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R Santore

Publications and source records attributed to R Santore.

4 recordsLinked to original sources
PubMed2001

Early failure of a roughened surface, precoated femoral component in total hip arthroplasty.

A retrospective study was performed of a consecutive series examining 98 primary hip arthroplasties between March 1992 and December 1995. A second-generation roughened surface (grit-blasted), polymethyl methacrylate-precoated femoral component (Centralign prosthesis, Zimmer, Inc, Warsaw, IN) was used for all cases. Clinical and radiographic data were available for 84 hips (76 patients). The average duration of follow-up was 35.8 months. There were 10 failures by aseptic mechanical loosening of the femoral component (12%) at an average 30.6 months postoperatively, 9 having been revised (11%). Revision was pending in the remaining patient. The average age of patients at primary arthroplasty for the failed group was 48.2 years compared with 63.4 years for the asymptomatic patients (P =.0008). In all cases, failures occurred by debonding of the femoral prosthesis from the cement mantle. We are not aware of any series using modern implant components and cementing techniques with an early mechanical failure rate of this magnitude.

Adult↗
PubMed2000

Iliac crest bone-muscle transfer in periacetabular osteotomy.

Ganz et al reported acetabular osteotomy for extensive acetabular reorientation without changing the acetabular diameter. This article reports our modification of this surgical technique, which preserves the integrity of the tensor fascia latea muscle as well as providing viable bone for bone graft at the anterior iliac osteotomy site. The interval between the sartorius and tensor fascia lata is developed distal to the anterosuperior iliac spine. After iliac osteotomy through the anterosuperior iliac spine, the distal portion of the anterosuperior iliac spine (acetabular segment), along with its slip of tensor fascia lata (1-2 cm), is separated and shaped to fit the anterior bone gap. Two small holes are drilled into that segment and also into the distal cut surface in the anterior portion of the remaining crest so that when the sutures are tightened, the tensor muscle is preserved anatomically and bone grafting is achieved.

Acetabulum↗
PubMed1980

Epiphyseal fractures of the elbow in children.

Fractures about the elbow are common in children. In addition to the more frequent humeral supracondylar type, fractures of the lateral humeral condyle, the medial humeral epicondyle and the proximal radius often occur. Fortunately, these latter types are rarely associated with neurovascular compromise, as seen with the supracondylar type. However, accurate anatomic reduction is required to permit appropriate growth at these epiphyseal sites and to prevent complications.

Child↗