Biomedical subjects

M Rait

Publications and source records attributed to M Rait.

6 recordsLinked to original sources

PubMed1994

Systemic and local silver accumulation after total hip replacement using silver-impregnated bone cement.

In a patient, at revisional Christiansen total hip arthroplasty, silver-impregnated bone cement was used as prophylaxis against deep infection. Five years later the patient developed serious neurological deficits, and the prosthesis was loose. The loose Christiansen prosthesis and the silver-impregnated bone cement were removed and a Charnley prosthesis inserted. Intra-operatively the concentration of silver in fluid drawn from the hip joint was assessed to be about 1000 times the normal serum reference value, and tissue samples from the acetabulum were densely impregnated with silver. During the following 2 years the serum concentration of silver decreased from more than 60 times to 20 times the normal; simultaneously the patient partially recovered from her grave muscle paralysis.

Aged↗

PubMed1986

Wear of the Christiansen hip prosthesis.

The wear was examined in 39 Christiansen total hip prostheses, which were removed because of mechanical loosening after being used 5 (3-11) years. In the polyacetal acetabular cups, the head had made an eccentric defect, the mean volume of which was 680 (180-3310) mm3. The mean penetration of the head into the wall of the cup was 0.8 (0.1-3.2) mm. In two additional cups the head had penetrated right through the wall of the cup. In three prostheses the polyacetal sleeve of the trunnion was so worn that the head bore directly on the stem. There was a positive correlation between wear and the time the prostheses had been used before symptoms of loosening presented.

Adult↗

PubMed1983

The Charnley versus the Christiansen total hip arthroplasty. A comparative clinical study.

Charnley total hip arthroplasties (THA) and Christiansen THA were carried out in two concurrent groups of patients, consisting of 113 hips in 87 patients and 90 hips in 81 patients respectively. The mean age of the patients was about 65 years, two thirds had idiopathic arthrosis, and only two had rheumatic hip disease. The two groups of patients were similar with regard to sex, age, weight, etiology of arthrosis, and standard laboratory tests, but different with regard to the surgeons who operated on them. Postoperative films showed that the stems of the prostheses were in the neutral and the varus position in the Christiansen group, and in the valgus, neutral and varus position in the Charnley group. Neither group had any deaths, or deep infections in the postoperative period. Only minor postoperative complications were noted. At follow-up, 5-8 years later, the failure (revision) rate of Charnley THA to Christiansen THA was 1 to 7.7 and 1 Charnley cup was revised as against 19 Christiansen cups. The methodological weaknesses in the comparative clinical trial did not explain the inferior long-term results of the Christiansen THA.

Adult↗

PubMed1980

Hallux rigidus treated with the Swanson silastic hemi-joint prosthesis.

A material of 26 patients treated for hallux rigidus using the Swanson silastic great toe implant is presented. Subjectively the results were evaluated as 88% excellent or good whereas objective examination gave 84% good or excellent results (80% taking into account two patients who had the prosthesis removed).

Female↗

PubMed1977

Alveolar soft part sarcoma. Report of a case.

In 1967 an 18-year-old woman was operated on because of a tumour in her right thigh, of which she had been aware for one year. Histological examination led to a diagnosis of alveolar soft part sarcoma. Re-excision of the area was performed but not amputation of the extremity. Ten years later the woman is in good health. She is married and has two children. The patient must be kept under observation for years and should local recurrence arise, amputation will probably be necessary.

Adolescent↗

PubMedDate not supplied

Complications secondary to the use of standard bone wax in seven patients.

Ordinary bone wax, manufactured from beeswax, was used to stop bleeding from cancellous bone in elective surgery among seven women. Five of them had a resection of a calcaneal exostosis and bursa at the insertion of the calcaneous tendon, one underwent a resection of a medial exostosis of the first metatarsal head, and one had an acromial resection. Postoperatively, all patients had disabling local pain and tenderness. Three of them developed firm visible swellings where bone wax had been used, which was easily palpable under the intact skin. At reoperation, 4 to 52 months later, masses of brown, soft granulation tissue were excised in all patients. Five of seven were relieved from pain. Microscopically, a bone wax granuloma with marked foreign body reaction was seen in all patients.

Adolescent↗