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Delpech JM (1815) Memoire sur la Complication tions buy cardura 1 mg cheap, mark the beginning of the modern era of des Plaies et des Ulceres Connue sous le Nom de orthopedics cheap 1mg cardura free shipping. Delpech JM (1816) Precis elementaire des maladies school” in Montpellier is but one of its many reputees chirurgicales discount cardura 4 mg on-line. Delpech JM (1823–1828) Chirurgie clinique de strongly by the British physicians Edward H. Delpech JM (1824) Rhinoplastic operation per- Ward, who had written about the treatment of formed with success at the Hôpital St. Reprinted in Plast however, of being the first to establish the true Reconstr Surg 44:285, 1969 5. Paris, nature of Pott’s disease, contending that mal du Gabon Pott should be called affection tuberculeuse des 6. As a result, he was able to discriminate Oxford University Press more or less successfully between tuberculous 7. Rochard J (1875) Histoire de la Chirurgie Franpaise spondylitis and spinal deformities due to non- au XIX’ Siecle. Wangensteen OH, Wangensteen SD (1978) The Rise that the institute in Montpellier was founded. Minneapolis, University of Minnesota Press in the countryside outside of Montpellier for the construction of his orthopedic institute. In the institute he proposed to apply, for the first time on a grand scale, exercises and gymnastics in the treatment of spinal deformities. The building contained facilities for housing and caring for patients as well as an enclosed gymnasium. The garden extending beyond the building was a maze 87 Who’s Who in Orthopedics preted his radiographs only after a careful corre- lation of the clinical and anatomic features of the case, an approach that should be more widely used today. Destot E (1905) La poignet et les accidents du travail: Etude radioagraphique et clinique. Destot E, Vignard P, Barlatier R (1909) Les fractures du coude chez l’enfant. Hoeber, English trans- lation by FRB Atkinson Étienne DESTOT 1864–1918 Étienne Destot was born in Dijon and educated in Lyon, where in February 1896, less than 2 months after the announcement of the discovery of the x-ray by Rontgen, he was already making radi- ographs of patients in the Hôtel Dieu. He had great enthusiasm for this new method and devoted a major share of his time to developing the tech- nique and its application to clinical medicine. His work led to the publication of three monographs, the first dealing with injuries of the wrist,2 the second with injuries of the elbow in children,3 and the third with injuries of the foot and ankle. In addition to his work in radiology, he was also interested in medical applications of electricity and neurology. In the course of his work he made many contri- Naughton DUNN butions to orthopedics. He was something of a tal- ented eccentric, a sculptor, and the designer of an 1884–1939 aerodynamic car with an aluminum body! Dunn was born in Aberdeen in 1884 and was World War I, and died as a result of pneumonia educated in the grammar school and university of in 1918. His During his life, Destot continued to revise his interest in orthopedic surgery began with his work. An English translation of the most recent appointment as house surgeon to the late Sir manuscript of his work on injuries of the wrist Robert Jones at the Royal Southern Hospital, was made by F. Wider recognition of the value and originality of his work came to him through his efforts during and after the Great War. He was one of that small band of British surgeons who were called on by Sir Robert Jones to carry out preventive and cor- rective surgery in the British Army, a task that they were able to accomplish only through the generous help of their American colleagues. Returning to Birmingham after the war, he con- tinued his work at the Royal Cripples’ Hospital and at the Robert Jones and Agnes Hunt Ortho- pedic Hospital in Oswestry, an institution in which he played a particularly vital part. Dunn received many honors, but of them all probably the one he treasured most was the honorary LLD, which was conferred upon him by Guillaume DUPUYTREN his own University of Aberdeen in 1937. He was connected with many hospitals in the Midlands, 1777–1835 both in an active and in an advisory capacity, and he held the very important post of Lecturer Guillaume Dupuytren was born in Pierre-Buffière in Orthopedic Surgery at the University of near Limoges in 1777.

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The stop-action sequence pictures docu- served as president during the year 1916–1917 cheap cardura 4 mg line, mented hip purchase cardura 4 mg fast delivery, knee generic cardura 4 mg without a prescription, ankle, and foot angles for every and was always deeply interested in the work of fraction of the human pace. Silver died at Orlando, Florida, March 22, respected orthopedic textbook of its time. His wife, Elizabeth Roadman Silver, sur- A lieutenant colonel at the war’s end, Dr. Slocum left military service in 1946 and returned to Eugene, Oregon, to set up a specialty orthope- dic practice. He became interested in repairing knees so that maximum activity could be pursued, whether by a professional athlete attempting to continue in competitive sport or an injured mill- worker wanting to lead a normally productive life. Slocum developed the pes anser- inus transplant to realign the muscles and tendons for injured ligaments in order to prevent rotatory instability. Although his earlier work had centered on injuries to the shoulder, arm and hand, Dr. He collaborated with Bill Bowerman, the nationally recognized track coach at the Univer- sity of Oregon, in producing a study, “Biome- chanics of Running,” which had great impact on the coaching of track-and-field athletes. Concur- rently, his growing prominence in athletic medi- cine slowly changed the nature of his clientele and his work. Slocum became the master of gait and kinesiology, and gave annual symposia on the biomechanics of running. He lectured, wrote innumerable articles for medical journals, Donald Barclay SLOCUM and traveled all over the world sharing knowledge 1911–1983 of the knee. He chaired many committees; served as chief of orthopedic surgery at Sacred Heart Donald Barclay Slocum was born in Portland, Hospital in Eugene, Oregon, and professor of Oregon, on April 11, 1911. He was awarded a orthopedics at the University of Oregon Medical Bachelor’s degree from Stanford University, a School, Portland; and was a member of the Doctor of Medicine from the University of American College of Surgeons, State Advisory Oregon Medical School in 1935, and a Master’s Committee. Medicine” by the American Orthopedic Society He did postgraduate work in orthopedic surgery for Sports Medicine. Slocum, that he approached “the whole business of the knee and its intricacies with a healthy measure of scholarly curiosity, a bit of respect for the Original Designer, and enough self-effacing wit to keep his considerable technical accomplishments in perspective. He was well aware of social problems, and was always looking for ways to improve the human condition. In 1947, he was instrumental in establishing the Easter Seal School and Treatment Center in Eugene. For years he sponsored scholarships for students in sports at the University of Oregon and served on the Board of the University of Oregon Develop- ment Fund. An avid historian, he lectured on sub- jects relating to the pioneers, the growth of the colonies, and the courage of our forebears. Even on his death bed, ill with leukemia, he 1907–1992 read computer books and magazines, trying to comprehend another world. Stan James Ian Smillie’s career was guided by the pursuit of described the essence of Donald Slocum’s thirst excellence and a single-minded intent to establish for knowledge: “If Don was set down in the orthopedic surgery as a specialty in its own right. After 3 years as a clinical assistant to Sir Walter Recognized by orthopedists and sports-medicine Mercer, he was placed in charge of the war-time specialists as a giant in his field, Dr. Slocum made Emergency Medical Service Orthopedic Hospital innumerable contributions to his associates, as at Larbert in 1939. There he developed a team of well as to the multitude of patients under his sur- expert surgeons, nurses and therapists and an gical care. Guided by a strong desire to learn and orthopedic workshop, which eventually spawned contribute, Dr. Slocum changed the direction of virtually all the senior orthotists in Scotland. In 1948 he became surgeon-in-charge of the orthopedic service of the Eastern Region of Scot- land and also gained the Gold Medal at the ChM examination of the University of Edinburgh. He was a Nuffield Traveling Fellow to the United States of America and Canada in the same year.

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Results During the period of evaluation from December 1997 to April 1998 buy cardura 4 mg on-line, a total of 174 knees underwent ACL reconstruction using this technique effective cardura 4mg. These data represent pre- liminary results on these patients for the BioScrew order cardura 1mg free shipping. All patients had chronic ACL tears at the time of operation (more than three months after injury). Four patients had failed a previous ACL reconstruction, and two patients had undergone remote primary repair of their ACL. Associated surgical findings included chondromalacia, menis- cal tears, and loose bodies. A medial partial medial meniscectomy of less than one-third was performed in 21 cases (41%), a complete medial meniscectomy in 2 (4%), a partial lateral meniscectomy of less than one- third in 18 (36%), and a complete lateral meniscectomy in 1 (2%). Follow-up KT tests showed an average laxity with a maximum manual force of 1. Patients were further divided into categories of laxity with 33 (67%) patients having 0mm to 2mm of laxity; 13 patients (27%) having 3mm to 5mm of laxity, and 2 (4. One patient in the greater than 5mm laxity group and 3 patients in the 3mm to 5mm laxity group represented revision surgical procedures. At final follow-up, one patient had a persistent effusion, one patient lacked 5° of extension, and four patients lacked 5° of flexion. The Lachman test was normal in 32 patients, grade 1+ in 12 patients, and grade 3+ in two patients. One patient was felt to have mild PCL instability, and two patients had mild posterolateral instability on emergency room testing at 30°. Radiographs were taken of the knees at the two-year follow-up visit to complete the IKDC forms. Tunnels were measured at their widest point, at the aperture, the mid- point, and 1cm from the distal aspect of the tunnel. In 36 of the 49 cases (73%), the X-rays were available for secondary review of the tunnels. The morphology of the tunnel, the width of its widest point, the width of the aperture, and the cross-sectional area were measured and com- pared to mechanical outcome. In these cases, the tibial tunnel was expanded in seven, and femoral tunnel expansion was identified in seven cases. In six cases, the expansion could be considered to be significant, with the widest point of both tunnels measuring 15mm. Four of the ten cases in group C had between 3mm and 5mm of laxity at maximum manual force at the two- year follow-up mark. No significant correlations existed by comparison with the Spearman correlation coefficient between final IKDC score or KT-score or with the measurements of the tunnels at the aperture, midsection, widest point, or most distant part of the tunnel. In the five cases where both tunnels measured greater than 15mm, on at least one radiograph, two cases were in the 3mm to 5mm group. From the other perspective, 18 cases with available radiographs at two-years had less than 2mm of laxity, seven had 3mm to 5mm of laxity, and one had greater than 5mm of laxity on a maximum manual force KT examination. In four of the seven cases, the morphology of the tunnel could be classified as expansive as opposed to cylindrical and filling in with bone (57%). However in 6 of the 18 cases (33%) with less than 2mm of laxity, similarly expansive tunnels were identified. The extent of aperture widening did not correlate with clinical laxity or IKDC score at two-year follow-up. Multiple statistical comparisons were made to identify positive pre- dictive factors, which resulted in an increased trend for a patient to fall into the 3mm to 5mm laxity group at two years. Specifically using post hoc ANOVA, ANCOVA comparisons, Spearman rank correlations, and unpaired two-tailed student t-tests, it was concluded that gender, patient age, the use of secondary tibial fixation, and the magnitude of preoperative instability and laxity could not be associated with an increased KT manual maximum laxity or an increased prevalence of patients in the 3mm to 5mm laxity group. Comparisons were repeated after the exclusion of the revision surgical procedures, but this did not affect the results. The correlation of IKDC scores and gender, use of the secondary tibial button fixation and revision. Activity in sedentary activities (activities of daily living), light activities (nonpivotal sports), moderate activities (tennis, skiing), and strenuous activity (jumping, pivoting sports) were graded by the patients. These subjective scores are com- bined with a mathematical formula to create the IKDC score.

Subsequent gastric distension causes not only vomiting but also passive regurgitation into the lungs purchase cardura 2mg overnight delivery, which often goes undetected order cardura 4mg. If the patient is still not breathing after two rescue breaths (or after five attempts at ventilation discount cardura 1mg online, even if unsuccessful), check for signs of a circulation. Look and listen for any The best pulse to feel in an emergency is the movement, breathing (other than an occasional gasp), or carotid pulse, but if the neck is injured the femoral pulse may be felt at the groin coughing. Turning casualty into the recovery position Expired air resuscitation 2 Basic life support If you are a healthcare provider, and have been trained to do so, feel for a pulse as part of your check for signs of a circulation. If no signs of a circulation are present continue with rescue breaths but recheck the circulation after every 10 breaths or about every minute. Circulation If there are no signs of a circulation (cardiac arrest) it is unlikely that the patient will recover as a result of CPR alone, so defibrillation and other advanced life support are urgently required. Ensure that the patient is on his or her back and lying on a firm, flat surface, then start chest compressions. The correct place to compress is in the centre of the lower half of the sternum. To find this, and to ensure that the risk of damaging intra-abdominal organs is minimised, feel along the rib margin until you come to the xiphisternum. Place your middle finger on the xiphisternum and your index finger on the bony sternum above, then slide the heel of your other hand down to these fingers and leave it there. In an adult compress about 4-5cm, keeping the pressure firm, controlled, and applied vertically. Try to spend about the same amount of time in the compressed phase as in the released phase and aim for a rate of 100 compressions/min (a little less than two compressions per second). After every 15 compressions tilt the head, lift the chin, and give two rescue breaths. Return your hands immediately to the sternum and give 15 further compressions, continuing compressions and rescue breaths in a ratio of 15:2. It may help to get the right rate and ratio by counting: “One, two, three, four. The compression rate should remain at Hand position for chest compression 100/min, but there should be a pause after every 15 compressions that is just long enough to allow two rescue breaths to be given, lasting two seconds each. Provided the patient’s airway is maintained it is not necessary to wait for exhalation before resuming chest compressions. The precordial thump is taught as a standard part of advanced life support Precordial thump Studies have shown that an initial precordial (chest) thump may restart the recently arrested heart. This is particularly the case if the onset of cardiac arrest is witnessed. Unconscious Choking Open airway A patient who is choking may have been seen eating or a child may have put an object into his or her mouth. Check mouth If the patient is still breathing, he or she should be encouraged to continue coughing. If the flow of air is Check breathing completely obstructed, or the patient shows signs of becoming weak, try to remove the foreign body from the mouth. If this is Attempt ventilation not successful give five firm back blows between the scapulae; this may dislodge the obstruction by compressing the air that remains in the lungs, thereby producing an upward force Yes No behind it. If this fails to clear the airway then try five abdominal Basic life Check circulation Chest compressions thrusts. Make a fist of one of your hands and place it just below support the patient’s xiphisternum. Grasp this fist with your other hand and push firmly and suddenly upwards and posteriorly. Adapted from Resuscitation Guidelines alternate abdominal thrusts with back slaps.

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