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Biomedical subjects

S L Curtin

Publications and source records attributed to S L Curtin.

4 recordsLinked to original sources
PubMed1998

Intramedullary versus extramedullary fixation for the treatment of intertrochanteric hip fractures.

One hundred thirty-one patients (135 fractures) who sustained an intertrochanteric fracture were assigned randomly to treatment with either a sliding hip screw or an intramedullary hip screw and followed up prospectively. In patients with unstable intertrochanteric fractures, the intramedullary device was associated with 23% less surgical time and 44% less blood loss; however, use of the intramedullary hip screw in patients who had a stable fracture pattern required 70% greater fluoroscopic time. Intraoperative complications occurred exclusively in patients in the intramedullary hip screw group. There were no differences in the rates of functional recovery between the two fixation groups.

Activities of Daily Living↗
PubMed1995

The value of the tip-apex distance in predicting failure of fixation of peritrochanteric fractures of the hip.

Failure of fixation of peritrochanteric fractures that have been treated with a fixed-angle sliding hip-screw device is frequently related to the position of the lag screw in the femoral head. A simple measurement has been developed to describe the position of the screw. This measurement, the tip-apex distance, is the sum of the distance from the tip of the lag screw to the apex of the femoral head on an anteroposterior radiograph and this distance on a lateral radiograph, after controlling for magnification. To determine the value of this measurement in the prediction of so-called cutout of the lag screw, 198 peritrochanteric fractures (193 patients) were studied. The minimum duration of follow-up was three months (average, thirteen months), during which period all of the fractures either healed or had failure of the fixation. Of the nineteen failures that were identified, sixteen were due to the device cutting out of the femoral head. The average tip-apex distance was twenty-four millimeters (range, nine to sixty-three millimeters) for the successfully treated fractures compared with thirty-eight millimeters (range, twenty-eight to forty-eight millimeters) for those in which the screw cut out (p = 0.0001). None of the 120 screws with a tip-apex distance of twenty-five millimeters or less cut out, but there was a very strong statistical relationship between an increasing tip-apex distance and the rate of cutout, regardless of all other variables related to the fracture.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1993

Recognizing multiple personality disorder.

1. It currently takes an average of 5 to 7 years and repeated hospitalizations for a person with multiple personality disorder (MPD) to be accurately diagnosed. 2. Reasons for misdiagnosis include the assumption that MPD is rare, the complex polysymptomatic presentation of the disorder, and failure of standard psychiatric histories to elicit pertinent diagnostic information. 3. Nurses are often the first to observe the behavioral, clinical, and physiological symptoms associated with MPD. 4. It is important to include questions that will elicit pertinent diagnostic information in the nursing history and assessment. As nurses become more adept at recognizing this disorder, individuals with MPD will receive more prompt and appropriate treatment.

Adult↗