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There is no consensus on the frequency of radiographic examination in the routine follow up of distal forearm fractures in children. This study was undertaken in an attempt to rationalize and optimize the use of ionizing radiation in these circumstances. The radiographs and clinical notes of 325 distal forearm fractures in children were retrospectively studied. Degrees of initial angulation were measured...
The protective properties of knife-resistant armour are quantified by the distance a test blade penetrates beyond a test sample into clay at a given energy. At present there are two proposed standards: penetration to 5 mm and penetration to 20 mm. Armour made to the higher standard specification (5 mm) is necessarily heavier as it offers more protection. To determine the safety of these standards...
A stress radiograph of the subtalar joint was taken using Telos equipment, while the X-ray beam was directed onto the posterior subtalar joint at angles of 30° latero-medially and 40° caudocranially. From this radiograph the subtalar tilt angle was measured as an index of stability of the subtalar joint. Intra- and interobserver evaluations of measurement of this angle were performed on 20 unstable...
An occlusive biological dressing, the Hyphecan cap, was evaluated in the management of full-thickness pulp defects of fingers and thumb in 20 consecutive patients. The cap was applied directly to the tip of the injured finger and allowed to separate gradually over the course of several weeks as new skin regenerated. This approach proved simple and effective in achieving a good functional and cosmetic...
A study on the effects of the anterior and the posterior column of the acetabulum on pelvic ring stability was carried out by applying a lateral compression force to specially prepared specimens. In group 1, the continuity of the right anterior column was disrupted by removing the acetabulopubic part of the anterior column; the posterior column was left intact in order to measure the strength of the...
There is no consensus on the frequency of radiographic examination in the routine follow up of distal forearm fractures in children. This study was undertaken in an attempt to rationalize and optimize the use of ionizing radiation in these circumstances. The radiographs and clinical notes of 325 distal forearm fractures in children were retrospectively studied. Degrees of initial angulation were...
We present a review of 28 femoral fractures in 28 elderly patients treated with an unreamed titanium intramedullary nail (AIM femoral nail, ACE medical, Figure 1). The series included 11 male and 17 female patients with an average age of 74.5 yr (range 63.5-93 yr). One fracture was open and the rest, closed (six pathological). Average follow up was 6 months (range 4.5-21 months). Mean time to bony...
The long-term physical, psychological and social outcomes of 68 patients with an ankle fracture were investigated by using a postal questionnaire 6 years after injury. Patients were treated at a level I Trauma Centre between January 1989 and December 1989. Where applicable, the outcomes were compared with the outcomes of severely injured patients who were investigated previously. Physically, the...
A stress radiograph of the subtalar joint was taken using Telos equipment, while the X-ray beam was directed onto the posterior subtalar joint at angles of 30 o latero-medially and 40 o caudocranially. From this radiograph the subtalar tilt angle was measured as an index of stability of the subtalar joint. Intra- and interobserver evaluations of measurement of this angle were performed...
In order to optimize the transfer of patients with acute brachial plexus injuries a facsimile proforma was introduced. The transfer of 20 patients prior to its introduction was compared as a retrospective control group with a prospective analysis of 20 patients transferred after the introduction of the facsimiles. There were many fewer missed injuries, the patients were better investigated and it...
This 6 year follow-up study was designed to evaluate the long-term physical, psychological and social outcomes of severely injured patients (Injury Severity Score of ≥ 16). Patients were treated at the University Hospital Groningen, the Netherlands, between January 1989 and December 1989. Outcomes were assessed using a postal questionnaire. After injury, the 55 respondents had predominantly complaints...
A study on the effects of the anterior and the posterior column of the acetabulum on pelvic ring stability was carried out by applying a lateral compression force to specially prepared specimens. In group 1, the continuity of the right anterior column was disrupted by removing the acetabulopubic part of the anterior column; the posterior column was left intact in order to measure the strength of...
The long-term physical, psychological and social outcomes of 68 patients with an ankle fracture were investigated by using a postal questionnaire 6 years after injury. Patients were treated at a level I Trauma Centre between January 1989 and December 1989. Where applicable, the outcomes were compared with the outcomes of severely injured patients who were investigated previously. Physically, the patients...
A preliminary study was undertaken to determine the relationship between a patient's compensation claim and their management in pain clinics. Fifty consecutive patients with compensation claims and undergoing treatment in local pain clinics were selected from the senior author's medico-legal practice.An initial postal survey of UK pain clinics was undertaken to establish the percentage of patients...
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