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Damian McClelland

Publications and source records attributed to Damian McClelland.

4 recordsLinked to original sources

Cement venogram--a risk of satisfactory cement pressurization.

Longevity of cemented femoral components is dependent upon many factors. It is certainly related to the cementing technique. A dilemma exists between adequate cement pressurization and risk of embolic events. A cementation pressure above bleeding pressure, to allow optimum cement bone interdigitation but not high enough to produce embolic or cardiorespiratory events, is the ideal situation. We present a case where cement pressurization resulted in the appearance of a cement venogram on the routine postoperative x-ray.

Aged↗

Rate of return to work and driving following arthroscopic subacromial decompression.

BACKGROUND: The aim of the present paper was to evaluate the return to work and return to driving of a cohort of patients undergoing arthroscopic subacromial decompressions +/- arthroscopic acromioclavicular joint excision. METHODS: Arthroscopic subacromial decompressions +/- arthroscopic acromioclavicular joint excision were performed in 68 patients between February 2000 and November 2000. All patients had symptoms of subacromial impingement +/- acromioclavicular joint arthrosis for more than 6 months that had not settled with conservative treatment. All had positive local anaesthetic injection tests. All patients were followed up at 3 weeks and 3 months postoperatively. Their Constant-Murley score was measured preoperatively and at 3 weeks and 3 months postoperatively. Patients were asked to record when they had returned to work and when they had returned to driving. RESULTS: Only one non-manual worker did not return to work within 6 weeks. Eighty-five per cent of manual workers returned to manual work within 3 months. Fifty-one patients held driving licences. The average time to return to driving was 28.9 days. Average preoperative Constant-Murley scores were 47.5 (20-67). At 3 weeks postoperation average Constant-Murley scores were 66.8 (40-92), and at 3 months 76.5 (48-99).

Acromioclavicular Joint↗

Metasynchronous bilateral Achilles tendon rupture.

Although Achilles tendon ruptures are a common occurrence, bilateral ruptures of the Achilles tendon are not. We present the case of a 33-year-old female who sustained metasynchronous (i.e., very close in time) bilateral ruptures of her Achilles tendons with no obvious predisposing factors. She was treated using a percutaneous technique and six months following surgery has returned to her normal activities.

Achilles Tendon↗