Nonsurgical treatment of Legg-Calvé-Perthes disease.
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Child↗
Biomedical subjects
C D Fackler
Publications and source records attributed to C D Fackler.
Dislocation in total hip arthroplasties.
In a series of 1,443 total hip arthroplasties performed between 1970 and 1975, dislocation was the most frequent complication and its incidence was found to be increasing. Dislocatin was frequently associated with component malposition that the surgeon was not aware of at the time of surgery and was relatively frequent among less experienced surgeons. It was especially frequent if the patient had had previous hip surgery and was related to the difficulty of the surgery rather than the primary hip disease. Increasing incidence was associated with change in operative technique and less stringent patient selection. Dislocation was 2 1/2 times more frequent if trochanteric osteotomy was not performed. The tip of the greater trochanter was moved significantly closer to the center of the prosthetic head in the patients who dislocated. Traction for up to three weeks did not lower the incidence of subsequent dislocation compared with mobilization of the patients as soon as tolerated after dislocation. Surgery was effective in preventing further dislocations in patients with recurrent dislocation and component malposition. The use of an articulated prosthesis is not recommended.
Anthropometry↗
Effect of unilateral phrenic nerve section on lung function.
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Adolescent↗
Comparison of two instrumentation techniques in treatment of lumbar kyphosis in myelodysplasia.
Thirty-three patients with myelodysplasia had kyphectomies for correction of spinal deformities. Harrington compression instrumentation was used for fixation in 21 patients, with postoperative immobilization in a spinal orthosis for 6 months. Twelve patients had Luque rod instrumentation, with fixation through the first sacral foramina with a modification of the Dunn technique and with no postoperative immobilization. Kyphosis recurred in eight patients with Harrington rod instrumentation and in none of those with Luque rod instrumentation. Nine patients with Harrington compression rods required 15 procedures for instrumentation problems. Only five of the 21 patients with Harrington compression rods had no significant complications, although ultimately 20 of 21 patients had solid fusions without further progression of the kyphosis. All 12 patients with Luque rods had solid fusions with no recurrences of the kyphotic deformity. One patient required operation for instrumentation problems.
Adolescent↗