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Biomedical subjects

H R Manes

Publications and source records attributed to H R Manes.

5 recordsLinked to original sources

Preliminary report of total ankle arthroplasty for osteonecrosis of the talus.

Osteonecrosis of the talus secondary to adrenal corticosteroids is rare. The pathophysiology of the disorder is controversial. This is a report of bilateral talar necrosis secondary to steroid medications in a 23-year-old male. Conservative methods of management of the condition are not altogether satisfactory. Bilateral ankle replacement in this case resulted in alleviation of pain and improvement of function.

Adult

A new method of shoulder reduction in the elderly.

A new method of reduction of shoulder dislocation has been employed in 35 elderly patients with excellent results. The surgeon stands behind the seated patient and inserts his flexed forearm into the axilla of the affected shoulder. His free hand applies traction on the flexed forearm of the patient. The surgeon's forearm pulls in a proximal and lateral direction and levers the head of the humerus into the socket. The method is relatively atraumatic, provides more direct control of the limb and applies more effective forces than the Kocher, Stimson, or hippocratic maneuvers.

Age Factors