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T L Passoff

Publications and source records attributed to T L Passoff.

4 recordsLinked to original sources

Ender's flexible intramedullary pins for the treatment of pertrochanteric hip fractures: preliminary report of the first 100 cases.

A series of 100 consecutive patients with pertrochanteric hip fractures treated by the Ender method of intramedullary nailing is reported. The average age of the patients was 77.26 years (range, 34 to 94 years). Followup of the patients was from 4 to 15 months, with an average of 7 months. The mortality rate was 9% and the rate of serious complications was 8%. All fractures of the 50 patients followed were healed at 4 months and the functional results were generally good. This method appears to offer excellent results and may be the result of fast operating time, minimal surgical trauma, and ease of performance.

Adult↗

Oxacillin induced neutropenia. A case report.

Oxacillin-induced neutropenia is reported in a 16-year-old boy being treated for osteomyelitis. The startling neutropenia developed after 20 days of 200 mg/kg/day of intravenous oxacillin. The neutropenia was not associated with symptoms and was rapidly reversible upon stopping the antibiotic. This reaction may happen with any of the betal lactam antibiotics and is believed to be a direct toxic effect on white cell precursors in the bone marrow.

Adolescent↗

Gait abnormalities arising from latrogenic loss of lumbar lordosis secondary to Harrington instrumentation in lumbar fractures.

Six patients with lumbar fractures were studied at the Pathokinesiology laboratory at Rancho Los Amigos Hospital following posterior Harrington distraction instrumentation to identify changes in posture and gait associated with iatrogenic loss of lumbar lordosis. Three patients, all with painful rods, were treated with standard Harrington instrumentation and full length fusion. Three patients were treated with so-called "rodded long-fused short" procedures. It was thought that rod removal in the latter group would result in restoration of lumbar lordosis with concomitant improvement in posture and gait when compared to the full length fusion group. No significant difference between the two groups was found. Rod removal often resulted in kyphotic collapse at the previous fracture site despite solid posterior arthrodesis with net decrease in lumbar lordosis. Hip hyperextension, when available, was the favored compensatory mechanism for loss of lumbar lordosis. Otherwise, hip flexion and forward lean of the trunk was seen.

Adult↗