Biomedical subjects
Publications and source records attributed to G Blatt.
The use of a soft tissue flap of wrist capsule in reconstructive surgery is described. Stabilization is achieved by capsulodesis for rotatory subluxation of the scaphoid, and for the distal ulna after excision of the ulnar head.
Since 1969, a slightly modified silicone-rubber neurosurgical burr-hole cover has been used for a type of interposition arthroplasty of the carpometacarpal joint of the thumb. The short stem of the device fits into a hole burred into the distal surface of the trapezium. The flat surface of the device covers the distal surface of the trapezium. Forty-nine operations were done on 42 patients, 35 women and seven men. The age range of the patients was 34 years to 72 years, with an average of 55 years. The average follow-up time was 31 months. Forty results were rated as excellent. There were two failures due to breakage of the device, and in both cases the breakage was due to a technical error.
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High-pressure injection-gun injuries of the hand are serious accidents and constitute a surgical emergency. Radiography is an important part of the pre-operative evaluation. Without adequate films, it is frequently impossible to estimate the extent of underlying trauma. It is imperative that physicians who initially care for injection-gun accident patients be aware of the unique features of these injuries. Delay in the institution of adequate therapy may result in needless and permanent disability.