Biomedical subjects
Publications and source records attributed to B Landsleitner.
Plastic surgery of extensor tendon after Snow for secondary removal of buttonhole deformity yields good results similar to those obtained by the method after Matev while being simpler to perform within a shorter time. However, success of surgery depends decisively on the preoperative free passive mobility of the joints of the finger concerned.
After demonstrating four clinical patterns of epidermolysis bullosa hereditaria the operative procedure will be discussed in two cases. One is a now 16-year-old male, the other a 18-year-old girl, who suffer from this disease. While removing the affected skin in a first operation, the defect is covered by a split skin graft taken from a non-affected area. In a second operation or in repeated operative procedures, not only must the affected skin be removed but also any existing scars and contractures. Children who suffer from this form of epidermolysis bullosa hereditaria present a severe problem. For all who deal with this problem, the painstaking preoperative preparation as well as the choice of the most suitable anaesthetic are as important in every respect as the operation itself and the postoperative and psychosocial care.
The primary closure of defects of the hand is mandatory. In case of exposure of deeper structures a flap procedure is necessary. Random and axial pattern flaps and also tissue transplantation with microsurgical anastomoses are demonstrated in this paper.
A suggestion for a modified technique of tenodesis of the distal interphalangeal joint which always leads to a secure tenodesis by using one part of the superficial flexor tendon.
Both in replantation surgery and free vascular pedicled tissue transfer a vascular interposition graft is sometimes necessary. As an alternative to the vein a microvascular prosthesis for interposition is introduced. In rats the abdominal aorta was partly resected and the defect bridged by interposition of such a microvascular prosthesis. The technique of interposition and the results are shown.
A method of covering defects of the distal phalanx with a sensible full thickness transposition flap is demonstrated using clinical cases. A laterally based full thickness flap with its palmar neurovascular bundle is mobilized in the injured finger. By stretching and displacing the neurovascular bundle the sensible full thickness flap can be placed on the defect.
On regard to the butterfly flap plasty of SHAW 1973, we developed a modified technique by enlarging this method. This method will deepen the interdigital fold without transplantation of skin. We have operated between 1976--1979 twenty two patients by this method with a rather good functional and aesthetic result.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.