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23 results
  • [Effects of different doses and concentrations of ropivacaine in axillary brachial plexus block]. [Randomized Controlled Trial]
    Zhonghua Yi Xue Za Zhi 2008; 88(15):1046-50Wang TJ, Yang LS, … Wei JN
  • CONCLUSIONS: Sensory and motor never can be blocked perfectly when the dose of ropivacaine is between 1.5 mg/kg and 2.0 mg/kg and the concentration is between 0.30%-0.35%. When the doses of ropivacaine is 1.25 mg/kg and the concentration is 0.20%-0.25% the starting and consummating time are longer and persisting time is shorter. When the doses of ropivacaine is 1.00 mg/kg and the concentration is 0.15%-0.20% the starting and consummating time are longer and only satisfies external debridement and suture without tourniquets.
  • [Severe course of a rare non-tuberculous Mycobacteriosis (M. haemophilum) of the hand - case report and strategic comments]. [Case Reports]
    Handchir Mikrochir Plast Chir 2008; 40(5):342-7Schumacher O, Dabernig J, … Cedidi C
  • CONCLUSIONS: Patients with upper extremity infections caused by atypical Mycobacteria need qualified hand-surgical care. The decision about need and kind of medicamentous treatment is based on germ differentiation and should be made in cooperation with the National Reference Centre for Mycobacteria in Borstel. To shorten the diagnostic gap between first admission and detection of Mycobacteria in hand infections with a non-typical course of disease we suggest a standardised approach.
  • Long-term results after vascularised joint transfer for finger joint reconstruction. [Journal Article]
    J Plast Reconstr Aesthet Surg 2008; 61(11):1338-46Hierner R, Berger AK
  • CONCLUSIONS: Whenever possible the 'tissue bank concept' according to CHASE should be applied in finger joint reconstruction using a vascularised joint graft from either an amputated or a redundant digit. Results of vascularised joint transfer have to be compared to those of persisting joint defect, prosthetic joint replacement, arthrodesis, or ultimately amputation of the finger involved. Patients in whom a vascularised joint transfer is anticipated should be informed about the following points: (1) The risk of failure (vascular failure, tendon adhesion, joint stiffness, etc.) is about 10%. (2) The expected active range of motion depends on aetiology, age, donor site and recipient site. Traumatic joint defects show a greater active range of motion than congenital defects. Children have more active joint motion than adults. (3) Because of minor donor site impairment and rapid recovery of normal gait the whole second ray should be amputated after harvesting of a joint graft on the second toe. (4) Hospitalisation takes 1-2 weeks. Immobilisation of the hand (palmar forearm splint) and the foot (lower leg cast) should be applied for 4 to 6 weeks. Intensive physiotherapy is necessary for at least 3 months. Additional splinting is advised for about 6 months. (5) Extensor tendolysis is necessary in a large number of cases but should not be done earlier than 6 months after transplantation.
  • [Vascularized joint transfer for finger joint reconstruction]. [Journal Article]
    Handchir Mikrochir Plast Chir 2007; 39(4):249-56Hierner R, Berger AK, Shen ZL
  • In a retrospective clinical study 16 vascularized joint transfers to the hand with an average follow-up of 8.2 (3 - 15) years were evaluated. The finger joint defect was caused by trauma in 12 patients, tumour in 2 patients and infection and congenital deformity in 1 patient each. There were 14 men and 2 women. The mean age range was 26 (2 - 42) years. In 6 cases a partial vascularized joint tran…
  • A staged technique for the repair of the traumatic boutonniere deformity. [Journal Article]
    J Hand Surg Am 1983; 8(2):167-71Curtis RM, Reid RL, Provost JM
  • A step-by-step approach to the systematic management of chronic boutonniere deformity due to trauma is presented. If surgical intervention is necessary, the problem should be approached one step at a time. The following stages are described: stage I, tendolysis of the extensor tendon and freeing of the transverse retinacular ligament; stage II, sectioning of the transverse retinacular ligament; s…
  • Experience with peritendinous fibrosis of the dorsum of the hand. [Case Reports]
    J Hand Surg Am 1982; 7(4):380-3Redfern AB, Curtis RM, Wilgis EF
  • Fifteen patients with a diagnosis of peritendinous fibrosis of the dorsum of the hand (Secretan's disease) were treated between 1958 and 1980. Thirteen patients had excision of a dorsal fibroma with extensor tendolysis when necessary. Preoperative findings included a hard dorsal mass and limitation of motion. Postoperative courses were characterized by prolonged periods of rehabilitation and recu…
  • [Severe blast injury of both hands]. [Case Reports]
    Handchir Mikrochir Plast Chir 1982; 14(2):130-3Fröbel W, Köhnlein HE
  • A report is presented of a case of an officer, both of whose hands were injured severely by an explosion. On the right side amputation was followed by fitting of a myo-electrical prosthesis. On the left side treatment with an inguinal flap plasty, a two stage tendon graft, transposition of flexor profundus IV-tendon to the thumb, a tendolysis of the second finger, Z-plasty of skin of the thumb in…
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