Brian D White

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Conflicting reports exist for the efficacy of intermittent wound perfusion with bupivacaine in the relief of postoperative pain. A study was devised to assess postoperative pain relief objectively using a Patient Controlled Analgesic Device (PCAD) during continuous wound perfusion with bupivacaine or saline. Thirty consecutive patients undergoing(More)
PURPOSE To evaluate the incidence of tendon rupture after nonoperative and operative management of distal radius fractures, report clinical outcomes after tendon repair or transfer, and examine volar plate and dorsal screw prominence as a predictor of tendon rupture. METHODS We performed a retrospective chart review on patients treated for tendon rupture(More)
a Blalock-Taussig anastomosis for pulmonary stenosis or atresia survived 6 months or longer. Detailed information is nowe available on 244 of these patients, who w-ere originally improved by operation and who have been followed for a5 years or longer. The results obtained on patients with tetralogy of Fallot are compared with those with other malformations.(More)
Diffuse callosal signal changes can rarely occur following successful shunting for obstructive hydrocephalus. We report on a patient who underwent ventriculoperitoneal shunting for aqueductal stenosis and required two revisions for neurological deterioration and presumed shunt malfunction. Extensive changes involving the corpus callosum, periventricular(More)
BACKGROUND Our purpose was to compare the outcomes of patients with severe basilar thumb osteoarthritis treated with trapeziectomy and suspensionplasty using abductor pollicis longus (APL) tendon versus a suture button device. METHODS A retrospective study was performed for patients undergoing trapeziectomy and suspensionplasty with APL tendon or suture(More)
SUMMARY Spontaneous vertebral artery (VA) dissection may involve the intradural segment of the VA and result in subarachnoid haemorrhage (SAH). These lesions are frequently associated with recurrent SAH, and have a high mortality. Prior to the development of endovascular techniques the majority of these lesions were treated surgically. In cases where the(More)
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