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Biomedical subjects

J Wilson-MacDonald

Publications and source records attributed to J Wilson-MacDonald.

23 records · Page 2Linked to original sources

Early experience with closed interlocking medullary nailing of the femur.

We report on the first 14 patients treated with the Grosse Kempf femoral locking nail in our hospital. As with simple closed nailing of the femur attention to detail in the operating theatre is important. To date there have been only a few minor complications with the procedure, apart from one non-union. It allows stabilization of complicated fractures of the femoral shaft particularly in patients with multiple and often bilateral injuries caused by high velocity. It is concluded that it is an excellent procedure for complicated unstable fractures of the femoral shaft which would otherwise be treated on traction, and that the procedure can be safely performed in any centre where closed intramedullary nailing is commonly practised.

Bone Nails↗

Delayed union of the distal scaphoid in a child.

A case of delayed union of the distal pole of the scaphoid in a child is reported. The fracture united after a period of immobilization. A trial of immobilization should be considered before embarking on operative treatment for delayed union or nonunion in children.

Carpal Bones↗

Management and outcome of infective prepatellar bursitis.

Forty seven cases of prepatellar bursitis are reported. Twenty one patients had sustained a recent injury with a break in the skin which had caused the infection and seventeen patients were employed in jobs which involved kneeling. Oral antibiotics proved to be inadequate treatment in many cases. Splintage and intravenous antibiotics with or without aspiration of the bursa were usually successful in treating the condition, although nine patients required surgical drainage of the bursa. Twelve patients continued to have symptoms months or years after the infection, particularly those with preexisting chronic bursitis, or those who kneeled at work. There was little difference in the results between the different treatment groups.

Adolescent↗

Subcapital fracture complicating an intertrochanteric fracture.

A previously undescribed type of fracture of the neck of femur occurred following intertrochanteric fracture fixation with a McLaughlin nail plate in an 80-year-old woman. This complication was probably caused by prolonged non-weight-bearing and inadequate fixation. The complication possibly could have been avoided by use of a dynamic hip screw and early weight-bearing.

Aged↗