Alfred B. Swanson

Surgery of the Hand in Cerebral Palsy and the Swan-neck Deformity

There is a small group of patients with cerebral palsy who can be benefited by reconstructive surgery on the upper extremity, in addition to the usual therapeutic measures of splinting and muscle re-education. In cerebral palsy longstanding muscle imbalance, which can be improved only by surgical tr

THE KRUKENBERG PROCEDURE IN THE JUVENILE AMPUTEE.

The Krukenberg procedure has been performed unilaterally on juvenile amputee patients with congenital bilateral absence of the hands and observed by long-term follow-up examinations. The opposite extremity was routinely fitted with a standard prosthetic prescription as an assistive hand. In all cases, the Krukenberg stump became the leading hand. In some of the cases, the prosthesis on the opposite hand has been discarded in favor of the sensibility available without. The prehension ability of the Krukenberg stump has provided the patient with all of his functional needs. The results have been remarkably rewarding to these patients. There has been virtually no concern evidenced by the patient or the parents about the appearance of the stump. The surgical procedure has been considered to be reasonably uncomplicated. Postoperative rehabilitation has been simple and rapid. The patients have continued to improve in their rehabilitation, and the Krukenberg forceps with its improved prehension and sensibility has improved the quality of life of these people. This procedure should be extended to more individuals who have the severe handicap of bilateral hand loss.

Restoration of Hand Function by the Use of Partial or Total Prosthetic Replacement

The partial prosthesis fills the gap between a total prosthesis and reconstructive surgery. It allows the patient who still has a functioning hand remnant to have useful prehension; at the same time, available sensation is not masked. It may aid a patient awaiting reconstructive surgery and avoid total amputation and a total prothesis. A partial prosthesis may be used when a patient is reluctant to undergo multiple reconstructive procedures. A satisfactory result sometimes may be achieved with a combination of surgery and a partial prothesis. The development of efficient partial prostheses for the patient who lacks major structures of the hand due to trauma or congenital deficiency should be continued.

Studies of the hip joint by means of lateral acetabular roentgenograms.

In the following investigation studies were made of 400 normal and abnormal hip joints by means of a lateral roentgenographic view of the acetabulum. It is recognized that there are several variable anatomical factors present in congenital dislocation of the hip. The anterior projection of the acetabulum, or the relationship of the acetabulum to the long axis of the patient’s body, appears to be an important factor in determining the head-to-acetabulum relationship. Accordingly, the authors have attempted to work out a method of measuring the angle made by the acetabulum with the sagittal plane of the body. While developing this method, they devised a technique

Classification of congenital malformations of the hand and upper extremity

Introducing a new hobby for other people may inspire them to join with you. Reading, as one of mutual hobby, is considered as the very easy hobby to do. But, many people are not interested in this hobby. Why? Boring is the reason of why. However, this feel actually can deal with the book and time of you reading. Yeah, one that we will refer to break the boredom in reading is choosing congenital malformations of the hand and upper extremity as the reading material.

The Rheumatoid Hand and Wrist: Surgical Treatment, Medical Treatment, Physiotherapy and Rehabilitation

The Rheumatoid Hand and Wrist: Surgical Treatment, Medical Treatment, Physiotherapy and Rehabilitation. Monographies de la Societe Francaise de Chirurgie de la Main; 24. Edited by Y. Allieu. With thirty-five contributors. Paris, Expansion Scientifique Publications, 1998.

Classification of Limb Malformations on the Basis of Embryological Failures

130.00, 249 pp. Dr. Allieu has compiled a book with chapters by thirty-five surgeons on the treatment of hands and wrists that are affected with rheumatoid arthritis. All of the authors, except for one American, are from Europe. …