The purpose of this study was to present the indications, technique, and results for subtalar arthroscopy in 50 consecutive patients. In each case, ankle arthroscopy was performed concomitantly to assess the exact source of the patient's pain. Surgical indications included chronic pain, swelling, buckling, and/or locking that failed conservative treatment. Arthroscopy of the ankle and subtalar joints were performed using both 2.7- and 1.9-mm arthroscopes through standard and accessory portals; distraction was used in all cases. All patients were followed-up for an average of 48 months (range, 36 to 70 months). Group 1 included 21 patients (42%) with chronic lateral ankle pain following an inversion injury. In this group, the subtalar joints were completely normal and the pathology was found to be limited only to the ankle joint. In group 2, 29 patients (58%) had the following diagnoses at arthroscopy: synovitis, 7; degenerative joint disease, 5; subtalar dysfunction, 5; chondromalacia, 4; nonunion of os trigonum, 4; arthrofibrosis, 2; loose bodies, 1; and osteochondral lesions of the talus, 1. Overall, the results were 86% good-to-excellent in group 2.

Adolescent↗

PubMedDate not supplied

Fractures of the distal femoral epiphyseal plate.

A retrospective analysis of 30 consecutive fractures of the distal femoral epiphyseal plate showed the best results occurred when fractures were anatomically reduced and fixed with pins. No fractures with internal fixation displaced, whereas 43% of fractures reduced without fixation displaced during cast treatment. Complications were more frequent in displaced than nondisplaced fractures. We were unable to demonstrate that gentle reduction under general anesthesia offered protection against subsequent physeal arrest when compared with closed reduction in the emergency room; however, reductions in the operating room were more likely to be anatomic.

Adolescent↗

PubMedDate not supplied

National training for a new nurse staffing resource management methodology.

The Veterans Affairs (VA) nursing services has implemented a new resource management methodology for determining nurse staffing based on the expert judgment of panels of nurses. This article describes how two educators worked with a development task force to design and implement a national education program to prepare 172 individual health care facility coordinators to implement the methodology. The education program was based on a systems approach emphasizing data collection and analysis, consensus building and expert decision-making. Two pilot programs were conducted and recommendations resulted in a series of 1 1/2-day training sessions conducted across the United States.

Education, Nursing, Continuing↗

PubMedDate not supplied

William D. Coolidge Award presented to Edith H. Quimby by Marvin M. D. Williams, 2 August 1977.

Explore the source record for details and available documents.

Awards and Prizes↗