• KOL
    • Rheumatoid Arthritis
    • Lewis H Millender
    • Lewis H Millender: Influence Statistics

      Lewis H Millender

      Lewis H Millender

      Boston, MA, USA | From the Department of Orthopaedics, Tufts University School of Medicine, New England Baptist Hospital, Boston, Massachusetts | Department of Orthopedic ...

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      Lewis H Millender:Expert Impact

      Concepts for whichLewis H Millenderhas direct influence:Rheumatoid arthritis,Ulnar artery,Metacarpophalangeal joint,Tendon ruptures,Medial epicondylectomy,Rheumatoid wrist,Publication arthritis,Rheumatoid thumb.

      Lewis H Millender:KOL impact

      Concepts related to the work of other authors for whichfor which Lewis H Millender has influence:Rheumatoid arthritis,Ulnar nerve,Carpal tunnel,Wrist arthrodesis,Metacarpophalangeal joint,Trigger finger,Surgical treatment.

      KOL Resume for Lewis H Millender

      Year
      1997

      Boston, MA, USA

      1996

      From the Department of Orthopaedics, Tufts University School of Medicine, New England Baptist Hospital, Boston, Massachusetts

      Tufts University School of Medicine, Boston, and Chief of Occupational Medicine, New England Bone and Joint Institute, Boston.

      1993

      New England Baptist Hospital, Tufts University School of Medicine, USA

      1992

      Department of Orthopedic, Tufts University, Boston, Massachusetts

      1990

      Boston, Mass.

      1989

      Assistant Chief of Hand Surgery Service, New England Baptist Hospital, Boston, Massachusetts

      1988

      From the Townley Orthopedic Clinic, Port Huron, Mich., USA

      1986

      Portland, Me.

      Department of Orthopedic Surgery, New England Baptist Hospital, Boston, Mass.

      1985

      Hand Surgical Service, New England Baptist Hospital, and Clinical Professor of Orthopedics, Tufts University School of Medicine, Boston, Massachusetts.

      Departments of Orthopedics and Radiology, New England Baptist Hospital, Tufts University School of Medicine, Boston, Mass.

      1984

      New England Baptist Hospital, Roxbury, Mass.

      1982

      Hand Surgical Service, St. Elizabeth's Hospital

      1981

      From Brigham Women's Hospital, New England Baptist Hospital, and Harvard Medical School, Brookline, Mass.

      1980

      Brookline, Mass.

      1979

      From the Department of Orthopedic Surgery, Beth Israel Hospital and Harvard Medical School, Boston, Mass.

      1978

      The Department of Orthopedic Surgery, Harvard Medical School, Boston, Mass.

      1975

      Veterans Administration Hospital, West Roxbury, Massachusetts

      Beth Israel Hospital, New England Baptist Hospital, and Children's Hospital Medical Center, Boston

      Harvard Medical School

      Hand Service, Robert B. Brigham Hospital

      1973

      209 Harvard Street, Brookline, Massachusetts 02146

      From the Departments of Surgery, Pathology, and Medicine, Robert Breck Brigham and Peter Bent Brigham Hospitals and the Harvard Medical School * From the Departments of Surgery, Pathology, and Medicine, Robert Breck Brigham and Peter Bent Brigham Hospitals and the Harvard Medical School, Peter Bent Brigham Hospital, 721 Huntington Avenue, Boston, Massachusetts 02115

      1972

      Instructor in Orthopedic Surgery, Harvard Medical School, Boston, Mass

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      Sample of concepts for which Lewis H Millender is among the top experts in the world.
      Concept World rank
      37 arthroplasties #1
      twentytwo thumbs #1
      prosthetic fractures 8 #1
      carpal stock #1
      rheumatoid arthrodesis equipment #1
      deformity carpal stock #1
      function rheumatoid patients #1
      musculoskeletal disorders issues #1
      motion ruptures #1
      recurrence rate 64 #1
      worker great #1
      tenosynovectomy wrist #1
      rational therapeutic goals #1
      challenge hand surgeon #1
      16 residual discomfort #1
      patients ruptures #1
      surgery workrelated disorders #1
      silicone rubber arthroplasty #1
      — tenosynovectomy #1
      irreparable joint #1
      bilateral partial ruptures #1
      residual discomfort 5 #1
      dorsal tenosynovectomy #1
      wrist silicone #1
      spontaneous fusion wrist #1
      disability workrelated disorders #1
      19 patients prosthesis #1
      arthritis thumbs #1
      issues psychosocial issues #1
      diseased synovium tenosynovium #1
      epl publication arthritis #1
      generalized stiffness hands #1
      confirmed psoriatic arthritis #1
      workrelated disorders disorders #1
      tenosynovectomy synovectomy #1
      trapezial arthritis report #1
      surgery rheumatoid disease #1
      destruction general agreement #1
      rheumatoid patients experience #1
      severe thenar #1
      continuity digital nerve #1
      addition nonsurgical forms #1
      invasion tendon #1
      acquired humans surgery #1
      thumb deformities treatment #1
      patient early involvement #1
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      Prominent publications by Lewis H Millender

      KOL-Index: 9287

      One hundred fifteen flexor tendon ruptures were reviewed in 43 hands with rheumatoid arthritis, one hand with psoriatic arthritis, and one hand with lupus erythematosis. Ninety-one tendons were ruptured at the wrist, four ruptures occurred at the palm, and 20 ruptures occurred within the digits. At the wrist level, 61 ruptures were caused by attrition on a bone spur and 30 were caused by direct invasion of the tendon by tenosynovium. All ruptures distal to the wrist were caused by ...

      Known for Tendon Ruptures | Rheumatoid Arthritis | Tenosynovium Wrist | Carpal Canal | Direct Invasion
      KOL-Index: 5986

      Decompression of the ulnar nerve at the elbow with medial epicondylectomy was done in 43 patients and reviewed with an average follow-up of 2.3 years. Eight were graded as excellent, 23 as good, 9 as fair, and 3 as poor results. A special emphasis was placed on analysis of the potential disadvantages of medial epicondylectomy including bone tenderness at the osteotomy site, vulnerability of the ulnar nerve, ulnar collateral ligament instability, and weakness from disruption of the flexor ...

      Known for Medial Epicondylectomy | Ulnar Nerve | Potential Disadvantages | Grip Strength | Osteotomy Site
      KOL-Index: 5771

      This is a retrospective review of 29 patients (33 hands) who underwent a palmaris longus transfer because of severe thenar atrophy secondary to median nerve entrapment at the wrist. The mean follow-up was 17 months. Ninety-four percent of our patients were satisfied because their thumb function improved. Twenty-six of the patients had the transfer at the time of initial release of the carpal tunnel, and three patients had the transfer when the carpal tunnel was released a second time. ...

      Known for Carpal Tunnel | Palmaris Longus | Severe Thenar | Median Nerve | Thumb Function
      KOL-Index: 5316

      A rare complication of rheumatoid arthritis is presented. A patient developed simultaneous extensor paralysis of all 5 digits of one hand due to compression of the posterior interosseous branch of the radial nerve by rheumatoid synovium of the elbow joint. By the technics of dye-contrast tendon radiography and electromyography, the extensor paralysis of tendinous origin could be separated from that of a neural defect. Operative decompression was necessary to restore extension. It should ...

      Known for Rheumatoid Arthritis | Posterior Interosseous Nerve | Elbow Joint | Rare Complication | Entrapment Neuropathy
      KOL-Index: 5278

      Six cases of aneurysm and thrombosis of the ulnar artery in the hand occurred. Based on a review of the clinical history and examination, surgical findings, and pathology, it appears that the initiating event in the development of aneurysms and thromboses of the ulnar artery was intimal injury associated with trauma. In addition to a description of the pathophysiology, three clinical groups are defined; hypothenar mass with or without Raynaud's phenomena, and Raynaud's phenomena without ...

      Known for Ulnar Artery | Cases Aneurysm | Clinical Examination | Positive Allens Test | Hand Humans
      KOL-Index: 5146

      A comparison study was done for 25 consecutive trapeziectomies in 21 women with silicone replacements and 25 consecutive trapeziectomies in 24 women without silicone replacements who were reviewed from 1 to 9 years postoperatively. The patients, who ranged from 35 to 75 years of age, were housewives and clerical workers. All had trapeziometacarpal osteoarthritis. Among the patients with silicone replacement of the trapezium, 90% reported pain relief; mean thumb abduction was 42.5 ...

      Known for Pain Relief | Wrist Joint | Hand Strength | Carpal Bones | Patient Population
      KOL-Index: 4900

      A review of the results of 37 arthroplasties of the wrist with flexible silicone, done at least 6 months before, in patients with rheumatoid arthritis showed six (16%) to have residual discomfort and two (5%) to have recurrent deformity. Pain was the primary indication for treatment in 31 and deformity in six. Three of 37 wrists had prosthetic fractures (8%). Ten patients who had the opposite wrist fused before the arthroplasty felt the movable wrist was more functional. ...

      Known for Rheumatoid Wrist | Silicone Rubber | Early Evaluation | Aged Arthritis | Deformity Pain
      KOL-Index: 4857

      Metacarpophalangeal joint arthroplasty using flexible silicone rubber prostheses is a reliable and effective method for the treatment of various painful and deforming conditions affecting the metacarpophalangeal joint. Although it is used primarily for the treatment of rheumatoid hand deformities, the prosthesis has been found helpful in the treatment of various traumatic conditions affecting the metacarpophalangeal joints. This paper discusses the principles of arthroplasty and ...

      Known for Metacarpophalangeal Joint | Rheumatoid Arthroplasty | Silicone Rubber | Postoperative Management | Publication Arthritis
      KOL-Index: 4721

      The goal of preventative rheumatoid hand surgery is the eradication of the diseased synovium or tenosynovium before irreparable joint or tendon destruction occurs. Although there is general agreement that both dorsal and flexor tenosynovectomy are reliable and effective procedures to prevent the complications of tenosynovitis, the case for synovectomy is less well established. We have discussed the indications for both tenosynovectomy and synovectomy and described the surgical techniques ...

      Known for Preventive Surgery | Flexor Tenosynovectomy | Tendon Ruptures | Rheumatoid Hand | Publication Arthritis
      KOL-Index: 4677

      Most rheumatoid patients will present with one or more thumb deformities at some stage of their clinical history. The goal of treatment is restoration and maintenance of stable and painless motion. Treatment is based on the type and stage of the deformity. The boutonniere thumb is the most common deformity. Metacarpophalangeal arthrodesis is preferred for isolated metacarpophalangeal involvement. For advanced cases in a low-demand patient, metacarpophalangeal arthroplasty with ...

      Known for Rheumatoid Thumb | Metacarpophalangeal Joint | Pollicis Longus | Tendon Ruptures | Hand Deformities
      KOL-Index: 4657

      Of 71 silicone rubber wrist arthroplasties performed between 1976 and 1983, 20% were found to have fractured, and an additional 5% required revision for deformity and pain. In most cases, no specific cause for the failure could be identified. However, excessive wrist motion, overuse, and inadequate surgical technique appear to be contributory. Prosthetic fracture is associated with increasing wrist pain, instability, and deformity with decreasing strength and function. Twelve of 14 ...

      Known for Rheumatoid Arthritis | Silicone Rubber | Wrist Arthroplasty | Joint Prosthesis | Prosthetic Fracture
      KOL-Index: 4579

      The rheumatoid boutonniere deformity does not limit hand function significantly until it becomes severe. For this reason the surgical procedures used should not risk or sacrifice existing function. For the mild cases one can improve the digital balance by a simple extensor tenotomy combined with dynamic splinting. In more advanced stages with passive correction possible, the deformity can be improved by reconstruction of the extensor mechanism. With fixed deformities one can choose ...

      Known for Rheumatoid Arthritis | Boutonniere Deformity | Surgical Treatment | Extensor Mechanism | Hand Function
      KOL-Index: 4222

      In six patients rupture of the radial collateral ligament of the metacarpophalangeal joint of one of the three ulnar fingers, surgical reconstruction was successful using local tissues in five and a tendon graft in one. Operative treatment of this injury is indicated only when significant instability is present.

      Known for Metacarpophalangeal Joint | Radial Collateral Ligament | Tendon Graft | Operative Treatment | Finger Injuries
      KOL-Index: 4208

      Two cases of a fracture of the hook of the hamate are described in which the diagnosis was clinically missed even though a fracture of the hook was considered. In one patient, the clinical diagnosis was thought to be ulnar wrist instability, and in the other, a pisiotriquetral injury. In one case, the diagnosis was confirmed only by a computerized tomography scan even though lateral tomograms were negative.

      Known for Hook Hamate | Differential Fractures | Computerized Tomography | Diagnosis Fracture | Bone Humans

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      Boston, MA, USA | From the Department of Orthopaedics, Tufts University School of Medicine, New England Baptist Hospital, Boston, Massachusetts | Department of Orthopedic Surgery, Tufts University School of Medicine, and Department of Occupational Me

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