Biomedical subjects

S K Vilkki

Publications and source records attributed to S K Vilkki.

4 recordsLinked to original sources

PubMed1986

Reconstructive microsurgery--a review.

We present some important current applications of reconstructive microsurgery. This field is expanding rapidly and the techniques are finding application in many branches of surgery. There is a pressing need for educational programs and training in microsurgery, as well as for continued research. Many of the procedures reviewed here have already been shown to substantially reduce costs, shorten hospitalization, and lessen patient disability; and as a result, several conventional procedures have been out-dated. We have stressed the concept that this is team surgery. To cover the needs of replantation and emergency free flaps around the clock, several microsurgeons must work together in established centers, and the team must possess expertise from all the involved surgical specialities. This may imply revision of many organizational aspects of patient care. Replantation centers would provide the necessary educational bases and give an impetus to the development of microsurgery.

Bone Transplantation↗

PubMed1986

Replantation of a leg in an adult with 6-years' follow-up.

After traumatic amputation of the distal half of the leg, a replantation was carried out using microsurgical technique in a 24-year-old lumber mill worker. He returned to his job after 1 year, and 6 years after the accident he had good function and satisfactory sensibility in the sole of his foot. The case shows that even a lower limb replantation may give useful results under favourable conditions.

Adult↗

PubMed1985

[Free toe transfer to the forearm stump following wrist amputation--a current alternative to the Krukenberg operation].

A new and simplified technique for reconstruction of the gripping ability after total loss of the hand is introduced. Previous techniques have not gained popularity because of the rather complicated procedures trying to extend the stump with two additional toes. Poor skin in the distal end of the stump has been a limiting factor and technically transplantation of two separate toes has been a difficult procedure. The stability in such a grip may be compromised. In the author's modification only one toe is used with an island flap from the big toe. The opposing post in this grip is the stable resection plane of the radius, covered partly by dorsal sensible skin and partly by the first web space skin with the island flap from the big toe. The stability is good because of the width of the post. The mobility of the new "thumb" may be excellent if the balance between the different muscle transfers is optimal and the rehabilitation is done in an adequate way from the beginning. This is a preliminary report of the technique and the preliminary results in three similarly operated patients are very promising. The technique is introduced especially as a modern alternative to the Krukenberg-plasty and may have its greatest value among blind patients with long forearm stumps.

Adult↗

PubMed1982

Replantation surgery in Tampere University Central Hospital 1977-1981. A general survey.

During the period June 1977-May 1981 a total of 94 replantations or revascularisations were performed in 73 patients with an amputation injury. The overall success-rate was 90.4%. The functional result has been satisfactory in the majority of cases. However, the needs of replantation surgery will not be covered without further efforts to improve the service and provide more accurate information for both the public and the medical personnel throughout the country.

Adolescent↗