Paul R. Lipscomb

Arthrodesis of the first metatarsophalangeal joint for severe bunions and hallux rigidus.

Compression arthrodesis of the first metararsophalangeal joint using a modification of the technique of McKeever is described. This operation consistently produces the best results for hallux valgus and hallux rigidus of the great toe. The operation has been found to be applicable where there have been previous attempts at surgical correction. It also produces good results in patients having rheumatoid arthritis when there is minimal involvement of the interphalangeal joint.

An epidemiological study of severe osteoarthritis.

A study was made of the relationship between weight, education, use of tobacco and alcohol, participation in athletics and family history of arthritis and severe osteoarthritis of the hip. Estimated relative risk of osteoarthritis was highest for those whose weight was at least 20% or more above ideal, having more than a high school education or with a familial history of arthritis. There was no association between severe osteoarthritis and participation in high school athletics or regular use of alcohol.

Osteoarthritis of the hip. A survey of treatment.

Of 2,712 Board certified orthopedic surgeons selected from the directory of the American Academy of Orthopaedic Surgery, 1,683 (62.1%) responded to a mailed questionnaire concerning their preferred treatment for osteoarthritis of the hip in a specified active 53-year-old man. A Müller total hip arthroplasty was the most frequently performed operation in 1973; only 23 per cent of the respondents considered osteotomy the preferred treatment.

THE 'SUICIDE' WRIST: EPIDEMIOLOGIC STUDY OF THE INJURY

One hundred and ninety-one selfinflicted wrist lacerations in 148 different patients who presented to the Sacramento Medical Center Emergency Room from July, 1975, through June, 1977, are analyzed. One hundred and fifty-four (80.6%) involved the skin alone. Of the 37 lacerations with deep structure injury, 31 involved the palmaris longus. Only four of these were isolated injuries, and if this tendon is cut, there is an 87.1% association with a variety of other lacerated structures.