Utilizing an apparatus for separately testing the status of anterior talofibular and calaneofibular ligaments ankle in 25 healthy, 15- to 30-year-old adults, it became apparent that stability depends primarily upon integrity ligament. When "fore n' aft" stress measurement exceeds 4 mm, a positive drawer test is elicited, ligament needs surgical repair. Tibial talar tilt normals ranged up 18 degrees. Repair (early late) accomplished by suturing what one finds (there always some present)...

The present experiments were designed to quantitate the rate of utilization fructose in normal subjects and patients with decreased glucose tolerance parenchymal liver disease diabetes. results indicate that is utilized rapidly at a nearnormal presence marked impairment tolerance. Characteristic differences response serum inorganic phosphate intermediary compounds carbohydrate metabolism are demonstrated.

To determine the incidence of pin tract infection.DESIGN Retrospective chart review.Level 1 trauma center in an urban community.A total 285 patients with fractures over a 4-year period (1997-2001).External fixation.Incidence infection.Of fractures, 32 (11.2%) were complicated by infection. The infection according to montage was 3.9% (3/77) for ring fixators, which significantly different (P < 0.04) from 12.9% (23/178) unilateral fixators and 20.0% (6/30) hybrid = 0.004). incidences fixator...

A directly reacting fraction of bilirubin that is probably covalently bound to albumin (albumin-bound bilirubin) has recently been described. To determine its clinical importance we used a new high-performance liquid-chromatography technique measure it in the serum 200 patients with hyperbilirubinemia from various causes. Albumin-bound was an important (8 90 per cent) total hepatocellular and cholestatic jaundice as well Dubin-Johnson syndrome. It not detected normal volunteers, neonates...

Abstract Atomic absorption spectrophotometry (AAS) was applied to the determination of serum calcium. A special diluent developed abolish effect depressors. This made possible measurement calcium in directly diluted samples without prior removal any constituents. Values obtained by AAS on oxalate precipitates from were identical with those found direct dilution technique.

The Centers for Disease Control and Prevention created a surgical wound classification system (SWC: I, clean; II, clean/contaminated; III, contaminated; IV, dirty) to preemptively identify patients at risk of site infection (SSI). validity this is yet be demonstrated in orthopaedic surgery. We hypothesize poor association between the SWC rate subsequent SSI trauma cases.Nine hundred fifty-six cases were reviewed. Wounds stratified intraoperatively using grades (I-IV). was diagnosed...

Abstract A method for the determination of BSP is presented which eliminates errors due to protein-binding with albumin and artifacts bilirubin, hemoglobin, turbidity. Measurements at two or three wavelengths are thereby reduced measurement one wavelength. The while simplified appears be accurate, particularly in low ranges.

ADVERTISEMENT RETURN TO ISSUEPREVArticleNEXTAlpha-Keto Acids in Blood and Urine Studied by Paper ChromatographyDavid Seligson Bernard ShapiroCite this: Anal. Chem. 1952, 24, 4, 754–755Publication Date (Print):April 17, 1952Publication History Published online1 May 2002Published inissue 17 April 1952https://pubs.acs.org/doi/10.1021/ac60064a038https://doi.org/10.1021/ac60064a038research-articleACS PublicationsRequest reuse permissionsArticle Views118Altmetric-Citations74LEARN ABOUT THESE...

From 1987 through 1990, 34 acute supracondylar femoral fractures in 33 patients were treated with an interlocking closed-section intramedullary nail inserted retrograde into the femur intercondylar notch. Follow-up data of at least five months available for 25 these fractures. The suffered injuries more extensive than comparable reported literature. All healed clinically and radiographically. average arc motion most recent evaluation was 100 degrees. operative time 156 minutes estimated...

Four hundred four compound fractures were reviewed in 339 patients treated between August 1983 and November 1987. The 252 males 87 females had a mean age of 33 years (range, 14–86). One twenty-seven (31.4) classified as Grade I, 153 (38.9) II, 124 (30.7) III by Gustilo's classification. Injury Severity Score was 15 9–57). Three thirty-four the open (82.7) managed with antibiotic-impregnated bead chains (tobramycin) systemic antibiotic prophylaxis (cefazolin, tobramycin, penicillin). Seventy...

These data do not prove a statistical superiority of conventional antibiotics or Septopal in the treatment chronic osteomyelitis. This result, however, is complicated by biased set represented combined treatment. The suggest that cost considerably less patients who are treated with local (i.c., Septopal) alone. rate adverse experiences was directly rebated to use parenteral antibiotics, higher rates and groups. Futhermore, Cierny-Mader Physiologic Class had best correlation outcome,...

Chest wall fractures, including injuries to the ribs and sternum, usually heal spontaneously without specific treatment. However, a small subset of patients have fractures that produce overlying bone fragments may severe pain, respiratory compromise, and, if untreated mechanically, result in nonunion. We performed open reduction internal fixation on seven with multiple rib fractures-five initial hospitalization two delayed--as well as 35 sternal (19 immediate 16 delayed). Operative was...

The effect of timing femur fracture fixation for patients with multiple trauma was studied to determine the operative on eventual outcome.The relationship between intramedullary rod (IMR) placement, degree injury, and pulmonary complications in 424 consecutive patients. authors focused 105 undergoing IMR placement an Injury Severity score (ISS) greater than or equal 18. effects various complications, organ failure, intensive care unit (ICU) admission, ventilatory assistance were time...

Seven hundred four compound fractures (198 [28%] Grade I, 259 [37%] II, and 247 [35%] III) were treated during a seven-year period at the author's institution. One fifty-seven open (22%) (Group A) received systemic antibiotic prophylaxis only, whereas 547 (78%) B) with local application of beads (tobramycin) in addition to prophylaxis. Fracture grades, age, gender, fracture location, length follow-up not significantly different between two groups. All underwent timely irrigation,...

ABSTRACT To test the hypothesis that coating external fixation pins with a silver-containing compound (Spi-Argent, Spire Corp, Bedford, Mass) will reduce bacterial colonization and/ or pin tract infection, 36 silver-coated and 12 conventional stainless steel were placed in iliac crest of six sheep inoculated Staphylococcus aureus. After 2 ½ weeks sites examined for motion inflammation, tips quantitatively cultured scanning electron microscopy (SEM). We found 84% uncoated infected, while 62%...

In a consecutive series of 704 compound fractures, 227 open fractures in 204 patients were managed with the antibiotic bead pouch technique. There 16 Grade I 83 II and 128 III fractures. The mean patient age was 35.25 years (range, 14-87). Injury Severity Score (ISS) ranged from 9 to 57, 15. Porous plastic film is placed over soft-tissue defect establish "closed" bead-hematoma-fracture environment containing high local levels at fracture site. All had serial wound debridements parenteral...

Bilateral ankle stress testing was performed on 25 subjects in a device which controlled position of the foot and amount force applied during examination. Both inversion anteroposterior plane anterior drawer lateral were same group symptom-free patients. The reproducibility test demonstrated. Previous history injury, left vs. right handedness, side anthropometric measurements did not affect test. There no difference between ankles tested neutral plantar flexion. In functionally normal...

The anterior cervical plate was employed routinely in 13 fusions adults at the Medical Center Hospital of Vermont (MCHV) from October 1979 to December 1980. A method for installation implant is presented. Review these patients shows that 11 survivors have satisfactory alignment their spines, with adequately evolving fusions. Technical problems include position and screw depth. This demanding now reserved special indications.