Early operative treatment of osteolysis before the occurrence of fractures is justified by the low operative mortality and complication rates and the better quality of life that is achieved.

The case of a 82 year-old patient with bilateral simultaneous fractures of the femoral neck is reported. The indication for the treatment with two endoprostheses is disputed. A cemented standard stem and--due to intraoperative circulatory problems--a cementless stem were implanted.

Complete dislocation of the knee is rare but frequently associated with popliteal artery disruption. Prompt recognition and early revascularisation are paramount for a successful and functional result. We report on a case of anterior dislocation of the knee complicated by concomitant popliteal artery injury. The value of pre-operative diagnostic methods including pre-operative arteriography and Doppler-sonography is discussed. Review of literature is presented.

No abstract