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Biomedical subjects

G A Hunter

Publications and source records attributed to G A Hunter.

At least 73 records · Page 4Linked to original sources
PubMed1978

Review of function in bilateral lower limb amputees.

A review of the results of bilateral lower limb amputation in 53 individuals indicates that the physician can now be more optimistic when considering the use of prostheses and the value of rehabilitation in patients with bilateral amputation. Many patients continue to use a prosthesis after the second amputation, irrespective of the site of the first. Associated disease and lack of motivation delay successful rehabilitation. About half of the amputees used a wheelchair as a principal aid to mobility. A number of patients found that amputation of the second limb necessitated a change of accommodation, reduced their degree of independence and decreased their social activities. Individuals with bilateral lower limb amputation prefer to retain the knee joint, even if they already have unilateral above-knee amputation.

Activities of Daily Living↗
PubMed1977

Subcapital fracture of the hip: a rare complication of intertrochanteric fracture of the femur.

Three cases of subcapital fracture of the hip that occurred after an intertochanteric fracture of the femur had been nailed have been described in the literature. The tip of the nail failed to penetrate the femoral head and a stress fracture occurred in two at the tip of the nail and in the other at the tip of a blade plate. This paper reports three further cases of this recently recognized and rare complication of intetrochanteric fractures. It is emphasized that the condition must be recognized and treated without delay.

Aged↗
PubMed1976

Management of the patient requiring leg amputation for peripheral vascular disease.

Most leg amputations are performed because of the effects of peripheral vascular disease. Only 50% of such amputations were performed below the knee in Ontario in 1972, although the knee joint should be preserved in most patients. Careful preoperative evaluation is essential. Postoperative problems include gas gangrene for which prophylactic measures are recommended; failure of the stump to heal, which necessitates early revision of the stump; and defects in stump contour, which necessitate late revision. An enthusiastic team approach to rehabilitation is necessary to overcome the physical and mental problems that result from amputation of a leg.

Amputation, Surgical↗
PubMed1975

The results of operative treatment of trochanteric fractures of the femur.

One hundred and seventy trochanteric fractures of the femur treated by operative fixation are reviewed. The results of treatment are disappointing. The complication rate is high. The mortality rate should be assessed at 6 months after the fracture. From these results, it would appear that operative treatment does not offer the patient with a trochanteric fracture of the femur less morbidity, a lowered mortality rate or even a better result, when compared with operative treatment 25 years ago, or when compared with a recent review of conservative treatment from Inverness.

Aged↗
PubMed1975

Results of minor foot amputations for ischemia of the lower extremity in diabetics and nondiabetics.

Results of 208 minor amputations were analyzed in 179 patients who had no food pulses. Wound healing was assessed at 3 months in relation to diabetes and previous vascular surgery. The results suggest that simple removal of the toe or toes is not advisable unless the blood supply to the foot can be improved by vascular reconstruction or sympathectomy, or both. Transmetatarsal amputation should be considered more often as a conservative amputation for gangrene of the toes. The absence of a palpable posterior tibial pulse is a contraindication to the Syme's amputation.

Amputation, Surgical↗