No abstract

CT is an efficient imaging method for diagnosis, guiding the drainage procedures and monitoring response to percutaneous drainage of emphysematous pyelonephritis. Antibiotic therapy combined with CT guided percutaneous drainage of emphysematous pyelonephritis is an acceptable alternative to antibiotic therapy with surgical intervention.

No abstract

Sixteen young adults with neglected femoral neck fractures were treated from 1974 to 1981. The ages ranged from 16 to 43 years. The periods of delay after fracture were three months to two years. Most of the patients were initially treated by a "Chinese bone setter" with subsequent development of leg shortening, upward displacement of the distal fragment, and a variable degree of absorption of the femoral neck or head. Treatment included skeletal traction followed by open or closed reduction, internal fixation, or angulation osteotomy with or without bone graft. Two to eight years later, there were no cases of nonunion. Four hips developed avascular necrosis with one requiring still further surgical treatment. Thirteen patients (81%) had good to excellent results. Preservation of the patients' own hip joints was worthwhile. A defeatist attitude toward the "unsolved" fracture should be qualified.Von Langebe~k?~ in 1878, reported the first attempt at internal fixation of a fractured neck of the femur; however, sepsis resulted in his failure. His method was not accepted by the surgical profession at that time, and the conservative approach of Whitman33 was the method of choice until 193 1, when Smith-Peterson and his co-workersZ9 introduced the triflanged nail. Early anatomic reduction, impaction of the fracture fragments, and rigid internal fixation have been used to handle fresh femoral neck fractures with great im-