ANZ journal of surgery
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ANZ journal of surgery · Dec 2007
Biography Historical ArticleDr Nicolaes Tulp of Amsterdam, 1593-1674: anatomist and doctor of medicine.
The renowned Dr Nicolaes Tulp of seventeenth century was a practising surgeon and physician, a civic leader and an anatomist who was appointed Praelector in Anatomy to regularize public dissections, and he was also charged by the Surgeons' Guild to apprentice surgeons. Rembrandt's famous painting 'The Anatomy of Dr Tulp' brought growing recognition not only to the painter for his artistry, but also to the surgeon for it introduced a new dimension into anatomical paintings by displaying both anatomical detail and muscle function. Tulp's interests included botany, drug therapy and the production of the official Dutch Pharmacopoea. In civic affairs too, he played an important role, becoming the Mayor of Amsterdam as well as a judge - he was indeed a most noteworthy citizen of his time.
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ANZ journal of surgery · Nov 2007
Iliotibial band Z-lengthening for refractory trochanteric bursitis (greater trochanteric pain syndrome).
Trochanteric bursitis or greater trochanter pain syndrome (GTPS) is a frequent cause of lateral hip pain. This article reports our experience with a new method of Z-lengthening of the iliotibial band for refractory GTPS. ⋯ We recommend this technique in patients with refractory GTPS. Associated tears of gluteus medius or minimus should be identified and repaired at the time of surgery.
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Hip fractures in elderly patients are associated with increased mortality. These patients frequently experience a delay to surgery for both medical and non-medical reasons. The effect of this delay on patient morbidity and mortality is controversial. ⋯ Our study did not show a significant increase in mortality in patients whose surgery was delayed by more than 2 days. However, in the context of other published work, we would continue to recommend early surgery to minimize length of stay and complications.