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Biomedical subjects

A E Inglis

Publications and source records attributed to A E Inglis.

At least 73 records · Page 4Linked to original sources

Surgical treatment of reruptures of the tendoachilles following nonsurgical treatment.

Nine patients who sustained a rerupture of their Achilles tendon after nonsurgical treatment were evaluated both subjectively and objectively with the Cybex isokinetic dynamometer. Subjectively, only 5 of the 8 patients were satisfied as compared to a 93% satisfaction rate in our previous series of patients with primary surgical repair. Cybex measurements were statistically inconsistent, unlike the primary repairs. This small series of patients in which the tendoachilles was reconstructed following failed nonsurgical treatment suggests that early surgical repair is the treatment of choice unless otherwise medically contraindicated.

Adult↗

Proximal-row carpectomy for diseases of the proximal row.

Twelve patients were studied following proximal-row carpectomy. Four had a follow-up of twenty years or more. The lesions for which the operation was done included Kienböck's disease, perilunar dislocations, and fractures of the carpal scaphoid. The major complaint of pain was relieved following surgery, and a functional range of motion was obtained. Mild degenerative arthritis of the wrist was not a contraindication and progressive degenerative arthritis of the radial capitate articulation did not occur. The operation did not result in weakness and all of the patients resumed their preoperative occupations. After conservative measures fail, proximal-row carpectomy rather than arthrodesis should be considered for disorders of the proximal row of carpal bones.

Adult↗

Joint replacement surgery in patients under thirty.

Forty-five patients, twenty-six of them with juvenile rheumatoid arthritis, had sixty-seven total hip arthroplasties. The patients' ages ranged from twelve to twenty-nine years. An over-all good result was demonstrated in 93 per cent of the patients had a poor result, in 6.9 per cent. The average follow-up period was 32.5 months. Careful planning in severely dysplastic joints should be done.

Adolescent↗

Total hip replacement in patients with ankylosing spondylitis with involvement of the hip.

Twenty-three patients with ankylosing spondylitis underwent thirty-four total hip arthroplasties with an average follow-up of 42.5 months. The over-all results were rated good in all but two patients. Significant benefit was obtained in posture and function so that these patients could be gainfully employed. Improvement in the sum total range of motion was 96.1 degrees in patients with bone ankylosis and 150 degrees in those with fibrous ankylosis. The preoperative sum total range of motion was maintained or improved in hips with a painful arc of motion. Most of the limited motion in patients with ankylosed hips was due to myositis ossificans.

Adult↗

Ruptures of the tendo achillis. An objective assessment of surgical and non-surgical treatment.

A comparative study is presented of seventy-nine patients with rupture of the tendo achillis, forty-eight of whom were treated surgically and thirty-one, non-surgically. With one exception, all were healthy, athletic individuals. Twenty-two per cent of the patients had an initial misdiagnosis. The patients treated surgically were more satisfied with the results of their treatment. Strength, power, and endurance as measured on the Cybex II dynamometer revealed that the patients treated non-surgically attained only 72 per cent of normal strength and 70 per cent of normal power and endurance as compared with the surgically treated patients. Wound complications occurred in only two patients and no reruptures occurred in the surgically treated group, whereas there were nine rereptures in the group not treated surgically.

Achilles Tendon↗

The hand in systemic lupus erythematosus.

Hand involvement is common in systemic lupus erythematosus, and is different from that seen in rheumatoid arthritis. Raynaud's phenomenon was present in 50 per cent of our patients and, rather than joint deformity and synovitis, often was the primary cause of disability. Deformities in lupus hands are the result of laxity of the supporting soft-tissue structures about the joint. Articular destruction and ankylosis do not occur unless there is coexistent rheumatoid arthritis. Swanneck deformities without tight intrinsics and hyperextension deformity of the thumb interphalangeal joint are characteristic of this disease in the hand.

Adult↗