PubMed Health⌕ Search

Biomedical subjects

J A Buntine

Publications and source records attributed to J A Buntine.

14 recordsLinked to original sources
PubMed1994

Compartment syndromes in the forearm.

This paper has been written in response to a reader's set of questions: "Do compartment syndromes in the forearm exist? "I am also curious about the effects of nerve compression syndromes in the forearm. "What are the signs and symptoms of ulnar nerve compression and where is Guyon's canal? "What are the signs of posterior interosseus nerve compression syndrome?" The author emphasises that the answers are based on his experience as a plastic surgeon and could vary according to the experience of the surgeon consulted.

Acute Disease↗
PubMed1988

The contributions of plastic surgery to care of the spinal cord injured patient.

Plastic surgeons have contributed to the understanding of pressure sore pathophysiology and prophylaxis. Increasingly sophisticated surgical techniques such as myocutaneous or innervated flaps add to the reliability and durability of repairs. The majority of quadriplegics may benefit from surgical restoration of active elbow extension, lateral pinch and grasp. Prolonged postoperative care in bed or immobilisation of the upper limb demands that patients should understand fully all that the reconstructive procedure involves. The nature and importance of subsequent rehabilitation must be appreciated by the patient so that he will be motivated to achieve the best possible result. Functional electrical stimulation may find an increasing role in the years to come.

Arm↗
PubMed1988

A review of surgical rehabilitation of the upper limb in quadriplegia.

The options for surgical reconstruction of the quadriplegic upper limb are clarified by a new international classification of each limb independently, based upon the lowest functioning key muscle and residual sensation. Surgical restoration of active elbow extension, of pinch, and of grasp is now an accepted part of rehabilitation. This additional function may be achieved by transfer of a non-essential muscle, by tenodesis, or occasionally by arthrodesis. The techniques available for each group of the new international classification are described.

Arm↗
PubMed1987

Surgical rehabilitation of the upper limb in quadriplegia.

Fifteen quadriplegic (tetraplegic) patients from the Spinal Injuries Unit of the Austin Hospital have had surgery to improve function in 17 of their upper limbs. Changes in strength, function, subjective ratings and the influence on 198 activities of daily living are reviewed. The posterior third of the deltoid muscle was transferred into 8 triceps tendons to provide active elbow extension in seven patients. Six patients had transfers of forearm muscles to provide grasp and lateral pinch or active extension of wrist and fingers. Other operations included transfer of the latissimus dorsi to the forearm producing elbow flexion, medial advancement of the anterior deltoid origin improving shoulder control (an operation which has not been described previously), and tenodesis for stabilizing the wrist. The objective results were satisfactory in 12 patients. Eleven patients had either good or excellent subjective results. The maximum force of active elbow extension achieved was 6.8 kg and the peak grip strength reached was 10.5 kg. Six patients achieved subjective results higher than would have been expected from objective assessment. All patients benefited in some way, 13 patients felt that surgery was worthwhile and no patient lost appreciable function. The results of this series indicate that upper limb surgery has a definite place in rehabilitation of the quadriplegic patient. Improved surgical technique may reduce the time required for postoperative rehabilitation and thus make these procedures feasible for a larger number of patients.

Activities of Daily Living↗
PubMedDate not supplied

Man's best friend?: a review of the Austin Hospital's experience with dog bites.

A retrospective study of outpatient casualty-department attendances and inpatient hospital admissions for dog-bite wounds was undertaken. Alsatians were the offending dog in 47% of 34 recorded cases. The majority of patients were young; 73% of patients were less than 30 years of age. The upper limb was bitten most frequently (53% of bites). Eleven per cent of dog-bite wounds that were treated in casualty became infected. Upper limb and puncture wounds more often became infected. Prophylactic antibiotic treatment was associated with a 6% infection rate compared with an 18% infection rate in those who were not treated (not statistically significant; P greater than 0.1). Patients of over the age of 45 years had a higher complication rate. All these findings are consistent with other published series. The infection rate was minimal when patients were admitted to hospital and their wounds debrided and closed by a consultant plastic surgeon. A plan for the management of dog-bite wounds is outlined.

Animals↗