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Results for “Hand Deformities”

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Surgery for adduction contracture of the thumb after burn.

The paper generalizes experience obtained from surgical treatment of adduction contracture of the thumb after burn. These operations were performed on 171 hands. The deformity was repaired using different surgical techniques: local, free and combination operations, use of skin flaps and subcutaneous connective tissue. In the most severe cases of contracture, the thumb abduction was achieved with the aid of a distraction apparatus. The issue under discussion is the choice of a suitable technique for repairing the thumb adduction contracture and other hand deformities. The repair of severe thumb adduction contracture significantly improves occupational and social rehabilitation of patients with severe hand deformities.

Adult↗

The conservative treatment of the Swan-Neck deformity in the rheumatoid hand.

A technique is described to correct rheumatoid Swan-Neck deformity in those patients where there is limited proximal interphalangeal joint flexion in all positions. It involves the manipulation of these joints and their temporary immobilisation with Kirschner wires followed by mobilisation using an elastic band method.

Arthritis, Rheumatoid↗

Surgical treatment of cleft hand and its associated deformities.

Surgical procedures frequently used in the treatment of the cleft hand and its related deformities are presented. The need to pay attention to the particular stage of the developmental mechanism producing the deformity before undertaking surgery is stressed, for in addition to closure of the central cleft, treatment must include correction of the various symptoms associated with the finger ray fusion.

Child, Preschool↗

Abductor digiti minimi transfer for the restoration of opposition in children.

Abductor digiti minimi transfer was used to restore opposition in 20 patients, the majority suffering from congenital anomalies of the hand. The transfer was shown to be effective in restoring abduction, but less effective in restoring the rotational component of opposition in these cases. The donor site was critically reviewed and found to be acceptable. The surgical techniques and benefits of this transfer are reviewed.

Adolescent↗

Rotation-angulation osteotomy in the hand.

The use of a single osteotomy combining both rotation and angulation is described, with a means of achieving the correct angle and direction of the osteotomy. Patients who have been treated by this method are presented.

Adolescent↗