Introduction:The main complications in distal interphalangeal (DIP) arthrodeses are nonunion and hardware related. The main aim of this study was to show that joint preparation for DIP fusion is useless in Stage IV chondropathies. The secondary aim was to show that the use of buried compression screws decreases the complication rate. Methods: Our continuous retrospective study included two groups of DIP percutaneous arthrodeses with self-breaking 1.8 mm compression screws: Group 1 with a joint preparation through a dorsal approach and Group 2 with no joint preparation. Group 1 included 15 patients (18 fingers) with a mean age of 65.3 years, representing nine cases of osteoarthritis, four cases of open trauma, one gout and one rheumatoid arthritis. Group 2 included 18 patients (21 fingers), with a mean age of 58.9 years, representing 16 cases of osteoarthritis, one rheumatoid arthritis and one swan-neck deformity. Results: Tourniquet time was longer in Group 1 (61 min) than in Group 2 (24 min). The amount of emitted ionizing radiation was not different between groups. Pain and quick-DASH scores were not improved in Group 1, but were in Group 2. There was no difference in terms of consolidation time. One nonunion was observed in Group 1. Conclusion: Our results showed that joint preparation for DIP arthrodesis is useless in Stage IV chondropathies and that there were no hardware-related complications.A-0005 Are fluoroscopic anteroposterior and lateral views sufficient for distal radius volar plating? About 75 cases with fluoroscopic 'skyline'
IFSHT 131SHowever, no study has been conducted on patients' own experiences of early sensory relearning. Materials and Methods: Thirty-one consecutive adult patients with at least 50% median and/or ulnar nerve repair at wrist level, which had completed phase 1 relearning a minimum 3 months ago, were included. The individuals' experience of phase 1 rehabilitation was assessed using the Q-methodology approach combining both qualitative and quantitative methods. In this method, the patient sorts a number of statements about a phenomenon-in this case the early sensory relearning-into a cell grid, representing their experience. Fiftysix statements within 4 topics-(1) to understand the concept, (2) the conditions for operating training (person/ environment/therapist), (3) to create the illusion of sensation, and (4) to complete the sensory training-were developed after pilot interviews, expert group discussion, and pilot testing. Factor analysis was used for data processing of the 31 sorted grids. Results: Three factors emerged that refers to (1) understanding and implementation of the training concept, (2) need for support and feedback during the training, and (3) training with others as a factor for success. Conclusions: With this method, we could identify factors describing patients' experiences from early sensory relearning, and conclude that the specific factors that were identified should be included in future development of programs for person-centered early sensory relearning. Background: Many amputees experience referred sensations described as sensations from the phantom fingers elicited by stimulation of specific skin areas on, eg, the residual limb-a phantom hand map (PHM). Some amputees have a very detailed PHM with a mapping of all fingers, while others have a more "simple" map containing 1 or 2 fingers and others do not have a map at all. The anatomical and physiological substrate behind the PHM is not completely understood. Here, we evaluated the sensory qualities of the PHM. Methods: Touch thresholds and discriminative touch of the PHM were assessed in 10 traumatic forearm amputees. They were assessed for ability to localize touch in the PHM areas, and they were also asked to grade how distinct and similar to normal touch the referred feeling was. Superior Tactile Discrimination in the Phantom Hand Map in Forearm Amputees
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