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Biomedical subjects

W E Griffiths

Publications and source records attributed to W E Griffiths.

6 recordsLinked to original sources
PubMed2001

The timing of reduction and stabilisation of the acute, unstable, slipped upper femoral epiphysis.

We reviewed the management of 100 cases of slipped upper femoral epiphysis treated over a period of 26 years. A total of 14 slips was identified as unstable on admission. These underwent reduction and stabilisation within 24 hours of the onset of severe symptoms. Of the 86 stable slips four progressed to avascular necrosis (AVN), which was not seen in the unstable slips. The literature on slipped upper femoral epiphysis suggests that the acute unstable slip is at higher risk of developing AVN. We recommend reduction and stabilisation of unstable slips within 24 hours of the onset of symptoms in order to reduce the risk of AVN.

Acute Disease↗
PubMed1998

Pseudomeningocele nerve root entrapment after lumbar discectomy.

STUDY DESIGN: A case report of pseudomeningocele with nerve root entrapment after lumbar discectomy. OBJECTIVES: To report a rare cause of recurrent sciatica. METHODS: A unique case of delayed nerve root entrapment within the neck of an iatrogenic pseudomeningocele is described. The relevant literature is reviewed. CONCLUSIONS: This case illustrates the possible consequences of not repairing a dural tear and reinforces the importance of a careful surgical approach to the lumbar spine.

Adolescent↗
PubMed1998

Trochanteric osteotomy in total hip arthroplasty: comparison of 2 techniques.

A study of 100 cemented total hip arthroplasties was performed in 2 different hospitals. Group 1 hips (50 hips in 42 patients; mean follow-up period, 5.4 years) had been operated on with the modified Liverpool technique involving an anterior osteotomy of the greater trochanter. These were compared with group 2 (50 hips in 41 patients; mean follow-up period, 6.2 years), in whom a Charnley transtrochanteric osteotomy approach was used. The 2 groups showed no significant difference with respect to hip abductor muscle power (MRC grading), trochanteric union, Trendelenberg gait, heterotopic ossification (Brooker grading), and patient satisfaction assessed with the help of a questionnaire. Group 2 had a larger number of trochanteric problems, whereas group 1 had a greater increase in mobility scores after surgery.

Adult↗