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Biomedical subjects

B N Møller

Publications and source records attributed to B N Møller.

At least 37 records · Page 2Linked to original sources
PubMed1984

Patellar pain treated by neurotomy.

The mechanism of patellar pain is still not fully understood. Many operative procedures have been proposed, but so far no single technique has been successful. Under the impression that some of the pain-relieving effect by operative treatment is due to partial denervation of the patella, a medial denervation of the patella was performed in 17 patients (20 knees), mean age 24 years, with patellar pain syndrome. At the follow-up only 11 knees were free of symptoms or had improved, and the authors conclude that though comparable with other surgical methods, medial neurotomy is not sufficient to eliminate the pain in patients with patellar pain syndrome.

Adolescent↗
PubMed1984

Instability of trochanteric hip fractures following internal fixation. A radiographic comparison of the Richards sliding screw-plate and the McLaughlin nail-plate.

A comparison was made of the McLaughlin nail plate and the Richards sliding screw-plate techniques for fixation of trochanteric hip fractures. The series included 96 patients in each group. The fractures were followed radiographically for 3 months. Technical failures were encountered in 31 per cent of the McLaughlin fractures and in 8 per cent of the Richards fractures; reoperation was performed in 9 per cent in McLaughlin vs none in the Richards fractures. The main failure was varus displacement in both groups, always combined with lateral cutting of the screw in the Richards fractures, and often combined with failure of the nail-plate junction in McLaughlin fractures. Our study has shown that the sliding screw-plate is superior to the nail plate in both stable and unstable fractures.

Adult↗
PubMed1983

Separation of the Christiansen prosthetic components following dislocation of hemiarthroplasty for hip fracture.

During the period from April 1980 to July 1982 a total of 148 patients with acute femoral neck fractures had primary hemiarthroplasties with the Christiansen trunnion-bearing endoprosthesis. Dislocations occurred in six patients (4 per cent). Five of these required reoperation due to separation of the femoral head in relation to the stem or of the plastic head and the metallic cap of the prosthetic head.

Aged↗
PubMed1983

Selection of amputation level. Comparison between morphine puncture test and skin perfusion pressure.

In 46 amputations performed on account of peripheral occlusive arterial disease, the morphine puncture test (MPT) and the local skin perfusion pressure measurement (SPP) were carried out preoperatively. Below-knee (BK) amputation was performed when the SPP was greater than or equal to 40 mm Hg unless clinical criteria indicated otherwise. Out of 12 BK amputations without any clinical skin changes, where the SPP was greater than or equal to 40 mm Hg but the MPT was negative, healing was achieved in 11 patients. Thus, if the MPT had been used as an objective method to determine the amputation level, 11 knees would have been sacrificed. The MPT is thus not suitable for determination of amputation level in patients with peripheral occlusive arterial disease.

Adult↗
PubMed1982

Intra-articular fractures of the distal tibia.

In a study of 23 intra-articular fractures of the distal tibia of which 18 were re-examined after an average follow-up period of 5.4 years, two major fracture patterns were identified: type A, a rotational pattern, caused by low energy trauma and type B, a compressive fracture pattern caused by high energy trauma. Type B fractures could be divided into three subgroups: 1) An isolated fracture of the anterior or posterior margin of the distal tibia, 2) an extra-articular comminuted fracture with extension into the ankle joint and 3) a comminuted intra-articular fracture. When the initial displacement and comminution were severe or the reduction was not complete, the final results of the comminuted intra-articular fractures were not acceptable. The incidence of osteoarthritis was highest in the group of comminuted intra-articular fractures. The extra-articular comminuted fractures seemed to have a better prognosis as indicated by the final clinical results, including the occurrence of osteoarthritis. It is clear from this study that comminuted intra-articular fractures should not be treated by primary operation. All fractures treated non-operatively had acceptable final clinical results.

Adult↗