Biomedical subjects

Graeme R Taylor

Publications and source records attributed to Graeme R Taylor.

4 recordsLinked to original sources

PubMed2007

Medial impingement after ankle replacement.

Ankle replacements appear to offer a good alternative to fusion for most arthritic conditions. Use of mobile bearings has significantly improved results of ankle replacement. Ankle replacements still have a significant minor-complication rate which does not seem to affect the long-term outcome. Medial impingement as a complication has been reported with popular designs. We reviewed the senior author's first five years of Buechel-Pappas ankle replacements looking at AOFAS scores, VAS scores, patient satisfaction, learning curve of the surgeon and complications. Eight patients out of a total of 34 reported symptoms of medial impingement at follow-up. Four patients underwent revision surgery for this. Ankle replacements have a significant proportion of minor complications, one of which is medial impingement. Whether this is due to implant design, residual arthritis in medial recess or soft-tissue pathology is uncertain but revision surgery may be required.

Adult↗

PubMed2006

Perthes' disease in the very young child.

We report two cases of very young children who presented with irritable hips and in whom magnetic resonance imaging with gadolinium-enhancement revealed ischaemic changes affecting the capital ossific nucleus. Radiological changes consistent with Perthes' disease subsequently appeared. In the published literature Perthes' disease has been reported in children as young as 24 months. Gadolinium-enhanced magnetic resonance imaging has revealed Perthes' disease in younger children which can predate the appearance of radiographic changes by up to 3 months.

Contrast Media↗

PubMed2005

Progressive cubitus varus due to a bony physeal bar in a 4-year-old girl following a supracondylar fracture: a case report.

We report a case of progressive cubitus varus deformity caused by a physeal bar following a supracondylar humeral fracture in a 4-year-old girl. Malreduction is thought to be the commonest cause of this deformity, which is nonprogressive. A corrective osteotomy in cases like ours should be deferred until skeletal maturity.

Disease Progression↗

PubMedDate not supplied

First metatarsophalangeal joint arthrodesis: a new technique of internal fixation by using memory compression staples.

A prospective clinical study of first metatarsophalangeal joint arthrodesis using memory compression staples is presented. In 27 patients, 30 feet underwent surgery. There were 24 women and 3 men, with a mean age of 61.2 years. Two memory compression staples were used at right angles to each other to achieve compression at the fusion site. Postoperatively, patients were allowed full weightbearing in a rigid-soled shoe. Subjective assessment was performed with a standard questionnaire, which included questions regarding level of pain, ambulation, and patient satisfaction. Objective assessment was performed by a clinical and included a radiographic examination. There was a postoperative reduction in the pain score from 4.6 to 1.6 (P < .0001). Ambulation ability improved from 4 to 2.5 (P < .0001). Patients reported 86.6% excellent to good results, and 96.7% achieved radiographic fusion at an average 8.2 weeks. The only significant postoperative complication was a single nonunion. The authors advocate memory compression staples for the internal fixation of first metatarsophalangeal joint arthrodesis. The implant is low profile, and postoperative cast immobilization is not required. The use of this device has a predictable success rate comparable to previously reported methods.

Arthrodesis↗