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Biomedical subjects

J C Breek

Publications and source records attributed to J C Breek.

10 recordsLinked to original sources
PubMed1989

Free tendon grafting to repair the metacarpophalangeal joint of the thumb. Surgical techniques and a review of 70 patients.

We report the use of a free tendon graft in 70 patients to repair lesions of the capsuloligamentous complex of the metacarpophalangeal joint of the thumb. Of these 37 had a lesion of the ulnar collateral ligament, 18 of the radial collateral and 11 of the volar plate. Four patients had combined lesions. We outline our techniques and review 51 of the patients. Of those 47 (92%) were satisfied, and all but one had regained full stability. Pinch grip strength was normal in 48. About one-third of the patients had some loss of flexion/extension; this was seldom noticed by the patients and caused no significant disability. Free tendon graft reconstruction is indicated for severe fresh lesions, for old lesions with chronic disability and for lesions which have not responded to conservative management.

Adolescent↗
PubMedDate not supplied

The persistent sciatic artery. A case report.

We describe a case of a complete persistent sciatic artery in an asymptomatic patient with multiple aortoiliac aneurysms. After endoaneurysmorraphy and ligation of the persistent sciatic artery at its origin, the patient did well, without ischaemic complications. Peripheral vascular reconstruction, although often recommended in the literature, did not seem to be indicated in this case.

Aged↗
PubMedDate not supplied

Carotid surgery under locoregional anaesthesia. Description of technique and results of our first 100 consecutive operations.

In a 28-month-period 100 consecutive carotid operations were performed on 91 patients under locoregional anaesthesia. The indications were 37 TIAs, 16 recovered strokes, 12 cases presenting with amaurosis fugax, eight with vertigo and 27 patients with severe but still asymptomatic stenosis. In 20 cases a shunt had to be used. Twice a transient neurological syndrome developed, two strokes occurred. One stroke patient died in the postoperative course. Carotid surgery under locoregional anaesthesia seems to be a safe method with advantages for the patient and the surgeon.

Aged↗
PubMedDate not supplied

Difficulties in the diagnosis of popliteal vein aneurysm.

Venous aneurysms are rare and seldom give rise to specific symptoms. We describe a case of a popliteal vein aneurysm in a 55-year-old patient in whom the lesion was at first misinterpreted as being a Baker's cyst. The lesion was successfully treated by segmental resection and venous interposition grafting.

Aneurysm↗