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At least 487 records · Page 27Linked to original sources
PubMed1983

Low profile dynamic splinting of the injured hand.

Dynamic splinting is a well-accepted modality in gaining joint motion in the injured hand. Presented is a splinting design system referred to as "low profile" dynamic splinting whereby high outriggers are avoided. A review of the literature reveals that this technique is based on the original design approach used by Dr. Sterling Bunnell. Described are the basic principles of the low profile design system, with illustrations of the system in specific splints and specific construction details. This splinting system is indicated for a stiff hand that has sustained direct trauma. Hands with a muscle imbalance secondary to a central nervous system or peripheral nerve lesion require a different splinting approach, which is not within the scope of this paper.

Finger Injuries↗
PubMedDate not supplied

Amputations of the fingers and hand: indications for replantation.

With hand and digital replantation now widely available in most urban settings, initial treating physicians must be aware of the factors that may influence outcome, so that informed decisions can be made regarding referral for replantation and appropriate early treatment. The author outlines the factors pertaining to amputations of the fingers and hand, provides general guidelines for indications for and contraindications to replantation, and discusses reported results.

Age Factors↗
PubMed1999

Free flaps for soft tissue coverage in the hand and fingers.

With mastery of conventional methods, free flaps are indicated in selected cases for coverage of the hand and fingers. Careful preoperative planning, delicate intraoperative management, and postoperative physiotherapy are the mainstays for success in functional recovery and aesthetic result. Thin flaps of good vascularity are favored for coverage of the hand and finger. For hand surgeons, the lateral arm fasciocutaneous or fascia flap, toe flaps, and the latissimus dorsi flap seem to be the easiest and most useful free flaps applicable to most situations.

Contracture↗
PubMed2001

Revascularization of the digits and palm.

In 1962, Kleinert and Kasden performed the first successful revascularization of an incompletely amputated thumb. This was followed, in 1965, by Komatsu and Tamai, who performed the first successful replantation of a thumb. Since then, microsurgery has helped to solve a wide variety of difficult surgical problems and achieve a more functional and cosmetically acceptable digit. These problems include ring avulsions, distal finger amputations, and degloved skin.

Finger Injuries↗
PubMed1992

[Successful replantation of circularly severed palm and multiply severed fingers. A case report].

Replantation of a circularly severed palm, partially severed middle finger and completely severed ring and small fingers was done successfully in one patient. Two palmar arteries, 5 digital arteries, 3 dorsal palmar veins, 9 dorsal digital veins were anastomosed. Vein transplantation was carried out to repair the ulnar digital artery defect of the middle finger. Severe swelling after arterial thrombosis was noted on the 7th day and was eliminated by the use of urokinase. All the replanted parts survived with good functional results. Precise anastomosis, prevention and treatment of thrombosis, early exercises were essential to the survival of fingers and functional recovery of hand.

Adult↗
PubMed1985

[Growth behavior of microvein and artery grafts].

In an experimental study with young rats the authors were able to prove that arterial and venous grafts show almost normal growth. With respect to patency rate, growth and integrity of the vessel wall the results with arterial grafts were more satisfactory than those with venous grafts. Examination of thirty-four patients who had undergone replantation or transplantation in infancy or childhood, showed that after digital replantation the extremities grew almost normally and that there was no indication of lag in vessel growth. Three times a slight change in growth after major limb replantations was found, in one case there was a slight increase in growth and in another case the growth was considerably diminished. In the latter there had been total destruction of the epiphyseal line. One large replantation was examined by angiography and normal development of the venous grafts was found.

Adolescent↗
PubMedDate not supplied

Comparison of the effect of passive exercise v static wrapping on finger range of motion in the burned hand.

A prospective study was undertaken to compare the use of passive exercise with that of static wrapping to increase finger flexion range of motion in burn patients. Six patients (four males and two females) with combined full- and partial-thickness dorsal hand burns were randomized to receive either treatment. Results showed that metacarpophalangeal (MCP) joint flexion improved an average of 7.46 degrees with passive exercise and 2.65 degrees with static wrapping. Proximal interphalangeal (PIP) joint flexion improved an average of 9.68 degrees with static wrapping and 4.28 degrees with passive exercise. The percentages of improvement in the MCP joint with passive exercise and static wrapping were 8.53% and 2.92%, respectively. In the PIP joint, the respective percentages were 3.69% and 8.09%. All differences were statistically significant at a P value of less than .001. It was concluded that in the rehabilitation of hands and/or fingers with recently healed burns, manual passive exercise is significantly better than static wrapping for increasing MCP joint flexion, while static wrapping is more effective for increasing PIP joint flexion.

Adult↗
PubMed1985

Reconstruction of individual digits.

The development of microvascular techniques has encouraged the hand surgeon to re-examine the principles of reconstructive surgery. The transfer of vascularized composite tissues, if technically well done, can obviate the need for time-consuming staged procedures. However, success in microvascular reconstruction comes not in the knowledge of anastomotic techniques but in the understanding of the physiology of wound healing, the mechanics of hand function, and the principles and goals of hand reconstruction.

Finger Injuries↗
PubMed1979

Experience in replantation surgery in the upper extremity.

This page reports our experience of 423 digital and hand replantation over the period of 35 months. A classification based on the levels of amputation is suggested. The operative technique and indication of replantation are discussed.

Amputation, Traumatic↗