PubMed Health⌕ Search

Biomedical subjects

H Garside

Publications and source records attributed to H Garside.

5 recordsLinked to original sources
PubMed1980

Results of treatment of acetabular fractures.

If it is not possible to achieve a satisfactory position by conservative methods, surgical treatment is indicated in displaced fractures of the acetabulum in order to restore and stabilize both the hip joint structure and the integrity of the pelvic ring. Restoration of the joint surfaces to as near normal as possible offers the best chance for a symptom-free hip. The postoperative recovery time is not hastened, but the conditions for early activity and restoration of function are improved. As demonstrated in 270 cases reported here, and as is well recognized in the past, a significant proportion of patients will require secondary or salvage surgery, i.e., total hip arthroplasty. Such treatment may not be possible if there is extensive residual disorganization of the hip joint. Preparation for future reconstructive surgery is important as an indication for operative reduction of the acetabulum.

Acetabulum↗
PubMed1980

Pelvic disruption: assessment and classification.

A precise radiologic technique for assessing the forces producing pelvic disruption has been helpful in arriving at a logical classification of pelvic injury. The radiologic examination should include anteroposterior, inlet and outlet views, as well as tomograms and occasionally computed-assisted tomographic evaluation (CT scanning). On the basis of this radiologic assessment with some biomechanical studies, a classification of three major forces producing injury is suggested. The anteroposterior and lateral compression types, while vastly different, may both have stable and unstable subtypes associated with them. The vertical shear fracture is always unstable. An accurate history and physical examination in conjunction with the above radiologic principles will lead the surgeon to a precise determination of the fracture pattern. A knowledge of the forces necessary to produce this pattern is helpful in the management of the patient with this particular traumatic lesion.

Adult↗