A.T.S. Cervical Polyradiculitis Treated by Cortisone

Jh, Baron

doi:10.1136/bmj.2.5097.678

Cited by 3 publications

(1 citation statement)

References 4 publications

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“…There is usually complete recovery in from one to eighteen months. However, 20% of patients never obtain complete return of function (Baron 1958). Recurrent episodes are not recorded in the literature.…”

Section: Commentmentioning

confidence: 98%

External Rotation Palsy of Shoulder

Roper

1972

Proceedings of the Royal Society of Medicine

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Fig 2 Anteroposterior and lateralpostoperative radiographs ofknee to show appearance ofprosthesis and range ofmovement. Lateral collateral ligament has been tightened by resecting neck offibula and drawing headoffibula distally. Head offibula is held inposition by screw transfixing it to tibiaThe tibiofemoral joint was replaced with a prosthesis. Six months later he had been back at work for 2 months, walked half a mile without a stick, and said that his knee was painless. The range of movement was O-85o, the knee was stable and the varus deformity corrected (Fig 2). DiscussionThis prosthesis consists of two separate components: (1) A femoral component of a partcylindrical surface centred a little behind the line of weight bearing, from which a flat surface extends tangentially forward and blends into a second curved surface which passes in front of the femur and is concave anteriorly to accommodate the patellar tendon. A short intramedullary stem is provided, as a restraint against medial or lateral gliding, but chiefly to aid accurate positioning of the prosthesis. (2) A tibial component with a superior surface of a wideangled V connecting two flat surfaces separated Fig 3 Lateral view ofprosthesis, withfemoral and tibial components separatedfor clarity. Anterior aspect ofprosthesis is to left in this view. (Tibial component shown is a later version than that shown in Fig 2) by a curved portion which matches the major radius of curvature of the femoral component (Fig 3).In the case presented the femoral component was made of cobalt-chromium alloy and the tibial of high density polyethylene. Special jigs are used so that the bony sections are placed correctly and the components are cemented in position; patellectomy can be carried out if required. Postoperatively the knee is immobilized in a plaster of paris cylinder for three weeks and then progressively mobilized.The first of these prostheses was inserted in March 1970. Eighteen knees in 17 patients were operated on up to March 1971, 2 with osteoarthrosis and the remainder with rheumatoid arthritis. To date the overall results are satisfactory; all the prostheses have been retained and all patients are weight-bearing.

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Section: Commentmentioning

confidence: 98%