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Biomedical subjects

J M Leal

Publications and source records attributed to J M Leal.

18 recordsLinked to original sources
PubMed1984

Immediate, early, and late postsurgical management of upper-limb amputation.

This series is composed of 47 patients who underwent immediate, early, or late postoperative prosthetic fitting after upper-limb amputation. The purpose of this review was to analyze the impact of rapid postoperative fitting on upper-limb amputation, and to assess general prosthetic prescription and guidelines for upper-limb amputees. It would appear that in adult amputations there is a "Golden Period" of fitting for upper-limb prosthetic devices and this period appears to be within the first month after amputation. There appears to be no difference in ultimate prosthetic acceptance rate or use patterns as a function of the type of prosthesis initially provided. Based upon this combined review between the Tucson and Atlanta VA Medical Centers, the authors would suggest that all upper-limb amputees be fitted as rapidly as possible (within 30 days) with conventional prosthetic devices, and when they have shown motivation and skill in the use of conventional devices, then to re-evaluate them for appropriate externally powered prosthetic components.

Adolescent↗
PubMed1982

Brachial plexus injury management through upper extremity amputation with immediate postoperative prostheses.

Management of patients with brachial plexus injuries requires a team approach so that all aspects of their care are addressed simultaneously. This report examines elective amputation and prosthetic rehabilitation in a patient with brachial plexus avulsion of the left arm. The best possibility for good prosthetic rehabilitation is the early application of prosthetic devices with intensive occupational therapy. Using this type of approach, we have achieved significant improvement in amputation rehabilitation of upper extremity amputees treated with immediate postoperative conventional electric and myoelectric prostheses.

Adult↗
PubMed1981

Rehabilitation for lower extremity amputation.

The results of rehabilitation for lower-extremity amputation were analyzed to assess the impact of a center that used a coordinated team combined with modern surgical and prosthetic techniques. Data for group 1 patients (amputated between July 1, 1975, and June 30, 1977) demonstrated a healing rate of 63%, a mean rehabilitation time of 128 days, a mean hospitalization time of 68 days, and a rehabilitation rate of 69% for those who could walk prior to amputation. Data for group 2 (amputated between July 1, 1977, and July 30, 1979) demonstrated an amputation healing rate of 97%, an average rehabilitation time of 30.8 days, a mean hospitalization time of 38 days, and a rehabilitation rate of 100% for those patients who could walk before amputation. There was no difference between groups 1 and 2 in surgical mortality; all other variables, however, showed significant improvement for group 2 patients. Comparison within the same institution of the results of rehabilitation for lower-extremity amputation before and after the initiation of a dedicated amputation center clearly demonstrated the superiority of the center concept.

Adult↗
PubMed1980

Pulpectomy: immediate root canal filling with calcium hydroxide. Concept and procedures.

From the clinical aspect the endodontic treatment is divided into two groups: (1) teeth with pulp vitality (biopulpectomy) and (2) pulpless teeth (necropulpectomy). The authors point out the necessity of knowing the clinical pathologic conditions and the macroscopic aspect of the dental pulp before endodontic treatment. They describe the clinical procedures that must be performed in cases when the tooth presents pulp vitality (biopulpectomy), emphasizing (1) the necessity of a field of operation in an aseptic condition; (2) the necessity of a noninjuring instrumentation; (3) the use of cytophylactic substances and not cytotoxic substances; and (4) the use of a root canal--filling technique that respects the limits of the pulp stump, employing calcium hydroxide, a substance that maintains its vitality and induces and accelerates the apical closure by hard-tissue deposition.

Calcium Hydroxide↗