CSRS-ES congress in Kurfu, Greece, May 26–29, 2010

Abstracts

CSRS-ES congress in Kurfu, Greece, May 26–29, 2010     

Proceedings of the Finnish Orthopedic Society: Mikkeli,May 17–18, 1985

Two women underwent a PCA total knee arthroplasty of the metal-backed type in which the tibial insert was only 4 mm thick in its thin-nest portion. After 2 and 4 years, both women had pain on weight bearing due to polyethylene breakdown causing metal-to-metal contact. Such thin polyethylene components should not be used for knee replacements.     

Editorial Commentary: Indiscriminate Iliopsoas Tenotomy May Cause Complications–With Tight Indications and Transbursal Lengthening,We May Avoid Them

Surgical management of iliopsoas pathology that fails conservative treatment is controversial. Potential complications following iliopsoas tenotomy include recurrent painful internal snapping, postoperative pain, and hip flexor weakness. Concerns are even greater in dysplastic patients, in whom the iliopsoas may play a role as an anteromedial hip stabilizer. Although data demonstrate arthroscopic iliopsoas tenotomy for painful internal snapping as safe and effective, its use has declined for the reasons stated above. On the other hand, procedures such as capsular plication with inferior shift and anatomic labral repair, augmentation, and reconstruction have made it possible to restore the primary stabilizers in many cases of hip instability. In these cases, iliopsoas fractional lengthening (IFL) with avoidance of collateral damage to the musculature or capsule can successfully treat painful internal snapping hip. We recommend iliopsoas lengthening when (1) there is painful internal snapping, (2) IFL can be performed without collateral damage, (3) the primary soft tissue stabilizers can be restored or augmented, and (4) there is no bony morphology likely to cause continued instability.     

Editorial Commentary: #Fakeradiographicangle—Critical Shoulder Angle,Like Acromioplasty,May Not Be Critical

The critical shoulder angle (CSA) is found to have an association with rotator cuff tearing when the angle is greater than 35° to 38°. However, the CSA does not correlate with improved clinical patient outcome scores. Acromioplasty is no longer viewed as a critical part of rotator cuff surgery. Only meaningful comparative studies will allow us to conclude whether performing a lateral acromioplasty for a significant CSA will be an important step to prevent future retears after rotator cuff repair.     

May钢板治疗胫骨远端骨折

目的 探讨May钢板治疗胫骨远端骨折的优越性及治疗要点。方法 对33例胫骨远端骨折用May钢板治疗，按AO分型：A12例，A25例，A37例，C17例，C28例，C34例。结果 33例平均随访23.5个月。骨折全部愈合，功能评价参照Ovadia标准，总的优良率为90.91%，其中C型19例，优良率为84.22%。结论 胫骨远端骨折应积极手术治疗；May钢板有两种形状，应根据骨折的不同类型选用胫侧板或腓侧板；用May钢板治疗胫骨远端骨折，可使胫骨远端骨折容易达到解决复位和牢固的内固定，切口容易闭合，疗效良好。     

XXXV Italian Spine Society National Congress Ergife Palace Hotel, Rome, Italy May, 17th–19th 2012 ABSTRACTS

Abstracts

XXXV Italian Spine Society National Congress Ergife Palace Hotel, Rome, Italy May, 17th–19th 2012 ABSTRACTS     

XXXIII Italian Spine Society National Congress Palafiori-Sanremo (IM), 20–22 May, 2010 ABSTRACTS

Abstracts

XXXIII Italian Spine Society National Congress Palafiori-Sanremo (IM), 20–22 May, 2010 ABSTRACTS     

May解剖钢板固定治疗股骨粗隆间骨折

目的 对May解剖型钢板内固定治疗股骨粗隆间骨折疗效进行探讨。方法 21例股骨粗隆间骨折患者采用髋关节外侧入路，May解剖型钢板内固定治疗。结果 21例患者，随访10个月～2年，无骨折不愈合、内固定松动、断裂者，无逐渐负重后松质骨螺钉进入髋关节者。14例患者已取出内固定，无再骨折者。术后髋关节功能：优15例，良4例，可2例，差0例。优良率占90％。结论 May解剖型钢板内固定治疗股骨粗隆间骨折固定可靠，符合人体生物学要求，操作简单，是一种良好的治疗方法。