Biomedical subjects
Publications and source records attributed to H Matloub.
Both reflex sympathetic dystrophy (RSD) and conversion disorder are difficult to diagnose and treat. The following article depicts a situation in which diagnosis presents a particular challenge and suggests ways of applying both medicine and psychology in the treatment of this complex problem.
A case of chronic osteomyelitis of the skull with a large scalp and bony defect is presented. Following radical debridement, a vascularized flap of omentum was used for coverage, in conjunction with antibiotics administered intravenously. Some basic considerations in the management of osteomyelitis are discussed, as are the advantages of omentum as a material for scalp replacement.
Our results with the use of intraosseous wires for 72 complex, open fractures are reported. The technique is described, and attention to detail is emphasized. The technique is indicated especially for articular or comminuted fractures with multiple small fragments. It also provides solid, anatomic fixation for other types of fractures and for replants. A K-wire may be added if necessary and is usually used if there has been some bone loss. Complications have been few, most the result of displacement at the fracture site due to improper use of the technique. A major advantage of the solid fixation obtained with this technique is that it avoids or minimizes the need for postoperative splinting and allows early active and passive range of motion. It is our impression that this has minimized joint stiffness and tendon adhesions and improved functional results.
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