Biomedical subjects
D V Egloff
Publications and source records attributed to D V Egloff.
[Surgical treatment of articular arthritis of the thumb].
Explore the source record for details and available documents.
[Reflex sympathetic algodystrophy].
Explore the source record for details and available documents.
[Principles of the treatment of metacarpal and phalangeal fractures].
Explore the source record for details and available documents.
Algimantas Otonas Narakas (1927-1993). A biographical note.
Explore the source record for details and available documents.
Palliative surgical procedures to restore shoulder function in obstetric brachial palsy. Critical analysis of Narakas' series.
Dr. Narakas intended to study a series of 61 cases of shoulder sequelae of obstetric palsy. His vast experience would have enriched our clinical knowledge of this ailment. The authors carry on with that study to clarify his therapeutic approach and share the benefit of his experience.
Silastic implants of the scaphoid and lunate. A long-term clinical study with a mean follow-up of 13 years.
39 implant replacement arthroplasties were reviewed with a mean follow-up of 13 years. The study includes nine cases of partial replacement of the proximal pole of the scaphoid, 16 cases of total replacement of the scaphoid and 14 cases of replacement of the lunate. In 33 cases the conventional silicone elastomer (CSE) was used and in six the high performance elastomer (HP). Subjective, clinical and radiological evaluations gave different results. Respectively the results were excellent in 41, 23 and 5%, satisfactory in 41, 49 and 39% and poor in 18, 28 and 56% of the cases. Lytic lesions in carpal and/or pericarpal bones were present in all except two cases. Study of the X-rays chronologically revealed that they increased in number and size. Six cases had their implant removed. All had histologically proven silicone synovitis. A major secondary operation has been performed or is foreseen in all cases except one. We do not recommend implant replacement arthroplasty for the scaphoid or the lunate bone.
[Dieterich's disease or Kohler III disease or aseptic necrosis of the metacarpal head].
This article presents a rare disease, aseptic necrosis of the metacarpal head. The study of the literature on the subject and the author's cases reveal that there is no certain etiology. Some cases have a history of trauma but others are spontaneous. A therapeutic attitude is suggested, although not forgetting the rarity of the disease.
[Carpal tunnel syndrome].
The carpal tunnel syndrome is very frequent. The authors insist on some points of surgical technique. The results of a Swiss study on the problem of the recurrent carpal tunnel syndrome are described (96 cases); the etiology of the recurrency, the surgical technique and the results after operative revision are analysed.
[Injuries of 2 flexor tendons of Verdan's zone II. Multicenter Swiss study].
We report on the results of a swiss multicentric retrospective study collecting 79 complete lesions of both FDP and FDS in zone II and reflecting some variations as well as common habits between the 7 centers when dealing with such settings. After primary repair, striking differences in averaged TAM and TPM motions were observed within the country; some imbalance as nevertheless achieved after tenolysis and other procedures. These proved to be necessary in a relatively high percentage of cases (33%). Thus, it appears that tenorrhaphy still remains a challenging surgical problem.
[Microsurgical emergencies with the exception of reimplantations].
Although reimplantations are very well defined operations, the indications for emergency free flaps and the management of nerve injuries are much less so. Using several examples, the authors define the conditions in which a free flap is justified and the most useful procedures for nerve repair. An emergency free flap should constitute the best solution, with a reasonable chance of success, without compromising other possibilities of reconstruction in the event of failure. The authors present the three situations observed in the case of nerve lesions: clean nerve sections, nerve defects, cases with an unclear diagnosis and cases in which the conditions are unsuitable for immediate permanent repair.
Reconstruction of a pinch through transfer of a single toe. Survey on five cases.
A carpal hand, traumatic or congenital, is a challenge to the reconstruction of a useful pinch. Before the microsurgical era, the only possibility was the Krukenberg operation. But it gives an ugly appearance to the forearm, hence its use is generally limited to bilateral amputations on blind patients. Besides, one should also remember that it deprives the patient of the carpal joint. The authors present five cases of reconstruction by transfer of a single toe, the second one. There was no vascular failure. Three cases are successful function wise. One of the failures is due to the fact that the operation was undertaken too late; the patient never accepted the aspect of his new "hand". As for the other, in endeavouring to reconstruct a wide pinch, we set the toe too far away from the opposable element, which will necessitate another operation, in order to bring the two parts of the pinch closer to each other. The three successful cases demonstrate, however, that a good pinch can be created in one single operation: the transfer of the second toe provided a backstop is available-either steady or mobile, already existing or reconstructed-against which the transplanted toe can press.
[Intravenous regional sympathetic block with guanethidine. Retrospective study of 251 blocks of the upper limb in 68 patients].
68 patients have been treated by regional intravenous blocks with guanethidine. 251 blocks have been realized. The majority of the patients received 3 blocks of one week. Some of them got a second series of 3 blocks after a minimum interval of one month. The study included 3 groups of patients. The first group showed 12 patients in the first stage of Sudeck; the second group 22 patients in the second stage. The third group included 34 patients for which the indication to blockade had been a chronic painful stage (19 cases), an ankylosis (8 cases), a Dupuytren post-traumatic contracture (3 cases) a stage before the operation predisposing to dystrophy reflex (3 cases) and one case of hyperhidrosis of the hand. Considering the three groups it can be stated that the first one responded the best to the treatment with a success in 80% of the cases. This success confirms the necessity of intervening as soon as possible in case of an algoneurodystrophy. The third group reveals that this therapeutical method can be useful in other situations than the dystrophy reflexes. The indication herewith is more founded on a possible sympathetic origin of the troubles as on the comportment psycho-affective of the patient.
[Traumatology of the hand].
Explore the source record for details and available documents.
[Reimplantation of digits].
Explore the source record for details and available documents.
[Cutaneous recovering in surgery of the hand: from Reverdin's epidermal graft to microsurgical free flaps].
Explore the source record for details and available documents.
[When should the treatment of epicondylitis be surgical?].
Explore the source record for details and available documents.
[Rheumatoid arthritis: surgery of the metacarpophalangeal joints of the long fingers].
The author reviews the pathophysiological mechanisms of rheumatoid deformations of the long fingers' MP joint. He considers the different possibilities of surgical treatments; then focusing on arthroplasty, he compares and comments on technical points (incision, resection of the MP head, section of intrinsic muscles, size of the implant, joint capsule and ligament reconstruction, dressing, postoperative care) and results (mobility, implant fracture, ulnar deviation and palmar dislocation) achieved by various authors. He concludes that the Swanson implant remains at present the best therapeutic treatment of rheumatoid arthritis of the long fingers' MP joint. However, in order to improve the results obtained, and to avoid long term complications, research should be pushed until we can avail ourselves of a true prosthetic arthroplasty based on other principles and new materials.