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Biomedical subjects

E Paneva-Holevich

Publications and source records attributed to E Paneva-Holevich.

14 recordsLinked to original sources
PubMed1991

Further experience with the bipedicled neurovascular island flap in thumb reconstruction.

A procedure is described for the transfer of sensibility to the thumb by means of an island flap. The donor site is the dorsoradial surface of the index finger. The flap is supplied by two neurovascular pedicles. The palmar one includes the digital artery of the index and the dorsal branch of the palmar digital nerve. The dorsal pedicle includes the dorsoradial artery and nerve of the index and one or two superficial veins. This procedure was used in 29 patients without early postoperative complications. The advantages of the method are the resurfacing of the prehensile surface of the thumb by a flap with good arterial and venous supply while preserving the innervation and the palmar skin of the donor finger.

Follow-Up Studies↗
PubMed1991

Island flap supplied by the dorsal branch of the ulnar artery.

Two cases are reported in which a fasciocutaneous island flap was employed supplied by the ulnaris dorsalis artery after the method proposed by Becker and Gilbert. The original technique has been modified by the authors, and this produces a better venous outflow. The vascular pedicle includes, besides the ascending branch of the artery and the venae comitantes, one of the superficial veins together with its respective subdermal band. A technique is also described that provides an optimal length for the vascular pedicle.

Adult↗
PubMed1991

Fasciocutaneous island flap from the dorsal forearm.

Four cases with fasciocutaneous island flaps from the dorsal forearm, pedicled on the posterior interosseous artery with retrograde vascular flow are reported on. A modification of the original operative technique with the vascular pedicle containing one or two subcutaneous veins is described. The risk of venous stasis is thereby markedly reduced.

Adult↗
PubMed1987

Ligamentotaxis in pseudarthrosis of the scaphoid bone (preliminary report).

Three cases are reported of pseudarthrosis of the scaphoid bone which have been treated by distraction with an external fixator employing ligamentotaxis. The investigations of Ilizarov and collaborators are discussed, pertaining as they do to stimulation of osteogenesis by distraction. Also considered are the possible indications for use of the method in some unfavourable fresh fractures of the scaphoid.

Adult↗
PubMed1982

Two-stage reconstruction of the flexor tendons.

Secondary repair of 324 flexor tendon injuries in the critical area was undertaken using a two-stage tenoplasty with a pedicle graft. This operation was combined with the Hunter procedure using a silicone rod in 39 repairs in fingers which were stiff and extensively scarred. Compared with a similar series of injuries in the first group, use of the rod improved the percentage of very good results form 13.8% to 47.8% in the scarred fingers, but the results in stiff fingers remained poor.

Adolescent↗
PubMed1982

Lengthening of the fingers after traumatic amputation.

Ten cases with lengthening of one of the fingers (as opposed to the thumb) are reported out of which nine were lengthened at the proximal phalanx and one at the middle. A small distraction device has been utilized, based on the principle of Ilizarov's apparatus with some alterations necessitated by the small size and specific requirements of the hand. The lengthening achieved varies from 1.2 to 3.2 cm, and after it has been accomplished, osteoplasty with bone graft has been performed in all cases. The results obtained are considered to be good both from the functional and the cosmetic point of view.

Amputation, Traumatic↗
PubMed1977

Compression osteosynthesis in the hand using a small nail-plate.

A small self-compression nail-plate for stable osteosynthesis in metaphyseal fractures of metacarpals and phalanges is described. It is also used for interphalangeal arthrodesis. This type of osteosynthesis was performed twenty-five times in twenty-one patients for treatment of malunion, non-union, and the like. Bone union occurred in all instances without exception. No deleterious sequelae in terms of limitation of motion in adjacent joints were recorded subsequent to the surgical intervention.

Adolescent↗