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Biomedical subjects

B Schlafly

Publications and source records attributed to B Schlafly.

7 recordsLinked to original sources

Use of the parascapular flap in hand reconstruction.

A parascapular free flap was used in the treatment of the injured hand of an octogenarian. The flap was done following a pollicization of the index finger. This reconstructive procedure was done 8 days after the original injury.

Aged

Giant-cell tumors in the distal end of the radius. Treatment by resection and fibular autograft interpositional arthrodesis.

Eighteen giant-cell tumors in the distal end of the radius were treated by block resection and arthrodesis of the wrist utilizing a fibular autograft. The mean length of follow-up was 7.1 years. Local recurrence occurred in five patients, and one patient died of pulmonary metastases. In five patients, non-union developed between the graft and the radius. Three patients sustained a fracture of the graft. No patient had a pseudarthrosis. The average grip strength was 40 per cent of that of the unaffected hand. Pain was absent or slight. No patient required an amputation.

Adolescent

The appearance of the tarsal navicular after posteromedial release for clubfoot.

Sixty-one idiopathic clubfeet in 46 patients of an older population were treated by one-stage posteromedial release. Follow-up roentgenograms revealed dorsal subluxation of the tarsal navicular in 43% of the clubfeet. This abnormality is probably due to both closed manipulation and casting, and improper positioning of the navicular during posteromedial release. However, dorsal navicular subluxation did not adversely affect the results of treatment observed over the follow-up period that averaged nearly 6 1/2 years. Medial subluxation of the navicular was associated with unsatisfactory results, whereas a centrally located or laterally subluxed navicular generally produced good or excellent results. Other abnormalities of the navicular noted included wedging and avascular necrosis. The long-term consequences of these various abnormalities of the roentgenographic appearance and position of the navicular are not known.

Adolescent