materials And Methods: A modified McBride procedure was performed on 52 feet of 35 patients with hallux valgus deformity. From this series, 36 feet of 21 patients were evaluated preoperatively, early postoperatively, and late postoperatively by means of subjective evaluation and clinical and radiological findings.

[Treatment of intertrochanteric femur fractures in elderly patients: internal fixation or hemiarthroplasty].

Objectives: There is no consensus as to whether internal fixation or hemiarthroplasty is more appropriate for the treatment of intertrochanteric femur fractures in elderly patients. While the latter offers early mobilization, internal fixation preserves the hip joint and avoids long-term complications associated with the prosthesis. This retrospective study aimed to compare the early results of these treatment modalities.

Evaluation of patellar height and measurement methods after valgus high tibial osteotomy.

Several controversies exist regarding the surgical difficulties and the results of total knee arthroplasty performed after failed valgus high tibial osteotomy (HTO), and the main subject is the change in patellar height that results as patella baja or infera. The purpose of this retrospective study was to evaluate patellar height after valgus HTO and the measurement methods that were actually used. Eighty-five knees that were subjected to valgus HTO were evaluated both preoperatively and postoperatively according to the Insall-Salvati Index (ISI), Blackburne-Peel Index (BPI), and Caton Index (CI) to assess any alteration of patellar tendon height that was present.

[The use of a modified Weber technique for high tibial osteotomy].

Objectives: We evaluated fixation in high tibial osteotomy with the use of a modified Weber technique (MWT), together with its advantages.

Methods: Thirty-nine patients (40 knees) underwent high tibial osteotomy for varus deformities of the knee joint and medial compartment degeneration. Fixation was performed by a modified Weber technique in which a semi-tubular plate and a long leg screw were used in place of the original Weber instrumentation.