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Biomedical subjects

H F Riegler

Publications and source records attributed to H F Riegler.

6 recordsLinked to original sources
PubMed1988

Recurrent dislocations and subluxations of the patella.

Seventy-four patients with patellar dislocations and subluxations were treated with a procedure described by Trillat. The Trillat method consists of stepwise correction of predisposing anatomic abnormalities including lateral retinacular release, patellar tubercle transfer, and advancement of the vastus medialis, if necessary. The follow-up period in 42 knees was from two to nine years with an average of 4.2 years. The results were excellent in six knees, good in 28 knees, fair in five knees, and poor in three knees. Thorough intraarticular examination is essential. If significant patellofemoral arthritis is present, a Maquet procedure should be performed.

Adolescent↗
PubMed1987

Orthotic devices for the foot.

Orthotic devices have a multitude of applications. To properly prescribe them, one must have a clear understanding of the biomechanics of the lower limbs. These devices can support, correct, and prevent many pathologic conditions. The author has had experience with 235 patients, utilizing stance-phase, molded, thermoplastic orthotic devices. One hundred seventy-six patients responded to a questionnaire. Almost 80% of the patients experienced at least 50% improvement of their symptoms. With careful analysis, these devices not only can improve lower-segment malalignment syndromes in the athletic population but can also give relief to the patient with a painful foot and prevent serious ulcerations in the diabetic or rheumatoid patient.

Adolescent↗
PubMed1984

Reconstruction for lateral instability of the ankle.

Lateral instability of the ankle in a young athlete is often very disabling. When conservative management of this instability fails, a surgical procedure described by Chrisman and Snook reconstructs both the anterior fibulotalar and fibulocalcaneal ligaments. In eleven patients who were followed for more than two years, this procedure gave predictably good results. Return to full sports activities can be expected for the young athlete.

Adolescent↗
PubMed1979

Complications of deep puncture wounds of the foot.

Eleven cases of deep puncture wounds of the foot and their complications are reviewed. More than half of the patients had foreign materials introduced at the time of the injury which was not completely removed initially. The morbidity with these "simple puncture wounds" may be quite prolonged. The authors conclude that attention to details when the patient is first seen in the emergency room or the physician's office and aggressive treatment of these wounds will prevent serious sequelae in many instances.

Adolescent↗
PubMed1976

Heterotopic bone formation after total hip arthroplasty.

Heterotopic bone formation is a common complication of total hip arthroplasty. A certain degree of heterotopic bone formation occurs in about one-half of the patients in degrees ranging from very mild to moderate involvement. The patients do not necessarily have any clinical disability; only 2 per cent of the patients developed severe heterotopic bone radiographically, and unsatisfactory functional results. There is no sex predilection for heterotopic bone formation except that the condition appears more severe in females. All ages are equally affected. The underlying disease process in the hip does not influence the occurrence of heterotopic bone. The incidence was significantly greater in patients who developed postoperative hematomas, prolonged wound drainage, or superficial infection. When surgical exposure is difficult and retraction of soft tissue aand soft tissue damage takes place, the incidence is much greater. Patients who have undergone previous surgical procedures about the hip present a greater risk in regards to development of disabling heterotopic bone formation. The etiology of heterotopic bone formation is not known. The following steps should be taken to avoid or greatly minimize the development of heterotopic bone: meticulous exposure with most careful retraction, copious irrigation with antibiotic solution, debridement of devitalized tissue prior to closure, instillation of drainage tubes, intraoperative and postoperative antibiotics, and carefully controlled postoperative anticoagulation.

Arthroplasty↗