摘要:

&NA;A surgical approach to the shoulder joint for the difficult humeral neck fracture is described with illustration of a case. Resection of a middle portion of the acromial process in addition to the detachment of the anterior origin of the deltoid using an anterolateral approach is presented. This provides an unrestricted exposure to the shoulder joint and eliminates the possible complications arising from acromionectomy.

ISSN:0022-5282    

出版商:OVID    

年代:1980

数据来源: OVID

摘要:

&NA;Supracondylar fractures of the adult humerus are uncommon and present a difficult management problem. In this series of 50 patients better results were obtained by conservative rather than surgical management. In this series poor results were all related to inability to obtain rigid fixation at operation and resultant prolonged immobilization. Initial radiographic assessment is difficult and the shape of the distal humerus makes internal fixation a technical challenge. Except for simple fractures, conservative management is the recommended treatment.

ISSN:0022-5282    

出版商:OVID    

年代:1980

数据来源: OVID

摘要:

&NA;Of the several tests which measure leukocyte bactericidal competency only one, chemotaxis, has been reported to reflect both leukocyte dysfunction and patient mortality in major thermal injury. To validate the reliability that chemotaxis reflects mortality functional chemotactic index (FCI) was measured in leukocytes from 33 patients with 30% or greater total body surface area burns. Additionally, nitroblue tetrazolium (NBT) reduction and O2consumption were compared to FCI. Significant decreases were seen in FCI values compared to normals. No differences, however, were seen in FCI values between surviving and nonsurviving patients. NBT reduction and O2consumption also showed decreases with a significant difference between the mean decrease in surviving and nonsurviving patients. While the data show all these laboratory tests to be reflective of significant impairments in host defense, they do not appear to be reliable as predictive indices of patient survival and therefore should not be interpreted as such.

ISSN:0022-5282    

出版商:OVID    

年代:1980

数据来源: OVID

摘要:

&NA;In victims of carbon monoxide (CO) poisoning, metabolic acidosis has been considered a clinical finding of ominous prognostic importance. In previous studies, such patients either died or suffered serious neurologic sequelae, resulting in the recommendation by some authors that these patients require more complicated therapy, including hyperbaric oxygen and hypothermia. This report documents the full neurologic recovery of three patients with severe metabolic acidosis and CO poisoning. Our experience indicates that acidosis may not be as important a prognostic factor as previously thought, and that randomized prospective trials are needed in such patients before more complicated therapy becomes accepted medical practice.

ISSN:0022-5282    

出版商:OVID    

年代:1980

数据来源: OVID

摘要:

&NA;Until recently, the only therapy available for a tracheal stricture has been repeated dilations of the stenotic area or resection and anastomosis. Upperairway burns in the pediatric patient have occasionally resulted in tracheal stenosis. Two children with a long tracheal stenosis secondary to inhalation injury have been successfully treated surgically. A costal cartilage graft has been used in these two children in the management of a long tracheal stenosis. Both have an adequate airway, and future surgical correction of a subglottic stenosis is planned for both. The results, although initially successful, will need to be tested by time before they can be considered the definitive treatment for long areas of tracheal stenosis.

ISSN:0022-5282    

出版商:OVID    

年代:1980

数据来源: OVID

摘要:

&NA;A case of electrical injury in a 21‐year‐old woman with loss of scalp and skull is presented. The recommended method of reconstruction is transposition of the omentum with vascular anastomosis and skin grafts to cover the omentum. The patient was operated on 15 months postinjury because of painful ulcerations in a previous skin graft, and an uneventful recovery followed. She began wearing a wig 8 weeks after reconstruction.

ISSN:0022-5282    

出版商:OVID    

年代:1980

数据来源: OVID

摘要:

&NA;Two patients with gunshot wounds of the pregnant uterus are reported. Both were explored and delivered of stillborn infants by Cesarean section. Neither patient sustained a significant visceral injury. Expectant management with close observation is appropriate in pregnant women when the entrance wound is below the level of the uterine fundus, the infant is dead, and the bullet is radiographically shown to be in the uterus.

ISSN:0022-5282    

出版商:OVID    

年代:1980

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1980

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1980

数据来源: OVID

摘要:

&NA;This case report describes a horizontal intra‐articular dislocation of the right atella in a 57‐year‐old male. This is an extremely rare injury. Our case is nusual in that previous authors have described this injury as exclusive to dolescents. A mechanism has been suggested for the causation of this injury. Our case does not seem to conform to the mechanism described, in that the patient's knee was locked in extension, not flexion, at the time of injury.

ISSN:0022-5282    

出版商:OVID    

年代:1980

数据来源: OVID