Search PubMed⌕ Search

Biomedical subjects

J Colville

Publications and source records attributed to J Colville.

At least 37 records · Page 2Linked to original sources
PubMed1989

Early active mobilisation following flexor tendon repair in zone 2.

In a prospective study, 114 patients with 138 zone 2 flexor tendon injuries were treated over a three-year period. Early active mobilisation of the injured fingers was commenced within 48 hours of surgery. 98 patients (86%) were reviewed at least six months after operation. Using the grading system recommended by the American Society for Surgery of the Hand, the active range of motion recovered was graded excellent or good in 77% of digits, fair in 14% and poor in 9%. Dehisence of the repair occurred in 11 digits (9.4%) and in these an immediate re-repair followed by a similar programme of early active mobilisation resulted in an excellent or good outcome in seven digits.

Adolescent↗
PubMed1989

Syndactyly correction.

The operation to be described has been used by the author, with minor modifications, for over 10 years. A series of 57 cases is presented, all of which were simple, uncomplicated examples of syndactyly. The correction is based on separation of the cleft into rectangular flaps combined with removal of interdigital fat. Performed at one year, this allows complete closure of the ulnar side of the cleft and, in mild degrees, complete closure of the radial side also. A dorsal island flap is used to reconstruct the web. The results have been assessed with a minimum follow-up of 2 years and are discussed.

Female↗
PubMed1986

Familial congenital muscular torticollis: case report and review of the literature.

A family history of congenital muscular torticollis is uncommon. Only a small number of cases have been reported in the English literature. This is a report of five female children who are interrelated and have congenital muscular torticollis. Three of the children are sisters, and four are the offspring of consanguineous matings. No environmental factor could be identified that would predispose the children to congenital muscular torticollis. In this family, it is apparent that genetic factors are influencing the development of this condition. The cause of congenital muscular torticollis is unknown, but heredity may play a more important role than has previously been suspected.

Child↗
PubMed1984

Excision arthroplasty for infected total hip replacements.

A study of excision arthroplasty (Girdlestone's pseudarthrosis) for infected total hip replacements is presented. Twenty-two patients were reviewed with a minimum follow-up of one year. Reduction in pain was significant but the functional results were poor. Factors contributing to poor function were old age, poor medical condition and arthritis of the contralateral hip; these were in addition to the gross instability resulting from the pseudarthrosis. The patients were easily fatigued and dependent on external supports; calipers were found to be unacceptable. The symptoms after excision arthroplasty are compared with those before the original hip replacement.

Aged↗
PubMed1983

Dupuytren's contracture--the role of fasciotomy.

This paper summarises the results obtained in 95 patients treated by fasciotomy, defines the indications for this procedure and describes the operative technique. During a period of seven years a total of 95 patients with 137 fingers affected by Dupuytren's Contracture have been treated by fasciotomy. The minimum follow-up is two years. The oldest patient was 79 years and no patient younger that 50 years was accepted for this form of treatment.

Aged↗
PubMed1983

Cefamandole-erythromycin-heparin peritoneal irrigation: an adjunct to the surgical treatment of diffuse bacterial peritonitis.

The enthusiasm for the use of peritoneal irrigation has waxed and waned since its introduction by Dr. Pierce in 1905. The purpose of this study was to devise a relatively low-cost irrigant that could be used for continuous intraperitoneal lavage, with the intent of decreasing abscess formation following surgical treatment for generalized bacterial peritonitis. A solution of 1 L of normal saline containing 50 mg erythromycin, 50 mg cefamandole, 500 U heparin, and 5 mEq KCl was proven in in vitro studies to be bactericidal to Peptococcus anaerobius and Clostridium perfringens, and bacteriostatic to Klebsiella pneumoniae, Escherichia coli, Enterobacter aerogenes, Streptococcus faecalis, and Bacteroides fragilis. In a prospective study 50 patients underwent peritoneal lavage with 36 L over 2 days. No lavage patients developed intraabdominal abscesses. In a control group of 44 patients seven patients (15.9%) developed postoperative abscesses.

Adult↗
PubMed1982

The use of continuous temperature monitoring in the post-operative management of microvascular cases.

Continuous temperature measurement and recording has been carried out on all microvascular cases performed in the Northern Ireland Plastic and Maxillo-facial Service since 1976. The method is described and illustrative temperature graphs are presented. It is felt to be a simple technique which allows early detection of vascular complications and enhances the safety of microvascular tissue transfer.

Adolescent↗
PubMed1980

Management of the amputated thumb.

Two cases are described, one of replantation of an amputated thumb, the other of late reconstruction by toe transfer. A possible reason for the good results in thumb replantation is mentioned, and the advantages of toe transfer in thumb reconstruction are discussed. Suggestions are made as to the course of action to take when confronted with a patient with an amputated thumb.

Adult↗
PubMed1979

Total hip replacement in juvenile rheumatoid arthritis. Analysis of 59 hips.

The results of 59 Charnley low friction arthroplasties in 41 patients with juvenile rheumatoid arthritis are presented. Mean follow-up was 30 months and mean age at operation 30.5 years. At review 90 per cent had an excellent result and 10 per cent a good result as regards pain relief. Mobility was significantly improved in all but two patients. These two patients developed severe ectopic bone formation. With few exceptions, the results remained constant after 6 months. Intraoperative complications were the most common. Careful selection of patients, advance planning of surgery and appreciation of the developmental abnormalities in these hips are essential features in avoiding complications and achieving a good result.

Adolescent↗