Unilateral lumbar interbody fusion (ULIF).

Results and clinical outcome of a prospective multicenter clinical study involving 100 patients under-going a lumbar interbody fusion procedure using an unilateral approach to the spine to introduce a new surgical technique as a viable and less invasive alternative to standard posterior (PLIF) or transforaminal (TLIF) lumbar interbody fusion techniques : For certain indications clinical data show that unilateral lumbar interbody fusion (ULIF) offers the surgeon a considerable time advantage compared to standard lumbar interbody fusion techniques.

Bryan cervical disc prostheses: preservation of function over time.

Preserving the function of cervical disc prostheses, even over the short term, is a matter of concern among surgeons. Our case series highlights our results and protocol for increasing the probability of continued device function. Twenty-five consecutive patients with a mean (+/-SEM) age of 44.

Painless osteoid osteoma of the finger in a child. Case report.

The authors report the case of an 8-year-old child presenting with painless swelling of the middle phalanx of the ring finger. Radiology demonstrated simple hypertrophy of cortical bone with a clear zone. Bone biopsy showed the typical features of osteoid osteoma.

Proximal row carpectomy: an alternative to wrist fusion?

Problems with implant failure and silicone synovitis and a high complication rate in wrist arthrodesis have recently increased the interest in solutions that use residual biological articular surfaces. These include limited intercarpal fusions and proximal row carpectomy (PRC). PRC is a relatively easy procedure with few complications.

The value of wrist arthroscopy. An evaluation of 129 cases.

In order to evaluate diagnostic and therapeutic wrist arthroscopy we analyzed 129 arthroscopies with a follow-up of at least 6 months. Seventy-seven arthroscopies were performed for therapeutic purposes; 52 arthroscopies were diagnostic. There were diagnostic benefits in 55 arthroscopies (42.

Arthroscopic treatment of triangular fibrocartilage complex lesions of the wrist.

The arthroscopic treatments (suture, debridement and "wafer" resection of the distal ulna) performed for TFCC lesions in 42 patients were retrospectively reviewed. Overall results were disappointing, with a better outcome for isolated lesions, for sutured TFCC's and degenerative lesions.

Radial osteotomy and Sauvé-Kapandji procedure for deformities of the distal radius.

We treated 12 patients with a posttraumatic or congenital deformity of the distal radius. A radial osteotomy and a Sauvé-Kapandji procedure were carried out. In 9 patients the deformity was caused by a malunited fracture; the other 3 patients were referred to us with a Madelung deformity.

Frayed ulno-triquetral and ulno-lunate ligaments as an arthroscopic sign of longstanding triquetro-lunate ligament rupture.

In patients with chronic wrist pain of more than 6 months duration, arthroscopy may reveal fraying of the ulno-triquetral and ulno-lunate ligaments. This can be a sign of longstanding triquetrolunate dissociation. We present a prospective study in which frayed ulno-triquetral (UT) and ulno-lunate (UL) ligaments were sought on wrist arthroscopy and correlated with longstanding triquetro-lunate (TL) rupture.

An arthroplastic salvage procedure for combined radiocarpal and distal radioulnar pathology.

In a patient with silicone synovitis and degeneration of the distal radioulnar joint after 2 operative procedures for Kienböck's disease, and in a patient with long-standing scapholunate dissociation and distal radioulnar degenerative arthritis, a combined salvage arthroplasty was performed. A proximal row carpectomy with a Sauvé Kapandji procedure maintained reasonable function.

The Sauvé-Kapandji procedure for nonrheumatic disorders of the distal radioulnar joint.

The Sauvé-Kapandji procedure has received little attention until recently. Follow-up survey was performed of 31 wrists with nonrheumatic disorders. The wrists were evaluated with the Cooney score.

Monostotic localization of Paget disease in the hand.

Paget disease rarely affects the hand and when it does, there is usually a polyosteotic involvement. Only a few cases have been described in the literature on monostotic localization in the hand. This paper adds two cases with solitary involvement of a metacarpal.

Arthroscopic suturing of TFCC lesions.

Different types of triangular fibrocartilage complex (TFCC) lesions have been described. We propose an arthroscopic repair of the peripheral tear, as it is a tear in the vascular portion of the TFCC. The technique is based on one used for meniscal repairs of the knee, and it is quite easy to perform.

A snapping wrist due to a loose body. Arthroscopic diagnosis and treatment.

A cartilaginous loose body of the radiocarpal joint was removed arthroscopically in a 45-year-old woman who complained of locking and snapping of her wrist. The diagnosis was made at arthroscopy and immediate relief was obtained.

Lesions of the triangular fibrocartilaginous complex.

The authors present a retrospective study of 14 triangular fibrocartilaginous lesions in 13 patients. Based on their radiographic and clinical observations a new classification is presented taking into account associated lesions in the wrist.

The dynamic axial fixator in fractures of the tibia and femur. A retrospective study in 98 patients.

In a retrospective study involving 98 patients the results achieved with the dynamic axial fixator (Orthofix) in closed or open fractures of the tibia or femur treated in two district hospitals in the southwest of England during the period 1986-1988 were evaluated. Fifteen patients were vacationers and, as a result, were lost to followup. The operation and subsequent management was performed by more than 15 different members of the staff, of different levels of seniority and experience.

Flexor pollicis longus rupture with scaphoid nonunion. A case report and literature study.

A case of flexor pollicis longus rupture which resulted from a pseudarthrosis of the scaphoid in a non-rheumatoid patient is described. Treatment consisted of an interphalangeal joint arthrodesis.