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Biomedical subjects

W A Morrison

Publications and source records attributed to W A Morrison.

At least 163 records · Page 9Linked to original sources
PubMed1980

Effects of methyl methacrylate on liver function in patients undergoing total hip or total knee replacement.

In an unselcted group of patients undergoing total hip or total knee replacement, it was shown that liver changes occur postoperatively in those in whom polymethyl methacrylate was used. The changes are transient and return to normal by two weeks after operation. These liver changes are seen more frequently in patients also receiving halothane. Elevations in the serum alkaline phosphatase level are secondary to increases in the isoenzyme levels from liver and not bone. A routine SMA study should be supplemented by routine preoperative tests specific for liver function, such as the enzyme gamma glutamyl transpeptidase or others. Patients with abnormal liver test results before total joint replacement with cement probably should not be given halothane as an anesthetic.

Alkaline Phosphatase↗
PubMed1980

Replantation and revascularization of digits.

Between 1970 and 1978, 160 digits in 120 patients were replanted or revascularized. One hundred and nineteen digits survived, and these patients were assessed objectively and subjectively for functional results and their ability to return to work. Providing that strict indications are observed, long term objective and subjective results of digital replantation have proved most valuable from the point of view of the examiner and the patient. The best results were obtained with replantation of the thumb.

Adolescent↗
PubMed1978

Microvascular great toe transfer for congenital absence of the thumb.

Two cases of microvascular great toe transfer for congenital absence of the thumb in children are reported. A rationale and operative details are discussed. A long term follow up is needed, but at this stage the results are most encouraging. There has been no interference with gait.

Child, Preschool↗
PubMed1978

Neurovascular free flaps from the foot for innervation of the hand.

Microneurovascular flaps from the first web space of the foot offer a solution to upgrade sensibility of the denervated hand. Based on the dorsalis pedis artery, it allows simple dissection and a large vessel for easy and safe anastomosis. Seven cases are presented in which combinations of the first web anatomy for a variety of denervation injuries were used. The technique is ideally suited in those cases where no areas of island flap tissue are available for transfer.

Adolescent↗
PubMed1978

Neurovascular free foot flaps in reconstruction of the mutilated hand.

The neurovascular free flap from the first web region of the foot affords unrivalled potential for refurbishing sensibility to the denervated hand. Its greatest application is when no conventional island flap tissue remains for transfer. Its two-point discrimination is only moderate, but when used for thumb reconstruction, its sensibility is adequate because no functional substitute exists. Functionally and cosmetically it is superior to other methods of thumb reconstruction because of its pulp, size, and nail availability. There are no finger identification problems and secondary donor defects are minimal.

Adult↗
PubMed1978

Clinical experiences in free flap transfer.

In this series of 62 free flap transfers, 48 (80%) have been successful. There have been a significant number of vascular complications, 39% of which the majority were arterial thrombosis. Fifty per cent of those which thrombosed were salvaged on exploration and revision of the vessels. The frequency of complications has diminished with experience but they remain significantly high. Free flap surgery demands considerable expertise in both donor site dissection and microvascular technique. Two surgeons with microvascular experience, each with adequate assistance, are preferred and ready availability of operating room is essential. Close postoperative observation and readiness to revise anastomoses are equally important. About 50% of failed free flap sites have been repaired by application of split skin grafts.

Adolescent↗
PubMed1978

Digital replantation: clinical experiences.

In a series of 130 digital replantations successful revascularization has been obtained in 74% of cases. Arterial thrombosis is the most common cause (65%) of all failures. A useful digit can be obtained following replantation and the surgery is particularly indicated for amputated thumbs and in hands suffering multiple injuries. Precautionary measures against bleeding are absolutely essential. Primary tendon and nerve repairs are advocated. Vascular occlusion may be corrected by revisional surgery and secondary surgery can improve tendon nerve or joint function.

Adolescent↗
PubMed1977

Microsurgery.

Explore the source record for details and available documents.

Adolescent↗
PubMed1977

A long-term review of digital replantation.

An analysis of the first 130 cases of digital revascularization and replantation performed at St Vincent's Hospital, Melbourne, during the period 1970-1977, confirms the long-term functional value of these procedures provided that strict indications for replantation are adhered to. Patient satisfaction has been almost universal, and objective testing shows that the most satisfying aspect of the procedure is the quality of sensory return. Flexor tendon function and the range of joint movement, however, are universally poor, and all patients complain of sensitivity to cold. The thumb has been by far the most satisfactory digit to replant, and avulsion injuries gave the poorest results, from the point of view of both survival and long-term function.

Adolescent↗
PubMed1977

Evaluation of digital replantation--a review of 100 cases.

One hundred digital replantations and revascularizations of digits performed during a five year period were analyzed. Seventy replantations (70 per cent) survived and 62 were available for long term functional follow-up. Provided strict indications are observed, replantation is a most worthwhile procedure.

Adolescent↗