December 2022
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10 Reads
Hand Surgery and Rehabilitation
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December 2022
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10 Reads
Hand Surgery and Rehabilitation
December 2022
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2 Reads
Hand Surgery and Rehabilitation
December 2022
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16 Reads
Hand Surgery and Rehabilitation
December 2021
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9 Reads
Hand Surgery and Rehabilitation
December 2021
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3 Reads
Hand Surgery and Rehabilitation
December 2021
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24 Reads
Hand Surgery and Rehabilitation
December 2021
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5 Reads
Hand Surgery and Rehabilitation
November 2021
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53 Reads
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1 Citation
Hand Surgery and Rehabilitation
We compared the clinical outcomes of post-trapeziectomy protocols according to their duration. The main hypothesis was that there would be no significant difference in postoperative function whether immobilization duration was 2 or 4 weeks. The secondary hypotheses were that there would be no significant difference in postoperative pain, motion, or strength. 40 trapeziectomies were reviewed. Two weeks’ postoperative commissural immobilization was systematic. Patients were then divided in two groups. For the first 20 patients (group I), immobilization stopped at 2 weeks. For the next 20 patients (group II) it was replaced by a splint for further 2 weeks. We compared mean pre- and post-operative (10 to 20 weeks) function (QuickDASH score), pain (visual analog scale – VAS), thumb opposition (Kapandji score) and strength (palmar pinch test) between the two groups. There was no significant difference between groups in postoperative values or in pre- to post-operative progression. The main hypothesis was confirmed: there was no significant difference in the postoperative function whether the immobilization was for 2 or 4 weeks. The secondary hypotheses regarding postoperative pain, motion and strength were also confirmed.
February 2021
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357 Reads
Edited and authored by leading international experts, Distal Radius Fractures: Evidence-Based Management provides a state-of-the-art overview of diagnosis and management based on today’s best practices. Each chapter focuses on one key issue, offering a challenging case and then questioning the reader in an engaging fashion to provide the best available evidence on each topic. Practical and easy to read, this innovative text is a useful resource for all residents, physicians and surgeons who manage fractures.
January 2021
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26 Reads
The goal of this study was to evaluate the midterm results of a minimally-invasive technique of volar plate fixation of distal radius fractures. A case series of 710 patients, among which 512 women, aged 58 years in average were reviewed retrospectively. A 15-mm incision was performed on the lateral aspect of the flexor carpi radialis and the plate positioned under the pronator quadratus. The incision was closed using a running subcuticular absorbable suture without drainage or immobilization. At 7 months of average follow-up, the average size of the scar was 17 mm (10–40), the average pain 1.13/10 (0–8), the average Quick-DASH 13.28 (0–86.36), the average PRWE 11.48 (0–91). In % compared to the contralateral side, the average flexion was at 87.23%, the average extension at 88.52%, the average pronation at 96.17%, the average supination at 93.41% and the average grip strength at 79.68%. The removal of the plate was performed in 45.92% of cases. Among the complications, we noted 16 cases of secondary displacements of which 3 cases required a surgical revision, 1 case of sepsis at 6 months in a context of general sepsis, 10 cases of type I Complex Regional Pain Syndrome and 14 cases of paresthesia in the territory of the median nerve of which 4 cases required a neurolysis of the median nerve at the carpal tunnel. In conclusion, the minimally-invasive approach of the flexor carpi radialis can be used for volar plate fixation of distal radius fractures. The upsides of this technique are the preservation of the ligamentotaxis to facilitate the reduction of the fracture and the small size of the incision to improve the cosmetic results of the procedure. The incision can always be extended in case of difficulties of reduction.
... Patients in both groups were prescribed a full-time brace for 4 weeks to protect the joint and relieve inflammation and pain [20,21]. After this period, they were instructed regarding manual activities that should be avoided in order to prevent recurrence of pain in the trapeziometacarpal joint; these included the exclusion of a strong grip, an imbalance between joint movement and rest, exposure of the finger joints to vibration, and using the joint on an unstable plane [22]. ...
November 2021
Hand Surgery and Rehabilitation
... Hiện nay, đã có nhiều mô tả về đường mổ trong kĩ thuật can thiệp tối thiểu [3]. Nghiên cứu của Paul Vernet vào năm 2020 ghi nhận kích thước đường mổ trung bình là 1,7 cm; thời gian trung bình phẫu thuật là 41 phút [4]. Nghiên cứu của Zenke và các cộng sự vào năm 2011 ghi nhận đường mổ ngang nếp gấp cổ tay 3cm và một đường mổ dọc 1cm [5]. ...
December 2020
Orthopaedics & Traumatology Surgery & Research
... Although not specifically evaluated, many patients involved in leisure accidents described using their lockdowns to carry out DIY projects such as home improvements. Some authors from different countries recognized an increased number of DIY/domestic injuries, while the number of work-related injuries decreased according to other authors [7][8][9][10]14,15]. This could be explained by regulations (i.e., curfew or home office) due to the pandemic. ...
October 2020
Hand Surgery and Rehabilitation
... Regarding the type of fracture, three studies included unstable and extra-articular DRFs [38,40,43]; three studies included unstable, dorsally angulated, and extra-articular DRFs [14,35,45]; four studies included unstable intra-articular or extra-articular DRFs [37,39,41,44]; and two studies included displaced intra-articular DRFs [36,42]. A recent study showed that unicompartmental prosthesis it is an alternative treatment at cast immobilization or plates in elderly patients with comminuted articular fractures [57]. In the planning stages, we intended to perform subgroup analyses based on the types of fractures; however, according to the variability in the types of DRFs, this was not possible. ...
November 2020
Orthopaedics & Traumatology Surgery & Research
... The double-head cannulated compression screw (DhCCS) has been used for fractures of many sites with favorable clinical results reported in the literature [9,10], whereas rare outcomes of DhCCS, which functions through linear compression and local locking with the proximal lateral femoral cortex, in femoral neck fracture were reported. The purpose of this study is to compare the clinical and mechanical outcomes of two types of cannulated screws, OCCS and DhCCS, when used in vertical shear femoral neck fractures. ...
November 2019
... For clinical assessment, the short version of the Disabilities of the Arm, Shoulder, and Hand questionnaire (Quick-DASH score) was used 15,17 , and the visual analogue scale (VAS) was used to evaluate pain in the hand. Grip strength in percentage (%) compared to the contralateral side was measured using a Jamar's dynamometer (Asimov Engineering, Los Angeles, CA, USA) 18 . The time to return to work was recorded. ...
October 2019
European Journal of Orthopaedic Surgery & Traumatology
... Some studies have supported immediate mobilization after VLP fixation. 28) On the other hand, Foo et al. 10) concluded that a longer immobilization period is more beneficial for volar-dorsal metaphyseal comminution. Martinez-Mendez et al. 17) conducted a prospective study of VLP fixation in patients over 60 years old. ...
December 2018
Hand Surgery and Rehabilitation
... Todavia pacientes imunocomprometidos podem ser acometidos com patogênicos raros. No caso das tenossinovites que são desencadeadas por microrganismos que atingem tendões pela corrente sanguínea, exame de ultrassom tornam-se uma opção rápida para diagnóstico e definição terapêutica (3) . ...
May 2018
... Существуют исследования, анализирующие результаты применения вышеописанных методик, однако они не содержат данных об одновременном сравнении таких основополагающих показателей, как болевой синдром, сила цилиндрического хвата кисти и восстановление функции верхней конечности [9,10,11,12,13]. ...
December 2018
European Journal of Orthopaedic Surgery & Traumatology
... Разница в размерах и несоответствие формы суставов-партнеров обеспечивают возможность перекатывающе-скользящих движений при сгибании и разгибании, а также боковых сгибаний и легких ротационных движений. При сжатии кулака форма суставов пальцев приводит к сложным движениям отдельных фаланг: средняя и дистальная фаланги указательного и среднего пальцев, а также средняя фаланга мизинца супинированы, средняя и дистальная фаланги безымянного пальца и дистальная фаланга мизинца пронированы [19,20]. Выбор имплантата и используемого оперативного доступа -два наиболее часто обсуждаемых вопроса при артропластике ПМФС. ...
March 2018