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Biomedical subjects

A Nather

Publications and source records attributed to A Nather.

38 records · Page 3Linked to original sources

A comparative study of different methods of tendon lengthening: an experimental study in rabbits.

Three different techniques of tendon lengthening--Z-lengthening, intramuscular lengthening, and tenotomy--were studied in rabbits. The cut tendon ends were marked with radioopaque sutures. The repair process was similar with all three techniques, with healing being completed by 6 weeks. With intramuscular lengthening, the gap distance remained constant throughout the experiment, whether immobilization was used or not. Thus, immobilization is not necessary with this technique. In contrast, with tenotomy the gap distance increased significantly when immobilization was not used. However, with immobilization the distance remained constant throughout the experiment. Immobilization is necessary after tenotomy to prevent undue lengthening of the tendon.

Animals↗

Conservative and surgical treatment of clubfoot.

One hundred twenty-four patients (174 feet) were treated for clubfoot deformity, with an average follow-up of 7 years. All patients were initially treated by manipulation and serial casting. Early soft tissue surgeries were performed for resistant cases (73 feet). In 33 feet with residual hindfoot deformity only, posterior release was performed with 85% good results. In the remainder, where there was forefoot as well as hindfoot deformity, full posteromedial release was necessary, giving good results in 90% of cases. All clubfeet should initially be treated conservatively. However, resistant cases should have early surgery, with the extent of surgery performed being determined by the type of residual deformity present.

Casts, Surgical↗