Advertisement for orthosearch.org.uk
Results 1 - 3 of 3
Results per page:
The Journal of Bone & Joint Surgery British Volume
Vol. 34-B, Issue 4 | Pages 599 - 607
1 Nov 1952
Boyd AM Catchpole BN Jepson RP Rose SS

1 . A technique for measuring venous pressure during exercise is described.

2. The findings in normal and abnormal conditions of the lower limb are recorded.

3. The mechanisms involved in the return of blood from the lower limb in various conditions are discussed, with particular reference to the post-phlebitic state.

4. The need for an objective method of assessing the results of surgical treatment of venous abnormalities in the lower limb is stressed.


The Journal of Bone & Joint Surgery British Volume
Vol. 31-B, Issue 4 | Pages 499 - 504
1 Nov 1949
Bolton H Fowler PJ Jepson RP

The pathology of pulp space infection is discussed. It is recommended that a direct incision which is localised precisely to the abscess site, even if the incision is in the tactile pad, is better than a lateral incision, which fails to maintain drainage, causes longer incapacity, and may injure the digital nerve and give rise to causalgia. Fifty cases of pulp space infection in which a direct incision was used are reviewed.


The Journal of Bone & Joint Surgery British Volume
Vol. 31-B, Issue 3 | Pages 325 - 355
1 Aug 1949
Boyd AM Ratcliffe AH Jepson RP James GWH

1. A description is given of historical discoveries relating to intermittent claudication. Various theories that have been advanced are discussed. A hypothesis, based on the work of Lewis, is elaborated.

2. A classification of obliterative arterial disease is outlined. The three groups that are distinguished are: primary thrombosis of the popliteal artery; juvenile obliterative arteritis; and senile obliterative arteritis.

3. The methods adopted for assessment of the severity of disease, including study of the clinical features, arteriographic findings, results of novocain infiltration and examination of the patient on a walking machine, are reported.

4. Methods of treatment by Buerger's exercises, contrast baths, intermittent venous occlusion and suction pressure; by lumbar ganglionectomy ant paravertebral block with phenol; by vitamin E (α-tocopherol) therapy; by treatment with thiouracil antistin; by internal popliteal myoneurectomy and division of the external popliteal and posterior tibial nerves; and by tenotomy of the tendo Achillis, are discussed.

5. It is concluded that tenotomy of the tendo Achillis should replace myoneurectomy in Type 3 cases where the blood supply is so far reduced that vascular stability cannot be achieved, and that it might apply in Type 2 cases in which there is persistent pain at a steady level.

6. The results of treatment in 276 patients with intermittent claudication are recorded.