[65th birthday of Eric Moberg-- Jan 5, 1970].
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Biomedical subjects
Publications and source records attributed to D Buck-Gramcko.
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Treatment of congenital malformations of the hand and forearm has progressed not only from new procedures, but especially due to a new technique, namely microsurgery. Microsurgery enables skilled hand surgeons to operate on the tiny hands of babies without damaging the anatomical structures. The optimal time for the correction of many deformities is during the first 2 years of life. This gives excellent adaptation of the corrected structures to their altered function, especially in combination with a long period of further growth. Several new procedures are described which have been made possible only since the introduction of microsurgery, either by microvascular anastomoses or by meticulous dissection technique (toe transplantation, proximal toe phalanx transplantation, nail wall formation in complex syndactyly, transposition of digital parts in polydactyly and radial club hand).
Bilateral palmar instability of the wrist with subluxation between capitate and lunate bone. A stable wrist requires intact ligaments as well as a normal shape and size of carpal bones. While the reasons for bony changes are mainly posttraumatic, degenerative diseases and congenital laxity of ligaments as well as traumatic ruptures may cause an insufficiency of the ligaments. The following article deals with a theoretical discussion of carpal instability considering diagnosis, progress, development, and treatment of congenital bilateral palmar carpal instability which caused painful subluxation between the capitate and lunate bone.
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