We report eight cases of osseous hydatidosis involving the pelvis and hip. All patients were treated by curettage and albendazole therapy. In three cases, in which only the ilium was involved, the outcome was satisfactory. The remaining patients required several debridement procedures in combination with chemotherapy and two developed chronic lesions. We conclude that treatment for this condition is difficult and when the osseous involvement is extensive the prognosis is poor.Résumé Nous rapportons 8 cas de kyste hydatique osseux du bassin et de la hanche. Tous les patients ont été traités par un drainage chirurgical et albendazole. Trois cas, avec atteinte limitée à l´aile iliaque, ont été guéris. Les autres eurent besoin de plusieurs drainages chirurgicaux combinés avec de la chimiothérapie et deux ne gué-rirent pas jamais. Nous concluons que le traitement est difficile et quand l'atteinte osseuse est étendue, le pronostic est mauvais.
A prospective study was undertaken on 183 patients who had suffered a femoral neck fracture between 1998 and 1999. The aim was to compare the complication rates for the classical posterior approach and the modified posterior approach. The modified posterior approach used was the one described by Williams et al., which preserved the pyriformis, the labrum and the capsule. Group 1 included 95 patients, who were operated on by the posterior approach. Group 2 included 88 patients, who were operated on by the modified posterior approach. The dislocation rate for the posterior approach was 7.4% (7 cases), and 1.1% (1 case) for the modified posterior approach. This difference was statistically significant (p < 0.05). There were no significant differences in the incidences of other intraoperative and postoperative complications. We concluded that the modified posterior approach significantly increases the stability of a hemiarthroplasty in relation to the classical posterior approach.
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