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Biomedical subjects

S Abhaykumar

Publications and source records attributed to S Abhaykumar.

4 recordsLinked to original sources

Thoracic vertebral osteophyte-causing myelopathy: early diagnosis and treatment.

STUDY DESIGN: A case report is described. OBJECTIVE: To highlight an unusual cause of thoracic myelopathy. METHODS: Clinical evaluation of 63-year-old male revealed myelopathy. Thoracic cord compression from a solitary projection of a facetal joint osteophyte at the T9-T10 level was documented on magnetic resonance imaging scans and computed tomography scans. RESULTS: The osteophyte was successfully excised. CONCLUSIONS: Thoracic cord compression can be caused by various space-occupying lesions, and a high index of suspicion will lead to diagnosis before neurologic deficit is clinically expressed. Magnetic resonance imaging scans and computed tomography scans both demonstrate the osteophyte, and expedient surgery avoids the progression of the neurologic deficit.

Diagnosis, Differential↗

The use of non-absorbable suture in the fixation of patellar fractures: a preliminary report.

We describe the use of a non-absorbable, braided, polyester suture, 5 Ti-Cron (Davis and Geck, Gosport, Hampshire), for the fixation of patellar fractures as an alternative to stainless steel wire. Seven patients had their fractures fixed with this material and all progressed to union with good restoration of knee function. The ease of use of the suture allowed accurate reduction of the fractures and reduced operative and tourniquet time. None of the patients suffered significant complications from the procedure although two patients required removal of the suture because of knot symptoms. This was easily performed under local anaesthetic on an out-patient basis. We believe that non-absorbable suture is a good substitute for stainless steel wire and reduces the need for a second procedure for wire removal.

Adult↗