Reconstruction of the thumb by microvascular transfer of the great toe. A case report.
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Biomedical subjects
Publications and source records attributed to J Colville.
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During the years 1971 to 1975, 378 Charnley low-friction arthroplasties of the hip were performed on 278 patients with rheumatoid arthritis. The average age at operation was thirty-nine years. The follow-up time ranged from one to six years (mean two and a half years). Forty per cent of patients were receiving steroids at the time of operation. The most common complications were loosening of the prosthesis (3.4%), perforation of the femoral cortex and fracture. Deep infection occurred in 0.7%, dislocation in 0.7%, and thromboembolic episodes in 1.3%. Ninety-five per cent of patients were free of pain at follow-up compared to 84% who were severely handicapped by pain before operation. In addition, the increased mobility in 98.5% of patients and their improved independence makes hip replacement a recommendable procedure in these patients.
This report highlights unnecessary injuries to the hands, forearms, and feet of small children, caused by falling drain-cover gratings, colloquially known as "shores". It is suggested that a simple locking device, similar to that employed on manhole covers, would eliminate this type of injury.
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Thirty-one burns and scalds to infants using walking aids are recorded. The mechanism of injury and resulting morbidity are described. The need for more rigerous precautions is discussed.
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