ORTHOPEDIC

Finger and Hand Soft Tissue Defects

Mar 27, 2019 by in ORTHOPEDIC Comments Off on Finger and Hand Soft Tissue Defects

Small Finger and Hand Soft Tissue Defects Small soft tissue defects affecting the digits are common. The method of coverage should be carefully selected and based on the following criteria:…

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Metacarpal and Phalangeal Fractures

Mar 27, 2019 by in ORTHOPEDIC Comments Off on Metacarpal and Phalangeal Fractures

With metacarpal and phalangeal skeletal fractures, early mobilization remains the most effective way to counter edema, joint stiffness and tendon-periosteum adhesions. Early mobilization can, however, only be undertaken following reduction…

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Digital Replantations

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

Komatsu and Tamai performed the first successful replantation of a fully severed thumb in 1965. Since then, the field of digital replantation has evolved considerably. There has been extensive progress…

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Injuries of the Extensor Apparatus

Mar 27, 2019 by in ORTHOPEDIC Comments Off on Injuries of the Extensor Apparatus

Extensor apparatus injuries are too often underestimated, especially in the fingers. Although a cursory clinical examination may give the impression of integrity, it is only a few weeks later that…

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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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