Publications by authors named "Timothy Noonan"

We present a patient with systemic symptoms including 4 months of dyspnoea worsened with exertion, fatigue, rhinorrhoea, intermittent facial swelling, generalised lymphadenopathy and weight loss. Laboratory studies demonstrated proteinuria and eosinophilia. His serology was consistent with Epstein-Barr Virus (EBV) reactivation.

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Article Synopsis
  • Convalescent plasma (CP) therapy was studied for its effectiveness in treating COVID-19, specifically looking at neutralizing antibody (NAb) levels in both donors and patients.
  • The study involved hospitalized COVID-19 patients receiving CP transfusions and monitored their NAb and antibody levels over 14 days, finding initially low NAb titers with no immediate impact post-transfusion.
  • Results showed that while patients developed detectable NAb levels over time, the actual CP transfusion did not enhance these levels, suggesting the need for better screening of donors for higher NAb titers.
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Background: Tibiocalcaneal arthrodesis with retrograde intramedullary nailing has gained acceptance as a salvage procedure for a multitude of ankle and hindfoot disorders and is frequently used in Charcot arthropathy of the ankle. Because of the severe osteopenia often associated with Charcot arthropathy of the ankle, an area of stress concentration leading to stress fracture at the proximal aspect of the nail has been identified.

Methods: To determine if this potential complication can be avoided, nine consecutive diabetic individuals with Charcot arthropathy of the ankle had ankle arthrodesis with a longer retrograde femoral nail.

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Background: Fatigue fractures of the tibia have been observed at the level of the proximal end of the nail after successful tibiocalcaneal arthrodesis with a retrograde intramedullary device.

Materials: To study the effect of nail length, five matched pairs of cadaver tibiae were instrumented with strain gauges and potted in methylmethacrylate from a level 3 cm proximal to the distal medial malleolus to simulate a successful tibiocalcaneal arthrodesis. A standard length (15 cm) ankle arthrodesis nail and an identical longer device terminating in the proximal tibial metaphysis were inserted in each paired tibia using appropriate technique.

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