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Biomedical subjects

V G Roth

Publications and source records attributed to V G Roth.

4 recordsLinked to original sources

Early fibular bypass procedures (tibiofibular synostosis) for massive bone loss in war injuries.

The techniques of fibular bypass grafting for massive tibial bone loss have been well described over the past 50 years. These techniques have generally been used as salvage procedures in post-traumatic civilian patients with chronic sepsis, or for congenital pseudoarthrosis. We present the experience of the Orthopaedic Department of the Hadassah University Hospital in successfully treating massive tibial bone loss by early fibular bypass grafting in four war injuries, where such definitive procedures would have been avoided in the past.

Adolescent↗

A new method of achieving accuracy in osteotomy of any long bone.

The use of basic trigonometrical principles enables the translation of theoretical pre-operative estimations for the correction of bony deformities in long bones into accurate wedge resections at surgery without the need for templates or the use of goniometer in a restricted operative field. The method described has been shown both to be accurate and simple, obviating the need for extra instrumentation and undue manipulation during surgery.

Anthropometry↗

Pycnodysostosis presenting with bilateral subtrachanteric fractures: case report.

A 50-year-old woman had bilateral subtrochanteric fractures over a period of 9 months; both fractures were found to be in osteosclerotic femora. The patient was multiparous with 5 normal children. Since subtrochanteric fractures represent only 5 per cent of all femoral neck fractures the occurrence of bilateral subtrochanteric fractures in a relatively young woman suggested an unsuspected underlying disease. Clinical and laboratory investigations showed no evidence of systemic, metabolic, infective or malignant disease. The patient's short stature, peculiar facies in association with osteosclerosis in medullated long bones and typical radiographic findings: hypoplastic claviculae, absent ungual tufts of distal phalanges, hypoplastic paranasal sinuses, and obtuse mandibular angles suggested the proposed diagnosis of pycnodysostosis, a rare autosomal recessive osteosclerotic condition, that has been described in less than 50 cases, including only one Jew. Despite 2 technically difficult surgical hip operations, a 3-year follow-up showed good remedullarization of both fractured femora and no limitation in the patient's daily activities.

Bone Screws↗