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Biomedical subjects

R E Van Enoo

Publications and source records attributed to R E Van Enoo.

4 recordsLinked to original sources

Tibial sesamoid planing for intractable plantar keratoses.

Partial tibial sesamoidectomy or sesamoid planing is an alternative to complete sesamoidectomy or nonoperative maintenance of a plantar keratosis. It can be performed through a very small incision and is a relatively uncomplicated, yet effective, procedure for relieving the effects of abnormal shearing forces from a prominent or malpositioned medial sesamoid. A retrospective study of 13 patients extending for 10 years representing 17 procedures was conducted.

Adult↗

Peroneal tendon balance procedure.

The authors introduce the peroneal tendon balance procedure and discuss normal and hypermobile function of the first ray. The procedure is based on the theory that the peroneus longus tendon is a primary retrograde stabilizer of the proximal portion of the first ray. The theory emphasizes that abnormal pronation results in a positional weakness of the peroneus longus tendon, which induces first ray hypermobility. This surgical procedure involves an anastomosis of the peroneus longus to the peroneus brevis tendon. It is designed to increase the force of the peroneus longus tendon in order to reduce first ray hypermobility.

Humans↗

Minimal incision surgery. A plastic technique or a cover-up?

Minimal incision surgery is a plastic surgery technique which requires highly developed, specialized skills. If these techniques are used indiscriminately and/or with underdeveloped skills, the results can be extremely unsatisfactory and the technique itself may become the subject of disrepute. After testing a wide range of applications for 15 years, the authors found a limited number of conditions suitable for correction by MIS techniques. In some cases, however, it allows a somewhat wider range of application than any non-MIS technique. For example, in cases of severe scar formation and compromised vascularity, any other form of surgery could be too traumatic, or, in the elderly, too disabling. Therefore, these techniques can often bring relief with safety to a greater segment of the population than otherwise possible. Benefits are numerous, including certain safety factors. There appears to be an increased protection from scarring, nerve entrapment, infection, pain, and extended disability. Certain cosmetic benefits are also acceptable and attractive to the patient.

Aged↗