20 patients with 30 damaged nerves have been reexamined after direct suture and nerve grafts respectively transplantation. The results obtained have been evaluated according to the principles of HIGHET and SEDDON as well as to those of CLEMENS. In 61% of the cases a good sensibility was retrieved. The results concerning motor function were found to be surprisingly satisfactory. The transplantation of short grafts showed especially good results. According to CLEMENS the reconstruction of the nerves was successful in 65% of the cases. The most satisfactory results were obtained at the median nerve.

Electromyography↗

PubMed1979

[Possibilities and indications for surgical treatment of incurable breast cancer].

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Adult↗

PubMed1979

Experience with a two-staged pedicled flexor tendon graft.

A two-staged technique for flexor tendon grafting in Zone 2 is described using a silicone rubber rod which is replaced at the second stage by a somersaulted superficialis tendon graft sutured end-to-end to profundus tendon at the lumbrical level. The results are analysed.

Adolescent↗

PubMed1979

[Results of 2-stage flexor tendon transplantation on zone 2].

For reconstruction of injuries of flexor tendons within zone 2, we used pedicled two-stage tendon grafts in about 50 cases. Proceeding from the concept that a pedicled tendon graft, at least partially vascularised, would tend less to adhesions, we combined the technique of PANEVA-HOLEVICH with the two-stage procedure. The results of 31 follow-up cases are reported and analysed by using the evaluation criteria of BUCK-GRAMCKO. Very good results were obtained in 17,4%, 30,4% were judged failures, good in 30,4% and satisfying results in 21,7%.

Adult↗

PubMed1979

[Contribution to camptodactyly].

Camptodactyly occurs relatively often but it rarely needs therapy. For decades the genesis of camptodactyly was not clear until it was discovered that the deformations causing the contraction of the PIP joint are to be found in the area of the dorsal aponeurosis (MILLESI) and of the intrinsic muscles of the hand (WILHELM, KLEINSCHMIDT). At the Münster University anomalies of the lumbricals were found, on occasion of exploration of the palm, but not in all cases. Probably there exist several types of camptodactyly with different defects. The necessity for exploration of the palm is confirmed.

Adolescent↗