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At least 667 records · Page 37Linked to original sources
PubMed1997

Dynamic skeletal fixation in the upper extremity.

Recent advances in the understanding of the biomechanics of the elbow and improvement in material designs have revolutionized the ability to treat difficult problems of the proximal interphalangeal and elbow joints. Dynamic skeletal fixation addresses the desire to allow an injured joint to heal, move, and remain stable simultaneously. In the past, such goals were achieved sequentially or in series. It is now possible to perform such tasks in parallel.

Contracture↗
PubMed1985

Finger mobility following flexor tendon repair.

A system has been devised to monitor the movements of the finger made by patients after a tendon repair. A small transducer was used attached to the nail. The results were analysed by computer. The fingers moved much less than expected in spite of instruction.

Exercise Therapy↗
PubMed1996

Surgical treatment of the divided flexor digitorum profundus tendon in zone 2, delayed more than 6 weeks, by tendon grafting in 50 cases.

The surgical treatment of the divided FDP tendon, more than 6 weeks old, in zone 2 is reviewed in 50 patients. The method used was the excision of the divided FDP tendon and the insertion of a thin tendon graft. There were 50 patients in this study; 36 were male and 14 female, aged from 18 to 60 years. All patients were markedly disabled because of loss of strength of the involved finger. Follow-up ranged from 1 to 25 years following tendon grafting. In 35 patients plantaris tendon was used and in 15 patients palmaris longus. Definite advantages were found in using the tendon grafting procedure; strength, dexterity, pinch and grasp were markedly improved. Functional results were evaluated by the Boyes method, with the Pulvertaft method as a secondary assessment. Among the 50 patients, 80% had excellent and good results (excellent 32%, good 48%) and 20% fair.

Adult↗
PubMed1994

[Results of the primary repair of the collateral palmar digital nerves].

The aim of this study was to analyse the results of primary collateral digital nerve repair as a function of several factors: age, surgeon's experience, type of lesion and associated lesions, etc. The conclusions are based on a homogeneous series of 64 patients with 83 nerve lesions treated by primary microsurgical nerve repair with a follow-up of at least one year.

Adolescent↗
PubMed1983

Proposal of a method for objective evaluation of results following flexor tendon repair.

The author is critical of the usual methods of evaluating the results after suturing of the flexor tendons. The methods in general based on active articular mobility of the finger, do not take into account the condition of the hand examined, and are not precise on taking the measurements. He proposes a method which is simple and more objective for it is based on the measurement of the total function of the finger compared to that of the same finger on the other hand. The results, expressed in percents, are classified into three groups (A, B, C) whose limits vary whether the lesion is an isolated one of the deep flexor tendon or of the both flexors.

Evaluation Studies as Topic↗
PubMed2001

The use of ADCON-T/N after repair of zone II flexor tendons.

This double-blinded randomised clinical trial investigated whether application of ADCON-T/N to zone II tendon repairs improved their outcome. Fifty-nine patients were randomised into control or ADCON-T/N treated groups and all followed an early mobilisation regime following tendon repair. Tendon rupture rates were comparable between the control and ADCON-T/N treated patients. At six months follow-up, the ADCON-T/N treated group had better proximal interphalangeal motion.

Adult↗
PubMedDate not supplied

Sensory recovery after microsurgical repair of digital nerves.

The authors study 65 cases of repair of digital nerve lesions performed in 60 patients. They evaluate the quality of sensory recovery by clinical (Dellon and Weber Tests) and electrophysiological tests (velocity, amplitude and duration of the Compound Sensory Action Potential). The results show a complete recovery in 26%, a recovery of discrimination sensitivity in 73.8% and a recovery of protective sensation in 96.9% of the cases. Age and severity of the associated trauma are the most important factors influencing the quality of the sensory recovery.

Adult↗
PubMed2000

A simple effective splinting technique for the mallet finger.

We describe an inexpensive, simple, and effective technique for the closed treatment of mallet fingers. This technique splints the mallet finger in 0 degrees of extension. It is simple, readily reproducible, and easy to use, requiring materials that are readily available to any physician. Thirty-seven patients, ages 21 to 65 years, presented with a closed mallet finger injury at day zero to 5 months after injury. Ten of these patients had a fracture. All were treated with this splinting technique. We report excellent results in 35 of 37 patients, who recovered either complete or near-complete active extension. Our results compare favorably with results from other techniques and splints.

Adult↗
PubMed1999

Alternatives to thumb replantation in three cases of traumatic amputation of the thumb.

Three cases of complete amputation of the thumb are reported in which the amputated distal parts were not suitable for replantation. In all cases there were either complete or incomplete amputations of other digits. Two different techniques were used for thumb reconstruction: 1) pollicization of a partially amputated digit with transposition microsurgery in case 1; and 2) replantation of a less important amputated digit to the thumb stump for cases 2 and 3. These microsurgical efforts successfully restored thumb function in all three patients.

Adult↗
PubMed1986

Disappointing outcomes in staged flexor tendon grafting for isolated profundus loss.

Staged flexor tendon grafting was conducted in sixteen young adults for isolated loss of the flexor digitorum profundus. Though thirteen of sixteen achieved a subjectively pleasing result, only seven of the sixteen cases achieved satisfactory results. Five major complications occurred in four patients. The overall results were no better than the results obtained for single stage flexor tendon grafting through an intact superficialis. This study establishes no advantage of staged flexor tendon grafts, over unstaged grafts for isolated profundus loss.

Adult↗
PubMed2001

[Anterior interosseous nerve syndrome as differential diagnosis of closed isolated flexor tendon lesion].

Lesions of the anterior interosseus nerve can result in a variety of clinical manifestations, depending on location and degree of axonal damage. Clinical presentation with an isolated palsy of the flexor pollicis longus muscle is difficult to distinguish from a closed tendon rupture, especially when a trauma occurred. We would like to present five of our cases and discuss the diagnostic and therapeutic modalities.

Adult↗