Handchirurgie最新文献

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[The vascularized bone transplant for the bridging of large bond defects]. 血管化骨移植用于大骨缺损的桥接。
Handchirurgie Pub Date : 1981-01-01
N Walker
{"title":"[The vascularized bone transplant for the bridging of large bond defects].","authors":"N Walker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Vascularised autogenous bone transplants are superior in reconstructing large segmental bond defects. We refer to the results of our experimental investigations comparing autogenous knee joint transplantations with and without microvascular anastomoses. It could be shown that vascularised bone transplants can bridge large bone defects with intact form and shape within one year. Without primary vascularisation creeping substitution results in many complications and successful filling of the defect needs several years. Clinical results are analogous.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"13 1-2","pages":"100-2"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18091518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Surgical specialties in replantation surgery]. [再植手术的外科特点]。
Handchirurgie Pub Date : 1981-01-01
M Frey, J Holle, H Mandl, G Freilinger
{"title":"[Surgical specialties in replantation surgery].","authors":"M Frey,&nbsp;J Holle,&nbsp;H Mandl,&nbsp;G Freilinger","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Special operative techniques developed by the advances in the replantation surgery are the subject of a review. The replantation of an amputated finger in a more important position is demonstrated by a clinical case. Defects can be replaced by parts of non-replanted fingers or with the aid of transplanted structures, such as skin, vessels, bone and local flaps. Clinical examples are given of the primary transplantation of bone from the iliac crest and of enhancement of circulation from the healthy, neighbouring finger.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"13 1-2","pages":"126-30"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18352848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Fresh sprains and ligament ruptures of the proximal interphalangeal joints]. 近端指间关节的新扭伤和韧带断裂。
Handchirurgie Pub Date : 1981-01-01
T Gaudernak, W Seligo
{"title":"[Fresh sprains and ligament ruptures of the proximal interphalangeal joints].","authors":"T Gaudernak,&nbsp;W Seligo","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"13 3-4","pages":"231-7"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18358714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Possibility of fixation of a compound fracture of the 1st metacarpal bone with the minifixateur externe]. 用微型外固定器固定第一掌骨复合骨折的可能性。
Handchirurgie Pub Date : 1981-01-01
G Asche
{"title":"[Possibility of fixation of a compound fracture of the 1st metacarpal bone with the minifixateur externe].","authors":"G Asche","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Comminuted fractures of the base of the first metacarpal are difficult to stabilize with internal fixation or with plaster casts. Use of the external mini-fixator can provide good results. Complications such as pin-infections were not seen after the use of short duration of this apparatus in closed fractures.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"13 3-4","pages":"247-9"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18358717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Thermal injuries of the hand by treatment with dextranomer (Debrisorb)]. [右旋氨基聚体(Debrisorb)治疗手部热损伤]。
Handchirurgie Pub Date : 1981-01-01
M Rustemeier
{"title":"[Thermal injuries of the hand by treatment with dextranomer (Debrisorb)].","authors":"M Rustemeier","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>On the basis of our clinical observation we see the main mode of operation of DEBRISORB is due to the distinctly hydrophilic action of the substance, thereby reducing oedema, improving the microcirculation and limiting cell necrosis. It also acts by absorbing the toxic secretions of injuries which stimulate inflammation. Another great advantage is the increased possibility of early physiotherapy by which the risk of a residual joint contracture is reduced.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"13 1-2","pages":"156-8"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17243068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Autologous vein transplants for digital revascularization after hand injuries]. 自体静脉移植在手部外伤后手指血运重建术中的应用
Handchirurgie Pub Date : 1981-01-01
J D Schlenker, W Schraut
{"title":"[Autologous vein transplants for digital revascularization after hand injuries].","authors":"J D Schlenker,&nbsp;W Schraut","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In this study, reverse autogenous vein grafts were employed to bypass vascular defects in replantations and occluded arteries in hands with chronic post-traumatic ischemia. In 32 thumb replantations, vein grafts were used as short interposition segments or longer bypass grafts. The bypass grafts have the advantage of permitting proximal and distal anastomoses in undamaged tissue. In 5 post-traumatic chronically ischemic hands, vein grafts were employed to bypass arterial occlusions. All grafts remained open and cold intolerance improved as tactile discrimination returned. Simultaneous arterial and nerve reconstruction with grafts achieved favorable results in 2 patients. The measurement of digital blood pressure with the aid of a Doppler ultrasonic probe permitted preoperative evaluation of the degree of ischemia and postoperative confirmation of patency of the vein grafts.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"13 1-2","pages":"131-7"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18352849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Evaluation criteria for the functional determination after replantation in the hand region]. [手部再植后功能判定的评价标准]。
Handchirurgie Pub Date : 1981-01-01
H Mandl
{"title":"[Evaluation criteria for the functional determination after replantation in the hand region].","authors":"H Mandl","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A method of recording the functional results of replantations in the hand is presented, supplying reproducible results of sufficient accuracy by simple means and within a reasonable time. The following criteria are evaluated: fitness for work, usefulness of the hand, mobility, sensibility, circulation and trophic changes, esthetics, perspiration and the retrospective attitude of the patient to replantation and pain. The several parameters are evaluated according to their relevancy and graded according to a scale of values. The total of these values gives the final result. The different results are classified as excellent, good, functionally sufficient and poor. This method of recording the results of digital replantation was evaluated in a series of 28 follow-up examinations with 33 replanted parts. The method of evaluation and the results are discussed in detail.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"13 1-2","pages":"75-89"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18357606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Microsurgical education]. 显微外科的教育。
Handchirurgie Pub Date : 1981-01-01
C Wolfensberger, K Wintsch, P Erne
{"title":"[Microsurgical education].","authors":"C Wolfensberger,&nbsp;K Wintsch,&nbsp;P Erne","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Equipment and organization of an experimental microsurgical laboratory in a plastic and reconstructive surgery unit of a large size central hospital (Kantonsspital Aarau, Switzerland) are described. A specially trained technician supervises the laboratory and demonstrates technical details of microsurgical sutures to beginners. In addition to clinical work such regular laboratory training is important for all residents.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"13 1-2","pages":"93-4"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18357608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Thumb replacement by finger exchange and osteoplastic method with island flap plastic surgery after injuries]. [损伤后手指置换及岛状皮瓣骨成形术]。
Handchirurgie Pub Date : 1981-01-01
J Manninger
{"title":"[Thumb replacement by finger exchange and osteoplastic method with island flap plastic surgery after injuries].","authors":"J Manninger","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In a historical overview, the development of the methods of thumb reconstruction were traced from the simple asensory substitution to the osteoplastic reconstruction with abdominal flaps and bone grafts with and without sensory island pedicle flaps and then to the transposition of a finger as a neurovascular island pedicle flap. The importance of providing normal sensibility is emphasized in order to minimize the loss of thumb function. Fifty-five personal cases of thumb reconstruction by various methods are presented from the Central Institute for Traumatology in Budapest. Clinical examples include the osteoplastic technique with a neurovascular island pedicle flap (Fig. 1), the distraction method of Matev (Fig. 2), and the pollicization of an injured finger (Figs. 3 and 4), as well as an intact finger (Fig. 5). The results are functionally and often esthetically good which has already been shown by Hilgenfeldt.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"13 1-2","pages":"3-9"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18091523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Historical development of surgery of the flexor tendons]. 屈肌腱手术的历史发展。
Handchirurgie Pub Date : 1981-01-01
C Verdan
{"title":"[Historical development of surgery of the flexor tendons].","authors":"C Verdan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The author describes the evolution of ideas, which have resulted from the different concepts on the healing process of flexor tendons in the digital sheath. Two theories have been held in opposition since the middle of the nineteenth century: intrinsic axial healing after Paget (1814-1899) and extrinsic peripheral healing after Adams (1920-1900). These two theories are still supported by good arguments. Research on animals and anatomical studies on man have shown with great exactitude the route of vascularization of flexor tendons, especially through the mesotenons and vincula and also that synovial fluid is not only a lubricant but also a nutritional environment, in the same way as the synovial fluid in a joint (Lundborg). This fluid plays an important role in the endosynovial healing of sutured tendons provided that the sheath is maintained intact. To limit adhesions to a minimum after endosynovial tendon suture, one must try to follow three basic principles: I. Preservation of the vessels of the tendons II. Early mobilization III. Closure of the synovial sheath.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"13 3-4","pages":"181-5"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18096666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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