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At least 19 recordsLinked to original sources

[Traumatic dislocations of the hip with fracture of the femur head. Apropos of 28 cases].

Having reviewed 28 cases of fractures of the femoral head complicating traumatic dislocation of the hip the authors point out that the problems to be solved are the reduction of the dislocation (close or surgical) and the fate of the femoral head fragment. Close reduction succeeded in 12 cases, failed in 12 other cases, was not attempted 4 times. Open reduction was performed 16 times. When the femoral fragment was small, close reduction was attempted and the femoral head fragment neglected (10 cases). In three cases close reduction was attempted despite a big femoral fragment. These cases were complicated by a secondary femoral neck fracture. After open reduction the femoral head fragment should be neglected if small, screwed if important. Eight times a rather big fragment was removed but final results were unsatisfactory.

Adult

[New method of endoprosthesis of the femur head].

The author has developed an original method of endoprothetics of joints (application N 2651054/13). Endoprothesis is fabricated from plastics to a cast taken from the removed articular end of the bone. This allows to manifacture an exact replica. An individual endoprothetics has been used successfuly in the treatment of 12 patients with fractures and pseudoarthroses of the femoral neck.

Aged

[Late result of the surgical treatment of focal lesions of the femur head by using figured bone-cartilage homografts].

The author reports late result of focal buried homoplasty of the femoral head performed after the author's technic in 84 patients: for tuberculous coxitis (72), aseptic necrosis of the femoral head (7) and other lesions of the coxa (5). The terms of the follow-up postoperatively in 78 patients are from 3 to 11 years. An estimation of functional result of treatment was made by a 4-grade system, adopted by the majority of authors. Excellent results were gained in 18 patients, good--in 26, satisfactory--in 29 and poor--in 11.

Adolescent

[Aseptic necrosis of head of femur and disturbance of fat-metabolism type IIa after Fredrickson (author's transl)].

The history of aseptic necrosis of the head of femur is given. Following publication of osteonecrosis in hyperlipoproteinemia type IV after Fredrickson, now for the first time the relation between aseptic necrosis of the femoral head and the primary disturbance of fat metabolism type II is revealed. There exists a hypercholesterinemia, more exactly a hyperbeta-cholesterinemia. The subgroups type IIa and type IIb are explained. Type II is of particular importance since it produces early arteriosclerosis which demands early diagnosis, since this condition can be treated by drugs and diet. In the writers' opinion further differentiation of dys-and hyperlipidemiae in aseptic necrosis of the femoral head will enable us to define signs of disturbances of lipid metabolism. The group of "idiopathic" necroses of the femoral head will become steadily smaller. According to this basic concept the hypothesis might be put forward that this type of aseptic osteonecrosis is a late complication of a differentiated fat-metabolic disturbance.

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