Bulletin of the Hospital for Joint Diseases Orthopaedic Institute
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Bull Hosp Jt Dis Orthop Inst · Jan 1985
Case ReportsThe use of hypnosis in the management of preoperative anxiety and postoperative pain in a patient undergoing laminectomy.
Patients undergoing laminectomy face a variety of concerns both pre- and postoperatively which may affect their emotional state and increase surgical risk. A case study of a laminectomy patient who was taught hypnosis for the control of preoperative anxiety and postoperative pain is presented. The benefits of such hypnotic intervention, as well as the long-term effects of hypnotic intervention on a patient who is in a crisis period are discussed.
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Bull Hosp Jt Dis Orthop Inst · Jan 1982
Case ReportsTraumatic disruption of the manubriosternal joint. A case report.
A case of manubriosternal dislocation is presented. The possible mechanism of injury was hyperflexion of the spine which resulted in chin to chest contact, disrupting the manubriosternal joint. If the dislocation is Type I and the patient has compression symptoms on the trachea or major vessels, surgical treatment by wiring may be needed. In Type II dislocations, the best management is closed reduction and elastoplast strapping.
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Bull Hosp Jt Dis Orthop Inst · Jan 1982
Open fractures of the shaft of the tibia treated by intramedullary nailing.
The technique and results of treating 57 selected open tibial shaft fractures by intramedullary nailing are reviewed. All but three of the the fractures were located in the middle third of the tibia; two thirds of these were transverse or short obliques. ⋯ The mean time to union of Type I fractures was 12.6 weeks, of Type II fractures 15 weeks, and of Type III fractures 20.5 weeks. Complications included two infections in two of the Type III fractures.