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Microdialysis in reconstructive surgery : a clinical and experimental study focusing on monitoring flap metabolism and viability /Röjdmark, Jonas, January 1900 (has links)
Diss. (sammanfattning) Stockholm : Karol. inst. / Härtill 5 uppsatser.
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Rehabilitation after anterior cruciate ligament reconstruction using patellar tendon or hamstring grafts : open and closed kinetic chain exercises /Heijne, Annette, January 2007 (has links)
Diss. (sammanfattning) Stockholm : Karolinska institutet, 2007. / Härtill 4 uppsatser.
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Técnica quirúrgica para el tratamiento de fisuras labiales bilaterales asimétricasRossell Perry, Percy, Gavino Gutiérrez, Arquímedes 11 August 2014 (has links)
Introducción: La anatomía de la fisura labial bilateral es diferente para cada paciente y varios autores han descrito modificaciones de técnicas tradicionales en la búsqueda de obtener un diseño más individual con mejores resultados. Las técnicas de Millard y Mulliken son probablemente las técnicas quirúrgicas más usadas por los cirujanos alrededor del mundo en el manejo de la fisura labial bilateral, sin embargo existen algunas limitaciones en esta técnica en casos bilaterales con asimetría. En ese sentido, se ha diseñado la presente técnica que busca corregir la asimetría en la fisura bilateral. Esta técnica se basa en un doble avance y rotación lateral localizando las cicatrices sobre las líneas naturales del labio entre las unidades estéticas del mismo.
Material y Métodos: Este es un estudio retrospectivo del tipo de serie de casos. Este artículo presenta una nueva técnica para el tratamiento quirúrgico de la fisura labial bilateral usada por el autor en 125 pacientes a manera de estudio retrospectivo descriptivo. Esta técnica está basada en el concepto de doble avance y rotación lateral permitiendo el alargamiento del segmento labial lateral más corto. Estas incisiones son ubicadas sobre las líneas naturales del labio, entre las subunidades estéticas del labio superior, en su mayoría. Se evaluaron los resultados obtenidos con esta técnica considerando el número de malos resultados observados a través del seguimiento de los pacientes en un plazo mayor a un año a través del examen físico directo y el análisis de las fotos postoperatorias estandarizadas.
Resultados: Desde 2009 al 2011 esta técnica ha sido usada en 125 fisuras labiales bilaterales. Se obtuvo un buen resultado estético y funcional del labio superior y la nariz con esta técnica. Se observaron 15 / 125 (12 %) de malos resultados. Estas son cirugías que necesitaron revisión secundaria mayor.
Conclusiones: Una nueva técnica para el tratamiento de formas asimétricas de fisura labial bilateral se describe aquí. Esta es una técnica que permite alargar el segmento labial lateral más corto de la fisura con buenos resultados estéticos en la reconstrucción del labio superior y nariz de la fisura labial bilateral. / Introduction: The anatomy of bilateral cleft lip is different for each patient, and many authors have described modifications of the traditional repairing techniques in order to achieve more individualized designs and better results. The techniques described by Millard and Mulliken are probably the most commonly used all over the world for repairing bilateral cleft lip; however, there are some short-comings when trying to repair asymmetric forms of bilateral cleft lip. So, we designed this technique aiming to correct asymmetry in bilateral cleft lip. This technique is based on a double advancement and lateral rotation concept placing the scars over the natural lines between the esthetic subunits of the upper lip.
Matherial and Methods: This is a retrospective and descriptive study based on a case series. We present a new technique used for surgical repair of bilateral cleft lip in 125 patients. The technique is based in the double advancement and lateral rotation concept which allows lengthening of the shortest lateral lip segment. Most of the incisions are performed on the natural lip landmarks, between the aesthetic subunits of the upper lip. Results were assessed considering the number of failures observed after following up patients for more than one year, performing physical examination and analyzing standardized postoperative pictures.
Results: This technique has been used in 125 procedures for repairing cleft lip. We obtained good functional and esthetic outcomes for both nose and lips using this technique. The rate of poor results was 15/125 (12%). These latter procedures had to undergo major secondary surgical revisions.
Conclusions: We describe a new technique for surgical repair of asymmetric bilateral cleft lip. This technique led to the elongation of the shortest lateral labial segment, allowing us to achieve good esthetic and functional results on upper lip and nose reconstruction in cases of bilateral asymmetric cleft lip.
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A Comparison of Cyclic Valgus Loading on Reconstructed Ulnar Collateral Ligament of the ElbowShah, Roshan Pradip 09 April 2008 (has links)
This study compares the biomechanics of early cyclic valgus loading of the ulnar collateral ligament (UCL) of the elbow repaired by either the Jobe technique or the docking technique. Better understanding of the biomechanical properties of each reconstruction may help surgeons choose the optimal surgical technique, particularly in planning earlier rehabilitation programs. Sixteen fresh frozen cadaver limbs (eight pairs) were randomized to either the Jobe cohort or the docking cohort. First intact UCLs were tested, followed by the repaired constructions. A Bionix MTS apparatus applied a constant valgus load to the elbows at 70o flexion, and valgus displacement was measured and then used to calculate valgus angle displacement. The docking group had significantly less valgus angle displacement than the Jobe group at cycles 100 and 1,000 (p = 0.0189 and 0.0076, respectively). Four of the eight specimens in the Jobe group failed at the tendon-suture interface before reaching 1,000 cycles, at cycles 7, 24, 250, and 362. None of the docking specimens failed before reaching 1,000 cycles. In this cadaveric study, the docking technique resulted in less angulation of the elbow in response to cyclic valgus loading as compared to the Jobe technique. The better response to valgus loading of the docking reconstruction may translate into a better response to early rehabilitation. Further study is needed to determine if this difference translates into improved clinical outcomes.
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Vascular inflammation implications for microvascular reconstructive surgery after irradiation /Halle, Martin, January 2010 (has links)
Diss. (sammanfattning) Stockholm : Karolinska institutet, 2010.
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Anterior cruciate ligament reconstruction with bone-patellar tendon-bone graft : postoperative intervention and influential factors for patient-relevant long-term outcome /Möller, Eva. January 2007 (has links)
Lic.-avh. (sammanfattning) Stockholm : Karolinska institutet, 2007. / Härtill 2 uppsatser.
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Anterior cruciate ligament reconstruction : patellar tendon, gore-tex, Kennedy LAD and tibia tunnel ingrowth /Muren, Olle, January 2003 (has links)
Diss. (sammanfattning) Stockholm : Karol. inst., 2003. / Härtill 5 uppsatser.
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Urothelial cell culturing : in vitro and in vivo studies in reconstructive pediatric surgery /Fossum, Magdalena, January 2004 (has links)
Diss. (sammanfattning) Stockholm : Karol. inst., 2004. / Härtill 4 uppsatser.
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Immediate breast reconstruction with implants in breast cancer patients /Lagergren, Jakob, January 2007 (has links)
Diss. (sammanfattning) Stockholm : Karolinska institutet, 2007. / Härtill 4 uppsatser.
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Anterior cruciate ligament injury : factors affecting selection of treatment and intermediate outcome /Swirtun, Linda R. , January 2006 (has links)
Diss. (sammanfattning) Stockholm : Karolinska institutet, 2006. / Härtill 4 uppsatser.
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