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This is a retrospective study of 72 patients with non-iatrogenic penetrating injuries of the brachial artery treated between 1991 and 1993. The mechanism of injury was stabbing in 39 per cent, a bullet in 51 per cent, pellets in 4 per cent and a dog bite in 6 per cent. We believe that angiography is rarely indicated, as in all our patients the diagnosis was made on clinical grounds. The proximity...
Between 1981 and 1989, 18 patients affected by both-column acetabular fractures were operated on by staged combined ilioinguinal and Kocher-Langenbeck approaches. Postoperative reduction quality and long-term radiographic results were evaluated according to the Matta radiological systems. The Harris hip scoring system was used for the functional results. Average follow-up was 53.2 months, ranging...
We reviewed 43 patients with subtrochanteric fractures treated with the AO dynamic condylar screw (DCS) to determine the medical and technical complication rate. Seven patients died before union and nine sustained major medical complications. Thirty fractures united without event. There were six technical failures, three related to failure of the medial buttress. The DCS can be used successfully...
In a review of 52 consecutive intra-articular fractures of the wrist (mean age 41 years), 18 developed one of five carpal malalignment patterns. Seven patients developed a volar intercalated collapse pattern. Although showing some loss of motion and/or grip strength, this group remains relatively pain free on follow-up. Patients who developed dorsal translation (six cases) or a dorsal intercalated...
Fourteen patients with painful knees caused by a direct blow to the front of the knee have been studied. The exact diagnosis was often delayed. Apart from pain, all patients had one common feature which they may not have been aware of, namely, marked tenderness localized towards the middle of the outer border of the patella. Surgical treatment in 11 patients, by excision of the subcutaneous tissue...
We retrospectively reviewed 32 elderly patients (mean age 71.7 years, range 66-83 years) with displaced tibial plateau fractures after a mean of 3.7 years (range 1-7 years) after operative treatment. Schatzker type 2 fracture was the commonest pattern of fracture (60.3 per cent). According to the modified Rasmussen clinical and radiographic criteria, there were nine excellent, 14 good, five fair...
A 12 year retrospective review provides a group of 68 children with pelvic fractures. The distribution and type of fractures are similar to those of adults. The most common aetiology is an automobile-pedestrian accident. The average age is 8 years; male patients are nearly twice as common. Over 73 per cent are stable injuries. The fractures rarely occurred as isolated injuries. Morbidity is related...
To assess the effect of alcohol intoxication on injury severity and head injury assessment, blood alcohol concentrations (BAC) were related to the severity of injuries (Injury Severity Score and Assault Trauma Score) and Glasgow Coma Scores (GCS) in 242 consecutive victims of weekend, night-time assault, none of whom had head injuries. No correlation was found between degree of intoxication and severity...
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