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Biomedical subjects

I Stockley

Publications and source records attributed to I Stockley.

48 records · Page 3Linked to original sources
PubMed1989

A prospective study of forefoot arthroplasty.

The Kates et al. metatarsal head resection arthroplasty has been modified and evaluated clinically and objectively using a dynamic pedobarograph in 35 adult rheumatoid arthritis patients. Preoperatively, all patients complained of severe forefoot pain, but only 70% recorded abnormal plantar pressure measurements. After a mean follow-up time of 36 months, 91% of the patients were satisfied with the result following surgery. Forty-two feet were pain-free, 16 feet still painful but less than preoperatively, and two feet worse. Thirteen of the 18 painful feet recorded abnormal pressure, but 16 additional feet with normal pressures were symptomatic. The clinical and pedobarographic results show that, in the majority of patients, the Kates et al. forefoot arthroplasty relieves pain, improves mobility, effectively decreases high abnormal plantar pressures, and should be considered when conservative methods of treatment have failed.

Adult↗
PubMed1988

Acute volar compartment syndrome of the forearm secondary to fractures of the distal radius.

We present five cases of acute volar compartment syndrome developing as a complication of fractures of the distal radius. The patients were all males under the age of 50 years who sustained comminuted or displaced fractures of the distal radius. We suggest that this indicates an 'at risk' group. The interval between injury and the onset of symptoms of volar compartment syndrome varied between 12 and 48 hours. The diagnosis of each case was made clinically and confirmed at operation. With early extensive decompression full neurovascular recovery can be expected.

Acute Disease↗
PubMed1988

Lumbar lateral canal entrapment: clinical, radiculographic and computed tomographic findings.

The radiculographic and computed tomographic findings in those nerve roots compressed by lumbar lateral canal entrapment have been assessed in a prospective series of 44 patients in whom such entrapment was found at surgery. The radiological procedures were reported by radiologists who were unaware of the clinical findings. Radiculography was performed in 41 of the patients and enabled the site or sites of entrapment to be correctly predicted in 62% of patients undergoing primary decompression and in 42% of patients undergoing revision surgery. Computed tomography (CT) was performed in 24 of the patients and enabled entrapment to be correctly predicted in 75% of the patients in both groups. We conclude that computed tomography is superior to radiculography in demonstrating lumbar lateral entrapment, and should usually be reserved for patients in whom operation or other intervention is warranted on clinical grounds. Otherwise false positive results may occur, especially in elderly patients, although the true incidence of false positive results in this condition is not known and has not been assessed in this study.

Adult↗
PubMed1988

Foot pressure studies in the assessment of forefoot arthroplasty in the rheumatoid foot.

To assess the results of forefoot arthroplasty, dynamic and static foot pressure studies have been made of the rheumatoid foot in both a prospective study group of 60 feet and in a retrospective study group of 18 feet. Significant reductions of pressure in the forefoot were found. Problems associated with the first and fifth metatarsals were considered.

Adult↗
PubMed1987

Skin closure using staples and nylon sutures: a comparison of results.

A disposable skin stapler (Elite: Auto Suture UK Ltd) and Nylon vertical mattress sutures have been used for skin closure. The complications related to each method were evaluated in 129 wounds. There was a higher incidence of inflammation, discomfort on removal and spreading of the healing scar associated with staples. The only advantage of staples was speed of wound closure.

Arthroplasty↗
PubMed1987

Fractures of the distal radius. Intermediate and end results in relation to radiologic parameters.

The purpose of this study was to quantify the functional impairment following distal radial fractures and to identify the factors affecting prognosis. One hundred fifteen patients were assessed six months and two years following initial injury. On final assessment, subjectively, 56% had good, 39% had fair, and 5% had poor results. Median grip strength improved from 51% to 78%, range of movement from 87% to 94%, and wrist torque from 93% to 100%. Redisplacement occurred in 59%; only 33% clinically and 19% radiologically had perfect cosmetic results. Radial malunion was important functionally. Only when the dorsal angle exceeded 20 degrees or the radial angle fell below 10 degrees with a 30 degrees mean was there reduction in grip strength (p = 0.05). Comminution and intraarticular involvement predisposed to a median loss of movement of 15% and 11%, respectively (p = less than 0.05). Patients requiring physiotherapy formed a poor prognostic group. A combination of factors is responsible for poor results. Attention should be directed toward early and adequate rehabilitation of the injured hand and wrist.

Adolescent↗
PubMed1984

Functional index: a numerical expression of post-traumatic wrist function.

Accurate functional assessment is an essential part of the analysis of managing fractures. A new technique for the measurement of the wrist's function is described. Observations of a wrist's performance are made using three devices. A dynanometer records movement while acting against a resistive torque. Angular and rotational movement at the wrist is measured using a three-dimensional goniometer. A vigorometer is used to assess the strength of grip. The three derived measurements give a functional index for each patient. Eighty-nine patients sustaining fractures at the wrist were seen at the time of trauma and at an assessment clinic 6 months later. Statistical analysis has shown that all three measurements are necessary to assess function. A functional index has applications in clinical work and research.

Adolescent↗