ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1981.tb05245.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1981.tb05246.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

The Geometric Total Knee Arthroplasty was one ot the earliest unconstrained knee arthroplasties available for the replacement of knees severely affected by destructive arthritis. This paper presents the results of Geometric knee arthroplasty performed by surgeons of the Alfred Hospital, Melbourne, during the years 1973 to 1977, this being the initial five years experience with this procedure. One hundred and fifty arthroplasty operations were performed in 106 patients, 78 for osteoarthritis and 72 for rheumatoid arthritis, with the average time from operation to review being four years. The Geometric arthroplasty was used In 147 of these operations. Assessment was based on a modification of the British Orthopaedic Association Knee Function Assessment Chart (1978) and 137 knees were available for review. Eighty nine percent of patients suffering osteoarthritis, and 79% of patients with rheumatoid arthritis were satisfied or enthusiastic with their prosthesis. Nineteen percent of rheumatoid patients and 4% of osteoarthritlc patients considered the result of their operation disappointing. In both groups, the operated knee constituted minimal persisting disability to the patient when reviewed. Seventeen knees (11.3%) were assessed as unsatisfactory, of which 7 (4.6%) were due to Infection, and 5 (3.3%) were due to loosening. Revision procedures were performed In 7 knees (5%), for instability or loosening. Improvements in arthroplasty design have resulted in alternative prostheses now being chosen by most surgeons for knee replacement, and the long term results of these newer prostheses must be evaluated with those results obtained using the original geometric prosthesis.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1981.tb05247.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

Joint replacement of the hip or knee has been performed on 24 Joints since 1973. The results in general have been good and no really significant complications have occurred. With the increasing longevity of these patients a Monk prosthesis without the use of cement, which can at a later day be changed to a formal total hip replacement with cement, is recommended In young people. So far the fear of complications has been unfounded and joint replacement, where indicated, seems a reasonably safe procedure In renal transplant patients.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1981.tb05248.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

One hundred and eighteen acute complete ligamentous injuries of the knee in 100 males and 16 females presented in the years 1974 to 1976. Stress analysis under anaesthesia was considered an important step in the clinical evaluation, while radiological evidence of articular fractures justified a high index of suspicion with ligamentous lesions. Eighty‐eight of the injuries were treated by early operative repair of all damaged structures. The remaining knees were considered on preselected criteria, to be suitable for conservative treatment. At review twelve months following injury, 73% of the knees were considered to have good results. In general, late review showed no deterioration in stability, but an increasing proportion had pain. Unsatisfactory results were due to combined cruciate and collateral ligament Instabilit

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1981.tb05249.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

A case ot bilateral traumatic dislocation of the hips is reported In which the femoral head lay In an anterior position on the right side and a posterior position on the left. The mechanism and Incidence of this injury Is discussed.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1981.tb05250.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

A case is reported of acute osteomyelitis of the lumbar spine presenting with a psoas abscess which extended into the epidural space mimicking an epidural abscess. The patient also had severe septicaemia and a complete cauda equina lesion. The septicaemia was controlled by draining the abscess by an anterior approach to the lumbar spine. Decompression of the cord was achieved by removing the sequestrated discs, the necrotic body of the fourth lumbar vertebra and draining the epidural abscess by opening the posterior longitudinal ligament.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1981.tb05251.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

During the period 1968 to 1978 a total of 447 patients were treated In the Royal Newcastle Hospital for acute respiratory failure after Injury. In 321 patients respiratory failure occurred after thoracic and/or long bone Injury. In only 17 of these could a diagnosis of fat embolism syndrome (FES) as a sole cause of respiratory failure be substantiated when strict diagnostic criteria were applied. In a further 15 patients FES may have coexisted with other causes of respiratory failure. The outstanding features of patients with FES were: (I) all were In the younger age groups; (II) all developed respiratory symptoms within 48 hours of admission to hospital; (III) most had multiple limb fractures; (lv) more than half had been transferred from other hospitals; and (v) three were pregnant and had sustained in comparison with the others, less severe long bone Injuries.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1981.tb05252.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

In New South Wales In 1978, 2545 patients received arterial reconstructions excluding procedures which were primarily intrathoracic. Seventy‐one per cent of these involved the abdominal aorta and lower limb arteries, 22 per cent were associated with renal transplantation and angioaccess, while only seven per cent involved the extracranial arteries. Fifty‐two surgeons regularly practised arterial surgery of whom 39 worked In the metropolitan health regions and 13 in country areas. The optimum number required for the whole state probably lies between 30 and 50. On a population basis the number of aortic and lower limb reconstructions seems appropriate to the projected need based on clinical Indications, but the number of carotid reconstructions was less than 10 per cent of the projected n

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1981.tb05253.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

Collagen tubes with a polyester mesh endoskeleton were grown in sheep around silastic mandrils and were then tanned In alkaline glutaraldehyde. Tanned ovine collagen conduits and polytetrafluoroethylene conduits (Gore‐Tex), each 10 cm long and 6 mm wide, were deployed in parallel as aorto‐illac bypass grafts in 10 dogs. The grafts remained patent for periods up to and exceeding 23 months. No grafts showed aneurysmal dilatation. All grafts formed a neointima lined with cells. In the Gore‐Tex grafts there was fibrous tissue ingrowth through the wall which resulted in progressive and irregular luminal narrowing. This was not seen in the tanned ovine collagen g

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1981.tb05254.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY