Publications by authors named "Alexander Ramsden"
Curative surgical treatment of chronic osteomyelitis often requires free tissue transfer if there is significant soft tissue compromise. We investigated whether age influenced outcomes of curative osteomyelitis excision in those patients requiring free muscle flap soft tissue reconstruction. We assessed ninety-five consecutive patients treated with excision of chronic osteomyelitis, skeletal stabilisation/reconstruction and free muscle transfer between 2006 and 2012.
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- Accurate limb volume measurement is crucial for assessing outcomes in lymphedema microsurgery; the two methods compared are manual tape measurements and Perometer measurements.
- A study with student volunteers and lymphedema practitioners found that Perometer measurements were significantly more accurate than tape measurements, particularly in terms of standard error.
- Experts showed better consistency in measurements than students regardless of the method, leading to the recommendation of Perometer as the more reliable standard for limb volume measurement due to its superior interobserver reliability.
Article Synopsis
- Recurrent cellulitis is a common issue for people with lymphoedema, and while guidelines advocate for decongestive lymphatic therapy, they don't address surgical options.
- A systematic review analyzed studies to see if surgical treatments for lymphoedema could lower the incidence of cellulitis attacks, reviewing 436 abstracts and selecting 25 relevant studies.
- Results showed that 24 out of 25 studies indicated a decrease in cellulitis following surgery, but more high-quality, controlled research is needed to confirm these findings and compare surgical methods with other treatments.
Background: There is the potential for iatrogenic aortic stenosis and poor quality of life when small aortic valve bioprostheses are used in elderly patients. The alternative is enlarging the aortic annulus to accommodate larger size prostheses, increasing operative mortality. It was hoped that bovine pericardial valves would improve hemodynamic performance in the smaller valve sizes.
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