This paper reports the authors' experience with the use of microvascular flaps, elevated from severely injured fingers to cover soft-tissue defects of other digits. Two clinical cases are presented and pertinent literature is reviewed.
This paper reports the authors' experience with the use of distally-based forearm flaps as flow-through flaps for revascularization of distal parts of the hand, by simultaneous coverage of traumatic soft-tissue defects. Two clinical cases are presented and the pertinent literature is reviewed.
This article presents the results of a prospective cohort study that included 63 patients with intra-articular (AO Type C) distal radial fractures who were treated using an arthroscopically assisted approach with either volar locking plates or external fixator and K-wires. Postoperative analysis was carried out using X-ray assessment, clinical data, Patient-Rated Wrist Evaluation score, Gartland and Werley score, Modern Activity Subjective Survey of 2007 score, range of motion, grip, pinch and tripod pinch assessment at 1, 3, 6 and 12 months postoperatively. Despite the statistically significant differences found in a number of parameters during the period of observation, there were no clinically relevant differences determined between the two methods. There was a greater number of complications in the external fixator and K-wire treated patients. Level of evidence: II
This article is dedicated to our special interest in hand surgery - arthroscopy. We are the initiators of the wrist arthroscopy in our clinic as well as in country. In this chapter we can only sketch some aspects of this fascinating, intriguing and specific direction of hand surgery. Indications for arthroscopic surgery and application in different wrist conditions including novel techniques. There is a short historical review at the beginning - names and contribution of the pioneers of the wrist arthroscopy, development of instruments and surgical possibilities. This is followed by arthroscopic anatomy of the portals and structures accessible via these portals. The most common arthroscopic procedures in our practice are listed and described, such as arthroscopic treatment of ganglions and bone cysts, intercarpal ligament or TFCC tears, application of the arthroscopy in treatment of the articular distal radius fractures, scaphoid fractures and nonunions The text is supplemented with photos of our patients.
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