Search PubMed⌕ Search

Biomedical subjects

H Kofoed

Publications and source records attributed to H Kofoed.

47 records · Page 3Linked to original sources
PubMed1983

Comminuted displaced Colles' fractures. Treatment with intramedullary methylmethacrylate stabilisation.

Four women aged 87, 77, 74 and 69 years with severely comminuted, displaced and intraarticular Colles' fractures of the dominant hand, where conservative treatment had failed, were treated by use of intramedullary methylmethacrylate stabilisation in order to retain optimal anatomical position of the fracture. The patients were followed by serial clinical, radiological and 99Technetium-scintimetrical examinations for at least 1 year. Normal mobility of the wrist and power of the grip was obtained within 6 weeks postsurgery in all patients. Radiological cortical bone healing occurred within normal time and scintimetrically the fractures was healed within 6 weeks. No secondary displacement of the fractures occurred. It was concluded that this method might be considered in the treatment of certain severely comminuted and unstable Colles' fractures as it seem to offer a quick rehabilitation and so far no late problems.

Aged↗
PubMed1983

Revascularization of the humeral head. A report of two cases of fracture-dislocation of the shoulder.

Two cases of fracture-dislocation of the shoulder are reported in which the humeral heads were found at open reduction to be without soft tissue attachments. The patients were followed up clinically and radiologically and by technetium-99m scintigraphy for at least two years. In the case of a three-part fracture-dislocation, revascularization of the humeral head was complete three months after surgery, whereas the humeral head in the four-part fracture-dislocation did not appear totally revascularized scintigraphically until nine months after surgery. Radiologic signs of avascular necrosis of the humeral head were not encountered. Both patients were pain-free, and the shoulders functioned well, although suboptimal ranges of motion were recorded. It was concluded that open reduction and internal fixation is indicated initially rather than conservative treatment and before use of a prosthetic device is considered, in view of the acceptable results obtained. It appears that revascularization of the humeral head occurs by creeping substitution.

Female↗
PubMed1982

Femoral neck fractures in young adults.

Seventeen young adults with subcapital femoral neck fractures that occurred after injury and with no signs of osteoporosis were treated conservatively (2 cases) or by closed reduction and internal fixation. Evaluation of the results was based on clinical, radiological and scintigraphical examinations. The incidence of non-union was 24 per cent (4/17) and the incidence of avascular necrosis of the femoral head was 41 per cent (7/17). The total failure rate was 41 per cent as all fractures with non-union also had avascular necrosis. It was found that reduction was the most important factor determining the outcome, as only 17 per cent (2/12) of fractures with a good reduction subsequently developed non-union compared with 100 per cent (5/5) with malreduction. High-velocity injury was no more crucial than low-velocity injury. The final outcome of femoral neck fractures in young persons did not differ from the known outcome in elderly persons.

Adolescent↗
PubMed1982

Peripheral nerve blocks at the knee and ankle in operations for common foot disorders.

Two hundred eighty-four outpatients who had common foot disorders underwent operation after administration of regional anesthesia, peripheral nerve blocks at the knee and ankle and an ankle tourniquet. In a prospective series of 59 patients, the technique used in analgesic blocks of the foot is described, and the amount and latency of the local anesthetic agent were evaluated, as well as the duration of analgesia. The blocks were complete in 95% of the patients. Reblocking was never necessary. None of the 284 patients showed signs of postanesthetic neuralgia. The method is inexpensive, easy to perform and recommended for treatment of foot disorders.

Ankle↗
PubMed1981

The Attenborough total knee prosthesis. Results of 25 operations evaluated according to two different assessment systems.

The Attenborough stabilized gliding total knee prosthesis was used in cases of severely damaged, highly unstable or deformed knees. Twenty-five operated cases were followed for 1 1/2 years (range 12-28 months). The results were assessed according to two different knee evaluation systems: The Lotke & Ecker knee evaluation index and the knee function assessment chart (BOA chart) suggested by the British Orthopaedic Association. The overall results were excellent or good in 84 per cent (21/25) of the cases according to both systems, but when considering the improvement in individual clinical features the BOA chart results were more optimistic. Neither of the systems takes into consideration that the results are influenced by possible disorders in other joints. If only the function of the knees was being judged the results of the operations with the Attenborough prosthesis were excellent or good in 96 per cent (24/25) in this series. In general the results to be as good as those obtained in less disabled knees treated with compartmental prostheses. As more extensive surgery and bone resection is needed for insertion of the Attenborough prosthesis compared with compartmental prostheses, its use should be restricted to severely damaged knees which would otherwise be treated with a hinged prosthesis or an arthrodesis.

Adult↗
PubMed1981

Thoracic outlet syndrome: diagnostic evaluation by analgesic cervical disk puncture.

Thoracic outlet syndrome was treated by resection of the first rib in 19 patients, nine of whom were preoperatively evaluated by means of analgesic cervical disk puncture to discover whether the symptoms stemmed from diskogenic causes. The overall results after operation were excellent in 68% (13/19). In patients who had a positive test outcome of the analgesic cervical disk puncture, the symptoms remained unchanged after the operation, while in those who had a negative test result, late postoperative results were excellent in 100% (7/7). This was significantly better than the late results obtained in a group of patients evaluated and operated upon without the test. Analgesic cervical disk puncture may be a valuable differential diagnostic test in cases of suspected thoracic outlet syndrome.

Adolescent↗
PubMed1980

Femoral neck fractures. 165 cases treated by multiple percutaneous pinning.

A prospective series of 165 displaced subcapital fractures of the femoral neck treated with reduction and percutaneous multiple pinning is presented. The method offers the advantages of a short operating time, no loss of blood, immediate weight-bearing and no infection problems. Furthermore the operative procedure can be performed under local anaesthesia. In Garden stage 3 fractures union occurred in 97 per cent and late segmental collapse in 8 per cent. In Garden stage 4 fractures union occurred in 72 per cent and late segmental collapse in 14 per cent. Failures were almost exclusively encountered in the group of poorly reduced fractures which had a failure rate of 77 per cent. In the case of non-union 75 per cent of the patients needed a secondary hip replacement whereas only 16 per cent of the patients with late segmental collapse had received an arthroplasty at the time of the follow-up.

Aged↗
PubMed1976

Arterial embolism in the upper limb.

Upper extremity embolectomy was carried out in 20 patients. Two patients died postoperatively of their primary disease. Of the remaining 18 patients 10 had embolectomy performed within 12 hours after the onset of symptoms, 8 of these had excellent results and 2 had fair results. Eight patients were embolectomized after 12 hours, 2 had excellent results, 2 had fair results, 2 poor results and 2 had the forearm amputated.

Adult↗