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Biomedical subjects

M Merle

Publications and source records attributed to M Merle.

At least 217 records · Page 12Linked to original sources
PubMed1982

[An unusual form of macrodactyly].

The authors report a rare case of macrodactyly of the thumb in a 36 year old woman. The hypertrophy predominates on the epiphyseal tissue with complete ankylosis of the trapezo-metacarpal joints. The metacarpo-phalangeal joint and interphalangeal joints in an abnormal position. This results total functional incapacity of the thumb. The cosmetic and psychological impact are important to consider. Treatment consisted of two operative procedures. First a silastic implant for the trapezo-metacarpal joint and an arthrodesis of the metacarpophalangeal joint in a normal position was done. Three months later, the volume of the thumb was reduced by a longitudinal bone resection. The functional and cosmetic result are being assessed. The literature is reviewed and the different modes of treatment utilised in such a malformation is presented. A relation between macrodactyly and lipomatous macrodystrophy is considered.

Adult↗
PubMed1982

[The reversed de-epithelialized flap].

The reversed deepithelialized flap was used by Clodius for the lower limb and Pakian was the first to report on the use of this procedure in the hand. In the operation a classical cross-finger is deepithelialized and turned over on to an adjacent finger. The dermal part comes in contact with the exposed structures of the defect to be covered. This technique increases the indications for the cross-finger flap to many cases, where the classical flap is not possible.

Finger Injuries↗
PubMed1982

[Malunions of the metacarpals and phalanges. Results of surgical treatment].

The authors have made an analysis of the results obtained after surgical correction of 30 malunited metacarpals and phalanges. Nine involved joints, but the remainder did not. In 25 cases, there was limited movement associated with the malunion. The surgical devices were specially designed for surgical treatment and the technique employed is described. It is concluded that the correction of malunion needs to be made but that this alone is not sufficient to obtain a satisfactory result. The effectiveness of added tenolysis, arthrolysis, post-operative bracing and rehabilitation is even more important. The indications for treatment are given according to the level and location of the malunion.

Adolescent↗
PubMed1981

[Transplantation of the second toe in the reconstruction of fingers (author's transl)].

Transplantation of the second toe to replace a finger has been suggested more recently than has transplantation of the great toe to replace the thumb. The technique is described in detail. There is no plantar skin incision in the foot. The arterial suture is made at the level of the digital artery. Two toes can be transplanted when several fingers are missing. 11 cases have been operated on and the results analysed. In all cases, pinch grip between the thumb and the transplanted finger was made possible.

Amputation, Traumatic↗
PubMed1980

[Microsurgery in acute treatment of hand injuries].

Microsurgery has brought important progress in the primary treatment of wounds of the hand. Microsuture of flexor tendons (Kleinert), revascularization by arterial and venous repair and bundle suture of nerves are all proven techniques which favour healing and functional recovery, provided early mobilization is instituted whenever possible.

Finger Injuries↗
PubMed1980

Microsurgical free partial toe transfer in hand reconstruction: a report of 12 cases.

The foot is an invaluable bank of spare parts available for reconstructing the mutilated hand. The dorsalis pedis flap, the extensor digitorum brevis muscle, and the first and second toes can now be used as free transfers. We believe that partial toe transfers, including either sensitive cutaneous flaps or composite tissue, are also extremely useful in properly selected patients.

Adolescent↗
PubMed1980

[Radiological appearances of congenital malformations of the hand (author's transl)].

Pre- and post-operative radiological appearances of various isolated congenital malformations of the hand are described, as observed in a personal series of 52 cases. Six groups of malformations can be distinguished, and are, in decreasing order of frequency: agenesias, syndactylies, duplications, amniotic bands, arthrogryposis, and macrodactyly.

Adult↗