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Biomedical subjects

K Sølund

Publications and source records attributed to K Sølund.

12 recordsLinked to original sources
PubMed1991

[Purulent coxitis with hip luxation and acute peritonitis].

A boy aged five months was admitted to a hospital elsewhere on account of failure to thrive for three weeks and intermittent pyrexia. X-ray revealed dislocation of the right hip. After attempted reduction, the infant developed peritonitis. Laparotomy revealed pus which originated from purulent coxitis draining through a defect at the base of the acetabulum. Arthrocentesis should be performed in children with acute coxitis and high fever. If pus or cloudy joint fluid is obtained, the hip joint should be opened and drained at the same session. Neglected purulent coxitis results in destruction of the joint and prolonged incapacity which was the result in the case reported here.

Acute Disease↗
PubMed1991

Talectomy for equinovarus deformity in arthrogryposis. A 13 (2-20) year review of 17 feet.

Ten children (17 feet) with arthrogryposis multiplex congenita and severe, rigid equinovarus deformity underwent talectomy to bring the foot plantigrade. One child had a bilateral talectomy after only one manipulation, whereas the others were operated on an average of three times before talectomy. After a mean follow-up of 13 years, 14 out of 17 feet were satisfactory. We recommend that children with arthrogryposis and severe rigid equinovarus deformity be treated with talectomy before the expected age of walking.

Adolescent↗
PubMed1990

[Total hip prosthesis infected with Salmonella dublin].

In 1983, the bovine-specific Salmonella Dublin was demonstrated in man in Denmark. The organism is frequently isolated from blood but rarely causes gastroenteritis. The frequency of infection following hip replacement is less than 2% with Staphylococcus aureus as the commonest agent while Gram-negative rods are rarer but are considered to be more serious. Infection around a hip replacement frequently implies that the prosthesis must be removed. A case in which a hip replacement was infected with Salmonella Dublin is described here. The patient had looked after infected calves until operation and it is presumed that the prosthesis was infected haematogenically, either primarily or later. The infection was controlled surgically without removal of the prosthesis which was stable. Even although the condition is satisfactory six months after revision, the long-term prognosis is poor.

Ampicillin↗
PubMed1988

Carrageenan-induced coxitis in puppies.

We studied the influence of chronic synovitis and joint effusion on the blood supply and growth of the immature femoral head in 12 puppies. Twelve weekly intraarticular injections of Carrageenan solution caused unilateral coxitis with caput magnum formation. Joint pressures in the neutral position were 0.9 kPa in the coxitis hips and -0.5 kPa in the contralateral hips. The joint capsule in coxitis showed hyperemia as measured by tracer microsphere technique. In nonmedicated, awake, standing dogs there was hyperemia of both the femoral head epiphysis and the joint capsule. In all the dogs, acetabular and proximal femoral metaphyseal blood flow was unchanged. In the control group, repeated cannulation and injection of normosaline did not change the hemodynamics, joint pressure, or femoral head size. We found no evidence of femoral head ischemia in coxitis with moderate chronic elevation of resting joint pressure.

Animals↗
PubMed1985

Wound infection after lower extremity amputation because of ischemia.

The importance of postoperative wound infection in major amputations was elucidated by recording the organisms isolated in preoperatively infected gangrene and in postoperatively infected wounds of patients undergoing lower-limb amputations for ischemia. Sixty-four amputations were performed on 61 patients. The frequency of coexisting diabetes mellitus was 34%. Postoperative infections occurred in nearly two-thirds of the 19 cases of infected gangrene, as compared with less than one-third of cases of noninfected gangrene. The presence of diabetes mellitus did not significantly influence the infection rate. Preoperatively as well as postoperatively, the most frequently isolated bacterium was Staphylococcus aureus. Clostridium perfringens was cultured in four cases. Postoperative wound infection following lower-limb amputation for ischemia is the main reason for reamputation, especially in patients with infected gangrene.

Amputation, Surgical↗
PubMed1984

Early results after Colles' fracture: functional bracing in supination vs dorsal plaster immobilization.

A randomized clinical study of functional bracing in supination (FUSU) versus dorsal plaster immobilization (DPI) was conducted in 145 patients with Colles' fracture. A dynamic wrist unit was developed and used in 68 patients allocated for FUSU. The anatomical end result after FUSU was excellent or good in 80% of the patients versus 64% after DPI (P less than 0.05), in particular due to less dorsal angulation (P less than 0.001) and less radial shortening. The functional recovery was equal after 7 weeks and 3 months. At 6 months, 92% satisfactory results were achieved after FUSU versus 86% after DPI (P less than 0.05). Both anatomical and functional benefits were recorded in Frykman type V, VI, and VIII fractures and in the group of displaced intra-articular fractures. The functional benefit from FUSU is suggested primarily to be secondary to decreased fracture redislocation.

Adult↗