eventy-three knees which had undergone patellectomy for patello-femoral osteoarthritis are reviewed. A possible mechanism of involvement of the tibiofemoral joint is described. Patellectomy, when the disease is confined to the patello-femoral articulation, appears to be beneficial over a 5-year period. When arthritic changes are present in the tibio-femoral joint, patellectomy may be beneficial...

OBJECTIVE To evaluate the functional results from the technique of mosaicplasty, in the knees of patients with osteochondral lesions. METHODS Between August 1999 and March 2005, 27 patients underwent mosaicplasty on their knees. Twenty-one were male and six were female. The patients' ages ranged from 16 to 64 years (mean of 38.1 years). Seventeen lesions were located on the right knee and ten...

The management of femoral shaft fractures in the elderly poses special problems (Barry 1967) and it has been assumed that internal fixation is usually the treatment of choice (B#{246}hler 1968). Although there have been retrospective trials of operative and conservative treatment of femoral shaft fractures (McKeever 1945, Dencker 1965) none has been devoted specifically to the elderly. The purp...

Access for endovascular treatment of the superficial femoral artery (SFA) is usually gained through an antegrade approach from the ipsilateral common femoral artery (CFA), or by crossing over from the contralateral CFA. In this technical note, an alternative method, based on retrograde access of the ipsilateral iliac artery (IA), and conversion into an antegrade approach to the SFA, is describe...

BACKGROUND Management of the infected femoral artery pseudoaneurysm has remained controversial. Although common femoral artery ligation and local debridement is an acceptable approach, some patients need revascularization for the treatment of leg ischemia or intermittent claudication. In this study, we report obturator bypass as an alternative technique that has been done at Sina Hospital, Tehr...

Common femoral artery occlusions are usually treated with open vascular surgical repair. We present a case of common femoral artery occlusion that was successfully treated with the FoxHollow SilverHawk atherectomy catheter. The use of this device obviated the need for adjunctive balloon angioplasty and stenting. The patient was discharged without complications after 1 day.

The frequency of slipping and osteoarthritis of the contralateral hip was recorded in 260 patients with slipped upper femoral epiphysis between 1910 and 1960. Twenty-three of these patients (9%) had primary bilateral slipping, 32 (12%) had a contralateral slip diagnosed later during adolescence and a further 104 (40%) had signs of contralateral slipping at follow-up 16 to 66 years later, giving...

Arthroplasty implant fracture is a rare but critical complication that requires difficult revision surgery, often with poor results, patient disability, and significant cost. Several reports show component fracture either at the stem or at the neck interface after a relatively short postoperative course. We report such failure after 12 years, suggesting no safe period after which femoral implan...

This study was designed to analyze anteroposterior and rotational movement of femoral condyles during knee flexion from 15 degrees to 90 degrees using magnetic resonance imaging. After a pilot study, scans were made in 10 healthy male Japanese volunteers. When centers of the circular profiles of posterior femoral condyles were used as reference points, the medial and lateral femoral condyles di...

[Purpose] This study investigated the factors affecting fear of falling in patients with femoral proximal fracture. [Subjects and Methods] The participants were 26 patients with femoral proximal fracture (3 males and 23 females, average age: 80.2 ± 7.9 years). Fall self-efficacy, motor functions, and pain intensity were measured 4 weeks post-surgery, and the participants were divided into three...