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Proximal femoral extracapsular fractures have shown a significantly high morbidity and mortality rate at 1 year in cases of nonoperative treatment. The standard gamma nail was originally designed to provide stable fixation and allow early mobilization and weight bearing for elderly patients. The design of the standard gamma nail, however, appears to be(More)
STUDY DESIGN A consecutive series of 52 chordomas of the mobile spine observed over a 50-year period includes a retrospective review of 15 cases treated prior to 1991 and a prospective group of 37 cases treated from 1991 to 2002. OBJECTIVES This series reviews epidemiologic issues as well as clinical patterns of spinal chordomas. We attempt to correlate(More)
STUDY DESIGN Twenty-one cases of chordoma arising in the mobile spine were retrospectively reviewed. OBJECTIVES All the cases were submitted to oncologic and surgical staging to correlate treatment and outcome. SUMMARY OF BACKGROUND DATA Excluding plasmacytomas, chordoma is the most frequent primary malignant tumor of the spine, occurring mainly in(More)
PURPOSE To report the middle term results of partial coccygectomy in a consecutive series of 15 patients with chronic coccygodynia. METHODS Fifteen patients with chronic coccygodynia were referred to our outpatient clinics. The patients were investigated with dynamic lateral radiography and magnetic resonance imaging (MRI). We diagnosed a posttraumatic(More)
Between 1985 and 1990 we treated 11 large segmental bone defects (average 6.7 cm) in ten patients with the Ilizarov technique. Open fractures, type III according to Gustilo, represented the largest group (8 of 11 cases). The average delay before the Ilizarov technique was initiated was 8.9 months. The external fixator was usually maintained for 1 year. Bone(More)
AIM To compare clinical and radiological results in per- and subtrochanteric fractures' management with 90 degrees blade plate or Gamma nail fixation; an implant allowing early weight-bearing and fracture healing in correct position remains still difficult. METHOD Between 1993 and 1995, 26 patients addressed to our Center for a Kyle IV [1] fracture were(More)
One of the most demanding steps of an intramedullary nailing is the distal locking. The aim of this study is to evaluate clinically and prospectively a new targeting guide. Twenty-five patients were treated consecutively in two different trauma centres (level one and one general hospital) by two different surgeons who were instructed on using the new(More)
INTRODUCTION The purpose of our study was to retrospectively evaluate the clinical and radiological results of subtrochanteric fractures treated with a long gamma nail (LGN). The LGN has been the implant of choice at our level-1 trauma center since 1992. MATERIALS AND METHODS Over a period of 7 years, we have treated 90 consecutive patients with(More)
Sternoclavicular dislocations represent a rare injury. Based on our clinical experience with a patient showing an anterior subluxation after reduction of a posterior traumatic dislocation, we review the literature. The emergent reduction of the dislocation is mandatory, always keeping in mind the potentially devastating neurovascular complications. If the(More)
OBJECTIVE To analyze the use of the gamma nail in the treatment of pertrochanteric fractures. DESIGN Prospective. SETTING University. PATIENTS Sixty-three fractures in sixty-three patients treated with gamma nails. RESULTS Forty-five of the sixty-three patients (71 percent) were followed until the end of treatment, for an average follow-up period of(More)