Biomedical subjects
K E Fraser
Publications and source records attributed to K E Fraser.
Open dorsal dislocations of the index, long, ring, and small finger metacarpophalangeal joints.
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Displaced fracture of the proximal end of the radius in a child. A case report of the deceptive appearance of a fragment that had rotated one hundred and eighty degrees.
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Simultaneous open complex dislocations of the index and middle metacarpophalangeal joints.
This paper reports on a case of complex dorsal dislocations of both the right index and middle metacarpophalangeal joints. A 32-year-old man involved in a motor vehicle accident presented with both the index and middle metacarpal heads protruding through a transverse laceration in his right palm. After irrigation with normal saline, each joint was easily reduced by gentle manipulation only. A literature review of similar cases is presented.
A simple emergency method for improvising a lost surgical loupe's hinge screw.
The unexpected loss of a surgical loupe's hinge screw renders surgical loupes virtually useless, and this can have a profound effect on the performance of a tedious microsurgical procedure. The author has devised what is believed to be an extremely practical and effective method for performing an emergency repair of these glasses that utilizes common operating room suture material. This method has many distinct advantages over numerous makeshift remedies that have been attempted by surgeons over the years. To the author's knowledge, this is the first paper to appear in the literature addressing this familiar and not uncommon problem.
Acquired rotational digital deformity in children as a result of finger sucking.
Although most attention to the harmful effects of finger sucking by infants has been on the potential dental deformities, finger deformities also occur. The three cases presented in this article describe radial rotation of the index finger as a result of persistent finger sucking. In the majority of cases rotational deformities spontaneously resolve once finger sucking ceases. In a few cases, particularly when the habit is unduly prolonged, deformities may persist and cause functional impairment. In these patients surgical intervention is indicated. In our cases the rotational digital deformities were treated successfully by rotational osteotomy of either the metacarpal or the proximal phalanx.
The hammock suspension technique for hip spica cast application in children.
The hammock suspension technique for hip spica cast application in children utilizes a classic suspension system to support infants during application of the hip spica cast. The suspension system is simple and safe, and requires only readily available materials. The suspension system is exceptionally well-tolerated by infants. This technique was used in nine infants with femur fractures. All fractures healed. This technique requires a minimum of skilled assistance and proved useful in children under 2 years of age. This technique is suggested as an extremely practical method of performing this common orthopaedic procedure.