To evaluate the safety and effectiveness of a modified pull-out suture technique in patients undergoing primary repair surgery for injuries to the flexor tendons of the fingers with Total Active Motion (TAM) as the primary outcome. A total of 29 patients (38 fingers) were chosen from both sexes, aged between 18 and 65 years with clean acute tendon laceration occurring within 15 days, in the Verdan's zone II of flexor tendon in the hand, when only the deep flexor tendon was sutured, either associated or not with digital nerve injury. The patients were operated on using the proposed technique and evaluated at 3, 9 and 24-weeks PO.
View Article and Find Full Text PDFWe conducted a prospective randomised study comparing the clinical, functional and radiographic results of 46 patients treated for scaphoid nonunion using a vascularised bone graft from the dorsal and distal aspect of the radius (group I), relative to 40 patients treated by means of a conventional non-vascularised bone graft from the distal radius (group II). Surgical findings included 30 sclerotic, poorly-vascularised scaphoids in group I versus 20 in group II. Bone fusion was achieved in 89.
View Article and Find Full Text PDFUnlabelled: Study the morphology of the superficial branch of the radial nerve (SBRN) of the forearms and wrists of fresh adult human cadavers.
Methods: Twenty three dissections were performed under 3.5x loupe magnification, histological sections of the nerve were obtained in 20 dissections for fascicle identification.
In a prospective study, 40 patients were fitted with synthetic plaster splints to assess the use of such material for hand and/or wrist splints. Factors assessed in both splint fabrication and use included molding properties, elastic traction fixation, weight, ventilation, durability, patient comfort, effectiveness, practicability, time, and cost. The patients were divided into three groups according to basic pathology: tendon/nerve injuries; bone and joint disorders; and rheumatoid disease deformities.
View Article and Find Full Text PDF