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Biomedical subjects

B N Bailey

Publications and source records attributed to B N Bailey.

At least 19 recordsLinked to original sources
PubMed1991

Accessory palmaris longus muscle causing ulnar nerve compression at the wrist.

An accessory palmaris muscle that arose from the base of the fifth metacarpal passed proximally and inserted into the palmaris longus tendon. In its course it compressed the ulnar nerve and vessels. It was detached proximally and folded on itself to provide hypothenar bulk. The entrapment symptoms were relieved.

Humans↗
PubMed1989

Island pedicled nerve grafts.

A technique of nerve grafting is described whereby a nerve "graft" is raised, maintaining its blood supply via a vascular pedicle. It is then transposed to reconstruct a defect in an adjacent nerve. Although there is little clinical evidence that this technique results in better nerve regeneration when compared with conventional nerve grafting, the method has advantages which are discussed.

Adult↗
PubMed1989

Forearm muscle herniae and their treatment.

Three cases of forearm muscle hernia are described. Their aetiology differed but, in all three, symptoms were sufficiently severe to interfere with the patient's work. Surgical repair of the myocoeles, by closure of the fascial defects using lata onlay grafts or an interweave of palmaris longus tendon, produced complete resolution of symptoms and enabled the patients to return to full employment.

Adult↗
PubMed1987

Infective cutaneous gangrene--urgency in diagnosis and treatment.

Many descriptions of infective cutaneous gangrene have been published under a variety of names. The classification adopted by Ledingham and Tehrani is illustrated by 4 cases seen in the Stoke Mandeville Hospital. Although the incidence is high in Eastern countries, infective cutaneous gangrene is uncommon in the Western hemisphere owing to a difference in geographic pathology. Early and delayed management is described, stressing that early diagnosis and aggressive treatment is required, ideally by a team consisting of a microbiologist and plastic and general surgeons. There is a substantial risk associated with the failure to diagnose and treat this condition. Mortality rates and prognosis are reviewed.

Adolescent↗
PubMed1985

Silastic sheet interposition arthroplasty for the painful rheumatoid wrist: a long-term review.

Silastic sheet interposition arthroplasty was performed in 20 patients with persistently painful but stable wrists. Synovial recurrence with progression of symptoms was seen in one patient. Quantitative analysis of pain demonstrated an 87% improvement in their perception of pain in the remaining 19 patients, with an average follow-up of 8.5 years. The postoperative range of motion was 58 degrees Total Active range of Motion (TAM) (range 27 degrees - 97 degrees). Nine patients showed later ulnar translocation of the carpus, and 10 patients had continuing carpal collapse. There was no relation between these changes and the degree of pain relief at the radio-carpal joint. Those patients operated on within 18 months of the onset of symptoms showed a significantly greater post-operative range of motion (68 degrees) compared to those whose symptoms had persisted from 2 to 4 years (48 degrees).

Adult↗
PubMed1982

The behaviour o free muscle and musculocutaneous flaps after early loss of axial blood supply.

Clinical experience has shown that a very large part of a free muscle, musculocutaneous or even osseo-musculocutaneous flap which loses its axial blood supply at ten days may survive. Vascularisation of muscle-containing flaps from the base is progressive and when a free-flap appears avascular on surface inspection careful tangential excision of the dead tissue will usually reveal surviving tissue in the deeper layers that will accept a split-skin graft or even another flap. Four illustrative cases are presented and discussed in detail.

Adolescent↗
PubMed1982

Latissimus dorsi muscle free flaps.

We have used free latissimus dorsi muscle flaps in nine patients to cover a variety of defects. The muscle has been covered with unexpanded meshed split-skin. The method is a reliable means of providing skin cover with a minimal donor site morbidity and less flap bulk than in conventional myocutaneous flaps. Our one "failure" was not related to the fact that the muscle was taken without its overlying skin, it was due to avulsion of the vascular anastomosis.

Adolescent↗
PubMed1979

Latissimus dorsi flap-a practical approach.

The value of the latissimus dorsi flap in its various modalities is illustrated. The practical aspects of planning, raising, transferring and monitoring the flap are discussed.

Adolescent↗