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Biomedical subjects

E G Kelly

Publications and source records attributed to E G Kelly.

6 recordsLinked to original sources
PubMed1996

Major injuries occurring during use of a golf cart.

Major trauma following a mishap with a golf cart is an unreported problem. This study details injury types and the various mechanisms by which the accidents occurred. Recommendations are made regarding preventive measures that should be observed for safe operation of a golf cart. Two hundred eighty orthopedic surgeons from 37 states were polled concerning their experience with injuries directly resulting from use of a golf cart. One hundred nineteen surgeons reported a total of 111 injuries with adverse outcomes including death, spinal cord injury, and various chronic disabilities of an extremity. The use of a golf cart has the potential to cause serious trauma. The mechanisms of the accident indicate that obvious measures may be observed to lessen the likelihood of an injury.

Adolescent↗
PubMed1981

High free fall with survival.

A free fall, the unimpeded drop of a body from a known point to a known impaction point, is common in modern society. Death usually results when distance is more than six stories. The following case report describes the circumstances which allowed a young man attempting suicide to survive a 17-storey free fall. Although his impact velocity was estimated to be 72 m.p.h. (uncorrected for air drag), he impacted in a supine position on an automobile trunk lid so that some of the force was dissipated by tires and shock absorbers. Multiple fractures and soft-tissue injuries and a subsequent stress ulcer were successfully treated and the patient has a satisfactory level of physical activity while remaining under psychiatric care 1 year postinjury.

Adult↗
PubMed1980

Orthopedic management of the patient with a spinal injury.

I have tried to make clear that there are no absolute principles in the orthopedic management of patients with a spinal cord injury. Although debate continues regarding the approach to the problem, the goals remain optimal patient care, free of complications, and preparation for a smooth transition of the patient into a new life with handicaps. Most strides in spinal cord injury care have been made in improvement of internal fixation and immobilization, advances in rehabilitation techniques and marked shortening of hospitalization. Active research continues to investigate the pathophysiology of the injury and a means of reversing or impeding the damage to neural tissue. Currently, certain spinal cord injuries are considered irreversible despite treatment with spinal cord hypothermia, reanastomosis of spinal cords or administration of enzyme injections. The person with a spinal cord injury and paralysis rarely loses the hope that a cure might be the next great discovery of medical science and active spinal cord injury research centers have the same goal.

Adult↗
PubMed1979

Gunshot wounds of the spine: the effects of laminectomy.

In a review of 185 patients with gunshot wounds of the spine from low-velocity missiles, 106 were found to have a complete lesion and seventy-nine, an incomplete lesion. Fifty-six patients with complete lesions underwent laminectomy and only one had a partial (sensory) return of function. The fifty patients with complete lesions who had no laminectomy also had no spontaneous improvement. There were forty-five patients with incomplete lesions who had laminectomy and thirty-two (71 per cent) of them showed measurable improvement. For comparison, thirty-four patients with incomplete lesions had no operative treatment and in twenty-six (76.5 per cent) there was some spontaneous return of neural function. Four wound infections and six spinal fistulae developed in the operative group (a complication rate of 10 per cent). Spinal instability developed in six patients because of the laminectomies.

Adolescent↗
PubMed1977

Fracture-dislocations of the cervical spine. Instability and recurrent deformity following treatment by anterior interbody fusion.

Anterior intervertebral-body fusion has been advocated by various authors for management of several varieties of fracture and fracture-dislocation of the cervical spine. This report is a retrospective study of sixteen patients, all of whom had a fracture-dislocation of the cervical spine, who were treated with an anterior dowel interbody fusion. All had postoperative instability with recurrence of angular deformity, and all sixteen were shown to have disruption of the posterior ligaments. Three patients had a progressive neurological deficit postoperatively. Thirteen patients required two or more operative attempts at stabilization. Anterior fusion should not be performed as primary surgical treatment for fractures of the cervical spine when there is either evidence of disruption of the posterior ligaments or a strong presumption that such disruption exists.

Adolescent↗