Bilateral stress fractures of the anterior part of the tibial cortex. A case report.
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Biomedical subjects
Publications and source records attributed to G Fanton.
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The authors describe the blood level changes of T3, T4 and TSH in 17 patients undergoing urological surgery and isoflurane anaesthesia. The data were statistically processed and showed that isoflurane, used as the only anesthetic agent in 1.5%-2% concentrations, is not sufficient to block hormonal changes of the hypothalamus-hypophysis-thyroid axis caused by surgical stress.
The efficacy and tolerability of Cefoperazone sodium in the treatment of infections primarily of the lower respiratory and/or urinary tract were assessed. The drug was given to 16 intensive care patients encountered over a period of a few months. The results appear to be satisfactory and suggest that the drug is suitable for use in the treatment of intensive care infections.
A survey was conducted into the problems of infections in intensive care units. After a short report on the survey methodology, the equipment most frequently involved in infection and the germs implicated are described. Results and conclusions agree with data from the literature reported in the introduction.
Various aspects of post-traumatic fat embolism are discussed in relation to aetiopathogenesis, therapy and clinical development. Four significant cases are described. This research shows the importance of prevention and early diagnosis in limiting serious consequences, and makes clear the advantages of a right therapeutic technique.
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This study represents a preliminary review of 10 patients having undergone arthroscopic monopolar thermal stabilization for ankle instability from October 1996 to June 1998. All patients in this study expressed mild to moderate chronic ankle instability complaints and were dissatisfied with their attempts at conservative care. Subjective clinical results were evaluated in all patients having undergone this procedure utilizing a modified version of the American Orthopedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Scale. In addition, eight of these patients underwent pre- and postoperative stress radiographs. The average age of the patient population in this study was 34.5 +/- 9.26 years. The preoperative AOFAS scores averaged 58.3 +/- 8.96 and the postoperative were 88.1 +/- 11.09 points. Patients returned to full activities on the average of 3 months. Postoperative ankle varus stress test reduced on the average of 2.8 degrees +/- 2.77 degrees, while the anterior drawer measurements reduced 4.8 +/- 1.83 mm. The reduction in anterior drawer test amounted to an approximate 60% decrease in talar excursion postoperatively. All patients who underwent this procedure achieved ankle stability and commented that they would undergo the procedure again.
The authors describe the anatomy, portal placement, technique, indications, and preliminary results of seven cases of calcaneocuboid or talonavicular joint pathology that underwent elective investigational diagnostic or therapeutic arthroscopy with a follow up of 3-14 months. All patients had failed available conservative therapy. Results of treatment were five excellent and two good cases. Two patients required arthrotomy. There were no complications associated with portal placement, arthroscopic technique, or instrumentation. Arthroscopy of the calcaneocuboid and talonavicular joints has proven to be a relatively safe and valuable diagnostic and therapeutic tool. It is hoped that advances in small joint arthroscopy application will encourage further technological evolution in arthroscopic instrumentation and establish a foundation for further arthroscopic exploration of the small joints of the foot.