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[Experimental studies and clinical experiences with homologous tendon grafts preserved with beta-propiolactone]. [用-丙内酯保存同种肌腱的实验研究和临床经验]。
Handchirurgie Pub Date : 1980-01-01
A Salamon, J Bálint
{"title":"[Experimental studies and clinical experiences with homologous tendon grafts preserved with beta-propiolactone].","authors":"A Salamon,&nbsp;J Bálint","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In dog experiments homologous tendon grafts preserved in beta-propiolactone have been examined by means of light-polarisation microscope and electronmicroscope. The histologic data showed that grafts preserved by beta-propiolactone were completely reorganised within 8 weeks after the transplantation similarly to autologous grafts. This process takes place with very little initial inflammatory reaction, followed by fibroblast reaction. The original collagen fibrous framework is decomposed and new tendon is formed by new collagen fibres on this frame. Cicatrisation was not encountered and graft function was excellent. Functional results in 5 patients were investigated 2 years after replacement of the flexor tendons of the hand and were found to be good in 4 cases, satisfactory in 1 case. The results of animal experiments and the excellent experience with preliminary clinical application of the method suggest that homologous tendon grafts preserved in beta-propiolactone may be used for replacement of injured human flexor tendons of the hand.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"12 3-4","pages":"207-11"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18084927","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
[Ganglion in the ulnar nerve sulcus as a cause of ulnar nerve irritation]. [尺神经沟神经节作为尺神经刺激的原因]。
Handchirurgie Pub Date : 1980-01-01
J Manninger, A Renner, I Zimmermann
{"title":"[Ganglion in the ulnar nerve sulcus as a cause of ulnar nerve irritation].","authors":"J Manninger,&nbsp;A Renner,&nbsp;I Zimmermann","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A ganglion at the cubital tunnel is a rare cause of ulnar nerve compression. Wrong or late diagnosis may be common. In one of the two described cases the diagnosis was made promptly, so that the early operation was followed by full restitution. In the other patient, at first the site of compression was supposed to be at the wrist. Only at the second operation was the ganglion in the cubital tunnel detected and removed. The result was unsatisfactory because motor loss was permanent.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"12 1-2","pages":"7-9"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18265000","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
[Congenital synostosis of the lunate and triquetral carpal bones (os lunatotriquetrum)]. 先天性腕骨月骨和三骨关节闭锁(月骨三骨闭锁)。
Handchirurgie Pub Date : 1980-01-01
P Koussouris, A Goulios
{"title":"[Congenital synostosis of the lunate and triquetral carpal bones (os lunatotriquetrum)].","authors":"P Koussouris,&nbsp;A Goulios","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"12 1-2","pages":"47-9"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18266153","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
[Critical remarks on examination methods to determine nerve injuries of the hand]. [关于确定手部神经损伤的检查方法的关键意见]。
Handchirurgie Pub Date : 1980-01-01
G Pohl, J Netzler, H Kosowski, D Müller, D Netzler
{"title":"[Critical remarks on examination methods to determine nerve injuries of the hand].","authors":"G Pohl,&nbsp;J Netzler,&nbsp;H Kosowski,&nbsp;D Müller,&nbsp;D Netzler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The diagnosis of peripheral nerve lesions remains difficult despite the sophisticated technology which is currently available. Experience with the Doppler, photoelectrical plethysmography and flow studies is analysed. Recording of antidromic sensory action potentials in dependence on acral thermometry as the only objective diagnostic procedure proved correct when compared with the indirect procedures via arterial vascular system, namely Doppler, photoelectrical plethysmography and flow studies. The application of the above techniques in a case report with sphygmographic assessment is described.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"12 1-2","pages":"51-4"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18266154","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
[Very small ganglia as the cause of wrist pain]. [非常小的神经节是手腕疼痛的原因]。
Handchirurgie Pub Date : 1980-01-01
U Lanz, W Romen
{"title":"[Very small ganglia as the cause of wrist pain].","authors":"U Lanz,&nbsp;W Romen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 10 patients with severe pain localised over the dorsal aspect of the lunate, the capsule of the wrist joint was exposed and fenestrated over the scapho-lunate ligament. In two cases flat ganglion cysts were found, too small to be palpated before surgery. In the other 8 cases without macroscopically visible changes, histologically, areas of mucoid degeneration and very small ganglion cysts could be seen in the capsule. All patients were pain free after surgery. It is concluded that very small intracapsular cysts in the area of the dorsal scapho-lunate ligament, the most common origin of ganglia, may irritate the posterior interosseus nerve which is located in this area.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"12 1-2","pages":"27-30"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18266150","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
[Reoperation after surgery of flexor tendons]. 屈肌腱手术后再手术。
Handchirurgie Pub Date : 1980-01-01
H Nigst
{"title":"[Reoperation after surgery of flexor tendons].","authors":"H Nigst","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>After stabilizing operations such as tenodesis or arthrodesis used for lesions of flexor tendons in the hand, secondary operations to achieve more suitable angulation are mainly needed when there is elongation of the tenodesis. Complications are more frequent after mobilizing operations such as reinsertion, advancement, Z-lengthening, primary suture, tendon graft or tendon transfer. Tenolysis, the operation most frequently used, since contractures may occur after all the prementioned procedures, is treated in a separate paper. Tendon rupture, for instance after reinsertion or advancement operations may require repetition of the primary procedure. More often another procedure will be indicated, for instance a graft after rupture of a primary suture. Pulley reconstruction is necessary when correction of bow-stringing is the aim. Synovitis after the first stage of HUNTER's tenoplasty, a consequence of mechanical or chemical irritation from the silastic rod, is best treated by a short period of immobilisation. Tardy, secondary contractures after tendon graft are a real problem. If conservative treatment using splints is ineffective, either the hook-deformity has to be accepted or the finger amputated.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"12 3-4","pages":"155-7"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18344743","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
[The ulnar nerve compression syndrome]. 尺神经压迫综合征。
Handchirurgie Pub Date : 1980-01-01
P Thümler, V Goymann
{"title":"[The ulnar nerve compression syndrome].","authors":"P Thümler,&nbsp;V Goymann","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The ulnar nerve has to bear a large amount of compression, especially in the cubital tunnel, which can be deducted from the topographic relation of this nerve to the elbow. Apart from tightness of the tunnel, intraarticular changes can also cause compression of the nerve. A further narrow tunnel in the course of the ulnar nerve is the \"loge de GUYON\", situated in the hypothenar region. A careful neurological examination of sensory and motor signs as well as an accurate electromyographical examination differentiate compression syndromes from other neuropathies. Two unusual cases of a functional cubital tunnel syndrome are demonstrated: their cause was primarily a chondromatosis of the elbow joint in one case a functional vasal compression in the other case.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"12 1-2","pages":"11-3"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18266144","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
[Dynamic splinting in flexor tendon surgery]. 动态夹板在屈肌腱手术中的应用。
Handchirurgie Pub Date : 1980-01-01
H Mandl, G Freilinger, J Holle
{"title":"[Dynamic splinting in flexor tendon surgery].","authors":"H Mandl,&nbsp;G Freilinger,&nbsp;J Holle","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Besides the special microsurgical operative technique, dynamic splinting is one of the basic fundamentals of KLEINERT's technique for primary repair of flexor tendons. The principle of this splinting is explained. Further applications are reported: 1. after secondary repair of flexor tendons (by tendon transfer or tendon transplantation), and 2. after tenolysis. According to our good results the application of dynamic splinting in the above mentioned cases seems to be advisable.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"12 3-4","pages":"201-3"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18345668","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
[Club-hand correction after termination of growth]. [终止生长后的棒状手矫正]。
Handchirurgie Pub Date : 1980-01-01
A K Martini
{"title":"[Club-hand correction after termination of growth].","authors":"A K Martini","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Negative experiences with early correction of clubhand have shown that in infancy intensive conservative therapy employing splints should be preferred. If correction is desired after ulnar growth ceases, if associated with free movement of the elbow, a correction osteotomy (shortening of the ulna and fusion with the proximal carpal row) can be performed to achieve adequate wrist function. The operative technique and the advantages when compared with \"centralisation of the ulna\" are demonstrated by clinical examples.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"12 3-4","pages":"229-33"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18345672","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
[Long term results with a new lunate bone prosthesis]. [使用新的月骨假体的长期结果]。
Handchirurgie Pub Date : 1980-01-01
K H Bergk, E Koob, P Thümler
{"title":"[Long term results with a new lunate bone prosthesis].","authors":"K H Bergk,&nbsp;E Koob,&nbsp;P Thümler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the University of Essen Orthopaedic Clinic a lunate prosthesis was developed. Three different sizes are available. The strongest indication for this prosthesis is complete destruction of the lunate. Advanced arthritis and heavy manual work are contraindications. Since 1974, fourteen prostheses have been implanted. Nine patients have been followed for an average of 2.1 years. Range of motion and strength of the wrist were reduced on the average of 50 percent. A higher proportion is free of pain despite evidence of progressive arthritis. This prosthesis may be a reasonable treatment modality for a problem without good therapeutic alternatives.</p>","PeriodicalId":75892,"journal":{"name":"Handchirurgie","volume":"12 1-2","pages":"109-12"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18262654","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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