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Biomedical subjects

A B Redfern

Publications and source records attributed to A B Redfern.

7 recordsLinked to original sources
PubMed1995

Neurologic and ischemic complications of upper extremity vascular access for dialysis.

This study reviews the clinical course of 22 patients with chronic renal failure on hemodialysis with ischemic or neurologic problems in the upper extremity distal to an arteriovenous fistula. Two distinct presentations were observed. Twelve patients developed significant motor and/or sensory impairment immediately following surgical construction of the fistula. Ten patients presented with upper extremity ischemia, established or impending tissue loss, or nonhealing wounds distal to a dialysis fistula. Seventeen of the 22 patients were diabetic. Nerve conduction studies, noninvasive vascular studies, and arteriography were used to confirm the diagnosis. Sixteen of the 22 patients had ligation or revision of the fistula. Five patients underwent amputations at the metacarpal or phalangeal level, and one patient underwent below-elbow amputation.

Adult↗
PubMed1990

Union Memorial Hospital experience with replantation: patterns of change.

The experience with replantation of amputated or devascularized parts of the upper extremity distal to the wrist was reviewed for 1976-1980 and again in a similar way for 1986-1989. Comparisons between the two groups were made to look for similarities and differences. Analysis of this experience may help treating physicians, patients, and third-party payers to make decisions about management of these injuries.

Adolescent↗
PubMed1982

Experience with peritendinous fibrosis of the dorsum of the hand.

Fifteen patients with a diagnosis of peritendinous fibrosis of the dorsum of the hand (Secretan's disease) were treated between 1958 and 1980. Thirteen patients had excision of a dorsal fibroma with extensor tendolysis when necessary. Preoperative findings included a hard dorsal mass and limitation of motion. Postoperative courses were characterized by prolonged periods of rehabilitation and recurrent episodes of swelling. Twelve of 15 patients returned to work 3 to 30 months postoperatively. Permanent disability was substantial. None of these patients had significant wound healing problems, and all had improved range of motion. The question of self-inflicted injury was raised in five cases but could not be demonstrated.

Accidents, Occupational↗
PubMed1978

Subcutaneous mastectomy: a plea for conservatism.

The course after subcutaneous mastectomy is not without problems and the esthetic results, even in the absence of complications, are frequently disappointing. The role of subcutaneous mastectomy in the management of breast pathology remains uncertain at this time.

Adult↗
PubMed1977

Calcification of the fibrous capsule about mammary implants.

The possibility of fibrous capsule calcification should be kept in mind when evaluating mammograms in patients who have had an augmentation mammaplasty. One of our 4 cases was examined radiologically and the calcifications were not characteristic of those associated with malignancy, but the appearance might be different in the next case. The etiology is undetermined.

Adult↗