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Biomedical subjects

S T Donell

Publications and source records attributed to S T Donell.

28 records · Page 2Linked to original sources
PubMed1994

Anterior cruciate reconstruction combined with valgus tibial osteotomy.

Forty-four of the first 50 knees to undergo anterior cruciate ligament (ACL) reconstruction combined with a valgus tibial osteotomy were reviewed retrospectively at an average of three and a half years later. The combined operation was performed on patients with symptomatic chronic ACL rupture who also had varus malalignment on unilateral weight bearing, usually secondary to a previous medial meniscectomy. All patients originally played regular sports, but before the combined operation, 31 did not play at all. The operation had a low morbidity, and significantly improved clinical symptoms, clinical stability, and functional stability. Postoperatively only one patient could play competitive sports, although a further 26 could play leisure sports. At review there was no radiological progression of osteoarthrosis, and 37 patients (91%) were satisfied or very satisfied with the operation. Performing a valgus tibial osteotomy improved the results of ACL reconstruction in patients with acquired varus malalignment and extended the indications of ACL reconstruction to include patients younger than 40 years of age with early medial compartment osteoarthrosis.

Adolescent↗
PubMed1993

Results of partial meniscectomy related to the state of the anterior cruciate ligament. Review at 20 to 35 years.

We reviewed 195 knees in 167 patients at least 20 years after a rim-preserving meniscectomy. They were considered in two groups: 102 knees had had an intact anterior cruciate ligament (ACL), and 93 had had an unrepaired rupture. More patients with a ruptured ACL had downgraded their sport activity by five years after meniscectomy. The incidence of radiographic osteoarthritis was about 65% at 27 years in patients with a ruptured ligament, and 86% in those followed up for over 30 years. In the ligament-deficient group 10% had had operations for osteoarthritis, and another 28% had had other operations, mainly further meniscectomies. Only 6% of those with an intact ligament had needed a second operation after meniscectomy and at long-term follow-up 92% of them were satisfied or very satisfied. Only 74% of the ligament-deficient patients were satisfied with their result. The long-term outcome after rim-preserving meniscectomy depends mainly upon the state of the anterior cruciate ligament.

Activities of Daily Living↗
PubMed1991

Entrapment neuropathies: 1. Upper limb.

Accurate diagnosis of nerve entrapment requires a sound knowledge of anatomy and careful examination of the patient. Diagnosis is aided by specific clinical tests and neurophysiological investigation. This article reviews clinical presentation, relevant anatomical detail and appropriate investigations in the management of entrapment neuropathies of the upper limb.

Arm↗
PubMed1991

Entrapment neuropathies: 2. Lower limb.

Entrapment neuropathy is a form of compression neuropathy (see previous article). It is rare in the lower limb. Fibular tunnel syndrome, meralgia paraesthetica and tarsal tunnel syndrome are reviewed here.

Anti-Inflammatory Agents, Non-Steroidal↗
PubMed1988

Iatrogenic superior mesenteric arteriovenous fistula. Report of a case and review of the literature.

Bowel resection can result in the formation of an arteriovenous fistula at the point of intersection of the feeding vessels. Iatrogenic arteriovenous fistula of the superior mesenteric vessels is rare, with only 11 cases reported in the English language literature. We report a case after small bowel resection, which was done because of adhesions from a laparoscopic sterilization. An anatomic classification of the fistulas into H and U types is suggested, with its significance for management. A review of the literature is included.

Arteriovenous Fistula↗
PubMedDate not supplied

Partial meniscectomy and anterior cruciate ligament rupture in soccer players. A study with a minimum 20-year followup.

A retrospective review of 77 soccer players with 91 affected knees that had undergone the same operation, a rim-preserving meniscectomy, was made with a minimum followup of 20 years and an average followup of 27 years. The patients were divided into groups based on the presence of an intact (Group 1) or ruptured (Group 2) anterior cruciate ligament. At 5 years after meniscectomy, 75% of Group 1 and 52% of Group 2 were still playing soccer, and 13% in Group 1 as opposed to 28% in Group 2 had given up sports. The sporting class assessment was good in 80% of the Group 1 knees and 62% in the Group 2 knees. By followup, 5% of Group 1 and 32% of Group 2 required further meniscectomies, and 2% of Group 1 and 16% of Group 2 required operations for osteoarthritis. Radiologically diagnosed osteoarthritis was present in 24% of Group 1 knees compared with 77% of Group 2. Functionally, 60% of the Group 1 knees were excellent at followup as opposed to 9% in Group 2 knees. In Group 1, 49% were still involved in sports compared with 22% in Group 2. However, 97% of Group 1 were satisfied with their knees compared with 74% of Group 2. All of these differences were statistically significant.

Adolescent↗