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  • 1
    Electronic Resource
    Electronic Resource
    Ostéotomies lamellaires de dérotation du tibia chez l'enfant (1985)
    Springer
    International orthopaedics 8 (1985), S. 263-266 
    Details
    ISSN: 1432-5195
    Keywords: Tibia ; Derotation osteotomy ; Children
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé Description de la technique et des résultats d'une ostéotomie de dérotation du tibia chez l'enfant. L'ostéotomie lamellaire est simple, fiable, ne nécessite aucun matériel d'ostéosynthèse. Elle est applicable non seulement aux enfants présentant des séquelles de poliomyélite, mais également aux quelques enfants neurologiquement sains présentant des vices de torsion tibiale, qui ne se sont pas corrigés spontanément avec la croissance.
    Notes: Summary The authors describe the technique and results obtained by a derotation osteotomy of the tibia in children. The method is simple, reliable and does not require internal fixation. It is suitable for dealing with deformity following poliomyelitis, and may also be used to treat tibial torsion which fails to correct with growth in children who are otherwise healthy.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00266870
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Immunoscintigraphy with antigranulocyte monoclonal antibodies for the diagnosis of septic loosening of hip prostheses (1995)
    Springer
    European journal of nuclear medicine 22 (1995), S. 139-147 
    Details
    ISSN: 1619-7089
    Keywords: Immunoscintigraphy ; Infection ; Hip prosthesis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract To determine the value of immunoscintigraphy (IS) with antigranulocyte monoclonal antibodies (Mab) in the diagnosis of subacute or chronic infection of hip prostheses, we prospectively studied 57 patients (23 women and 34 men; age 29–92 years, mean 72.7 years) sent to our institution in the past 6 years for clinical suspicion of septic loosening of a hip prosthesis. Nineteen patients had bilateral prostheses and one of them was studied twice. A total of 78 prostheses were examined. All patients had three-phase bone scans followed by IS with technetium-99m antigranulocyte Mab BW 250/183. Intervals between bone scans and IS varied from 2 days to 4 weeks. Final diagnosis was assessed by culture in 48 cases (articular puncture or intraoperative sampling) and by clinical follow-up of at least 8 months in 30 cases. Twelve prostheses were considered septic and 66 non-septic. The overall sensitivity and specificity were 92% and 64% respectively for bone scans, 67% and 75% for IS and 67% and 84% for both modalities together. In three cases, IS was doubtful and the final clinical diagnosis was negative for infection. False-positive results were observed in the presence of massive loosening of the prosthesis or in association with metaplastic peri-articular bone formation. In three of the four false-negative results, infection was proven only after enrichment of the culture, and the bacterium wasStaphylococcus epidermidis. In 12/33 (36%) positive bone scans IS allowed the diagnosis of infection to be excluded. Overall accuracy of both modalities together was 81% and the negative predictive value was 93%, which compares favourably with the results reported for other non-invasive methods.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00838944
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    Paper (German National Licenses)
    Fulltext
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