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Biomedical subjects

J E Alonso

Publications and source records attributed to J E Alonso.

21 records · Page 2Linked to original sources

Use of the AO/ASIF external fixator in children.

Sixteen children with 20 fractures were treated with the AO/ASIF tubular fixator (Synthes, Ltd., Paoli, PA). Most of the fractures were open, but the fixator was also used in closed fractures in children with head injuries or other forms of trauma. There were 10 fractures of the tibia, 5 of the femur, 3 of the pelvis, and 2 involving the humerus. Average follow-up was 26 months, with the fixators in place for an average of 7 weeks. Fracture union occurred after an average of 16 weeks. This system is easier to apply, less complicated, and lighter than other types of fixators.

Adolescent↗

Improved treatment of femoral shaft fractures in children utilizing the pontoon spica cast: a long-term follow-up.

This prospective study looked at 91 pediatric femur fractures. Patients were randomized into two groups: (a) A traditional group treated with 3 weeks in traction followed by spica; and (b) a pontoon spica group in which patients were treated first with only a few days in traction and then with a 90-90 pins-in-plastic spica. The pontoon spica provides excellent short- and long-term results. These include (a) providing substantial cost savings; (b) causing much less inconvenience to the family and child; (c) reducing the number of inpatient days, thereby freeing hospital beds; (d) permitting early motion; (e) reducing the number of short-term complications; and (f) preventing excessive shortening while controlling rotation.

Casts, Surgical↗

Lawn mower injuries in children: a preventable impairment.

Every year there are seven million new lawn mowers purchased in the United States, each of which is capable of injuring young children, especially those > 14 years of age. A total of 33 children injured by a lawn mower were reviewed to identify the mechanism of injury, to determine the factors responsible for the accident, to determine an effective treatment regime, and to evaluate the permanent impairment for these patients. Classified according to their mechanism of injury, 14 children were injured as bystanders, 13 injured as riders, and six injured as operators. Categorized according to the anatomical location of injury, there were eight head and eye injuries, 12 upper extremity injuries, and 13 lower extremity injuries. There were 13 amputations (39.3%). The treatment management was satisfactory, but 23 children had an impairment > 40% of the whole person. We believe that the incidence of these injuries can be reduced by public awareness. Each orthopaedic surgeon should take on the task of educating the public about the dangers and wounding capacity of these machines and instructing the proper safety precautions that should be taken when mowing the lawn, especially when children are involved. The bottom line is that children should not be allowed in the yard while the lawn is being mowed nor should they be allowed to mow the lawn until they are > or = 15 years of age.

Accident Prevention↗