Biomedical subjects

J J Roach

Publications and source records attributed to J J Roach.

5 recordsLinked to original sources

PubMed1987

Resurrection of the amputations of Lisfranc and Chopart for diabetic gangrene.

When a patient with neuropathic diabetic gangrene of the foot has sepsis, it is not always necessary to do a below-knee guillotine amputation or a Syme's amputation. In more than six years we have done 18 successful open Lisfranc's and Chopart's amputations. Improved ambulation has been achieved in three months using simple shoe prostheses. All flaps are fashioned immediately and never sutured. No equinus deformities have developed.

Adult↗

PubMed1978

Hand decompression with industrial wringer injuries.

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Decompression↗

PubMed1978

Constipation.

Constipation pervades our society. It is associated with emotional stress, lack of dietary fiber, and ignorance. Laxative stimulants, bulk forming agents, stool softeners, and osmotic cathartics may all be needed to treat endstage constipation initially, but "weaning" should be possible in most cases. Endstage constipation, in rare cases, can be life threatening due to urinary tract or colonic obstruction or perforation.

Constipation↗

PubMed1978

Compound incomplete dislocation of the trapezium and compound fractured hamate hook.

A wringer injury with a compound "fracture" dislocation of the trapezium treated with single Kirschner-wire axial-fixation to the proximal second metacarpal is discussed. Full return of function was present at one year with minimal traumatic arthritis. A hamate hook fracture also healed without complications and without excision.

Adult↗

PubMed1977

Iatrogenic ulnar nerve entrapment at the elbow.

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Adult↗