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Biomedical subjects

E Paneva-Holevich

Publications and source records attributed to E Paneva-Holevich.

12 recordsLinked to original sources

Further experience with the bipedicled neurovascular island flap in thumb reconstruction.

A procedure is described for the transfer of sensibility to the thumb by means of an island flap. The donor site is the dorsoradial surface of the index finger. The flap is supplied by two neurovascular pedicles. The palmar one includes the digital artery of the index and the dorsal branch of the palmar digital nerve. The dorsal pedicle includes the dorsoradial artery and nerve of the index and one or two superficial veins. This procedure was used in 29 patients without early postoperative complications. The advantages of the method are the resurfacing of the prehensile surface of the thumb by a flap with good arterial and venous supply while preserving the innervation and the palmar skin of the donor finger.

Follow-Up Studies

Island flap supplied by the dorsal branch of the ulnar artery.

Two cases are reported in which a fasciocutaneous island flap was employed supplied by the ulnaris dorsalis artery after the method proposed by Becker and Gilbert. The original technique has been modified by the authors, and this produces a better venous outflow. The vascular pedicle includes, besides the ascending branch of the artery and the venae comitantes, one of the superficial veins together with its respective subdermal band. A technique is also described that provides an optimal length for the vascular pedicle.

Adult

Fasciocutaneous island flap from the dorsal forearm.

Four cases with fasciocutaneous island flaps from the dorsal forearm, pedicled on the posterior interosseous artery with retrograde vascular flow are reported on. A modification of the original operative technique with the vascular pedicle containing one or two subcutaneous veins is described. The risk of venous stasis is thereby markedly reduced.

Adult

Ligamentotaxis in pseudarthrosis of the scaphoid bone (preliminary report).

Three cases are reported of pseudarthrosis of the scaphoid bone which have been treated by distraction with an external fixator employing ligamentotaxis. The investigations of Ilizarov and collaborators are discussed, pertaining as they do to stimulation of osteogenesis by distraction. Also considered are the possible indications for use of the method in some unfavourable fresh fractures of the scaphoid.

Adult

Compression osteosynthesis in the hand using a small nail-plate.

A small self-compression nail-plate for stable osteosynthesis in metaphyseal fractures of metacarpals and phalanges is described. It is also used for interphalangeal arthrodesis. This type of osteosynthesis was performed twenty-five times in twenty-one patients for treatment of malunion, non-union, and the like. Bone union occurred in all instances without exception. No deleterious sequelae in terms of limitation of motion in adjacent joints were recorded subsequent to the surgical intervention.

Adolescent