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Biomedical subjects

R Dijkstra

Publications and source records attributed to R Dijkstra.

17 recordsLinked to original sources
PubMed1993

Fowler's tenotomy for mallet deformity.

35 patients with established mallet finger deformities were treated with Fowler's tenotomy of the central extensor tendon. The mean lack of extension before operation was 45 degrees. 26 patients regained full extension, eight patients had a residual deformity of 10-20 degrees and one patient of 30 degrees.

Female↗
PubMed1989

Thumb reconstruction in the severely damaged hand using finger remnants.

In severely injured hands with loss of the thumb and irreparable damage to one or more fingers, the thumb can often be reconstructed by transfer of a comparatively useless finger remnant. Sometimes this reconstruction can be performed at the time of primary treatment, but generally this is done as a secondary procedure. Seven patients were treated and considerable functional improvement was obtained in all instances.

Adolescent↗
PubMed1988

The result of breast reconstruction after mastectomy for breast cancer in 109 patients.

One hundred and eleven breast reconstructions after a mastectomy for carcinoma in 109 patients are reported. Depending on the quality of muscle and skin coverage, reconstructions were performed either with a latissimus dorsi musculocutaneous flap or a subpectoral prosthesis (including expander prosthesis). The follow-up involved 90 patients. The purely aesthetic results as well as the very positive result of reconstruction with regard to appearance in clothing, participation in sports, and self-esteem were of great importance to the patients. The difference in ptosis, the most obvious shortcoming in our reconstructions, is discussed. Attention is given to the importance of flap planning and the restoration of the anterior axillary fold in the latissimus dorsi flap reconstructions. The disappointing results of tissue expansion and the shortcomings of the nipple-areola reconstructions are discussed.

Adult↗
PubMed1988

Tissue expansion in reconstructive surgery.

A surplus of skin for closure of a defect can be obtained by gradual filling of a subcutaneous balloon. In this way reconstruction of extensive skin defects with neighbouring skin is possible. Two patients with skin defects of the head are illustrative for this expansion technique. The technique, indications and histology are discussed.

Child↗
PubMed1987

Results of microsurgical treatment of nerve injuries of the wrist.

A retrospective study was made of 62 patients with sharp, total transection of the ulnar and/or median nerves, operated on with use of microsurgical techniques. The results were evaluated in 44 patients. Following primary repair of the median nerve, eight patients achieved a reasonable result (8/25, 32%) and 13 a good result (13/25, 52%). In contrast, after secondary nerve grafting in six patients, only one patient achieved a reasonable result (1/6, 17%) and three a good result (3/6, 50%). After primary repair of the ulnar nerve, four patients (4/10, 40%) achieved a reasonable result, and five a good result (5/10, 50%). In contrast, after secondary nerve grafting in five patients, four achieved a reasonable result (4/5, 80%) and none a good result. The age of the patients appeared to determine the quality of recovery; in all patients younger than 20 years reasonable or good function of the nerve returned.

Adolescent↗
PubMed1975

Treatment of x-ray ulcers by omental transposition.

A case is reported of closure of a very deeply penetrating X-ray ulcer of the axilla. Omental tissue was used as a pedicle flap and the advantages of this procedure to cover and salvage ischaemic tissue are pointed out.

Axilla↗