Exposure of the surgeon's hands to radiation during hand surgery procedures.

Background: The objective of the study was to assess the time of exposure of the surgeon's hands to radiation and calculate of the equivalent dose absorbed during surgery of hand and wrist fractures with C-arm fluoroscope guidance.

Material And Methods: The necessary data specified by the objective of the study were acquired from operations of 287 patients with fractures of fingers, metacarpals, wrist bones and distal radius. 218 operations (78%) were percutaneous procedures and 60 (22%) were performed by open method.

[AN ANALYSIS OF THE CAUSES OF REFUSAL OF ADMISSION TO PATIENTS WITH SEVERE INJURIES AND AMPUTATIONS OF THE HAND REFERRED TO THE REPLANTATION SERVICE].

Introduction: Total or partial upper limb amputation significantly reduces ability of normal functioning in the society. Development of microsurgical skills enabled to replantation of the amputated limb (or part) and to regain its partial or sometimes full function.

Material And Methods: The study analyses the causes of refusal of admission to 55 of 141 patients referred to the replantation service of the Department of General and Hand Surgery PUM, over the period 2012-2013.

[Replantation and reconstruction vs terminalization in the treatment of amputation of the digits].

Material And Methods: This study records the outcomes of the treatment of 21 patients, 19 men and two women, who sustained an amputation of the total of 35 digits (27 fingers and eight thumbs). Eleven patients received replantation or reconstruction maintaining the length of the digit, whereas ten had their digits terminalized.

Results: The results were assessed at a mean of 5 years after injury.