By David Slutsky
Full-color, step by step guide within the therapy of accidents and problems of the higher extremity from the shoulder to the fingertip.
With approximately a hundred extraordinary overseas individuals and greater than 1200 full-color photos and illustrations, Operative Orthopedics of the higher Extremity bargains the newest, leading edge therapy of the higher extremity from the shoulder to the fingertips.
The ebook covers accidents and problems of the hand, carpus, distal radius, distal radioulnar joint, forearm, elbow, and shoulder. The chapters are prepared either by means of point and anatomic constitution beginning with fix or reconstruction of the bone, joint and ligaments and progressing to the nerves, tendons and tender tissue. every one bankruptcy comprises the symptoms, contraindications, surgical recommendations and postoperative administration sometimes by way of the originators of the process, as well as a number of pearls and attainable pitfalls. whilst reconstruction isn't really attainable, a piece on salvage methods covers the precise options.
Operative Orthopedics of the higher Extremity offers a one-stop source for the remedy of accidents of the higher extremity. It presents crucial fabric for either certification and recertification and may end up to be precious to either the access point general practitioner in addition to the pro operator.
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Sample text
11–14 Other authors have recommended dorsal ligament complex repair9 or reconstruction,15 stating that additional ligament treatment is required in these injuries for good outcomes. Simonian and Trumble15 treated 8 patients with an average age of 25 years (range, 18-36 years) (group A) with a closed reduction and pinning. The average follow-up period was 49 months (range, 25-74 months). Four patients were noted to have recurrent subluxation, based on findings on nonstress radiographs with 3 of these requiring a revision using an FCR tendon weave reconstruction.
9. Gingass RP, Fehring B, Matloub H. Intraosseous wiring of complex hand fractures. Plast Reconstr Surg. 1980;66:383–394. 10. Lister G. Intraosseous wiring of the digital skeleton. J Hand Surg Br. 1990;15:291–294. 11. Al-Qattan MM. Metacarpal shaft fractures of the fingers: treatment with interosseous loop wire fixation and immediate postoperative finger mobilization in a wrist splint. J Hand Surg Br. 2006;31:377–382. 12. Greene TL, Noellert RC, Belsole RJ, Simpson LA. Composite wiring of metacarpal and phalangeal fractures.
6 Although operative time was shorter with IM nailing, the incidences of loss of reduction, wire penetration into the MCP joint, and secondary surgery for hardware removal were higher. 9 Sletten et al assessed the Chapter 2 Periarticular Fractures of the Metacarpals and Phalanges A 19 B FIGURE 2-10 A and B. ORIF of a middle phalanx neck fracture. 10 They noted no difference in outcome between the 2 techniques. However, there was an 18% incidence of superficial pin infection, all with transverse pinning with the wires left exposed, leading them to recommend leaving all K-wires beneath the skin.