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Biomedical subjects

L Lidgren

Publications and source records attributed to L Lidgren.

At least 127 records · Page 7Linked to original sources
PubMed1982

Intramedullary Ender nailing combined with Parham's modified band in the treatment of subtrochanteric femoral fractures. Report of four cases.

The treatment of oblique subtrochanteric femoral fractures is often difficult. Both fixation with a nail and plate, and intramedullary nailing have several pitfalls. Four cases treated with intramedullary Ender nailing combined with Parham modified bands are presented. The method is technically simple, gives complete reduction, allows early mobilization and gives a good functional result.

Aged↗
PubMed1982

Surface replacement of the hip in chronic arthritis. A clinical, radiographic and roentgen stereophotogrammetric evaluation.

Surface replacement of the hip was performed on nine patients (11 hips) with chronic arthritis. The results were evaluated twice clinically, as well as by radiography and roentgen stereophotogrammetry, an average of 15 and 23 months postoperatively. The early clinical results were promising. One or both of the components were loose in five hips and the acetabular socket had migrated in one hip, as revealed by the radiograms. Roentgen stereophotogrammetry revealed loosening in one hip and migration of one or both of the components in eight hips altogether. The radiograms gave the information needed in the daily routine but roentgen stereophotogrammetry gave more accurate information about early migration. At the third clinical follow-up, an average of 35 months postoperatively, two hips had been reoperated on and two had developed pain.

Adolescent↗
PubMed1981

Modified technique in the dorsal approach in total hip arthroplasty.

A modified dorsal approach with osteotomy of a bone shell with the attached short external rotator muscles which are resutured, is described. The advantages have been less dislocations, less sciatic nerve injuries, and an increased operative access. There have been no disadvantages, as increased bleeding or periarticular calcification. The dorsal approach can be used for all conventional total hip arthroplasties and the reported modification seems to be an advantage.

Bone Diseases↗
PubMed1981

[Skeletal scintigraphy as early diagnostic aid in acute haematogenous osteomyelitis in the iliosacral joint (author's transl)].

For the scintigraphic diagnosis of bone disease 99mTechnetium MDP has been shown to be of great value. In acute haematogenous pelvic ostemyelitis scintigraphy is one of the most important early diagnostic aids. The rare and difficult diagnosis with an initial negative X-ray can be confirmed by a high uptake on scintigraphy. Through early selected antibiotic therapy in high doses the development of radiologic changes were prevented which is shown in the two reported cases with acute haematogenous osteomyelitis in the iliosacral joint.

Adolescent↗
PubMed1981

Arthroscopy of the hip in juvenile chronic arthritis.

After distension of the hip joint with physiological saline followed by traction, hip arthroscopy was performed in 13 patients (15 hips) with juvenile chronic arthritis. Arthroscopy gave better information about the cartilage than the roentgenograms and gave the same information about the synovial membrane as the operation. This diagnostic procedure should be performed early in the course of hip disability.

Adolescent↗
PubMed1981

Surface replacement of the hip in juvenile chronic arthritis.

Seventeen resurfacing arthroplasties undertaken in 13 patients with severe hip arthritis are described. The youngest patient was 14 years and the mean age 23 years. The average follow-up time is 2 years. In one patient, pain-free for 7 months, the femoral cup slipped and revision into total hip replacement was easily performed. The remaining patients are pain-free, have increased motion, a better walking capacity and can enjoy sex life. The tremendous improvement in quality of life for these young patients justifies operation even if all may have to be converted into total hip replacement within a couple of years, although there is nothing to indicate that in this early follow-up.

Adolescent↗
PubMed1981

Deformation and loosening of the tibial component in knee arthroplasty with unicompartmental endoprostheses.

Roentgenological signs of deformation and loosening of the tibial component in knee arthroplasties with unicompartmental endoprostheses occurred in one-third of 87 rheumatoid (RA) knees within 2 years and in one-fifth of 107 osteoarthritic (OA) knees within 3 years after the operation. Compared with thicker components significantly more 6 mm components in RA, and 6 and 9 mm components in OA became deformed and loose. There was no difference in the clinical assessment of the knees with and without deformed tibial components. Reoperations were recorded during an extended follow-up. In the group with initially asymptomatic loosening twelve RA knees within four and a half years and three OA knees within four years developed pain on weight-bearing and had to be reoperated. One patient (OA) had loose components without any roentgenological signs; the loosening was first discovered when the unoperated compartment was revised because of secondary osteoarthrosis. Knees fitted with 6 mm components more often required reoperation because of loosening than did those with thicker components.

Adult↗
PubMed1980

Antibiotic containing bone cement beads in the treatment of deep muscle and skeletal infections.

Forty-eight cases of osteomyelitis or bacterial arthritis operated on with eradication of infections lesions were randomly treated either by insertion of suction-irrigation drainage or by implantation of gentamicin beads. The average follow-up time was 2 years. There was no difference in the recurrence rate between the two groups. The gentamicin treated patients were however more easily cared for as the suction-irrigation drainage required constant attention. Local temporary treatment with gentamicin beads should be used in cases of deep gram-negative muscle and skeletal infections where it would otherwise be necessary to give toxic antibiotics.

Adolescent↗
PubMed1980

Intramedullary reaming in chronic diaphyseal osteomyelitis: a preliminary report.

Eighteen cases (17 patients) of chronic diaphyseal osteomyelitis with repeated exacerbations have been operated on by intramedullary reaming in addition to the conventional local surgery and antibiotic therapy. Nine patients with severe pain at rest were promptly relieved by the operation. The observation time was 28 months. In one case the fistula persists. The remaining patients have "healed." The average duration of the disease was 19 years.

Adolescent↗
PubMed1979

Bone mineral content in epileptics.

The bone mineral content in the forearms was measured in 71 epileptics, admitted to an institution for epileptics. The mineral content was decreased in epileptics as compared with age-matched normal controls. The decrease was in the order of 10--15% except in the distal end of the forearm in women. Also, the strength of the hand and forearm was decreased by 1/3 and since there is a known relationship between strength and bone mineral content, the loss of bone mineral may be secondary to the loss of strength. Therefore, inactivity could be an important contributory factor to the bone mineral loss in these epileptics.

Aged↗