Search PubMed⌕ Search

Biomedical subjects

M Kligman

Publications and source records attributed to M Kligman.

At least 37 records · Page 2Linked to original sources
PubMed1998

[Intra-osseous ganglion of scaphoid and lunate bones].

We present a patient with intra-osseous ganglion of the left scaphoid and lunate bones. These were excised and a bone graft inserted. 1 year after operation the patient was free of pain, without limitation of wrist motion. Intra-osseous ganglion of the carpal bone is not common and lunate and scaphoid intra-osseous ganglion has rarely been reported. Awareness of this condition may lead to earlier diagnosis and treatment, with satisfactory outcome.

Adult↗
PubMed1998

Revision arthroplasty of femoral cortex defect using a noncemented stem, Mennen plate, and bone graft.

Twelve patients who underwent total hip replacement complicated by aseptic loosening with severe bone loss were included in this study. Two patients had aseptic loosening of the second revision, six of the third revision, and the remaining four patients of the fourth revision total hip replacement. In all patients, the radiographs revealed an extremely thin cortex around the stem of the prosthesis and almost complete disappearance of one cortex. All patients were treated by revision total hip replacement in conjunction with Mennen plate fixation and allograft bone support. The allograft bone support included three cortical struts and nine massive bone grafts that used cement as a strew. The results were satisfactory in 10 patients in respect to functional activity, pain and radiographic evaluation. In two patients who underwent their fifth revision, the results were unsatisfactory but better than before the operation. Mennen plate fixation provides a sufficient and easy technique for aseptic loosening of total hip replacement with severe bone loss. By preserving the periosteal blood supply, the time required for bone graft incorporation is shortened, resulting in an early final outcome.

Aged↗
PubMed1998

Glenoid fracture: conservative treatment versus surgical treatment.

Glenoid fossa fractures are rare. The indication for conservative or surgical treatment is controversial, especially because of limited reports in the literature. Many authors prefer conservative treatment for most types of glenoid fractures to the alternate surgical treatment, but long-term follow-up is rarely reported. We report on four patients with displaced, intra-articular glenoid fossa, who were treated either surgically or conservatively. After an average 7-year follow-up, clinical and radiographic results were satisfactory in all patients. Based on the literature and our limited experience, we recommend that conservative treatment be considered as a good option for displaced intra-articular glenoid fossa fracture.

Adult↗
PubMed1998

Urografin injection demonstrated soft tissue ganglion communication with an intraosseous ganglion cyst.

Intraosseous ganglion cysts rarely occur in the hand or wrist. We present a case of a soft tissue ganglion cyst that communicated with the intraosseous ganglion of the scaphoid. Typical diagnostic studies include radiography, computed tomography, and magnetic resonance imaging. The diagnosis was made in this case by injection of Urografin into the soft tissue ganglion. The patient underwent excision of both ganglion cysts, resulting in a satisfactory outcome.

Adult↗
PubMed1998

Femoral bone reconstruction in revision total hip replacement.

Twelve patients who had undergone total hip replacement complicated by aseptic loosening with severe bone loss were included in this study. Eight of these patients had aseptic loosening of more than the second revision and the remaining four patients of the fourth revision total hip replacement. In all patients, the radiographs revealed an extremely thin cortex around the stem of the prosthesis and almost disappearance of one cortex. All patients were treated by revision total hip replacement in conjunction with Mennen plate fixation and bone graft support. The results were satisfactory in ten patients in respect to functional activity, pain, and radiographic evaluation. In two patients who underwent their fifth revision, the results were unsatisfactory but better than that before the operation. Our conclusion is that Mennen plate fixation provides a sufficient and easy operative technique for the correction of aseptic loosening of total hip prostheses accompanied by severe bone loss.

Activities of Daily Living↗
PubMed1997

[Magnetic resonance imaging for suspected femoral neck fractures].

Painful hip as a result of injury, with or without a history of trauma, is a common reason for referring elderly patients to the emergency room. The diagnosis of femoral neck fracture requires the combination of a physical examination, X-rays, and in problematic cases, a bone scan. However, even this combination does not always provide a diagnosis. We present 50 patients with painful hip who complained of limp and reduced hip joint motion, but had no evidence of fracture, either on X-ray or bone scan. After conservative treatment, 5 patients with no history of trauma underwent hemiarthroplasty of the hip for displaced subcapital fracture. In addition, we present a case of subcapital fracture which was diagnosed only by MRI, in whom both X-rays and bone scan were considered normal.

Aged↗
PubMed1997

[Recurrent chronic multifocal bone infection].

We present a 9-year-old girl who had chronic recurrent multifocal osteomyelitis. The bones involved were: right clavicle, distal fibula (bilateral), left sacroiliac and right wrist. After 10 years of follow-up; she is asymptomatic but presents radiological evidence of lesions in the right clavicle and left sacroiliac joint. The diagnosis was made by exclusion criteria. The biopsy and results of cultures from various bones were negative 4 times. Although chronic recurrent multifocal osteomyelitis is rare, it should be considered in the differential diagnosis of acute or chronic osteomyelitis and neoplasma. Its recognition avoids unnecessary laboratory tests and antibiotic therapy.

Acute Disease↗
PubMed1997

[Glenoid fossa fracture].

4 patients with displaced intra-articular glenoid fossa were treated either surgically or conservatively. After an average follow-up of 7 years, the clinical and radiographic results were satisfactory in all. The 2 treated surgically required shorter follow-up than those treated conservatively. Conservative treatment should be considered a good option for displaced intra-articular glenoid fossa fracture.

Adult↗
PubMed1997

[Femoral fracture following total hip replacement].

Between January 1990 and May 1996 we performed 500 total hip replacements, 6 of which were complicated by ipsilateral femoral fracture. Treatment was either by skeletal traction or by internal fixation, with or without revision-total hip replacement. Results of surgical treatment were superior to those of conservative treatment. This study supports use of Mennen plate-fixation. Further studies are necessary for final evaluation of the efficacy of this method.

Bone Plates↗
PubMed1997

Posterior approach for radical excision of sacral chordoma.

Sacral chordoma is a rare primary malignant tumour of bone. Operations to excise these tumours are complex, time consuming and involve considerable blood loss. We describe the use of a posterior approach to excise chordomas from the sacrum of five patients without visceral involvement. This approach is less complex than combined approaches previously described. No distal recurrences had occurred at a mean followup of 5 years. One patient developed local recurrence and was successfully treated by wide local excision. Postoperative morbidity was low with regard to urinary and faecal continence problems. We recommend the use of Mersilene mesh to prevent herniation through the sacral defect.

Adult↗
PubMed1997

Posterior approach for glenoid fracture.

Intra-articular glenoid cavity fracture is very rare. We describe an original surgical technique for depressed intra-articular glenoid fracture used in three patients. The glenoid was exposed by the posterior approach. The anterior fragment was reduced by a hook through the joint cavity and an elevator device through the window, which was performed posteromedially to the glenoid. This approach provides excellent visualization of the glenoid cavity and mobilization of the anterior and posterior fragments.

Adult↗
PubMed1997

Mennen plate in hip and shoulder joint replacement.

Sixteen patients complicated by femoral fracture and aseptic loosening with severe bone loss and two patients complicated by humeral fracture after hip and shoulder joint replacement, respectively, were collected from the Carmel and Ichilov teaching hospitals. All patients underwent internal fixation with the Mennen plate or in conjunction with revision joint replacement, either for internal fixation or for bone graft support. The results were satisfactory in fifteen patients with respect to functional activity, pain, and the radiographic evaluation. In three patients who underwent their fourth revision, the results were unsatisfactory but were better than their preoperative status. Our conclusion is that Mennen plate fixation provides a sufficient and easy internal fixation technique for a fracture around or below the un-dislodged stem of hip and shoulder in joint replacement. In an unstable femoral fracture or in a case of aseptic loosenings with marked bone loss, we recommend Mennen plate fixation in conjunction with long stem revision total hip replacement and bone graft.

Aged↗
PubMed1996

[Total knee replacement].

The medical records of 319 patients who underwent 350 primary total knee replacements were analyzed retrospectively. The age range was 44-89 years (average 66). In all we used a Biomet ACG prosthesis and preserved the posterior cruciate ligament. Results, measured objectively with Knee Society scores, were satisfactory for all ages, especially the younger. However, even in older age groups subjective results were promising. We emphasize the importance of preserving the posterior cruciate ligament and its advantages for all age groups.

Adult↗
PubMed1996

[Fracture of the humerus after hemiarthroplasty of the shoulder].

Fracture of the humeral shaft as a complication of total shoulder replacement or shoulder hemiarthroplasty is infrequent, but has serious consequences. Traumatic injury is the most common reason for humeral fracture. The prosthesis causes corticolysis as a result of aseptic and septic loosening. Concomitant with increasing use of total and hemiarthroplasty of the shoulder, is an increase in aseptic loosening of the prosthesis. This increases the frequency of humeral fracture after the procedures. We reviewed the results of 3 patients, women aged 54 and 68 years, respectively, and a man of 65, who were treated for humeral fracture as a complication of hemiarthroplasty of the shoulder. We recommend surgical treatment for fracture around the tip of the prosthesis. Humeral fracture below the tip of the prosthesis should be treated individually, depending on the surgeon's experience.

Aged↗
PubMed1996

Arthroscopic assistance for unselected tibial plateau fractures.

Nine closed tibial plateau fractures in nine patients were treated with arthroscopic-assisted reduction and percutaneous fixation or buttress plate. These procedures were performed between 1993 and 1994 and represent an exclusive and nonselected, consecutive series. The mean follow-up period from time of operation was 10.6 months (range, 6 months to 1.5 years). The results were satisfactory. All the reductions remained roentgenographically anatomic with good to excellent clinical function. Concomitant knee pathology included three cases of partial tear of the anterior cruciate ligament that required special postoperative treatment, and two cases of partial tear of the lateral meniscus that were treated arthroscopically. There were no intraoperative complications. There was one case of postoperative peroneal nerve neuropraxia that resolved spontaneously. Our conclusion is that this technique should be considered as a treatment alternative in the treatment of tibial plateau fractures.

Adult↗