An analysis after 1-18 years follow-up of 79 patients operated for ulnar nerve compression at the elbow. Favourable results seen after surgery seem independent of patients age and of duration and type of symptoms. Transposition to the front of the elbow with or without burial in an adjacent muscle was the operation of choice. When direct trauma has been given as an underlying cause the results are clearly worse. A surprisingly common association with Dupuytrens contracture and hypertension was encounted.
The technique and results of using autografts of dermis to repair defects in the anterior abdominal wall is shown. Dermal grafting was used in altogether 15 cases. 7 with extremely large incisional hernias, and 8 with defects after malignant abdominal wall tumours. The surgical method is described and the follow-up 1 to 4 years postoperatively has shown a very satisfactory result in 13 cases. In one case there was a postoperative haematoma with subsequent graft necrosis and in the other there was a residual hernial defect. We recommend this method as one of choice in cases with large abdominal wall defects.
Eight patients with fracture dislocations in the four ulnar carpometacarpal joints were treated with open reduction and pinning. All patients could return to work some 2 months after operation. Follow-up after 3-5 years was carried out in 7 of the 8 patients. One complained of slight clumsiness and ache over the incisional area, whereas the other 6 were free from symptoms and had normal hand function.
The passage of the ulnar nerve through the loge de Guyon at the volar aspect of the wrist is defined and described anatomically. Two cases with symptoms of nerve compression at this level are presented and the syndrome discussed.
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