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Biomedical subjects

L von Rauffer

Publications and source records attributed to L von Rauffer.

12 recordsLinked to original sources

[Treatment of palmar dislocation and ulnar deviation of the metacarpophalangeal joint in chronic rheumatoid arthritis by modified Vainio arthroplasty].

In rheumatoid arthritis, a number of surgical procedures address the pathology at the metacarpophalangeal joint level. Besides synovialectomy, the use of endoprothetics is widespread. Particularly during the last years, more importance has again been attached to resection arthroplasty technique (e.g. Vainio's technique). The authors introduce a modified technique of Vainio's resection arthroplasty, permitting an active reposition of the proximal phalanx from its previous palmar dislocation and ulnar deviation. First clinical experience confirms the efficacy of this modified technique.

Adult↗

[Apert syndrome--case report].

The Apert syndrome is a complex deformity. Blauth distinguishes three degrees of deformity in the hand; these are demonstrated in our patients. The functional results after operative treatment were satisfying.

Acrocephalosyndactylia↗

[Epidermolysis bullosa hereditaria].

Two cases of epidermolysis bullosa hereditaria are presented. Their operative treatment is described. Distant flaps are necessary to bring resistant skin to the mechanically stressed areas of the hand. Specific after-care is essential to preserve the operative result.

Child↗

[Fibromuscular dysplastic aneurysm of the palm and microsurgical therapy].

Until now fibromuscular dysplasia has only been described in centrally located arteries. We found this disease in the arteries of the palm. Because of the progressive course and the increasing pain the disease had to be treated surgically. After the necessary resection of the fibromuscular dysplastic aneurysm the vessel system of the palm can only be reconstructed by microsurgical interposition of a vein graft.

Adult↗

[Transplantation of nervus peroneus by microsurgery (author's transl)].

From 1969-1977 at the Erlangen University Surgical Clinic 15 transplantations of the nervus peroneus were performed. 10 patients could be followed up within a time of 2-5 years after operation. As to the sensibility in most cases only protective sensibility could be achieved; as to the motor function the results were likewise poorer than in the upper limb. Beside our own results those of other authors were reported. Possible causes of the relatively bad prognosis of the Nervus peroneus were shown.

Accidents↗

[The operative treatment of epidermolysis bullosa hereditaria (author's transl)].

After demonstrating four clinical patterns of epidermolysis bullosa hereditaria the operative procedure will be discussed in two cases. One is a now 16-year-old male, the other a 18-year-old girl, who suffer from this disease. While removing the affected skin in a first operation, the defect is covered by a split skin graft taken from a non-affected area. In a second operation or in repeated operative procedures, not only must the affected skin be removed but also any existing scars and contractures. Children who suffer from this form of epidermolysis bullosa hereditaria present a severe problem. For all who deal with this problem, the painstaking preoperative preparation as well as the choice of the most suitable anaesthetic are as important in every respect as the operation itself and the postoperative and psychosocial care.

Adolescent↗

[Plastic surgery of soft tissue defects of the hand].

The primary closure of defects of the hand is mandatory. In case of exposure of deeper structures a flap procedure is necessary. Random and axial pattern flaps and also tissue transplantation with microsurgical anastomoses are demonstrated in this paper.

Amputation, Traumatic↗

[Modified technic of distal joint tenodesis].

A suggestion for a modified technique of tenodesis of the distal interphalangeal joint which always leads to a secure tenodesis by using one part of the superficial flexor tendon.

Arthrodesis↗

[Superselective vagotomy in rats. Functional criteria in rest and during stress].

A microsurgical technique allows the isolated severence of proximal vagal fibers at the minor curvature of the rat stomach (superselective vagotomy). In contrast to the conventional highly selective vagotomy, which favors formation of stress ulcers, this new procedure appears able to prevent gastric mucosa from developing stress ulcers.

Animals↗

[The enlarged butterfly-flap operation].

On regard to the butterfly flap plasty of SHAW 1973, we developed a modified technique by enlarging this method. This method will deepen the interdigital fold without transplantation of skin. We have operated between 1976--1979 twenty two patients by this method with a rather good functional and aesthetic result.

Hand↗