Bulletin of the Hospital for Joint Diseases最新文献

Passive film and accelerated corrosion tests were performed on both wrought AISI 316L stainless steel and wrought Vitallium (Haynes Stellite 25) Charnley Type cement restrictors. The morphology and incidence of corrosion at the wire-wire crevices and the methacrylate-metal crevices were determined by scanning electron microscopy. The results are interpreted in view of the previously-documented crevice corrosion susceptibility of these two alloys.

A patient with idiopathic thrombocytopenia purpura who was treated with high dosage corticosteroids for ten years, developed 18 separate lesions of avascular necrosis in 12 different bones. Despite spontaneous revascularization of many of the lesions, subchrondral collapse caused symptomatic secondary degenerative arthritis in many joints. Pathological examination of both resected femoral heads showed no intravascular thrombosis.

A rupture of the musculotendinous junction of the flexor digitorum superficialis to the index finger in a baseball pitcher is described. No underlying abnormality could be detected. Because of loss of strength and dexterity, repair of the rupture was accomplished with an improved result.

We presented a synopsis of a young girl with congenitally deficient limb who underwent seven corrective surgical procedures and fabrication of a specially designed and constructed prosthesis. The surgical procedures are detailed as in the total rehabilitation approach. We have provided plastic laminated orthoses and prostheses to many patients with congenitally deficient upper and lower limbs. An additional paper will detail our experience with a series of plastic laminated orthoses and prostheses in patients with congentally deficient upper and lower extremities.

A patient with bilateral extrinsic contracture of the wrists is described. The management of this deformity is presented in detail.

It has been demonstrated that in the normal hip abduction to adduction motion of the femoral head in the neutral position is equivalent to internal to external rotation of the femoral head in the 90 degree flexed position. For similiar reasons external to internal rotation of the femoral head in the neutral position is equivalent to abduction to adduction motion in the 90 degree flexed position. Due to the architecture of the hip joint, therefore, the hip motion in some pathological conditions can be anticipated and explained.

(1) The degree of change and degeneration of the surface of articular cartilage were classified into 6 stages and a distribution chart indicating 6 stages of classification was prepared for each case. (2) The construction of the superficial fine fibrous net-work of the cartilage of the weight-bearing area is different from that of the non-weight-bearing area. (3) The construction of the fiber underneath the surface of the acetabular cartilage is different from that of the surface of femoral head cartilage underneath. (4) When only weight-bearing part was compared, the degeneration at the upper anterior side was least for both femoral head and acetabulum and was most at the slightly posterior part of the upper outer side. (5) The fine fiber of superficial layer of the femoral head and acetabular cartilage were peeling from the periphery toward the center, but no difference of surface roughness was observed by way of measurement directions. (6) Surface roughness of the cartilage increases in proportion to the degree of degeneration and change. (7) The surface roughness of the acetabulum is about twice as large as that of the femoral head cartilage, this being due to the difference in the degree of degeneration. (8) There are 4 kinds of undulations at the surface of the femoral head cartilage. (9) Both femoral head and acetabulum have less waviness of large size at the part bearing large weight. (10) The contour of the femoral head as a whole is slightly ellipsoidal, whose longitudinal axis extends in a craniocaudal direction but the weight-bearing part is nearly circular. (11) The general contour of the acetabulum indicates an ellipsoidal shape with its craniocaudal longitudinal axis slightly inclined forward or backward. The contour of the slightly postero-upper part which is considered to be the maximum weight-bearing part is slightly flat ellipsoidal.