Search results for "Hand surgery"
showing 10 items of 13 documents
[The impact of COVID-19 on hand surgery: a French retrospective comparative study in COVID-19 and non-COVID-19 hand trauma centers].
2021
Introduction: En 2020, la pandémie a divisé la France en zone COVID-19 et non COVID-19. L’objectif principal de notre étude était de comparer la variabilité de l’activité chirurgicale et de consultation de 2 centres SOS main entre la période de pandémie et hors pandémie. Les objectifs secondaires étaient d’identifier les patients à risque afin de développer des moyens de prévention en traumatologie de la main. Méthodes: Il s’agit d’une étude rétrospective bi-centrique à visée épidémiologique sur les admissions aux urgences traumatologiques pendant le premier confinement français. Les données ont été comparées à la même période en 2019 (groupe contrôle). 2055 patients ont consulté pour un tr…
Influence of the level of arterial resection on the replanting and revascularization results in hand surgery: prospective study over 22 months
2021
Abstract The objective of this work was to assess whether the injury mechanisms are responsible for histological arterial lesions. This prospective single-center study included adults with wrist or hand arterial injury. Arterial resection of at least 2 mm from the proximal and distal stumps was performed before the arterial anastomosis. Histological analysis of the arterial stumps was performed. An ultrasound was performed 1 month postoperatively to check arterial patency. A clinical and functional evaluation was done at 1 month postoperative, then every 3 months. From 2018 to 2020, 46 patients were included with a maximum follow-up of 13 months. There were 35 cuts, 2 crush injuries, 8 ampu…
Tuberkulöse Destruktion des Iliosakralgelenkes
2001
In dieser Kasuistik wird der Fall einer tuberkulosen Destruktion des rechten Sakroliakalgelenks eines 56-jahrigen Patienten vorgestellt. Auffallig sind die verspatete Diagnose durch Verwechslung der Beschwerdesymptomatik mit einer Lumbalgie durch Bandscheibenprolaps und die Abszedierung entlang der Psoasmuskulatur und in die umgebende intra- und extrapelvine Muskulatur. Die Therapie ist eine chirurgische, die durch eine einjahrige medikamentose Kombinationstherapie erganzt wird.
Mortalit�t, Morbidit�t und funktionelles Endergebnis nach "Open-book-Verletzungen" und lateralen Kompressionsverletzungen des Beckenringes
2003
In einer retrospektiven Studie wurden die Begleitverletzungen, Behandlungsmerkmale, Morbiditat, Mortalitat und das radiologische und funktionelle Endergebnis von 222 Patienten mit einer Beckenringverletzung vom Typ B oder vom Typ C nach der Klassifikation von M.Tile eruiert. 52 Patienten wiesen eine "Open-book-Verletzung" auf (Typ B1), 48 Patienten eine laterale Kompressionsverletzung (Typ B2/B3), 122 Patienten wiesen eine C-Verletzung auf. Die Zahl der neurologischen bzw.urologischen Begleitverletzungen lag bei den B1-Patienten mit 21% bzw. 9,6% deutlich hoher als bei den B2/B3 Patienten mit 12% bzw.2,1%.66% der Patienten mit einer B-Verletzung wurden mit einem Fixateur externe entversorgt…
Cross-Cultural Adaptation and Validation of the Finnish Version of the Michigan Hand Outcomes Questionnaire
2018
Background and Aims: Michigan Hand Outcomes Questionnaire is a widely used patient-reported outcome measure in hand surgery. The aim of this study was to translate and validate the Michigan Hand Outcomes Questionnaire into Finnish for Finnish patients with hand problems following international standards and guidelines. Material and Methods: The original English Michigan Hand Outcomes Questionnaire was translated into Finnish. Altogether, 115 patients completed the Finnish Michigan Hand Outcomes Questionnaire, and reference outcomes: Disabilities of the Arm and Shoulder, EQ-5D 3L and pain intensity on a visual analog scale. Grip and key pinch forces were measured. After 1–2 weeks, 63 patient…
The treatment of scaphoid non-unions with partial and total scaphoid in titanium custom-made 3D-printed prostheses and reconstruction of scapholunate…
2021
ABSTRACTThe treatment of sequelae of scaphoid fractures is still one of the unsolved problems of hand surgery. Between January 2019 and July 2020 in the Hand Surgery Department of San Paolo’s Hospital in Savona (Italy) 9 partial scaphoid in titanium custom-made 3D-printed prosthesis have performed in 9 patients (all men) with an average age of 27.5 years (minimum 18-maximum 37 years). The aim of the study is to evaluate over time the clinical-functional and radiographic results of the wrists treated with partial and total scaphoid titanium custom-made 3D-printed prostheses and reconstruction of SLIL.
Okkulte Fraktur einer Achillessehnenossifikation ohne begleitende Sehnenruptur
2000
Ossification of the Achilles tendon is the result of a traumatic, hypoxic injury of the tendon. The usually asymptomatic ossification has a clinical importance only in case of a new trauma. We report about a patient with an isolated fracture of the ossification without an accompanying rupture of the Achilles tendon. Because of the radiologically "occult" fracture the diagnosis could only be verified by MRI. With a conservative treatment without resection of the ossification we could reach painless recovery.
Impact of COVID-19 on hand surgery in Italy: A comparison between the Northern and the Southern regions
2021
The aims of this study were to evaluate the impact of the COVID-19 pandemic on emergency and elective hand surgery in four Italian regions that had either a high (Lombardy and Piemonte) or a low (Sicilia and Puglia) COVID-19 case load to discuss problems and to elaborate strategies to improve treatment pathways. A panel of hand surgeons from these different regions compared and discussed data from the centers they work in. The COVID-19 pandemic had an enormous impact on both elective and emergency surgery in Italy, not only in highly affected regions but also – and paradoxically even at a higher extent – in regions with a low COVID-19 case load. A durable and flexible redesign of hand surge…
Die retrograde Verriegelungsmarknagelung von Humerusschaftfrakturen mit dem unaufgebohrten Humerusnagel
1999
Operationsziel Ubungsstabile Osteosynthese des Humerus mit solidem, intramedullaren Verriegelungsmarknagel in nichtaufgebohrter Technik. Rasche Wiederherstellung von Form und Funktion der betroffenen Gliedmase.
Remote photoplethysmography system for unsupervised monitoring regional anesthesia effectiveness
2017
Determining the level of regional anesthesia (RA) is vitally important to both an anesthesiologist and surgeon, also knowing the RA level can protect the patient and reduce the time of surgery. Normally to detect the level of RA, usually a simple subjective (sensitivity test) and complicated quantitative methods (thermography, neuromyography, etc.) are used, but there is not yet a standardized method for objective RA detection and evaluation. In this study, the advanced remote photoplethysmography imaging (rPPG) system for unsupervised monitoring of human palm RA is demonstrated. The rPPG system comprises compact video camera with green optical filter, surgical lamp as a light source and a …