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Biomedical subjects

E Abraham

Publications and source records attributed to E Abraham.

At least 217 records · Page 12Linked to original sources
PubMed1977

The treatment of flexion contracture of the knee in myelomeningocele.

A follow-up study, on average four years after operation, of seventy-six cildren with myelomeningocele who had surgical treatment for flexion contracture of the knee, is reported. After a single operation sixty-eight knees (55 per cent) had a contracture of less than 20 degrees, which was the main criterion of success. About half of the cases of transplantation of the hamstrings to the femur, division or elongation of the hamstrings, or supracondylar osteotomy had successful results. Transfer of the hamstring tendons to the patella was successful in nine of twelve instances, so giving the lowest rate of failure. Forty-five patients were active walkers at follow-up as compared to eighteen before operation. However, only one of the eleven patients over twelve years of age with a motor level above T.12 was an active walker at review. Several conclusions are drawn. A flexion contracture of the hip greater than 30 degress should be corrected before operation of the knee. Supracondylar osteotomy as a primary procedure should only be used to correct flexion contracture of the knee secondary to malunited fractures. Faradic stimulation is useful in the evaluation of muslce function before operation. An intelligence quotient below 65 and weakness of the arms are relative contraindications for correction of the deformity of the knee.

Adolescent↗
PubMed1976

Hip fusion utilizing the cobra head plate.

Sixteen consecutive patients underwent hip fusion with fixation by a cobra head compression plate. In six patients on osteotomy of the innominate bone also was done. Four patients had no osteotomy whatsoever, while in six patients medial displacement of the femur was accomplished by centrally dislocating the femoral head through the acetabulum. This modification made the surgical procedure and postoperative care simpler, and rehabilitation was easily accomplished. All of the hips treated in this series had successful bone fusion. All of the patients were out of bed within the first postoperative week, and ambulation with crutches was begun after the second week.

Adult↗
PubMed1975

Neglected rupture of the Achilles tendon. Treatment by V-Y tendinous flap.

A method is described that achieves end-to-end anastomosis of ruptures of the Achilles tendon. A sliding tendinous flap is developed over the proximal portion of the tendon by making an inverted V incision which is then repaired in a Y fashion. The procedure is recommended for patients with neglected ruptures of the Achilles tendon in which end-to-end anastomosis is otherwise impossible.

Achilles Tendon↗
PubMedDate not supplied

Supramalleolar osteotomy for ankle valgus in myelomeningocele.

Fifty-five supramalleolar osteotomies were performed in 35 patients for progressive hindfoot valgus in myelomeningocele. All patients were ambulatory. The most common motor level of innervation was L3 in 42 limbs. The average age at surgery was 12 years. The average follow-up was 8 years. Preoperatively, all patients experienced progressive difficulty with brace use, and anteroposterior weight-bearing ankle radiographs showed a valgus tilt of the talotibial angle (TTA) of > or = 10 degrees with an average of 18 degrees. The average postoperative correction of TTA was 17 degrees. The results were graded as follows: excellent, 42 limbs; good, eight limbs; fair, three limbs; and poor, two limbs. The fair and poor limb results were the result of loss of correction or nonunion. The best results were seen when the TTA was corrected to 5 degrees of varus.

Adolescent↗