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S L Grossfeld

Publications and source records attributed to S L Grossfeld.

4 recordsLinked to original sources
PubMed1996

Functional outcome of patients with salvageable limbs with grades III-B and III-C open fractures of the tibia.

Numerous reports list predictive criteria to determine whether Gustilio-type tibial III-B and III-C fractures of the tibia are salvageable. What is lacking are long-term reports of comprehensive functional outcome of these severe injuries. We evaluated the functional outcome of patients with our own seven-scale score. Fifty-four patients with 57 types III-B (n = 41) and III-C (n = 16) open tibial fractures sustained between 1980 and 1989 were recalled for evaluation. There were 45 men and 9 women (average age, 28.4 years; range, 4-68 years). Follow-up periods averaged 48.2 months (range, 12-116 months). Salvage rate for the III-B fractures was 75% (n = 31) and for the III-C fractures 37% (n = 6). We conclude that the functional score is a simple and complete method for assessing the functional outcome of patients undergoing limb salvage procedures.

Activities of Daily Living↗
PubMed1995

Patellar tendinitis--a case report of elongation and ossification of the inferior pole of the patella.

Patellar tendinitis is a condition that occurs in patients who are involved in repetitive use of the extension mechanism. The most common symptoms are pain at the inferior pole of the patella, and radiographic changes may also occur. This case report demonstrates an extreme example of elongation of the inferior pole of the patellar tendon. The ossification caused the patient pain, which was resolved with surgical removal of the bone.

Adult↗
PubMed1992

Cotrel-Dubousset instrumentation in idiopathic scoliosis.

Although well accepted in the patient undergoing Harrington instrumentation, the validity of King's criteria in patients undergoing correction of idiopathic scoliosis using the Cotrel-Dubousset system has been questioned. The cases of 64 patients with Type II (N = 40) and Type III (N = 24) idiopathic scoliosis treated with Cotrel-Dubousset instrumentation were reviewed. The average curve correction for Type II spinal curvature was 69.4% after surgery and 57.8% at follow-up examination. Decompensation was evident in 40% of the curves that were fused beyond the stable vertebra. However, the patients were only aware of their trunk decompensation if it was larger than 10 mm, and this was found in 35% of the patients. Decompensation occurred in 60% of those that were fused short of or to the stable vertebra. Only 42% of this group were aware of their decompensation. Decompensation was measured to the left of the spine in all patients. The difference between the subgroups based on the choice of distal fusion levels was not statistically significant (P greater than 0.05). The average curve correction for Type III scoliosis was 62.9% after surgery and 54.6% at the time of follow-up examination. There was no correlation between caudal fusion levels and the incidence of decompensation with Type III curves. It was concluded that there was no statistically significant relationship between choice of distal fusion level and the amount of decompensation, thereby indicating that the use of King's criteria for the selection of fusion levels in patients undergoing correction of idiopathic scoliosis using the Cotrel-Dubousset instrumentation may not be useful.

Adolescent↗