Sideways meshing of split-thickness skin grafts--a useful technique.
Sideways meshing of a split thickness skin graft can be of value where cosmesis requirements are high.
Burns↗
Biomedical subjects
S J McCulley
Publications and source records attributed to S J McCulley.
A modified Chiari L short-scar mammoplasty--the technique and results.
A modification of Chiari Junior's L-shaped mammoplasty has been used to produce reliable and pleasing results. Easier marking with use of a template and changes in the parenchymal dissection have been developed from the original description in 1992. A review of 90 consecutive cases was performed. Patient satisfaction was excellent (average score 9.23/10). Surgical outcome was assessed by surgeons not using the technique, the series achieving an above-average outcome, with ratings even higher for reductions under 800 g. Nipple sensation was normal post-surgery in 79%, present but abnormal in 17% and absent in 4%. Complications occurred in 18%, although the majority were minor, not requiring surgery.
Cicatrix↗
A new multiangle goniometer.
A goniometer that measures simultaneously the angles of the metacarpophalangeal, proximal interphalangeal, and distal interphalangeal joints is presented. This allows faster measurement of these angles, encouraging and simplifying accurate records of patient hand movements. The individual angles can be recorded or traced on a chart, providing a visual record.
Equipment Design↗
External fixator for the hand: a quick, cheap and effective method.
The value of external fixation in certain hand injuries is well established. It particularly has a place with highly comminuted fractures not well managed by internal fixation. Expense and availability of formal mini external fixator sets have resulted in differing methods being employed. An "alternative" external fixator is presented comprising the disposable sheath of an i.v. cannula as the cross bar, held by K-wires as the pins. Such basic raw materials are available immediately in all theatres at minimal cost. This has been used in gun shot wounds with highly comminuted fractures. A preliminary study with eight patients is presented. The method is inexpensive, simple to use, and quick to apply. Good bone union and length is achieved. Stability is excellent, allowing early motion. This method can be recommended when no standard fixator sets are available to the surgeon.
Catheterization↗