False aneurysm of the superficial femoral artery associated with fracture of the femur.
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Biomedical subjects
Publications and source records attributed to N B Ker.
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A retrospective study of 32 patients with primary tumours of the cauda equina is presented. Most of the patients were initially diagnosed as having prolapsed intervertebral discs and treated accordingly. The correct diagnosis was eventually made, usually after a long delay, and confirmed by myelography. Treatment consisted of laminectomy and excision of the tumour. Only one tumour was frankly malignant; all the remaining patients were relieved of their pain and the majority recovered completely. The exceptions were those patients with long-standing neurological deficits; this highlights the importance of early diagnosis and correct treatment before irreparable damage occurs.
A modified method of internal fixation for fractures of the distal third of the femur in elderly patients is discussed. The procedure is also recommended for fractures due to secondary neoplasia. The method consists of medullary nailing with insertion of acrylic bone cement into the medullary canal. A series of 14 patients is presented, with an average age of 79.4 years, range 62-99 years (Table I). Two patients had suffered pathological fractures from myelomatosis; the other fractures involved the distal third of the femur which were often comminuted and/or in osteoporotic bone, thus rendering them unsuitable for more orthodox methods of fixation. Emphasis is placed on the possibility of early activity and the facilitation of nursing patients for whom long periods of rest in bed and traction should be avoided.
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