The use of intra-articular osmic acid to produce chemical synovectomy in rabbits.
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Biomedical subjects
Publications and source records attributed to C A Laurin.
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One hundred and twenty-seven synovectomies were performed for rheumatoid arthritis of the knee at the Hôtel-Dieu Hospital, Montreal, over the past 15 years. The authors have reviewed 56 synovectomies in 49 patients to determine whether the operation might have any prophylactic value.They conclude that synovectomy of the knee can delay or prevent gross joint destruction if the operation is performed during the synovial phase of the disease. If it is performed too late, the operation can at best only salvage an already damaged knee.The surgical technique, the operative indications and the postoperative regimen are described.
The indications for and contraindications to cervical traction are discussed. The social and economic advantages to be obtained from carrying out such treatment at home are obvious. A special technique is described which does not make use of weights and in which traction is applied in a position of flexion rather than of extension.
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Sixty normal children were examined clinically and radiologically, using a special apparatus with a goniometer and a tensometer to standardize stress tests when applying valgus and varus forces to the ankle. It was noted that the clinical movement of inversion is not entirely due to a subtalar movement; indeed a talar tilt appears to be physiological. The range of normal in these patients, age range 6 to 15 years, was 0 to 27 degrees with an average talar tilt of 7 degrees . The talar tilt is not necessarily the same in both ankles of any one individual and it is never noted in eversion. The talar tilt is more marked in younger children in the position of equinus.When interpreting radiographs of recently injured ankles, it is wise to recall that a talar tilt need not be the result of trauma and that it may be physiological and yet unequal on both sides.
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This report describes a rare variant represented by the association of locked facets at C2-3 with a fracture of the neural arch of the axis. Fracture of the neural arch of the axis is a broad term including the Hangman fracture, traumatic spondylolisthesis of the axis, fractures of the arch of the axis, or the more recently described fractures of the ring of the axis.