Biomedical subjects
R Cetti
Publications and source records attributed to R Cetti.
Conservative treatment of injury to the fibular ligaments of the ankle.
Fifty-one patients with fibular ligamentous injury of the ankle are presented. The treatment consisted of complete non-weight-bearing of the affected foot by use of elbow crutches for three weeks. All patients were seen at follow-up eighteen months after the accident. The results are discussed in the light of previous literature on conservative and operative treatment of lateral ligament injuries.
Complication-free Achilles tendon repair.
Fifty-one patients with subcutaneous rupture of the tendo calcanei Achillis were consecutively operated on with simple end-to-end suture using Bunnell's technique. The operation was performed under local anaesthesia. All patients were seen at follow-up four months after the operation. The complication rate was low compared to the ones reported in the current literature. It is concluded that operative treatment of Achilles tendon rupture performed under local anaesthesia is safe, economical and acceptable to patients.
Osteoid osteoma in the scaphoid bone. Case report.
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[A case of crash-helmet injury].
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Ruptured achilles tendons treated surgically under local anaesthesia.
Twenty-two patients with rupture of the Achilles tendon were successfully treated by simple end-to-end suture under local anaesthesia. The results are discussed in the light of previous literature on surgical versus conservative treatment and the advantages of surgery under local anaesthesia are pointed out.
Operative versus nonoperative treatment of Achilles tendon rupture. A prospective randomized study and review of the literature.
One hundred eleven patients with acute rupture of the Achilles tendon were included in a prospective trial and randomly assigned to groups for operative (56 patients) or nonoperative (55 patients) treatment. All of the patients were followed with clinic evaluations at 4 months and 1 year after the rupture. The major complications in the operative treatment group were three reruptures and two deep infections as compared with seven reruptures, one second rerupture, and one extreme residual lengthening of the tendon in the nonoperative group. There were fewer minor complications in the nonoperative group than in the operative group. The operatively treated patients had a significantly higher rate of resuming sports activities at the same level, a lesser degree of calf atrophy, better ankle movement, and fewer complaints 1 year after the accident. The conclusion we reached through this randomized prospective study is that operative treatment of ruptured Achilles tendons is preferable, but nonoperative treatment is an acceptable alternative.