Abstract：
:Nineteen patients underwent one stage surgical management of infected hip prostheses over a five year period. Thirteen were male and six were female. The mean age was 64 years (Range 49-82). The mean time interval between primary and revision surgery was 26 months (Range 6 months-16 years). One stage re-implantation was performed in 15 patients and excision arthroplasty in 4 patients. The mean duration of follow up was 4 years, 5 months (Range 2-7 years). Patients were assessed, radiologically and clinically using the Harris hip score. Staph. aureus(7) and Slaph. epidermidis(10) were the most frequent organisms isolated. Patients who underwent excision arthroplasty had discharging sinuses, extensive soft tissue and bone involvement or were poor anaesthetic candidates. Three of these patients had a poor outcome in terms of pain function and deformity. Five of the patients who underwent one stage re-implantation had an excellent clinical result, seven had a good result, one had a fair result and one a poor result. There was no recurrence of infection in either group of patients. One stage re-implantation can result in a good clinical outcome and eradication of infection. Resection arthroplasty is a necessary option in a minority of patients, however, while successful in eradicating infection may result in a poor functional outcome.
journal_name
Ir J Med Scijournal_title
Irish journal of medical scienceauthors
Mulcahy DM,O'Byrne JM,Fenelon GEdoi
10.1007/BF02942793subject
Has Abstractpub_date
1996-01-01 00:00:00pages
17-9issue
1eissn
0021-1265issn
1863-4362journal_volume
165pub_type
杂志文章abstract：BACKGROUND:Recent developments in the management of severe aortic stenosis have resulted in a paradigm shift in the way we view the condition. Patients previously denied intervention in the form of surgical aortic valve replacement (SAVR) are now candidates for transcatheter aortic valve implantation and the risk and a...
journal_title：Irish journal of medical science
pub_type： 杂志文章,评审
doi：10.1007/s11845-016-1417-7
更新日期：2016-05-01 00:00:00
abstract：:It has been suggested in the literature that an eight hour period of distal oesophageal monitoring is adequate for the diagnosis of reflux in symptomatic patients. The aim of this study was to investigate whether 3 hour intra-oesophageal pH-metry could be substituted for the eight hour test period without loss of sens...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF02947641
更新日期：1991-02-01 00:00:00
abstract：INTRODUCTION:We describe a case report and technique for using an ultrasound scanner and a linear transducer to guide serratus posterior superior (SPS) muscle injection. A 43-year-old female presented with chronic pain centered under the right upper portion of her scapula impacting her activities of daily living. METH...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-015-1336-z
更新日期：2016-08-01 00:00:00
abstract：BACKGROUND:The presence of nodal metastases is the single most important prognostic factor in penile cancer. However, reliable assessment of nodal status in clinically node-negative (cN0) patients poses a challenge. Approximately 20% of these patients harbour occult nodal metastases. Currently available non-invasive ra...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-017-1558-3
更新日期：2017-11-01 00:00:00
abstract：:An unusual case of a well-documented granulomatous hepatitis in secondary syphilis in a 47-year-old male is presented. This hepatic pathology in secondary syphilis is summarised, and a review of the literature regarding syphilitic granulomatous hepatitis presented. ...
journal_title：Irish journal of medical science
pub_type： 杂志文章,评审
doi：10.1007/BF02937251
更新日期：1990-02-01 00:00:00
abstract：:We report a case of primary aldosteronism in pregnancy that was treated surgically by removal of the adenoma in the 2nd trimester. Only a few cases have been reported in the English literature due to the rarity of the condition. Primary aldosteronism follows a variable course in pregnancy. In the majority of cases the...
journal_title：Irish journal of medical science
pub_type： 杂志文章,评审
doi：10.1007/BF02967204
更新日期：1995-10-01 00:00:00
abstract：BACKGROUND:Cognitive impairment (CI) is common in multiple sclerosis (MS), including newly diagnosed MS, where it is particularly underrecognised. Determining the presence of CI in the outpatient clinic often relies on patient-reported complaints, with limited time and resources in this setting. Prior studies have show...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-020-02404-2
更新日期：2020-10-27 00:00:00
abstract：BACKGROUND AND AIMS:Coeliac disease (CD) is more common in those with type 1 diabetes mellitus (T1DM) and may be asymptomatic despite the presence of intestinal histological changes. Optimal screening practice guidelines differ internationally. We undertook a retrospective audit to determine the efficacy of current scr...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-018-1831-0
更新日期：2019-02-01 00:00:00
abstract：:Management of subcutaneous insulin resistance remains a difficult problem which can be treated by administering insulin intravenously by means of infusion pumps. We wish to report the case of a 31 year old primigravida with subcutaneous insulin resistance who developed a hitherto undescribed clinical complication of c...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF02943015
更新日期：1994-02-01 00:00:00
abstract：:Nasal intermittent positive pressure ventilation (NIPPV) represents a major advance in the management of respiratory failure. While its role in chronic respiratory failure is well documented, its use in acute respiratory failure is less well defined. We studied four patients with respiratory failure due to kyphoscolio...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF02968110
更新日期：1995-01-01 00:00:00
abstract：:A study is presented of the skin manifestations of 30 patients, 25 females and 5 males, with systemic lupus erythematosus (S.L.E.) admitted to this hospital over a two year period. Their ages ranged from 20 years to 75 years. The diagnosis of S.L.E. was made according to the criteria laid down for the diagnosis of S.L...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF02938956
更新日期：1976-12-01 00:00:00
abstract：:Total hip arthroplasty (THA) is an effective and durable treatment option for hip osteoarthritis (OA). As life expectancy continues to increase, so too will the demand for joint arthroplasty in the 10th decade of life, frequently in cases involving osteoarthritis of both hips. Simultaneous bilateral total hip arthropl...
journal_title：Irish journal of medical science
pub_type： 杂志文章,评审
doi：10.1007/s11845-017-1572-5
更新日期：2017-11-01 00:00:00
abstract：BACKGROUND:Coroners routinely enquire into suicide deaths and communicate with people bereaved by suicide. However, no research has been conducted into coroners' attitudes towards suicide and its prevention. AIMS:We assessed attitudes towards suicide among Irish coroners in order to determine their understanding of su...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-008-0261-9
更新日期：2009-03-01 00:00:00
abstract：BACKGROUND:Laparoscopic techniques are increasingly used in common surgical procedures. Many of these procedures are used to teach basic surgical trainees (BST) and therefore introduction of these techniques may have implications for training. AIMS:To establish whether the introduction of laparoscopic techniques reduc...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF02914782
更新日期：2003-01-01 00:00:00
abstract：BACKGROUND:The aim of this study was to investigate whether hypersplenism is related to the age of onset of liver disease. METHODS:Hypersplenism was assessed in 84 consecutive cirrhotic patients attending a university hospital liver clinic. RESULTS:Hypersplenism was present in 78% of patients and severe in 39%. Sever...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-007-0089-8
更新日期：2007-12-01 00:00:00
abstract：:We report a rare case of iatrogenic tracheal tear during a three-stage oesophagectomy in a 76-year-old woman and review current literature. The tear occurred due to trauma from a double lumen endotracheal tube. We used a novel technique of repairing the tear, which extended to the carina, avoiding a second thoracotomy...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-008-0169-4
更新日期：2009-09-01 00:00:00
abstract：BACKGROUND:Temporary ureteric stent insertion is an integral part of modern endo-urological practice. Delayed stent removal or forgotten stents are associated with increased patient morbidity and complications which are often difficult to manage. METHODS AND RESULTS:We prospectively audited our ureteric stent insertio...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-007-0043-9
更新日期：2007-07-01 00:00:00
abstract：INTRODUCTION:Biclonal lymphoid disorders, when two distinct lymphoproliferative disorders (LPD) co-exist, are rare (incidence of 1.4%) and associated with a poor prognosis. NOTCH1 mutations occur in 10% of CLL at diagnosis, associated with a short disease-free interval and increased risk of Richter's transformation. We...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-020-02386-1
更新日期：2020-10-17 00:00:00
abstract：BACKGROUND:Cosmetic outcomes and scar lengths remain important considerations in breast cancer surgery. Suturing techniques should decrease scar tissue formation and provide good cosmetic results. The use of an accordion suturing technique may result in decreased surgical wound lengths and better cosmetic outcomes. We ...
journal_title：Irish journal of medical science
pub_type： 杂志文章,随机对照试验
doi：10.1007/s11845-018-1772-7
更新日期：2018-11-01 00:00:00
abstract：BACKGROUND:The incidence and prevalence of childhood chronic disease is increasing worldwide. Obesity, poor diet and lifestyle may be more prevalent in children with a chronic disease than in their healthier contemporaries. The Growing Up in Ireland (GUI) study is a nationally representative cohort study of children li...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-018-1814-1
更新日期：2019-02-01 00:00:00
abstract：BACKGROUND:Increasing prevalence of overweight and obese children in developed countries poses a substantial threat to long-term health. One well-described factor is the amount of time spent watching television, with exposure to food advertising a known influence on food preferences and consumption patterns. AIMS:Foll...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-014-1088-1
更新日期：2015-03-01 00:00:00
abstract：:Reproductive surrogacy can be altruistic or commercial, each with complex ethical considerations that are complicated by heterogeneity in governing laws across jurisdictions. Surrogacy in Ireland is relatively new and largely unregulated, so this review aims to elucidate its current regulatory status and associated et...
journal_title：Irish journal of medical science
pub_type： 杂志文章,评审
doi：10.1007/s11845-020-02402-4
更新日期：2020-10-31 00:00:00
abstract：:Self-instruction programmes comprise audio tapes and a variety of visual materials ranging from photographs to models. The use of such programmes in an anatomy course is described and illustrated. They are an effective ancillary in teaching and are applicable to other medical teaching disciplines. ...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF02938052
更新日期：1979-12-01 00:00:00
abstract：BACKGROUND:Injecting drug use is associated with increased morbidity and mortality. This is the first longitudinal study of a community-based population of injecting drug users (IDUs) in the Republic of Ireland. AIM:To establish the natural history of IDUs in a deprived Dublin community. METHODS:Eighty-two IDUs (hero...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-012-0814-9
更新日期：2012-12-01 00:00:00
abstract：BACKGROUND:Understanding the impact of a publication by using bibliometric indices becomes an essential activity not only for universities and research institutes but also for individual academicians. This paper aims to provide a brief review of the current bibliometric tools used by authors and editors and proposes an...
journal_title：Irish journal of medical science
pub_type： 杂志文章,评审
doi：10.1007/s11845-018-1936-5
更新日期：2019-08-01 00:00:00
abstract：:Percutaneous tracheostomy (PCT) facilitates easy, bedside insertion of a tracheostomy tube. The percutaneous approach to tracheostomy is used in some parts of the world. This is the first report of a PCT method, in Ireland. The percutaneous technique appears to have advantages over conventional, surgical tracheostomy....
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF02996321
更新日期：1993-10-01 00:00:00
abstract：BACKGROUND:Inadequate medical documentation has been associated with a higher rate of adverse events and may have medicolegal consequences. An accurate admission note is critical as it is frequently referred to during inpatient stay, particularly when the patient is acutely unwell and during handover of care. AIM:We s...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-020-02475-1
更新日期：2021-01-19 00:00:00
abstract：BACKGROUND:The Health Service Executive introduced a generic prescription policy to reduce costs. Despite this, generic prescription rates remain low. AIM:To audit in-patient prescription practice in a single surgical department and identify potential savings which could be realised by adherence to the generic prescri...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-013-0900-7
更新日期：2013-09-01 00:00:00
abstract：BACKGROUND:This study was to investigate the value of 10 serum inflammatory cytokines for predicting clinical response to celecoxib in ankylosing spondylitis (AS) patients. METHODS:Totally, 103 active AS patients who underwent celecoxib treatment for 12 weeks were enrolled. Then, pre-treatment serum TNF-α, IL-1β, IL-6...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-020-02366-5
更新日期：2020-09-21 00:00:00
abstract：BACKGROUND:Congenital cytomegalovirus (CMV) infection is the most important infectious cause of central nervous system disease and hearing loss in children. AIMS:In this study, we aimed to investigate the role of maternal screening in early diagnosis of congenital infection in highly immune populations. METHODS:A tot...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-014-1149-5
更新日期：2015-06-01 00:00:00
