Search PubMed⌕ Search

Biomedical subjects

M Molski

Publications and source records attributed to M Molski.

34 records · Page 2Linked to original sources

[The evaluation of the use of Shafiroff and Palmer modification (arterial reconstruction prior to bony stabilization) of thumb replantation].

The B. B. Shafiroff and A. K. Palmer modification of thumb replantation procedure proposed in 1982 was evaluated. The reconstruction or repair of the artery and sometimes digital nerve repair on the ulnar side of the thumb prior to bony fixation is the mainstay of the modification. It was used in 11 thumb replantations done by the author since 1987. The access to arteries and nerves is grossly improved and operating time shortened. Short description of 6 cases is given. All the replanted thumbs survived.

Adolescent↗

On the holistic approach in cellular and cancer biology: nonlinearity, complexity, and quasi-determinism of the dynamic cellular network.

A keystone of the molecular reductionist approach to cellular biology is a specific deductive strategy relating genotype to phenotype-two distinct categories. This relationship is based on the assumption that the intermediary cellular network of actively transcribed genes and their regulatory elements is deterministic (i.e., a link between expression of a gene and a phenotypic trait can always be identified, and evolution of the network in time is predetermined). However, experimental data suggest that the relationship between genotype and phenotype is nonbijective (i.e., a gene can contribute to the emergence of more than just one phenotypic trait or a phenotypic trait can be determined by expression of several genes). This implies nonlinearity (i.e., lack of the proportional relationship between input and the outcome), complexity (i.e. emergence of the hierarchical network of multiple cross-interacting elements that is sensitive to initial conditions, possesses multiple equilibria, organizes spontaneously into different morphological patterns, and is controlled in dispersed rather than centralized manner), and quasi-determinism (i.e., coexistence of deterministic and nondeterministic events) of the network. Nonlinearity within the space of the cellular molecular events underlies the existence of a fractal structure within a number of metabolic processes, and patterns of tissue growth, which is measured experimentally as a fractal dimension. Because of its complexity, the same phenotype can be associated with a number of alternative sequences of cellular events. Moreover, the primary cause initiating phenotypic evolution of cells such as malignant transformation can be favored probabilistically, but not identified unequivocally. Thermodynamic fluctuations of energy rather than gene mutations, the material traits of the fluctuations alter both the molecular and informational structure of the network. Then, the interplay between deterministic chaos, complexity, self-organization, and natural selection drives formation of malignant phenotype. This concept offers a novel perspective for investigation of tumorigenesis without invalidating current molecular findings. The essay integrates the ideas of the sciences of complexity in a biological context.

Genotype↗

[One-stage treatment of chronic osteomyelitis with pedicled osteocutaneous flap: a case report].

One-stage treatment for chronic osteomyelitis and soft tissue defect with pedicled fibular osteomuscle flap is reported. The treatment has been applied in 42 years old male with unstable angina pectoris and many years history of left tibia osteomyelitis. Primary wound closure, good bone healing after 8 months and remodeling of the tibia after 1 year has been achieved. Follow-up at 20 months did not reveal recurrence of osteomyelitis. Pedicled and free vascularized grafts use in treatment for chronic osteomyelitis has been discussed.

Adult↗

[Complex tissue reconstruction of the arm with free vascularized fibular graft with skin island].

Results of treatment for postraumatic bone and soft tissue defects within the arm in 3 patients (1 female, 2 males aged 20-30 years (mean 25 years), are presented. In both male patients osteomyelitis and irreversible radial nerve lesion was present. Stage 1 included radical excision of inflamed tissues. When the inflammation ceased reconstructive treatment has been initiated. Tendon transposition has been performed to restore writ and fingers extension. After several months free vascularized fibular graft (11-17 cm in length) was used to reconstruct bone and soft tissues of the arm. Zespol fixator has been used in two cases. Marginal skin island necrosis has been noted twice. Screw tract infection or lack of bony union in proximal end of the graft required re-operation. Bony union has been observed already in the 3rd month postoperatively but final incorporation and hypertrophy of the graft occurred after 6-26 months, (mean 14 months). In all cases final results were rated as excellent.

Adult↗

[Radial bone reconstruction with free vascularized fibular osteocutaneous graft: a case report].

Radial shaft has been reconstructed in 14 years old boy with free vascularized graft. Fifteen by four cm skin island has been harvested along with the fibula and served to fill the defect within the forearm. Proximal end of radial artery has been microsurgically anastomosed to peroneal artery of the flap and peroneal vein branch with basilic vein. The bone healed after 3 months, remodeling took 5 months and overgrowth 8 months. The role of microsurgery in treatment for this type of injury has been emphasized.

Adolescent↗

[Distal femur reconstruction with vascularized fibular graft: indications and surgical technique].

Indications and surgical technique of distal femur reconstruction with vascularized fibular graft and fibular vessels pedicle are presented. The method is used in femoral metaphyseal defects combined with knee stiffness as safer procedure than free vascularized fibular graft. A case of 23 years old male with vast defect of distal femur after fracture complicated with osteomyelitis is presented. Good result of treatment has been achieved 18 months after surgery despite fracture of previously incorporated fibular graft.

Adult↗

Effective Reduction of Wavenumbers of Rotational and Vibration-Rotational Transitions of LiH X1Sigma+

A deformationally self-consistent procedure is applied to reduce the wavenumbers of 594 pure rotational and vibration-rotational transitions of 7Li1H, 6Li1H, 7Li2H, and 6Li2H to 15 unconstrained and 2 constrained parameters with sigma; = 1.098, sigma = 0.000554 cm-1, and F = 7.704 x 10(14). The quality of the Born-Oppenheimer approximation and the extent of its breakdown in LiH are reexamined. Copyright 1997 Academic Press. Copyright 1997Academic Press

Journal Article↗

[Free vascularized double barrel fibular graft for reconstruction of femoral deficit--case report and surgical techniques].

A case of 18 years old female treated for 11 cm femoral deficit due to comminuted fracture and secondary osteomyelitis is described. Free vascularized double barrel fibular graft has been used. The detailed delineation of surgical technique is given. Ten months after surgery complete healing and incorporation of the graft was found; the external fixation was removed. Excellent functional result has been achieved.

Adolescent↗

[Reconstruction of the femur with free vascularized bone graft].

A case of post-infection femoral bone loss treated with free vascularized fibular graft is presented. The healing process is discussed; an attention is directed towards thickening of the graft along with progressive weight bearing. The usefulness of Zespol fixation in those cases, allowing for early rehabilitation is underlined.

Adult↗

[Vascularized bone graft treatment for pseudoarthrosis of the leg].

The use of pedicular and free vascularized grafts in treatment for pseudoarthrosis of the leg is discussed in this paper. These grafts are greatly useful in treatment of avascular pseudoarthrosis where severe vascular impairment is present. The transplantation of viable, vascularized bone graft to the site of pseudoarthrosis creates ultimate environment for bony union. A concomitant soft tissue transfer (muscles and skin) may compensate for potential skin defect at the recipient site. According to the authors the above discussed method deserves broader application in the treatment of pseudoarthroses, especially avascular ones.

Adult↗

Functional reconstruction of the palmar surface of the thumb using the neurovascular flap from the index.

We have achieved favorable results in reconstruction of the palmar surface of the thumb using the neurovascular flap from the index. The technique was applied in several patients with defects of the palmar surface and the tip of the thumb. Satisfactory functional and aesthetic results were obtained. It seems to be a very useful method to restore the sensory area of the thumb.

Dermatologic Surgical Procedures↗