[Classification and treatment of Monteggia fractures. Apropos of 36 cases].
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A series of 15 cases of replantation in children is reviewed with special attention to the frequency and the implications of epiphyseal lesions. Definite conclusions, however, will only be possible after these patients reach maturity.
The keys to the treatment of extensor tendon injuries are knowledge of the anatomic characteristics of the area, the correct position of immobilization of the wrist and fingers, and the timing for institution of active and resistive exercises.
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Pedicle flaps from the chest or abdomen are still most suitable to cover large skin and soft tissue defects on the upper extremity. Compared to free tissue transfer with microvascular anastomosis, the conventional techniques ave advantages with regard to size, technical execution, technical differentiation and rate of healing in. Every skin and soft tissue defect on the upper extremity, however large it is, can be primarily treated by means of a pedicle flap.
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