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Biomedical subjects

R Olmi

Publications and source records attributed to R Olmi.

At least 37 records · Page 2Linked to original sources

Secondary treatment of fractures of the middle and lower third of the tibia unsuccessfully treated by primary internal fixation.

The authors present forty six cases, referred to us between 1969 and 1974, of fracture of the middle and lower thirds of the tibia, previously treated elsewhere by primary internal fixation using a plate and screws. The causes of failure are divided into defective indications and defective technique. The methods of treatment used in infected and non-infected lesions are described. They criticise the unnecessary use of plates and explain their reasons. They do not condemn the method outright, since in selected cases IT IS UNDOUBTEDLY A VALID METHod of treatment. They are opposed, however, to its indiscriminate use for lesions that may perfectly well be cured, with the minimum risk, either by conservative methods, or by intramedullary nailing.

Fracture Fixation, Internal↗

[Evaluation split renal function and compensatory hypertrophy using a radio-isotopic technique].

Using a new method for the determination of split renal function with a radio-isotopic technique (FG Hipaque I131 and PRP Hippuran I131) we sought to determine residual renal function with pre-operative studies, especially in preparation for nephrectomy, and secondly with postoperative studies of compensatory renal hypertrophy after total or partial nephrectomy and the restoration of function in the kidneys following surgery of the urinary tract. A total of 20 cases was studied. We noted marked compensatory hypertrophy after total and partial nephrectomy and the prompt return of function after procedures involving the urinary tract, on condition that any acute infection be prevented.

Adult↗

Haemangioma of bone with radiographic appearances simulating a giant cell tumour.

A case is described of haemangioma of the proximal end of the humerus which simulated a giant cell tumour on radiography. An attempt at biopsy, carried out elsewhere, had failed because of severe haemorrhage from the tumour during operation. It was treated by en bloc resection and endoprosthesis with a good result after one year.

Bone Neoplasms↗

Diabetes as pro-infective risk factor in total hip replacement.

It is widely accepted that diabetic patients, above all poorly controlled ones, are more susceptible to infection. To verify whether diabetes might be considered a pro-infective risk factor in total hip replacement, 1,042 patients, who from 1969 to 1979 underwent an operation for arthropros thesis of the hip, were studied. The patients were subdivided into two groups according to whether they were diabetic or not. The diabetic patients, though well controlled by diet or by diet plus oral hypoglycemic agents, received insulin for at least two days before surgery. In the early post-operative phase they showed transient worsening of glycemic control rapidly corrected by increased insulin dosage. The patients of both groups were operated in low air exchange operating theaters, by the same staff and using standardized surgical techniques, and all received antibiotic coverage as preventive treatment against infections for a week after surgery. Infection and suppuration occurred in 11% of diabetic patients and only in 2% of non-diabetic patients (p less than 0.001); in these cases the prostheses were removed after unsuccessful antimicrobial treatment. Our study indicates that diabetes mellitus must be considered a proinfective risk factor in patients who undergo an operation for total hip replacement and suggests that a conservative approach is required in diabetic patients.

Aged↗

Phantom characterization of applicators by liquid-crystal-plate dosimetry.

A method for the determination of the SAR distribution produced by an electromagnetic applicator for localized hyperthermia is described. The procedure for SAR evaluation consists of recording the time evolution of the temperature inside a polyacrylamide phantom by means of thermochromic liquid crystal sheets inserted in it. The technique allows a complete characterization of applicators in a very broad frequency range, using power levels of the order of those needed in real treatments. Criteria for the minimum phantom size and the maximum time duration of the characterization procedure are indicated, which allow a reliable determination of the effective field size and penetration depth of the applicator.

Biophysical Phenomena↗