Fracture of the body of the talus.
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Biomedical subjects
Publications and source records attributed to D J Bracey.
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A case is reported in which cardiac arrest immediately followed the use of hydrogen peroxide during preparation of the femoral canal during hip arthroplasty. The most likely cause of the arrest was thought to be oxygen embolism. The authors suggest that the use of peroxide in an unvented femoral canal may be hazardous, as it has been shown to be in other closed cavities in the body.
Over a 10-year period, 85 consecutive patients presented to the Accident and Emergency Department with an acutely locked knee and were all treated by manipulation under anaesthesia. Out of 69 patients who could be adequately followed up, 46 (67 per cent) subsequently required arthrotomy for an internal derangement. In 41 of these patients there was a bucket-handle tear of a meniscus. Twenty-three patients (33 per cent) made a full recovery from manipulation alone. In view of the high incidence of correctable lesions, immediate arthroscopy and, if necessary, definitive operation would be a better treatment for the acutely locked knee.
Dislocated tendons are frequently seen in the rheumatoid hand. Habitual dislocation is rare. Five patients, all sero-negative with this problem, are described. The causation of the deformity and its treatment is discussed in relation to other cases reported in the literature. An extensor loop operation is recommended.
This paper presents a retrospective review of 348 operations performed for subcapital fractures of the neck of the femur. A similar proportion of satisfactory results was obtained with internal fixation and prosthetic replacement. The mortality was higher in those treated by prosthetic replacement and careful selection of patients for this treatment is required.
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