Biomedical subjects

D R Roy

Publications and source records attributed to D R Roy.

57 records · Page 4Linked to original sources

PubMedDate not supplied

Idiopathic chondrolysis of the hip: management by subtotal capsulectomy and aggressive rehabilitation.

Three cases of idiopathic chondrolysis were treated by a subtotal circumferential capsulectomy with follow-up for 3 years and 1 month. Concomitant muscle releases were performed as necessary to relieve joint contractures. Surgery was followed by an aggressive rehabilitation effort. All patients were symptom-free and displayed an extremely satisfactory range of motion. Radiographs revealed reconstitution of the joint space in all cases. We believe that this aggressive management is well justified when one considers the results of previous published reports.

Adolescent↗

PubMedDate not supplied

Complications of intramedullary fixation of pediatric forearm fractures.

A retrospective review of 20 children with forearm fractures treated with intramedullary fixation is presented. Indications for surgery included fracture malreduction, open fracture, polytrauma, unstable fracture pattern, and compartment syndrome. Both radius and ulna were fractured in patients. Intramedullary fixation of both bones was performed in eight cases, ulna alone in nine, and isolated radius in three. A limited open approach to one or both bones was necessary for insertion of the intramedullary rod in 15 of 20 cases, including the eight open fractures. Eighteen complications occurred in 10 of 20 patients, including hardware migration, infection, loss of reduction, reoperation, nerve injury, significant decreased range of motion, synostosis, muscle entrapment, and delayed union. Despite the complications, 17 patients had excellent and two had good outcomes. Although excellent clinical results can be expected with intramedullary fixation, complications related to the surgical technique can be expected.

Adolescent↗

PubMedDate not supplied

Instability of the patellofemoral joint in Rubinstein-Taybi syndrome.

Twenty-five (3.4%) of 732 individuals with Rubinstein-Taybi syndrome were noted to have instability of the patellofemoral joint. We believe that this is in fact an underrepresentation of the true incidence, as we were able to identify only those patients whose symptoms were most severe. These individuals typically had symptoms before or during their adolescent growth spurt, had bilateral involvement, and in some instances, ceased to ambulate because of their patellofemoral problems. A subset of these individuals underwent patellar realignment surgery, with those whose treatment did not include extensive quadriceps mobilization/quadricepsplasty having a 2.7 times higher risk of requiring revision patellar surgery. Patellofemoral instability associated with Rubinstein-Taybi syndrome demands early recognition and treatment to prevent potentially catastrophic gait disturbances.

Adolescent↗