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The results of treatment of severe injuries to the proximal interphalangeal joint are unsatisfactory. The methods of joint reconstruction are discussed, including fusion, implant arthroplasty, perichondrial grafting and vascularized joint transfer. A patient is presented with a severe crush...
A case of dislocation of the hamate is reported. The literature is reviewed, the mechanism of injury discussed and results of treatment described.
A method of reconstruction of the long standing rupture of ulnar collateral ligament of the thumb is described. Its advantage is the tightness with which the tendon used for repair can be sutured to achieve maximum stability. This has been used in eight patients in the past four years and...
A large aponeurotic fibroma situated on the dorsum of the hand of a fourteen-year-old Nigerian male is reported. Out of forty-three juvenile aponeurotic fibromata of the hand documented in the literature, only two cases occurred on the dorsum.
Forty-two digital neurorrhaphies utilizing contemporary techniques and suture material are reviewed. 17% regained near normal function. Another 30% regained imperfect, but very-pleasing function. Half of the patients were left with moderate to marked hypoaesthesia, but protective sensation....
The aim of the present study was to investigate some aspects of motivation to practise hand surgery, psychological mindedness and personality characteristics in a group of 212 Hand Surgeons. The data was obtained by administering the Eysenck Personality Inventory, an especially constructed...
The dorsal sensory branch of the ulnar nerve has been found to have the appropriate size and sufficient length for use as a digital nerve graft. This donor nerve was utilised fifteen times in twelve patients for the bridging of defects in thirteen digital nerves of the fingers. After an average...
We describe the vascularised transfer of a second metatarsophalangeal joint to the hand to correct a congenital deformity in a thirteen-year-old boy. Technical refinements are described, allowing inversion of the joint to the optimal position for subsequent mobility and retention of a large...
The nutrient pathways to the extensor tendon beneath the extensor retinaculum of young adult monkeys was investigated using hydrogen as tracer material. The results indicate that diffusion from the synovium is a more significant nutrient pathway than vascular perfusion from either the mesotendon...
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