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The clinical outcome of patients treated either by high tibial osteotomy or unicompartmental arthroplasty for medial unicompartmental osteoarthritis of the knee was compared in a prospective randomised study. In total, 32 patients received a high tibial osteotomy (HTO) and 28 patients a unicompartmental arthroplasty (UKA). More intra- and postoperative(More)
Twin pregnancy is considered to be a risk factor for congenital dysplasia of the hip. From 1987 until 1996, the hips of 4476 (2260 male, 2216 female) newborn babies were examined by ultrasound according to Graf's technique and classification in our hospital. In this study, we compare the results of twins and singletons for this risk factor. Of the newborns,(More)
Successful total hip arthroplasty with the Metha short-stem prosthesis (B. Braun Aesculap; Tuttlingen, Germany) depends on the correct indication and an accurate preoperative measurement of the femoral bone shape. Intraoperatively, bone quality, osteotomy, and implant position are of particular importance. Navigation assists with the selection of modular(More)
The position of the cup is crucial for the overall quality of a total hip arthroplasty. A malpositioning of the cup leads to increased risk of dislocation, wear, and revision. The position of the stem influences leg length and may cause impingement and dislocation. These faults may increase with minimally invasive procedures. From November 2001 to June(More)
Twenty-three adult patients (19 females, 4 males) with x-linked hypophosphatemic rickets (HPR) underwent a retrospective evaluation of the clinical course and a clinical examination by a nephrologist, orthopedic surgeon and dentist. Blood and urine analysis, bone density measurements with QCT and DEXA, ultrasonic examination of the kidneys were performed(More)
Short-stem prostheses with modular necks were implanted using a modified Watson-Jones approach in 55 cases from November 2004 to May 2006. Twenty-eight cases were navigated using the OrthoPilot navigation system (B. Braun Aesculap, Tuttlingen, Germany). Primary stability, ease of minimal invasive implantation, and restoration of the biomechanics were(More)
Avulsion injuries of the apophysis is a problem in young athletes. A correct diagnosis is necessary for establishing the appropriate treatment and the rehabilitation program. However, it is often difficult to distinguish between a simple muscle strain and an avulsion fracture. The X-ray examination is helpful only when an ossification center of the(More)