Publications by authors named "W Mamane"

Introduction: Since Kanavel in 1905, knowledge of phlegmon of flexor tendon sheaths of the fingers have evolved over the twentieth century. This serious infection is 20% of infections of the hand and may have adverse consequences for the function of the finger and even beyond, of the hand. Amputation is always a risk.

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Article Synopsis
  • Paronychia and felon are common hand infections that typically require surgery if an abscess forms, but the necessity of routine postoperative antibiotics is debated.
  • A study involving 46 patients treated with surgical excision for uncomplicated cases showed that none needed antibiotics and had excellent healing outcomes, with only one recurrence attributed to inadequate excision.
  • The findings suggest that antibiotics aren't necessary for uncomplicated paronychia or felon in low-risk patients, emphasizing that successful outcomes rely primarily on proper surgical technique.
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Over 1,400,000 cases of hand trauma are identified each year in France, with a large proportion with open wounds, accounting for significant activity in orthopedic surgery emergency units. It is customary to focus on nerve or tendon injuries as a priority. However, even partial vascular lesions may be complicated by a false aneurysm.

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The authors report the case of a patient with psychotic symptoms secondary to a posttraumatic stress disorder following a work-related hand injury. The somatic presentation was a "mummified" hand neglected for several years in a splint without any care. The psychiatric analysis concluded that this was part of a delusion of persecution expressing a conflict against the patient's employer and insurance company.

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Objectives: In case of posttraumatic radiocarpal destruction, failure of first row carpectomy or partial arthrodesis, there are two options, total prosthesis of the wrist or panarthrodesis. Both solutions have limitations. The aim of our study was to evaluate an alternative therapy: interposition arthroplasty with pyrocarbon implant at follow-up of minimum 6months.

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