Management of chronic osteomyelitis of the lower extremity.

Chronic osteomyelitis is a frequent complication after compound fractures of the lower extremity. Essential in the treatment is the radical debridement of all scar tissue, muscle and infected bone. This often creates large tissue defects, which especially in the distal third of the tibia, can only be closed with a free tissue transfer and revascularized by a microvascular anastomosis.

Glomus tumors of the digits.

A painful subungual tumor in a digit with a cold intolerance is characteristic of a glomus tumor. Lack of recognition often unnecessarily delays therapy. Surgical excision, utilizing an operating microscope for identification of tumor vascularisation and tourniquet control is the therapy of choice.

Laser Doppler bone probe in vascularized fibula transfers: a preliminary report.

Continuous monitoring of circulation in bone transfers without a skin element may be possible with a laser doppler bone probe consistent with any free tissue transfer. Immediate reintervention is necessary when vascular insufficiency is suspected. In two clinical cases of vascularized fibula transfer, we were able to compare skin probe recordings with intraosseous probe recordings.

Dietary fat intake and taste responses to fat in milk by under-, normal, and overweight women.

Dietary fat intake, with special emphasis on dairy products, was estimated from questionnaires for 42 underweight, 80 normal weight, and 64 overweight adult women. Frequency of consumption of fresh and processed meats, frozen dairy desserts, pastries, and snacks such as potato chips was greater for the overweight than for the underweight subjects. However, preferences between verbally-described high- and low-fat versions of 14 food pairs did not differ by body size.

Letter processing in dyslexic subgroups.

Hypothesized cognitive strengths and weaknesses of three dyslexic subgroups (Boder and Jarrico 1982) were examined in two reading related experiments. The first experiment tested the prediction that auditorily presented letter sets should be processed better by dyseidetic than by dysphonetic readers. The prediction was not confirmed.

Creation of an anal sphincter mechanism by bilateral proximally based gluteal muscle transposition.

A case report is given of a girl who, at the age of 17 years, lost her total posterior part of her perineum in a traffic accident. She was left with out an anal sphincter mechanism and a diverting sigmoidostomy was performed. Two years after the accident a new anal sphincter was constructed using bilateral transposition flaps of the gluteus maximus muscles.

Bone scintigraphy of experimental composite bone grafts revascularized by microvascular anastomoses.

In these experiments the reliability of bone scintigraphy with 99mTc diphosphonate, to assess anastomotic patency and the viability of revascularized composite fibular grafts, was studied. It was shown that bone scintigraphy is very useful for the diagnosis of anastomotic patency, but only in the first postoperative weeks. Bone scintigraphy gives no information on the viability of bone grafts.