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KAWABATA, H.; MASATOMI, T.; SHIMADA, K.; KAWAI, H.; TADA, K.
doi: 10.1016/0266-7681(93)90184-Hpmid: 8436862
Extensor indicis tendon transfers were used in six cases with residual deformity of the thumb in polydactyly. The indication was extensor lag and instability of the interphalangeal joint. At mean follow-up of three and a half years, normal stability was improved. Full extension was achieved in three cases and two cases also derived some benefits from this operation. Alignment was improved in five cases.
PATERSON, J. M. H.; ROPER, B. A.
doi: 10.1016/0266-7681(93)90185-Ipmid: 8436869
Full extension of the elbow is normally made possible by accommodation of the olecranon within an appropriately shaped fossa in the distal humerus. We report three cases where disability has resulted from an abnormally shaped olecranon.
HORII, E.; TAMURA, Y.; NAKAMURA, R.; MIURA, T.
doi: 10.1016/0266-7681(93)90186-Jpmid: 8436844
Two cases of fracture of the radius treated by pinning resulted in severe wrist joint deformity due to premature closure of the epiphysial growth plate. Inappropriate pinning through the physis damaged the growth plate in both cases. They were treated by bone bridge resection with free fat interposition. The bone bar resection was effective in correcting the wrist joint deformity, and bone growth was expected without bone grafting.
HILL, R. A.; PHO, R. W. H.; KUMAR, V. P.
doi: 10.1016/0266-7681(93)90187-Kpmid: 8436852
A retrospective study was undertaken of 15 cases of congenital vascular malformations of the upper limb with a mean follow-up of 5.6 years. Malformations were classified on the basis of tissue involvement into local and diffuse types and the outcome of a radical surgical approach was assessed. There were seven cases of recurrence (47%). Recurrence was more frequent in the diffuse type and when excision was considered incomplete.
BOULAS, H. J.; STRICKLAND, J. W.
doi: 10.1016/0266-7681(93)90188-Lpmid: 8436853
A two-pronged study was designed to evaluate the strength in vitro and functional recovery in vivo of FDS repairs in zone 2. In part I, horizontal mattress or Tajima grasping repairs were performed on fresh-frozen cadaveric digits, using 3/0 or 4/0 braided nylon suture material. The Tajima repair was significantly stronger than the mattress suture, using either 3/0 (P = 0.0001) or 4/0 (P = 0.0027) suture material. The 3/0 Tajima repair appeared strong enough to permit gentle early active motion. Furthermore, the clinical portion of the study (part II) demonstrated restoration of FDS function following repair in relatively isolated injuries in 13 out of 15 digits (86.7%), with PIP flexion averaging 80° and grip strength 89% of that in the uninjured hand.
KARLANDER, L-E.; BERGGREN, M.; LARSSON, M.; SÖDERBERG, G.; NYLANDER, G.
doi: 10.1016/0266-7681(93)90189-Mpmid: 8436854
The results following primary and delayed primary repair in zone 2 flexor tendon injuries were evaluated in 85 fingers of 79 patients using immediate controlled mobilization post-operatively. In 31 patients a conventional Kleinert technique was used. In the remaining 48 patients a modified technique was used with rubber band traction to all fingers instead of only to the injured one. Also a shorter dorsal splint was used in order to secure extension of the PIP and DIP joints. The results were improved and the time of treatment was reduced.
TANG, J. B.; ZHANG, Q. G.; ISHII, S.
doi: 10.1016/0266-7681(93)90190-Qpmid: 8436856
We report our clinical experience of reconstruction of the digital flexor sheath with free autogenous sheath graft at the delayed primary stage. In 21 digits with flexor tendon lacerations, free autogenous sheath was taken from the sheath covering the first dorsal compartment to reconstruct the digital flexor sheath, where there was an obvious defect due to trauma, contusion of the synovial surface or contracture of the digital sheath. Follow-up revealed excellent and good results in 85.7% of the cases. Ample gliding space should be kept inside the sheath tunnel to maintain tendon gliding function.
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