ISSN:1089-3393    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Distal rupture of the biceps tendon can be disabling to active individuals. Many methods have been described to address acute and chronic ruptures surgically. Successful surgical management of these ruptures requires attention to the possible complications of nerve injury and heterotopic bone formation. Single-incision techniques utilizing multiple suture anchors may facilitate surgical repair and reconstruction without sacrificing fixation strength. The authors' experience with this technique has provided reliable surgical outcomes and patient satisfaction.

ISSN:1089-3393    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

This article discusses scapholunocapitate arthrodesis utilizing the mini-spider plate focusing on a procedure review, surgical technique, and clinical preliminary results.

ISSN:1089-3393    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Ulnar shortening osteotomy represents a common procedure for surgical treatment of the ulnar impaction syndrome but is still associated with complications like malrotation, angulation, or malunion because of incomplete closure of the osteotomy gap. Therefore, the authors developed a special 7-hole compression plate that allows fixation of the ulna before the osteotomy is carried out to prevent rotation. With this plate, a shortening of up to 10 mm is possible and the compression holes allow closure of the osteotomy gap. The plate has been used in 23 ulnar shortening cases at their center with good results. The authors describe the technique and report their results of ulnar shortening with this device.

ISSN:1089-3393    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Symptomatic arthritis of the trapeziometacarpal joint is frequent. Trapeziectomy and ligamentoplasty with the abductor policis longus, that is a suspensionplasty, gives good results and can last for a long time.

ISSN:1089-3393    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Hand reconstruction methods using posterior interosseous flaps have the merits of being thin and pliable, they do not require sacrifice of any major hand arteries, and closure of the donor site is readily performed. Drawbacks include unreliability of blood flow due to the presence of posterior interosseous artery anatomic variants or damage to the venous circulation. We present some modifications to methods for the preparation of posterior interosseous flaps with which we have achieved some favorable results.

ISSN:1089-3393    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

The authors present a new concept in the treatment of Kienböck disease. They believe that the favorable outcome obtained with these different procedures (ie, either shortening of the radius or lengthening of the ulna) is due to the surgical decompression on the distal forearm. The procedure presented is called metaphyseal core decompression and it consists of curettage of the distal radius and ulna (the ulna has been excluded for the past 12 years) through a small cortical window. From 1976 to 2000, 48 patients were operated and retrospectively reviewed. Thirty-five were men and 13 were women, with an average age of 39 years (range, 18–64 years). The dominant limb was involved in 35 patients. All patients complained of pain and had decreased motion of the involved wrist. On radiographic examination, 4 had Lichtman stage 1, 17 had stage 2, and 25 had stage 3A. Patients who had stages 3B or 4 were excluded. Two patients had normal radiographic but MRI diagnostic for Kienböck disease, and were classified as stage 0. There were no postoperative complications reported and no patient had any additional procedure. The long-term follow-up reveals that metaphyseal core decompression produces results at least as good as other surgical procedures, with no postoperative complications.

ISSN:1089-3393    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

After second ray amputation, neuroma formation is a common cause of postoperative pain localized at the web space due to sectioning and leaving the digital nerve ends. Most of the time the complaints lead to two or more operations, using several described techniques, with some limited success. However, transposition of the digital nerve ends into interosseous muscles should be added to the second ray amputation as a part of procedure, neuroma problems can be solved. The technique is described by detail in this article which is advised for other ray amputations and during revisions.

ISSN:1089-3393    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Flexor tendon injuries are commonly treated by orthopedic, plastic, and hand surgeons. Bunnell referred to zone 2 injuries as being in “no-man's land,” plagued by poor results after surgical repair. Over the last 30 years, a better understanding of the biology of flexor tendon injuries, advanced surgical techniques, and perhaps most important, improved rehabilitation protocols, have afforded consistently good to excellent results after surgical repair at all levels of injury. Complications such as restrictive adhesions, joint contracture, and repair rupture, although less frequent, can compromise functional recovery.

ISSN:1089-3393    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Derotation taping for metacarpal and phalangeal fractures is a simple, noninvasive technique for management of acute fractures with malrotation. Ulnar nerve or ring block is performed followed by a closed reduction using a Jahss technique and then a rotatory manipulation. Plaster tape is applied, providing a supination torque on the finger. Those patients with a late presentation of a rotatory malunion are managed with a “K wire osteoclasis” which involves multiple percutaneous cortical K-wire perforations and then a manipulation.

ISSN:1089-3393    

出版商:OVID    

年代:2003

数据来源: OVID