Left above-the-knee amputation and right hemiplegia.
Explore the source record for details and available documents.
SEARCH · Search PubMed
Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.
Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
CRPS 1 is a chronic pain disorder with an as yet not fully understood pathophysiology. The diagnosis is clinical, and the disorder is characterised primarily by pain and skin changes. We present a patient with an aggressively spreading CRPS 1 due to a minor trauma to the right foot, which led to bilateral knee ex-articulation 11 years later. This case report demonstrates the potentially devastating effects of this disorder and the difficulties in treating it.
Osteosarcoma is the most frequent primary malignant bone tumor. It usually occurs in the second decade of life. Pathologic fracture as the primary manifestation of an osteosarcoma is rather unusual, especially under the age of 10. The authors present the case of a 9-year-old boy with a diaphyso-metaphyseal femoral fracture, in whom the radiological features of an osteosarcoma were not recognized at the time of the fracture as they were not clearly visible, and at follow-up initially were considered as proliferative callus formation.
Syme's amputation was performed in one stage in 8 and in two stages in 13 patients. Failures were defined as those requiring a more proximal amputation and were present in patients with vascular disease only. The failure rate was 38% in the group with vascular disease and 24% in the total group. Syme's amputation provides the patient with a durable end-bearing stump, even in insensitive feet.
One hundred eighteen patients--with 151 osteitis and 33 septic arthritis--were treated in a second category hospital in Sahel (Africa) between 1987 and 1988. A very simple and inexpensive treatment was used; this is of great importance in developing countries, with poor general hygiene and limited reserves of antibiotics. There is no special equipment required, excepted basic instruments for bone surgery. The results were: a) out of a total of 119 patients, 103 cures: 87.3% 7 amputations: 6% 7 failures: 6% 1 death (among the amputees) 1 lost to follow-up b) out of 151 osteitis, 134 cures: 88.7% c) out of 33 arthritis, 21 cures: 63.6%. This series shows that amputation is no longer necessary if the treatment is long enough. Amputation is indicated exceptionally in young patients, even in the poor conditions of the developing countries.
Explore the source record for details and available documents.