Biomedical subjects

B D Shepherd

Publications and source records attributed to B D Shepherd.

8 recordsLinked to original sources

PubMed1990

Antibiotic prophylaxis for the prevention of late infections of prosthetic joints.

Late infection of prosthetic joints as a result of the haematogenous spread of an organism from a remote site with the seeding of that organism on the bone-implanted prosthesis interface is a well-documented but rare complication of prosthetic joint surgery. However, the use of antibiotic prophylaxis is such cases is controversial. The details of 67 previously reported cases of late infection have been reviewed in conjunction with the details of a series of 43 patients, and observations and recommendations regarding antibiotic prophylaxis are made upon the basis of these accumulated data.

Anti-Bacterial Agents↗

PubMed1989

The fate of femoral windows in revision joint arthroplasty.

We retrospectively reviewed the radiographs of twenty patients in whom a window in the femoral cortex had been created to facilitate revision of a failed total hip replacement with a non-cemented prosthesis, to determine if the window had healed and, if so, how long it had taken. All but three windows showed clear evidence of healing three months postoperatively. At six months, only two windows remained radiographically visible, and at eight months, all of the windows had healed. We concluded that when the section of cortical bone that is removed to create the window is replaced with an uncemented femoral component, the window heals by bone within three to eight months.

Femur↗

PubMed1984

Reduction of blood loss in knee arthroplasty.

The purpose of this study was to investigate ways of reducing and controlling blood loss and postoperative anaemia in total condylar knee arthroplasty performed under tourniquet. The study covers a two year period to December 1982. Reduction of blood loss was successfully achieved by being aware of the very rich blood supply to the knee and utilizing diathermy for potential bleeders before and after the release of the tourniquet and employing various haemostatic measures. All these patients need blood transfusion, as well as the measures to reduce blood loss, so that they do not become anaemic postoperatively.

Aged↗

PubMed1983