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[Operations by the Bogoraz and Tikhov-Linberg methods as adequate interventions in malignant tumors of the extremities].

The author's conception on adequate operations is set forth. He considers adequate only those operations which are performed radically with abidance by ablastemic rules and consideration of the principle of a sheath structure and location after A. I. Rakov, with maintenance of the function of the operated on limb to a maximum degree. Both resection and amputation may be adequate as well as inadequate. The principle elaborated by N. A. Bogoraz and P. I. Tikhov underlies adequate resections. The author's data on the late-term results (follow-up periods of over 20 years) of resections after Tikhov-Linberg in malignant tumors of the ++brachio-scapular region are presented.

Adult↗

[Corrective osteotomies of the thigh after faulty healing of infected burn wounds].

The occurrence of burn injuries and fractures of the extremities often necessitates that vital precautions be taken first and the possibility of osseous defective healing be initially accepted. After the vital functions have been stabilized, late corrective procedures become necessary. Two cases of the treatment strategy for femur fractures which healed defectively are reported.

Adult↗

[Exarticulation of the knee joint--surgical and prosthetic aspects].

The author present his experience with exarticulation in the knee joint and emphasizes its advantages, as compared with a long femoral stump and its importance for patients. He provides brief information on contemporary technical possibilities which make it possible to produce functionally and cosmetically more acceptable prostheses.

Adult↗

Treatment of hemimelias of the lower extremity. Long-term results.

We used contemporary methods, including early surgical intervention (usually amputation) and prosthetic rehabilitation, to treat tibial or fibular hemimelia in thirty-three patients (forty-four limbs); twenty-four patients (twenty-nine limbs) had adequate follow-up, and their cases are reported here. After an average length of follow-up of sixteen years, all except two of the patients had an excellent or a good result. No patient had migration of the heel pad or a slough or infection of the skin, and only one patient needed a second operation. The Brown procedure was done on three limbs (two patients), but it always had to be supplemented by a corrective operation. We concluded that early surgical treatment and prosthetic rehabilitation yield an excellent result, not only for the short term but also for the long term.

Amputation, Surgical↗

[Synovial chondromatosis of the hip. Value of dislocation of the hip for complete removal of pathological synovial membranes].

Thirty-two synovial chondromatoses of the hip have been treated surgically. Nine cases were discovered accidentally in arthrotic hips being treated by total arthroplasty. Eleven partial joint clearances were made, five by an anterior approach and six by a lateral approach without dislocation of the hip, with bad results due to persistence of pathological synovium in the depth of the acetabular fossa. Twelve complete joint clearances were made with subtotal synovectomy and removal of all loose bodies, especially from the acetabular fossa, by dislocating the hip. The results were better and the prevention of secondary arthrosis and stabilisation of the hip condition was rendered more certain. Dislocation of the hip, with suitable precautions, does not cause avascular necrosis of the femoral head. Surgical treatment is indicated at an early stage in the disease and may prevent osteoarthrosis in a young subject.

Chondroma↗

Nontraumatic clostridial myonecrosis, a case report.

Physicians are aware of the association between massively contaminated wounds and clostridial myonecrosis, or gas gangrene. A far less common but equally devastating presentation is that of nontraumatic or spontaneous gas gangrene. The most frequently encountered organism in this rare form of gangrene is Clostridium septicum, and there is a high correlation with hematologic or gastrointestinal malignancy. The mainstays of treatment are intravenous antibiotics, surgical debridement, and hyperbaric oxygen therapy. The prognosis is dependent upon early recognition and institution of treatment.

Adenocarcinoma↗