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Biomedical subjects

D I Rowley

Publications and source records attributed to D I Rowley.

68 records · Page 4Linked to original sources
PubMed1986

Os calcis osteotomy in the management of deformities of the hindfoot in spinal dysraphism.

The results of 52 primary os calcis osteotomies in 44 patients with spinal dysraphism are reviewed. There were 42 varus hindfoot deformities and ten valgus hindfoot deformities. The results indicate that the operation is simple and uncomplicated, but over a mean 5.8 year follow-up for the varus feet and 6.5 years for the valgus feet, over 50% of the feet developed either a moderate or severe recurrence of deformity. Os calcis osteotomy appeared from this series to be a moderately successful interim operation for the equinus varus foot, delaying the need for premature triple arthrodesis, but the long-term results in cavo-varus feet with claw toes were uniformly poor. Furthermore, it appeared to be unsatisfactory in the mobile flail valgus foot unless the subtalar joint had been stabilised by fusion. Correction of proximal joint or bone deformity and muscle imbalance is considered necessary if satisfactory results are to be achieved from the osteotomy.

Adolescent↗
PubMed1986

A prospective trial comparing operative and manipulative treatment of ankle fractures.

A series of 42 ankle fractures have been randomised into two groups respectively undergoing either open reduction and internal fixation or manipulative reduction and plaster. Their progress after removal of all external splintage has been followed using simple gait analysis techniques. There appears to be no difference in the outcome of treatment of the two groups in the early recovery period (up to 20 weeks).

Adolescent↗
PubMed1985

The comparative properties of plaster of Paris and plaster of Paris substitutes.

Modern casting materials are becoming available in an increasing and bewildering variety. A series of tests has been devised to investigate the properties of these materials. They have been tested for strength, flexibility, lamination, fatigue life and radiolucency. Their properties have been compared with those of plaster of Paris in order that the role of the newer materials can be defined. It is suggested that the tests described might form the basis of a standard from which user trials could be designed to appraise the value of these materials in clinical practice.

Calcium Sulfate↗
PubMed1982

Rupture of the Achilles tendon treated by a simple operative procedure.

A subcutaneous suture technique for repair of closed rupture of the Achilles tendon first reported in 1977 is described again. The use of the technique in Aberdeen is compared with cases treated in plaster during the same 2-year-period. Although the total in the series is only 35, the results appear to indicate that the subcutaneous suture technique improves the power of plantar flexion without significant post-operative complications.

Achilles Tendon↗
PubMed1978

Role of an accident flying squad in medical emergencies.

A retrospective study of medical cases attended by the Derbyshire Royal Infirmary Accident Flying Squad demonstrates that of 17 cases only two patients survived to leave hospital. Nine cases of cardiac arrest have been studied in further detail. In all of these cases it was found that diagnosis of arrest had been made before the Flying Squad was called and that the situation had become extreme before the arrival of the medical team. In every case the Flying Squad team took more than 3 min to arrive, irrespective of distance. Review of the literature appears to support the conclusion that medical teams have been of little value when called to cardiac arrest at any distance from the hospital because of the time lag. It is suggested that more sophisticated primary care should be available immediately, preferably by highly trained ambulance personnel. Medical teams would give appropriate support to such primary care.

Ambulances↗
PubMedDate not supplied

Hip replacement surgery.

This review describes the current status of hip arthroplasty, hip mechanics, the materials used and the designs of the implants. The aims of and indications for surgery are outlined. Various complications and their prophylaxis are discussed, with particular stress on infection and thromboembolic problems. Results from published series and likely future developments are outlined.

Hip Prosthesis↗
PubMedDate not supplied

Assessment of etiologic factors in the development of Freiberg's disease.

The etiologic factors in the development of Freiberg's disease are assessed in a consecutive series of 31 patients (33 feet). No evidence was found for the commonly held view that the condition is precipitated by trauma (in only 5 feet (15%), was there a history of injury to the foot). Similarly, pedobarographic studies failed to show high pressure at the affected metatarsal head. However, in 28 feet (85%), the affected metatarsal was the longest in the foot. The importance of this and other possible etiologic factors is discussed.

Adolescent↗