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Biomedical subjects

T M Milward

Publications and source records attributed to T M Milward.

15 recordsLinked to original sources
PubMed1991

The Nicolle finger joint prosthesis: a reappraisal.

The Nicolle prosthesis was used to replace 101 metacarpophalangeal joints in patients with rheumatoid arthritis over a ten-year period. Mean active flexion achieved was 30 degrees. Mean ulnar deviation was 27 degrees. 4% of joints had to be removed after a mean interval of 42 months, for infection. None of the implants had fractured.

Arthritis, Rheumatoid↗
PubMed1990

Assessing blood loss in cleft lip and palate surgery.

A method of continuously assessing peroperative blood loss is presented. A calibrated trap which collects all the blood loss is placed in the suction tubing. Bipolar diathermy and suction maintain a bloodless wound. A test using 20 ml of fresh venous blood showed that approximately 5 ml remained clotted in the tubing and 15 ml entered the trap. The method is particularly applicable to cleft lip and palate surgery.

Blood Volume↗
PubMed1988

A study to assess the effectiveness of a professional and lay support service for parents of new-born cleft babies.

Since 1981 the Leicestershire Support Service has offered a combination of professional and lay advice to parents of new-born cleft babies. This paper evaluates this service by interviewing retrospectively the parents of two groups of children, those born before the service was available and those born since. As a control group, a prospective study of parents with unclefted children was carried out. The strengths and weaknesses of the current Support Service are identified and recommendations for improvements are proposed.

Attitude to Health↗
PubMed1982

The primary repair of digital flexor tendons.

This paper presents the results of 80 out of 98 severed flexor tendons repaired between 1976 and January 1981 using the Kleinert technique with immediate dynamic splintage. In this series 13 repairs were in the thumb and 85 in the fingers (19 in Zone 1; 66 in Zone 2). Only 10% of the injuries were industrial. A total of 80 tendon repairs were available for assessment using the methods of White and Kleinert; 60% of these were graded excellent to good, with 55% excellent to good for Zone 2 repairs. An "injury score" has been devised to indicate severity of injury and this correlated well with poor results in Zone 2 injuries. Better results were obtained in the young and in well motivated patients. Delayed repairs did badly, especially in Zone 2.

Adolescent↗
PubMed1977

The abductor digiti minimi muscle flap.

The problems of extensive scarring involving the median and ulnar nerves at the wrist are discussed. Possible methods of separating the dermal cicatrix from the nerves are skin flaps or muscle flaps. A case is presented in which an abductor digiti minimi muscle flap was used. The reasons for this choice are discussed and the technique described.

Aged↗
PubMedDate not supplied

The Moriarty sign: an appraisal.

If the recipient site of a split skin graft become more painful than the donor site, it is a sign that the graft is unlikely to take 100% and suggests that early inspection of the site should be undertaken. If, however, the donor site is consistently the more painful, good take is likely. This has been termed "Moriarty's sign". A prospective study of 40 patients is presented and suggests that this sign is a reliable indicator of graft take. The derivation of the term and its importance in clinical practice are discussed.

Graft Rejection↗