PubMed Health⌕ Search

Biomedical subjects

J E Robb

Publications and source records attributed to J E Robb.

At least 37 records · Page 2Linked to original sources

Double dislocations of digits.

We report eight patients who sustained simultaneous dislocations of two joints in a digit. The little finger was involved in five patients.

Adult↗

Biomechanical effects of rockers on walking in a plaster cast.

Rockers are applied to lower limb casts to assist walking but there is little information on their biomechanical effects. The performances of 10 commercially available rockers were compared. They were applied to a below-knee cast worn by a normal subject who was also tested walking in the cast alone. Gait analysis was used to evaluate kinematic and kinetic data. The design of rocker had no effect upon the kinematics of walking. However, using new criteria for kinetic assessment of rocker function (tibial floor angular velocity and centre of pressure progression), most designs had a deleterious effect on the biomechanics of gait. Only two rockers approached the ideal kinetic criteria.

Biomechanical Phenomena↗

The isoelastic hip prosthesis followed for 5 years.

In 1981 and 1982, 58 patients (61 hips) received an isoelastic noncemented femoral component and a bipolar cup for nontraumatic hip disease. Three patients were lost to follow-up and 8 died, leaving 47 patients (51 hips) for review after a minimum of 5 years. There were seven failures--two infections, four technical errors, and one migration of an acetabular component. Of the remaining 44 hips, 42 scored good or better at review.

Adult↗

[A hip prosthesis with a non-rigid femoral implant. The Butel iso-elastic prosthesis].

A new type of femoral prosthesis is described by the authors. This non-rigid implant respects the natural elasticity of bone and, because of this, avoids excessive stress protection of the bone. In addition, bone atrophy caused by rigid components and osteolysis provoked by cement are eliminated. Experimental studies and the clinical and radiological results five years after insertion seem to confirm the value of this concept.

Adolescent↗

Is elective surgery in the elderly worthwhile?

In a prospective study 102 patients (median age 70.9 years) were interviewed at home before and after elective surgery to assess whether they would have any difficulties in managing their activities of daily living (ADL) post-operatively. The patients were consecutive admissions in general surgery, gynaecology and urology. All patients were alive six months after surgery and 98 were cured of their condition. Twelve patients suffered a deterioration in their ability to perform various ADLs but none was institutionalised as additional help was given either by a spouse or by a home help. Elective surgery in this age group is worthwhile and carries with it minimal deleterious effects on social rehabilitation and few demands on community resources.

Activities of Daily Living↗

Normal electroencephalograms in idiopathic scoliosis.

Twenty-five children with idiopathic scoliosis and without known neurologic disease and 25 age- and sex-matched controls had a standard electroencephalogram (EEG) performed and scrutinised blind. The EEGs were normal in the 25 children with idiopathic scoliosis and 24 controls were normal. Our study does not support the view that idiopathic scoliosis has a central neurologic cause.

Adolescent↗

The results of surgery for nail dystrophy of the hallux in children.

The efficacy of surgery for nail dystrophy of the hallux has been evaluated in 52 children studied retrospectively. 69 primary procedures were carried out with an overall symptomatic recurrence rate of 40%. When used as a primary procedure, avulsion alone had a symptomatic recurrence rate of 54% and Zadik 's procedure 29%. When avulsion was repeated, the recurrence rate rose to 100%. Avulsion alone cannot be recommended, but if surgery is contemplated Zadik 's procedure is the most effective.

Child, Preschool↗

Primary acute haematogenous osteomyelitis of an isolated metatarsal in children.

Acute haematogenous osteomyelitis of an isolated metatarsal is a rare condition in childhood. Fourteen children diagnosed with this condition were followed up for an average of 3 years. Organisms responsible were found to be either Staphylococcus aureus or Streptococcus pyogenes. Growth disturbances of the metatarsal were seen in the majority, but the radiographic features were not serious in the long term, and no child was subsequently disabled. Since these children often present with symptoms akin to trauma, a better recognition of the condition is required to avoid misdiagnosis.

Anti-Bacterial Agents↗

Surgical treatment of ingrowing toenails in infancy and childhood.

76 patients were reviewed retrospectively to assess the efficacy of surgery for ingrowing toenails. 110 primary procedures were carried out with an overall symptomatic recurrence rate of 415. When used as a primary procedure, avulsion alone has a symptomatic recurrence rate of 45%, wedge excision 33% and Zadik's procedure 16%. A nail-bed ablation is the most effective treatment for ingrowing toenails.

Adolescent↗

Phenol cauterization in the management of ingrowing toenails.

Phenol cauterization has been carried out on 150 toes in 121 patients with an ingrowing toenail. There was no significant morbidity and the procedure was tolerated well by all patients. Overall recurrence rate was found to be 4 per cent after nine months. This figure compares favourably with surgical ablation techniques and when combined with improved patient tolerance indicates that phenol cauterisation may be the ablation procedure of choice in the treatment of an ingrowing toenail.

Cautery↗

Soft-tissue resection for ingrowing toenails.

Soft-tissue resection was carried out on 25 toes of 20 patients who had suffered recurrence of ingrowing toenails following avulsion of their afflicted nails. A cure rate of 60% was achieved. The virtue of the procedure is discussed.

Humans↗

The termination of flexor tendon sheaths.

Fifty-five preserved cadaver digits were injected to show the termination of the flexor tendon sheath. The angle between the termination of the sheath and the most proximal dorsal and ventral bony points of the distal phalanx was measured. Using this concept of angles, a clinical guide to the region containing the sheath is given.

Finger Joint↗