The image intensifier as an operating table--a dangerous practice.
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Biomedical subjects
Publications and source records attributed to N W Kenny.
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A postal survey within the North West Region (UK) revealed that 66% of the consultant orthopaedic surgeons did not use local anaesthesia routinely for carpal tunnel decompression. This prospective study was set up to assess the effectiveness, safety and patient tolerance of performing this procedure using local anaesthesia and upper arm tourniquet control. Eight-six carpal tunnel decompressions were performed on 75 consecutive and unselected patients with confirmed carpal tunnel syndrome over a 6-month period. Completed questionnaires were obtained before discharge. None or only slight discomfort was experienced for all aspects of the operation in at least 94%. None of the patients reported severe and unbearable discomfort. At review, 3 months postoperatively, all patients with the exception of two reported complete resolution of preoperative symptoms. The use of local anaesthesia and a tourniquet is safe, effective and well-tolerated in carpal tunnel decompressions.
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Three cases of nail gun injury to the non-dominant hand are reported. The hazards of using this high powered tool are stressed and a possible pitfall in the surgical removal of the nails is outlined.
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We reviewed 37 consecutive patients who have had Moore's pins removed from the hip as an elective procedure. Ten cases were bilateral giving a total of 47 hips from which pins were removed. Complications were encountered in 19 hips (40%). The most common complication was pin breakage.
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