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Orthopaedic Proceedings
Vol. 88-B, Issue SUPP_III | Pages 422 - 422
1 Oct 2006
Maccauro G Esposito M Conti C Salvatori S Aulisa A
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Elastofibroma dorsi is a rare benign unencapsulated tumour characterized by a elastic fibres proliferation in a collagen stroma with adipose tissue. Lesion is often asymptomatic, monolateral and localized at the tip of the scapular. It is slow-growing. It mainly occurs in adult females. At now some controversies concerning diagnosis and modality of treatment are reported in the literature. Authors report clinicopathological features of elastofibroma dorsi analysing 8 cases from 2001 to 2005, and revise the literature. Seven females and 1 adult male were observed, often dedicated to manual labour. Six symptomatic patients underwent marginal excision of tumour, and the remaining asymptomatic 2 patients were only followed. No local recurrences were observed in operated patients.

On the basis of these data Authors evidenced limits of different instrumental methodologies of diagnosis (ultasonography, computer tomography and magnetic resonance imaging) and suggested a algorithm for diagnosis and treatment remarking that marginal excision constitutes effective treatment of symptomatic patients.


Orthopaedic Proceedings
Vol. 86-B, Issue SUPP_III | Pages 320 - 321
1 Mar 2004
Giandomenico L Larosa F Marnetto F Demaio P Conti C
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Aims: To evaluate clinical and radiographicl results of hydroxyapatite versus porous coated stems in total hip arthroplasty. Methods: A consecutive randomized series of 447 cementless Titanium prostheses were prospectically studied. The stems (Synergy-Smith& Nephew) were different for the proximal 1/3 hydroxyapatite (HA=268) or titanium porous coating (PC=179) Same cup and ball head were used. Clinical (HHS/Womac) and radiological assessments (Enghñs criteria) were obtained before and after surgery (mean F-U=27,05 months). Results: The clinical outcomes showed a signiþcant improvement in both groups. Bone ingrowth was present in 100% (HA) and 96% (PC) and stable þbrous ingrowth in 4% (PC). Cortical hypertrophy and heterotopic ossiþcation (Brooker 1) were prevalent in HA without limitation of ROM or pain. Stress shielding was equivalent. Nor osteolysis neither subsidence were identiþed. Fractures occurred in 8 cases (HA=6/PC=2) and dislocation in 3 cases. Conclusions: In this study the two types of stems showed good comparable clinical results. The complication were not related to the coating. HA coated prosthesis showed faster osseointegration, and enhanced bone ingrowth. The earlier bone-stable integration obtained in the HA group may be predictive of a lesser degree of osteolysis in the future