Two unusual cases involving 2 patients with 3 hematogenously spread acute staphylococcal infections that occurred in musculotendinous compartments and required surgical debridement are reported. Infections that persist despite intravenous administration of antibiotics may indicate rare closed-space infections.
View Article and Find Full Text PDFCreatinine degradation was prospectively studied in four healthy subjects and 35 patients with varying degrees of chronic renal failure by measuring creatininase activity in stool isolates. Patients were subdivided into those with serum creatinine above and below 6 mg/dL. Creatinine degradation in the former group of patients who had not taken antibiotics in the previous 3 months was significantly greater than the latter (64% v 26%; P < 0.
View Article and Find Full Text PDFA study was designed to investigate the tensile strength of the end-weave method of tendon repair. Flexor tendons were removed from 13 fresh-frozen human cadavers, transected and repaired with the end-weave technique varying from one to five weaves, with two suture techniques, the commonly used horizontal mattress suture and a new method we have termed the cross stitch. The repairs were then tested in tension to failure on a Materials Test System (MTS) biomechanical testing device.
View Article and Find Full Text PDFIn 1985 we published the results of the matched ulna resection in 44 patients, the majority of whom had rheumatoid arthritis. The matched ulna resection maintains the continuity of the distal ulna to the ulnar sling mechanism, including the triangular fibrocartilage complex (TFCC), and resects the distal ulna in a smooth, curved, convex fashion to match the contour of the radius throughout forearm rotation. This article presents the results of the procedure in patients with posttraumatic and mechanical disorders of the distal radioulnar joint.
View Article and Find Full Text PDFHematogenous infection of a total joint arthroplasty is a serious complication that has well-known etiologies. One of the most unusual inciting events is a bite wound. Pasteurella multocida is an anaerobic organism found in the mouths of mammals that has rarely been found to infect total knee arthroplasties.
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