Percutaneous Fixation: When and How
Fig. 6.1 An example of the “hybrid technique”: pins, with a longer thread, are easily joined together by clamps and carbon rods Going by the results described, we have modified…
Internal Fixation of Diaphyseal Humeral Fractures: Plate or Intramedullary Nail?
Name, year Patients Time to healing Nonunion Infection Postopeative radial nerve palsy Shoulder problems Elbow problems Functional outcome Complications Second surgery Chapman et al., 2000 84 Nonsignificant (ns) ns ns…
ORIF in Three-/Four-Part Fractures
Fig. 7.1 Graphical representation of three- or four-part fracture without varus or valgus deviation. The DiPhos PEEK Lima Corporate plate is represented (Anatomical School of Anatomical Imaging, University of Bologna,…
Lower Limb Replantation
Fig. 12.1 A relatively sharp injury. After proper debridement and bone shortening, direct wound closure could be achieved with minimal wound necrosis. A flap was not needed Fig. 12.2 A…
Replantation of the Digits
Fig. 5.1 (a, b) Difference between replantation and revascularization. (a) Represents a complete amputation requiring replantation. (b) Represents an incomplete nonviable amputation requiring microvascular anastomosis to maintain viability Amputations can…
Rehabilitation Following Replantation in the Upper Extremity
Fig. 15.1 The Pyramid of Progressive Forces. Rehabilitation exercises generally begin at the base, where stress on tendons will be least. Stress increases as the exercises move up the pyramid,…
Secondary Procedures in Replantation
Fig. 14.1 (a, b) Avulsion amputation of the left forearm. (c) Radiograph showing the level of amputation and the proximal fracture in the humerus. (d) Rupture of the brachial artery…
Replantation at the Level of the Radiocarpal Joint
Fig. 6.1 Use of T shunt in a distal forearm amputation, during osteosynthesis, to minimize ischemia time As mentioned above, x-rays are an extremely important part of the initial evaluation…
Management of Complications After Replantation
Fig. 13.1 Shearing force of the suture under tension will lead to tearing of the vascular wall The second aim of debridement is the identification of vessels and nerves. Prevention…
Replantation of the Thumb
Fig. 4.1 A thumb avulsion injury that resulted in disruption of the flexor and extensor systems from their proximal muscle bellies. Additionally, the digital nerves are noted to disrupt proximally…
