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Biomedical subjects

V Ritsilä

Publications and source records attributed to V Ritsilä.

At least 37 records · Page 2Linked to original sources

Clear-cell sarcoma of tendons and aponeuroses. Report of two cases.

Two cases of clear-cell sarcoma of tendons and aponeuroses are reported. The first patient was a 19-year-old man with a tumor in the medial collateral ligament of the knee. The tumor was enucleated, and after postoperative radiotherapy a wide local excision was done. The patient was symptomless 4 1/2 years after the operation. The other patient was a man aged 68 with a tumor between the medial malleolus and the Achilles tendon. He also received postoperative radiotherapy after enucleation. Three months later a metastasis was noticed in the ipsilateral para-iliac nodes. The patient died 16 months after the operation. The histology and clinical course of the two cases are analyzed. Some integrative remarks based on earlier reports of 33 cases and the present two cases are presented.

Achilles Tendon↗

Supination deformity of the forefoot.

Supination deformity of the forefoot is rare. Observations of eleven cases and the production of the deformity in rabbits suggest that loss of function of the peroneus longus muscle in combination with the effect of a strong tibialis anterior muscle is decisive for the appearance of the deformity. Primary conditions causing deformity were: spina bifida, talipes equinovarus, poliomyelitis, trauma and muscular dystrophy. Treatment by wedge resection of the first cuneiform and the first metatarsal bones and transfer of the tibialis anterior tendon was successful. Operations for supination deformity were carried out in nine cases.

Adolescent↗

Bone formation with free periosteal grafts in reconstruction of congenital maxillary clefts.

In a series of 23 patients free grafts of tibial periosteum have been used in the reconstrlction of 26 congenital maxillary clefts. In 23 (88.5%) of these clefts, rapid bone formation occurred at the transplantation site overbridging the bone defect in 20 (77%) of the clefts. The permanent value of these bone bridges has not yet been solved. Nevertheless, this operation has demonstrated the strong osteogenic capacity of free periosteal grafts suggesting their use also in other fields, where bony fusion or reconstruction of other defects is needed.

Cleft Lip↗

Tissue adhesive vs sutures in closure of incision wounds. A comparative study in human skin.

Two different standard incisions were used to compare the healing of wounds closed with normal "atraumatic" surgical technique and with a tissue adhesive. Healing was recorded by serial photography. It was found that wounds, which were not under tension postoperatively, the resulting scar was cosmetically better when tissue adhesive was used compared with conventional methods of suture.

Cleft Lip↗

Late complications of scalding in children: treatment and prevention.

Children between the ages 1 to 3 years are particularly prone to burns by their constant desire to pull down containers of hot fluids. The resulting burns produce serious complications such as hypertrophic scars and scar contractures, which can be severe enough to cause growth disturbances. A series of 31 cases of these accidents resulting in the above sequelae was investigated. These complications are however the end result of a chain of unfortunate events any or all of which could have been avoided. Usually the scald could have been prevented by greater vigilance on the part of the parents. Once late complications have developed, excision of the scar tissue and subsequent skin grafting or other reconstructive procedure should be performed. However, in spite of satisfactory results, these complications have a tendency to recur during the growth period.

Burns↗

Modification of Krukenberg's kineplastic operation.

Little attention has been paid lately to the kineplastic operations of amputation stumps. But Krukenberg's procedure, the forcipisation of forearm amputation stumps introduced in 1917 has, nevertheless survived. The authors have modified the operation. The skin of the forearm is split with a U-shaped incision. All muscles are saved. The interdigital commissure is covered with two triangular flaps. The remaining skin defect is left on the dorsum of the radial branch and covered with a free split skin graft. The skin graft is not used to cover the contact surface. In the Orthopaedic Hospital of the Invalid Foundation of Helsinki nine hands of seven patients have been operated during the years 1969--73 using this method.

Adolescent↗

Spinal fusion with free periosteal grafts and its effect on vertebral growth in yound rabbits.

The effect of early fusion on growth of the spine has been studied in rabbits. Free periosteal grafts from the tibia were transplanted either posteriorly between the spinous and articular processes or postero-laterally between the articular and transverse processes. Sound bony fusion was achieved in both the thoracic and the lumbar spine. Spinal fusion caused local narrowing and wedging of the intervertebral spaces, followed by retardation of growth and wedging of the vertebrae. A progressive structural scoliosis developed after unilateral postero-lateral fusion and a lordosis developed after posterior fusion.

Animals↗