Questions related to Hand Surgery
The antimicrobial effect of local anesthetics has been known for more than 50 years, but it still seems to have an unclear mechanism of action. which bacteria? which concentration? etc etc. . Where can I find more literature?
Is there any selective advantage to the brachial plexus being a network instead of independent nerves? Same question for the lumbosacral plexus.
I have to draw the illustrations for the cover of JHS in 2019. In Jan i have Syndactyly, in Feb. the CMC-1 Arthrosis.
What would be a good topic for March, April, May,.....
Are there any suggestions?
Thank you very much!
On the Czech Republic there are realised about 13500 surgeires with THA, there are in Central Health Statistic to find about 32 types of typical product set THA from cca 28 various producers ....but there are no statistic about median Patient durabilities implanting in years, there are no evidence about risks by "easy safety implanting with minimum preoperational complications - technical, postoperational infects, anesthesy complication, Crashes of sets by implanting, luxation of implanting in durace 5 month since Hall surgery, there sre no computer testing of efficiency locomotion ability of patients in timing - 1, 3 , 6, 12, 24 month after usrgeries"...ther are no advice to buy the best types of sets THA for Hospital in respects to realtion Costs/durability of perfect patient functional years, able to reoperability, etc". There are no summary evidences about State views, about local views for safety implantation in identified Clinics with yearly implanting about 850 cases of prime iámplanting THA....there are no advice to patient agreement with surgery THA - as well informed about patients risks....there ar no internal software controlling "Non of Hall surgeries THA could be legal beginning - without Clinic preliminary Plan of individual surgery"...there are absency to preference the computer supervised processing of implanting set THA by the well educated firm Videorecording with describeing the most important describeing mandatory activites of Orthopaeds, Radiologists ...by the Technician Requirements of Laws and with respecitng the firm implanting instruments, Firm implanting Measurements, Firm processing to respects the firm assembling technical and functional accuracy and ability......There are no "bands of acceptable tolerances of medical processing activites" with guaraces of Technical Quality, sequential processing...excluded absency or false partial Results step by steps...Immediately with immediastely to solve medical mistakes in time with substitutional supervising and certificated reoperational processing....substitutional controlling rescued medical processing, etc. There are most patients with stroke or Heart infarct in surgery hall or in the one week after surgery set THA, etc. The Orthopaeds - which are engaged 25 years on this fields of useres medica Tasks have no identity views on Patients risk with such standard operation....they habe no similar routine to carefully implanting set THA as it is standard by finished Clinics testing of New Medical Devices with respects Technicians so as Medical Aspects with rational balancies by repeated Medical strategic decision making...there are interrupting Interface between Research and Developement on the One side - and with User praxis in Hospital Clinis in daily medical workfllow on the Second side - despite the Implanting Technician Laws are the same....but adequated controlling supervised Technician similar system - NO! I saw the thousands of Statistic Analyses - which all prefered the Physicians, Ecopnomics aspects strongly - and undertaken the respensibilities to Patients risks and Technician Requirements Laws systematically!
The ICP rises in all circumferential Burn. Which Intra Compartmental measuring device is most Reliable ?
I am currently working on my thesis and I am looking for more detailed articles about the surgical procedures used in hands and fingers re-plantations.
I have few cases that felt ok following the procedure, but few months later have swelling, pain, limited motion and synovitis - there is no apparent infection.
I operated on some of them - nothing special except synovitis. In a few, the A1 was incompletely released.
Madelung's deformity is a rare disease of the wrist which affects mainly females during the adolescence growth spurt. Clinical presentation: radial deviation of the hand with prominence of distal end of ulna and a volar subluxation of the carpus. Various techniques for surgical management have been described until now, but still clear evidence to support the use of any single approach is lacking.
Post traumatic chronic symptomatic DRUJ instability not responding to medical conservative treatment