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Biomedical subjects

D Buck-Gramcko

Publications and source records attributed to D Buck-Gramcko.

At least 73 records · Page 4Linked to original sources
PubMed1981

[Rare localization of a small sweat gland adenoma of the skin].

This case report of a chondroid syringoma (t. h.) arising in a finger is of interest because of the unusual site, its usual location being the region of the head and neck. Characteristically it is benign, slow growing and compresses adjoining structures. In skin lesions generally histological confirmation of the diagnosis is essential in order to exclude malignancy, but particularly when the site of the lesion is an unusual one.

Female↗
PubMed1980

[Debrisorb therapy of severe hand infections].

Treatment with DEBRISORB, a new topical agent formed by three dimensional network of dextran polymers in porous hydrophilic beads, was used in 26 cases of infected wounds in the hand. These were of traumatic and postoperative origin, often with remaining necrotic areas and in a few cases with a considerable oedema. The special effect of DEBRISORB was in absorbing the exudate and in reducing the inflammation and swelling of the discharging wounds. Within a few days secretion was diminished and healthy granulation tissue appeared. For covering the defects we employed local transposition flaps, direct flaps and split-skin grafts without complications. Local treatment with DEBRISORB is an effective method to clean infected wounds, to reduce inflammation and oedema, and is useful as treatment before grafting.

Administration, Topical↗
PubMed1980

[Reconstruction of gripping function (author's transl)].

Description of two cases of badly injuried hands, where the grasp-function has been restored. In one case, the traumatically amputated thumb was reconstructed in the conventional way, transposing the index finger on its neurovascular bundle. The other case demonstrates the use of modern microsurgical methods in substituting a freely transplanted toe with microvascular anastomoses for four lost fingers. Resulting function was satisfactory in both cases.

Amputation, Traumatic↗
PubMed1978

[Replantations: indications and operative technique (author's transl)].

Replantation is indicated without exception in amputations of the thumb, in children, and upon loss of several fingers. Other factors include the type of injury, the interval between injury and vascular anastomoses, the condition and preoperative treatment of the amputated part as well as age, occupation, and general condition of the patient. The operative technique is described with the sequence of repair of the anatomical structures: bone, flexor tendons, arteries, extensor tendons, veines, nerves, and skin; possible complications are mentioned.

Amputation, Traumatic↗
PubMed1978

[Treatment of soft tissue injuries of the child's hand].

There are three major facts which differentiate injuries in children and adults: 1. The size of the hand and its anatomical structures which require finer instruments and a meticulous -- almost microsurgical -- operative technique. 2. The better healing and better regeneration following injuries which lead usually to a better functional result. 3. The relationship between scars and growth: a scar will not grow in the same way as normal skin, so that contractures may occur some years after the injury even in areas of the hand where in adults scar contractures may never occur. In this lecture, presented at the 17th Annual Meeting of The German Speaking Society for Surgery of the Hand in Tübingen, several cases demonstrate the general principles and special details in the operative treatment of soft tissue injuries in children. For the skin the correct placement of incisions in reconstructive surgery and the conversion of wounds into suture lines which will not lead to scar contractures are mentioned. Some cases with correction of existing scar contractures and prevention of new ones are shown (fig. 1 to 12). For flexor tendon injuries some of the satisfactory results after primary repair and secondary reconstruction are demonstrated. Also in nerve injuries the better regeneration in children will lead to good functional results following nerve grafting. In irreversible nerve damage tendon transfers are employed by the same technique as in adults (fig. 13 to 15). For the operative treatment of ischemic contractures of the forearm and the hand the different procedures are mentioned. The importance of the intrinsic test (PARKES) for the diagnosis of the contracture of the interossei is stressed (fig. 16 and 17). A case of thumb reconstruction in a four year old girl by transposition of the index finger on a neurovascular pedicle shows that in smaller children complicated reconstructive procedures can give excellent results (fig. 18).

Child↗
PubMed1977

Denervation of the wrist joint.

A collective review was made of the results of denervation of the wrist joint for painful restrictiorn of motion done in 313 patients and follow-up studies on 195 (average 4.1 years, ranging from 9 months to 14 years). Complete denervation was done in only 30, partial denervation in the others being done after testing with local anesthetic blocks. Sixty-nine of the patients retained a moble wrist without pain or with slight pain with heavy work. No evidence of Charcot-like joints was seen. Poorest results followed when the operation was done for sequelae of intra-articular fracture of the radius, fracture dislocations, unstable ligamentous support, joint surface destruction, or for those required to do heavy manual labor. Arthrodesis was done secondarily in nine patients.

Arthrodesis↗
PubMed1977

[Results of alloarthroplasty in finger joints damaged through injury].

Follow-up examination is reported of 24 patients with post-traumatic arthritis treated by 29 finger joint implants. The average follow-up time was 35 months. It could be shown that implant arthroplasty in painful, unstable finger joints stiffened in an unfavourable position represents a quite reasonable method of treatment. Necessary essentials, however, are sufficient function of the tendons, skin areas without twoo extensive cicatrical changes, precise operative procedure and adequate postoperative treatment.

Arthroplasty↗
PubMed1977

Thumb reconstruction by digital transposition.

In traumatic loss or congenital aplasia of the thumb, transposition of a digit on its neurovascular pedicle is the preferable method for thumb reconstruction. The index finger is the digit of choice, but any other finger or a portion of a finger can be used, especially if it is damaged. The operative techniques differ considerably, depending on the level of thumb loss. In total amputation or total aplasia all the parts of the new thumb have to be constructed with the structures of the transposed index finger. The skeletal readjustment consists of shortening in the metacarpal region, rotation on the longitudinal axis, and fixation in palmar abduction; the metacarpophalangeal joint has to be preserved. A well established muscular stabilization is essential for good function. The skin cover is obtained by a dorsally pedicled skin flap in contrast to the palmar based skin flap in cases of partial loss or partial aplasia of the thumb. Here the muscle balance is easier to obtain by suturing the distal tendons of the index finger to the present thumb muscles. The amount of shortening depends on the length of the transposed digit (an intact or a partially amputed one). Operative technique, complications, and results in 223 cases are described and illustrated.

Amputation, Traumatic↗
PubMed1976

[Evaluation criteria in follow-up studies of flexor tendon therapy].

A comparison of results in flexor tendon repair is of value only if standard methods of measurement and recording are used. The function of the involved finger(s) can be judged by measurement of the distance between the finger tip and the distal palmar crease, the total maximum flexion at all three finger joints (composite flexion), the lack of extension as an aggregate of the minimum angles which can be achieved at each of the three finger joints (composite extension deficit), and the total amount of movement (composite flexion minus composite extension deficit). Each of these measurements graded according to a scale of values (table 2 and 3); the sum of these values gives a final classification (excellent, good moderate and poor). In a series of 157 follow-up examinations with 223 fingers with flexor tendon repair this method of recording the results of flexor tendon repair was evaluated.

Anthropometry↗