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Biomedical subjects

H Millesi

Publications and source records attributed to H Millesi.

At least 91 records · Page 5Linked to original sources
PubMed1977

[Complications and failures through negative selection in replantation of amputated extremities].

Two years of experience with our replantation service in Vienna serves to define the criteria by which an amputated member is deemed worthy of replantation. 68 cases are analyzed and the complications and failures are discussed. The criteria took into account the type of injury, the ischemia time, the method adopted to preserve the severed part as well as the functional need of the amputee. We believe that by today's standard of replantation surgery, with the aid of microsurgical methods a responsible approach to indications would improve the functional results. Replantation capability, replantation possibility, replantation readiness and replantation obsession are all discussed.

Adolescent↗
PubMed1976

Further experience with interfascicular grafting of the median, ulnar, and radial nerves.

The results of interfascicular nerve-grafting, a procedure developed in 1964, were reported in The Journal in 1972 9. Between 1964 and 1972, defects in forty-three median, fourty-four ulnar, and sixteen radial nerves were grafted using this technique. Final functional results after a minimum follow-up of two years are known for thirty-eight patients with median, thirty-nine patients with ulnar, and thirteen patients with radial-nerve lesions. In the median-nerve cases useful motor recovery (M 3 or higher) was achieved in 82% and protective sensibility was restored in all but one. In all of the patients with ulnar-nerve lesions useful motor recovery (M 2+ or higher) occurred, while in 77% of the patients with radial-nerve lesions an M 4 or M 5 level of function was achieved. The majority of the patients with poor results had some unfavorable circumstance such as advanced age, severity of the original trauma, or long time interval before repair. Comparison of our results with those in other series indicates that interfascicular nerve-grafting gives results which are at least as good as those after epineural nerve suture under ideal conditions and better than those after neurorrhaphy under tension.

Adolescent↗
PubMed1975

[Restoration of grip by means of repair of the injured peripheral nerve and/or muscle-tendon transfer (author's transl)].

Muscle or tendon transfers are indicated after lesions of peripheral nerves if regeneration does not occur or remains incomplete after nerve repair or if the paralyzed muscles themselves are damaged. In long-standing cases the authors try nerve repair to attain adequate sensitivity, and perform the tendon transfer independently. The different techniques are discussed; transfer of the brachialis muscle to replace deficient flexor muscles is described and nerve-into-muscle implantation is mentioned.

Brachial Plexus↗
PubMed1975

[Late results in the surgical treatment of camptodactylia].

Fifteen patients with camptodactyly were treated operatively by flexor tendon transfer for reconstruction of the muscle balance with or without arthroplasty. If necessary skin plasties were performed (Tab. 3). The follow-up time ranged from 3 to 12 years. The results show that the principal cause of the malformation is an imbalance between the flexion and extension forces. The best methods for correction of the flexion deformity were transfer of the superficialis tendon to the extensor apparatus or simple reinforcement of the apparatus in the region of the proximal interphalangeal joint. A major conclusion was that successful result will be obtained only in children and adolescents. Corrective operations in adults should therefore be no longer recommended.

Adolescent↗
PubMed1975

[Critical considerations of various surgical methods for correction of the syndactylia (report on an observation period of 10-20 years)].

During the postoperative period of 10 to 21 years 58 syndactylies in 45 hands of 30 patients were followed-up with special attention to alternations due to growth. These were prevented in the majority of the patients, if the skin cover for the commissure was done by both a dorsal and palmar triangular skin flap and for the side areas of the fingers by several transversely oriented full thickness skin grafts, separated by bridges of the finger skin. In none of the 37 syndactylies in which this procedure was performed, was a corrective operation necessary at the end of the growth period. These results harmonize with previous follow-up studies (MILLESI 1964). The observations of these patients for an additional 10 years have not shown any alterations due to growth.

Adolescent↗