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Biomedical subjects

A J Bruce-Chwatt

Publications and source records attributed to A J Bruce-Chwatt.

3 recordsLinked to original sources

The posterior interosseous flap for soft-tissue cover of the hand.

The management of soft-tissue defects of the hand with exposed bone and tendons may be difficult. The posterior interosseous flap is a fasciocutaneous island from the dorsal forearm, based on the posterior interosseous vessels. We have used this flap as a one-stage procedure to cover soft-tissue defects of the hand in 6 patients. It provides excellent cover without sacrificing a major blood vessel such as the radial artery. Although the vascular anatomy of the flap is normally consistent, variations exist. This prevented elevation of 1 of the flaps in our series.

Forearm↗

"Is 40 years enough delay?".

The case of a 40-year-old tube pedicle, raised in 1939 and subsequently lost to follow-up, is presented together with a description of its appearance and eventual modified use to accomplish its original purpose.

Burns↗

Free flap monitoring using a microcomputer linked to a laser Doppler flowmeter.

The problems of free flap monitoring using the Periflux PF108D laser Doppler flowmeter (PLDF) are discussed, as are the indices of flap perfusion that the laser Doppler flowmeter can provide. The use of a microcomputer linked to a laser Doppler flowmeter by a suitable interface and using an appropriate monitoring program is described together with details of the system and program. It is suggested that linkage with a microcomputer offers a relatively simple, low cost method of improving the ease and reliability of free flap monitoring with the laser Doppler flowmeter.

Forearm↗