摘要:

The outcome of intramedullary nailing in 17 femoral fractures was studied in children aged 5 to 12 years. By this age independent vascularity of the capital femoral epiphysis has become established. Indications were: severely displaced diaphyseal fractures uncontrolled by closed reduction in patients with head injury or multiple trauma. All were treated by open reduction and retrograde nailing using Rush pins or Kuntscher nails. All children became community ambulators and were followed until maturity. There were no significant rotational deformities and leg length discrepancy due to overgrowth was less than 1.0 cm at termination of growth. Growth arrest of the greater trochanter was seen in three hips that were reamed for Kuntscher nailing but in none of those fixed with Rush pins. Retrograde Rush pinning appears to be a safe and effective procedure that avoids insult to the proximal femoral blood supply. Growth plate changes did not significantly affect hip function.

ISSN:0022-5282    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

An unstable displaced midline longitudinal (vertical) fracture of the sacrum, apparently not previously reported, is described. Pitfalls in treatment are elucidated. It is recommended that Pennal's classification be used to categorize all pelvic fractures in order to ensure early and adequate treatment and minimize the occurrence of disabling sequelae. In the patient reported, complications were bladder prolapse, pelvic instability, and sciatic nerve injury.

ISSN:0022-5282    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

Post-traumatic thoracobiliary fistulas are preventable complications of thoracoabdominal trauma. Once established, prompt diagnosis and early surgical intervention with chest drainage after decortication, suture repair of the diaphragmatic lacerations, and extraperitoneal liver drainage are crucial in the management of this complication.

ISSN:0022-5282    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

The present report discusses the use of transcutaneous oxygen (PtcO2) monitoring in the perioperative management of a patient with two major peripheral arterial occlusions secondary to blunt trauma, during the performance of an external iliac artery thrombectomy and distal popliteal artery embolectomy. The injured limb PtcO2was extremely low before surgery, but then increased to levels equal to and above contralateral limb PtcO2a full 1 hour before skin closure. The injured limb PtcO2correlated well with contralateral limb PtcO2values after restoration of normal blood flow (r= 0.97). The ratio of injured limb PtcO2to contralateral limb PtcO2may be used to quantify the severity of arterial compromise in limb trauma and the adequacy of its treatment.

ISSN:0022-5282    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

A 16-year-old boy was assaulted with a broken bottle, which inflicted a deep right-sided cervicofacial injury. Exploration, however, revealed a split parotid gland along its plane of cleavage preserving the facial nerve and major cervical blood vessels with a unique traumatic dissection simulating surgical suprafacial parotidectomy.

ISSN:0022-5282    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

A rare case of avascular necrosis of the glenoid is presented. This process should be considered in the differential diagnosis of shoulder pain and radiologic lesions of the glenoid. In this patient anti-inflammatory medications and exercise resulted in resolution of the symptoms. A good prognosis is expected in this non weight bearing joint.

ISSN:0022-5282    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

A case is presented employing a modification of the halo traction technique using clavicle and scapular based pins attached through Hoffmann spacing bars to a standard halo frame. Other techniques that have been employed for fractures and dislocations of the cervical spine are reviewed. The principal advantages are the satisfactory stability it affords and the access the technique provides to the torso. The major problem anticipated of loosening of pins or instability of the apparatus because of the mobile clavicle and scapula did not occur in this patient. The halo-clavicle traction is a needed alternative to more conventional methods of stabilizing the spine.

ISSN:0022-5282    

出版商:OVID    

年代:1984

数据来源: OVID

摘要:

Distal interphalangeal joint dislocations of the fingers are uncommon but easily reducible. Irreducible dislocations are quite rare and treatment of such a case is being reported here. Causes of irreducibility have been found to be: volar plate interposition, protrusion of the middle phalanx through the joint capsule, and flexor tendon displacement over the middle phalanx. When these situations occur open reduction is indicated.

ISSN:0022-5282    

出版商:OVID    

年代:1984

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1984

数据来源: OVID