RESUMO
Diseñamos un osteotomo al que se adapta una guía interna para tratar el dorso nasal (resección de la giba ósea) con exactitud. Este instrumento aporta precisión en la osteotomía de tal forma que permite resecar solo la cantidad exacta de hueso que precise el paciente (AU)
An internal guide has been added to the osteotome in order to achieve a precise reduction of the nasal dorsum (resection of the nasal hump). It makes the osteotomy so precise that only the exact amount of bone that the patient needs is resected (AU)
Assuntos
Humanos , Rinoplastia/métodos , Nariz/anormalidades , Osteotomia/métodos , Procedimentos de Cirurgia Plástica/métodosRESUMO
A new surgical procedure is described to restore elbow extension in tetraplegic patients. The authors have operated on thirteen cases using Moberg's technique. In his procedure Moberg uses the posterior part of the deltoid muscle as a motor. This muscle is attached to the olecranon insertion of the triceps by means of free grafts of tendons from toe extensors. Using this technique the authors have obtained satisfactory results. Nevertheless, the main problem presented by Moberg's technique is the very long postoperative period for which the patient is immobilized. The technique avoids the above mentioned inconvenience and other minor problems. The procedure is based on the same principles as Moberg's. The tendons of toe extensors are replaced by the triceps tendon itself incised lengthwise. The pertinent technical items are explained in detail. The case histories and results are cited.
