The purpose of this study is to report the clinical results after repair of flexor tendon zone II injuries utilizing a 6-strand double-loop technique and early post-operative active rehabilitation. We retrospectively reviewed 22 patients involving 51 cases with zone II flexor tendon repair using a six strand double loop technique from September 1996 to December 2012. Most common mechanism of injuries was sharp lacerations (86.
View Article and Find Full Text PDFDistal radioulnar joint (DRUJ) problems can occur as a result of joint instability, abutment, or incongruity. The DRUJ is a weight-bearing joint; the ulnar head is frequently excised either totally or partially, and in some cases it is fused, because of degenerative, rheumatoid, or posttraumatic arthritis. Articles about these procedures report the ability to pronate and supinate, but they rarely discuss grip strength, and even less do they address lifting capacity.
View Article and Find Full Text PDFThe purpose of this study is to identify a possible correlation between statin administration and incidence of spontaneous distal biceps tendon ruptures. We retrospectively reviewed 104 patients with distal biceps tendon rupture that were treated surgically from 2004 to 2010, 102 males and two females with mean age 47 years (range, 22-78). Patients were divided based on the mechanism of injury and statin administration.
View Article and Find Full Text PDFThe aim of this study is to present a combined treatment of arterial sympathectomy and artery reconstruction with vein bypass technique in patients with severe digital ischemia. In all, 22 patients representing 53 digits received treatment during a 15-year period. Skin color and trophic changes including ulcers, necrosis, and amputation; pain level according to the visual analog scale; and functional assessment based on the disabilities of the arm, shoulder, and hand questionnaire were recorded.
View Article and Find Full Text PDFTech Hand Up Extrem Surg
September 2011
Introduction: Injuries to extensor tendon are a common problem seen by hand surgeons. Most often, these injuries can be primarily repaired. On occasion, however, the injury may lead to an actual substance loss in the extensor tendon, precluding primary approximation of the cut ends.
View Article and Find Full Text PDFBalloon kyphoplasty is still controversial as a treatment for vertebral compression fractures (VCFs) due to osteoporosis. Nevertheless, the authors conducted a prospective study in 60 patients about the effectiveness of scintigraphy, after the conventional roentgenographic examination, as an ultimate decision maker for the identification of the levels to be treated. Seventy-one levels were radiographically and scintigraphically positive, were seen as active, and thus treated.
View Article and Find Full Text PDFArthritis and instability of the finger joints of the hand leads to chronic pain and decreased hand function. In such patients, arthrodesis is a generally accepted surgical treatment. Various techniques are available for arthrodesis of interphalangeal and thumb metacarpophalangeal joints of the hand.
View Article and Find Full Text PDFVertebral augmentation procedures are currently widely performed to treat vertebral compression fractures. The purpose of this study was to determine the frequency of underlying previously unrecognized etiology in a consecutive series of patients undergoing kyphoplasty to treat vertebral compression fractures. A prospective histological evaluation of vertebral body biopsy specimens from presumed osteoporotic vertebral compression fractures were performed in order to identify aforementioned causes.
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