Self sacrifice or natural donation? A life course perspective on grandmothering in New Zagreb (Croatia) and East Berlin (Germany)

In this article we explore grandmaternal care and its interpretations in two European capitals of former socialist countries, Zagreb and Berlin. We describe the scope and variety of grandmaternal care practices both field sites and then contrast two grandmotherly interpretations of their intensive caring for grandchildren The different appraisal of their similar practice as self-sacrifice and natural donation respectively is embedded in different life course experiences of these two women. Both grandmothers lived in socialist states and made the experience of profound change with political and economic restructuring. But while socialist eastern Germany and Croatia had many similar traits they also differed in important aspects. While our interlocutors attributed their practice generally to post-socialist developments, they based their judgements on different aspects of state responsibility. While demographic developments might create similar opportunities for child care, national and local contexts vary and local actors attribute different meanings to their actio

Stability of medial opening wedge high tibial osteotomy: a failure analysis

Medial opening wedge high tibial osteotmy (HTO) is often used to treat varus gonarthrosis in young, active, highly demanding patients, although it has many pitfalls, which were evaluated in a consecutive cohort of patients. A retrospective analysis of a consecutive series of 45 patients with 49 medial opening HTO for varus gonarthrosis using a spacer plate (Puddu I, Arthrex, USA) were included. A Chi square test was used to study the effect between the wedge size and complications. Complications occurred in 22 knees (45%). There was no significant difference between groups for individual complications; however, when combined, there were significantly more complications in the >10 mm wedge group (Chi square p = 0.05). The overall complication rate in this series was 45%. The majority were related to intrinsic instability at the osteotomy site (24%) and surgical technique (20%). The evaluated spacer provided inadequate stability