Search PubMed⌕ Search

Biomedical subjects

D Elliot

Publications and source records attributed to D Elliot.

At least 55 records · Page 3Linked to original sources
PubMed1994

The rupture rate of acute flexor tendon repairs mobilized by the controlled active motion regimen.

A series of 233 patients with complete divisions of flexor tendons in zones 1 and 2 underwent operation following emergency admission over a period of 3.5 years. These included 203 patients with 317 divided tendons in 224 fingers injuries in zones 1 and 2 and 30 patients with 30 complete divisions of the flexor pollicis longus tendon in zones 1 and 2. All of these patients were mobilized post-operatively in a controlled active motion regimen. 13 (5.8%) fingers and five (16.6%) thumbs suffered tendon rupture during the post-operative period. Patients treated during the last year of the study were followed prospectively for a minimum period of 3 months; ten of the 16 (62.5%) fingers with zone 1 repairs, 50 of the 63 (79.4%) fingers with zone 2 repairs, all three (100%) FPL divisions in zone 1 and three of four (75%) FPL divisions in zone 2 had good and excellent results on assessment by the original Strickland criteria (Strickland and Glogovac, 1980). These results confirm the safety of this regimen as an alternative to other regimens of post-operative flexor tendon repair mobilization in zone 1 and 2 finger injuries. However, in the unmodified form used in this series, this regimen has too high a rupture rate for FPL mobilization.

Acute Disease↗
PubMed1994

A comparison of post-operative mobilization of flexor tendon repairs with "passive flexion-active extension" and "controlled active motion" techniques.

We report a comparative study of the outcome of flexor tendon repairs mobilized by either a "passive flexion-active extension" or a "controlled active motion" regimen. We show that the controlled active motion regimen conferred significant benefits on the final range of motion and extensor lag. The rupture rate was raised with "controlled active motion" but this was not greater than levels reported by other authors using "passive flexion-active extension" regimens.

Finger Injuries↗
PubMed1993

Dupuytren's disease: a legacy of the north?

This study identifies four miracle cures set in Orkney and Iceland in the 12th and 13th Centuries and recorded in the sagas of the earls of Orkney and the bishops of Iceland, in which the condition of the hand which was healed bears a resemblance to Dupuytren's disease. The possibility that one hand was cured by traumatic rupture of this condition and another treated by palmar fasciotomy is discussed.

Dupuytren Contracture↗
PubMed1993

V-Y advancement of the entire volar soft tissue of the thumb in distal reconstruction.

The commonly used variant of Moberg's advancement flap for thumb reconstruction requires a skin graft to reconstruct the proximal thumb defect after advancing the flap. A modification has been described previously which allows direct closure of this proximal defect by incorporation of the V to Y principle into the design of the proximal part of the flap. A variant of the V-Y Moberg flap is presented and its advantages discussed.

Humans↗
PubMed1990

The use of automatic blood pressure monitors in the burned patient.

Oscillometric automatic blood pressure monitors are now commonly used in theatres and intensive care units. An experimental model has been used to assess the accuracy of these machines when measurements are made from a proximal limb cuff applied over bulky bandages, as is commonly found in burned patients. This study suggests that monitoring arterial blood pressure under these circumstances is sufficiently accurate to make automatic monitoring useful as an adjunct to burns management. This would allow blood pressure measurement where it would otherwise be impossible without invasive techniques.

Bandages↗
PubMed1990

Buccal mucosal flaps in nasal reconstruction.

Buccal mucosal flaps provide a simple and effective method of replacing nasal mucosal lining. This technique has been used in 15 patients requiring reconstruction of full thickness defects of the lateral nasal wall and tip of nose, in combination with a variety of local flaps for skin cover. The buccal mucosal flap is of particular value in reconstructing the common defect of the lower lateral nasal wall and alar rim where more bulky reconstructions often distort the airway.

Adolescent↗
PubMed1990

Reducing morbidity in the radial forearm flap donor site.

The radial forearm flap, although widely used, has been criticized for the poor quality of its donor site. To investigate the causes of morbidity, 100 radial artery free-flap donor sites have been reviewed. Sixty-seven patients required skin grafting (group 1), and the remaining 33 patients were closed directly (group 2). Seventeen patients in the series had compound osteocutaneous flaps (group 3). Wound healing proved to be a significant problem in groups 1 and 3, and fracture of the radius occurred in 4 of the 17 patients in group 3 and was the most significant cause of morbidity. The radial artery was reconstructed in 12 patients, but only 6 of the arteries (50 percent) were patent at the time of review. Subjective assessment on a scale of 0 to 10 demonstrated a relatively pain-free donor site with low pain scores (2.5 of 10). The cosmetic result was acceptable in men (1.5 of 10) but was less so in women (4 of 10). Angulated fracture of the radius produced an unacceptable cosmetic result (7 of 10). In light of this experience, we no longer reconstruct the radial artery as a matter of routine. The donor defect is closed directly wherever possible using an ulnar artery-based transposition flap when required. A "boat shaped" osteotomy is used in preference to right-angled bone cuts when harvesting a segment of radius to avoid the complications and sequelae of fracture. These changes in surgical technique have improved the acceptability and minimized the problems associated with this donor site.

Adult↗
PubMed1989

The stretched scar: the benefit of prolonged dermal support.

A study of skin suture following elliptical excision of tattoos from the upper limb shows that when the dermis is supported by a subcuticular non-absorbable suture for 6 months there is (a) a highly significant and numerically considerable (37.5%) reduction of scar stretching over that following conventional interrupted skin suture and (b) a significant reduction of scar width (15.7%) when compared with the same material used as a subcuticular suture for 3 weeks. Subcuticular polyglycolic acid achieved no reduction in scar width at one year when compared with conventional interrupted sutures.

Adolescent↗