The Importance of Modified Budin Incidence in the Radiological Diagnosis in Patients with Aseptic Necrosis of the Femoral Head

Abstract

This study included 56 patients who presented hip pain occurring spontaneously without any trauma history. A new radiological protocol was initiated for all the patients suspected of NACF. A pelvis, Dunlop profile and modified Budin at both hips scan was performed. In order to emphasize the effectiveness of the new radiological protocol, the following indicators were analyzed: the mobility of the affected hip, the radiological changes typical to the aseptic necrosis of the femoral head, the extension angle of the necrosis area on every incidence after Kerboul [1,2], the surface area covering the necrosis zone on every incidence and the coverage on every patient. The modified Budin profile has a greater diagnostic value for the early stages of NACF than the Dunlop profile and the radiography. The Budin incidence is important in order to differentiate stage III of NACF from stage IV by highlighting the degenerative changes in the acetabular cavity.

Aspects of Cementation in Shoulder Hemiarthroplasty after Complex Fracture of the Proximal Humerus

“…In order to obtain excellent results after the surgical treatment of complex prosthetic humerus fractures involving shoulder hemiarthroplasty, is mandatory to limit the dissection of soft periarticular tissues [3, 11,16], to repair tuberosity and to restore the rotator cuff ( fig. 10,11).…”

“…The fixation of the humeral stem after restoration of the appropriate position by cementation (figs. 12-16) is necessary in patients with a deficient bone stock with proximal humerus fractures, with a low failure rate in terms of prosthesis displacement and the need for a new intervention, revision surgery [6,16]. The use of antibiotic cement is an additional method in prophylaxis of osteoarticular infections [2,13].…”