Nerve Injuries

Mar 27, 2019 by in ORTHOPEDIC Comments Off on Nerve Injuries

Open nerve injuries must be viewed as genuine surgical emergencies. In other words, they should be operated on within the initial hours following the accident. First, it is in an…

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Flexor Tendon Injuries

Mar 27, 2019 by in ORTHOPEDIC Comments Off on Flexor Tendon Injuries

Flexor tendon injuries in the hand are common and surgically challenging. Verdan and Michon sent shock waves through the scientific community in the 1960s when they recommended primary repair, which…

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Surgical Treatment of Hand Infections

Mar 27, 2019 by in ORTHOPEDIC Comments Off on Surgical Treatment of Hand Infections

Because of their frequency and severity, hand infections are a surgical emergency. Despite being apparently benign, they should not be underestimated; they are the source of significant sequelae if treatment…

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Nail Trauma

Mar 27, 2019 by in ORTHOPEDIC Comments Off on Nail Trauma

Anatomy and Physiology Physiology Although the nail no longer has a defensive role in humans, it nevertheless retains an important function. It is the only rigid element stabilizing the distal…

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The Tissue Bank

Mar 27, 2019 by in ORTHOPEDIC Comments Off on The Tissue Bank

Multidigit injuries are common. An amputated finger that is not replantable becomes a privileged donor site for harvesting tissue for the reconstruction of neighboring fingers. This is a unique opportunity…

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Dressing

Mar 27, 2019 by in ORTHOPEDIC Comments Off on Dressing

The application of a dressing marks the end of surgery and is in itself an art form. The dressing is the only part of surgery that the patient can visualize…

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Sprains and Dislocations of the Fingers

Mar 27, 2019 by in ORTHOPEDIC Comments Off on Sprains and Dislocations of the Fingers

Sprains and dislocations of the fingers are common and mainly concern the proximal interphalangeal (PIP) joints of the long fingers, the metacarpophalangeal (MCP) joint of the thumb, and more rarely…

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Hand Replantations

Mar 27, 2019 by in ORTHOPEDIC Comments Off on Hand Replantations

Although the replantation of a hand is certainly spectacular, it may seem less demanding technically than a digital replantation. There are, however, many problems that remain to be solved, given…

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Temporary Amputations and Permanent Amputations

Mar 27, 2019 by in ORTHOPEDIC Comments Off on Temporary Amputations and Permanent Amputations

Whatever the level of mutilation and finger concerned, carrying out a digital amputation is a significant surgical procedure with functional consequences. We speak of “temporary” amputation when a subsequent reconstruction…

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