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1.
J Hand Surg Br ; 23(1): 96-7, 1998 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-9571493

RESUMEN

We report a displaced body of hamate fracture in the coronal plane with dislocation of the ring and little metacarpals and interposition of these metacarpals between the two hamate fragments. The diagnosis, radiographic studies and the treatment of this unusual injury are discussed.


Asunto(s)
Huesos del Carpo/lesiones , Traumatismos de los Dedos/etiología , Fracturas Óseas/complicaciones , Luxaciones Articulares/etiología , Metacarpo/lesiones , Adulto , Traumatismos de los Dedos/diagnóstico por imagen , Humanos , Luxaciones Articulares/diagnóstico por imagen , Masculino , Radiografía
2.
Scand J Plast Reconstr Surg Hand Surg ; 31(4): 351-5, 1997 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-9444713

RESUMEN

Current algorithms for lower limb injuries recommend amputation for most Gustilo type III-C injuries with a limb salvage index score of 6-8 or more. Recent improvements in the timing and technique of microvascular flaps with the reduction in bone healing time as a result of better fixation devices and early bone grafting make the option of limb salvage after such severe injuries a valid and acceptable therapeutic approach. We present a case of severe shot gun injury to the leg with a limb salvage index score of 9 that was successfully salvaged by vascular reconstruction followed three days later with a microvascular osteocutaneous scapular flap anastomosed to the divided limbs of a preliminary arteriovenous fistula that had been constructed at the time of the initial vascular repair. The patient was able to walk unaided one year after the injury.


Asunto(s)
Traumatismos de la Pierna/cirugía , Microcirugia/métodos , Adulto , Humanos , Masculino , Colgajos Quirúrgicos , Heridas por Arma de Fuego/cirugía
3.
Bull Hosp Jt Dis ; 57(2): 108-10, 1998.
Artículo en Inglés | MEDLINE | ID: mdl-9725070

RESUMEN

A case of recurrent dislocation of total hip arthroplasty with intra-articular migration of broken trochanteric wires and interposition between the articulating surfaces of the prosthetic components is reported. The patient was treated with revision total arthroplasty with good result. This unusual complication should always be considered when performing trochanteric osteotomy in total hip replacement.


Asunto(s)
Artroplastia de Reemplazo de Cadera , Hilos Ortopédicos , Migración de Cuerpo Extraño/etiología , Articulación de la Cadera , Luxaciones Articulares/etiología , Falla de Prótesis , Anciano , Anciano de 80 o más Años , Artralgia/etiología , Artroplastia de Reemplazo de Cadera/instrumentación , Femenino , Humanos , Recurrencia , Reoperación
4.
Bull Hosp Jt Dis ; 56(2): 115-6, 1997.
Artículo en Inglés | MEDLINE | ID: mdl-9220106

RESUMEN

A case of a soft tissue mass of the dorsum of right hand in a 25-year-old, right-handed male is described. The preoperative diagnosis was a ganglion. On exploration the mass was found to be an atavistic extensor digitorum brevis manus replacing the extensor indicts proprius tendon. Division of the extensor retinaculum resulted in improvement of the symptoms. This muscle has been encountered rarely and few cases have been reported in the literature. It presents as a mass on the dorsum of the wrist. The symptoms are pain after activity. It is nearly always diagnosed as a ganglion preoperatively. The authors conclude that extensor digitorum brevis manus muscle should be included in the differential diagnosis of soft tissue tumors of dorsum of hand. Symptomatic patients are treated by division of the extensor retinaculum.


Asunto(s)
Mano/cirugía , Músculo Esquelético/anomalías , Músculo Esquelético/cirugía , Enfermedades Musculares/diagnóstico , Articulación de la Muñeca/cirugía , Adulto , Diagnóstico Diferencial , Mano/patología , Humanos , Imagen por Resonancia Magnética , Masculino , Músculo Esquelético/patología , Enfermedades Musculares/cirugía , Articulación de la Muñeca/fisiopatología
5.
World J Surg ; 16(6): 1156-9, 1992.
Artículo en Inglés | MEDLINE | ID: mdl-1455889

RESUMEN

Our experience with 118 patients who underwent surgery for a total of 178 popliteal vessels injuries is reported. Forty-nine per cent had injury to both artery and vein and 44% had associated bony fractures. Fourteen patients subsequently needed amputation for a rate of 11.9%. There were no deaths. Delay in repair (> 6 hours from injury), associated fractures, and a shocked condition resulted in increased limb loss. Arterial as well as venous repair, external skeletal fixation, and fasciotomy when necessary lead to improved limb salvage.


Asunto(s)
Arteria Poplítea/lesiones , Vena Poplítea/lesiones , Guerra , Adolescente , Adulto , Anciano , Amputación Quirúrgica , Niño , Preescolar , Femenino , Fracturas Óseas/cirugía , Humanos , Líbano , Masculino , Persona de Mediana Edad , Arteria Poplítea/cirugía , Vena Poplítea/cirugía , Complicaciones Posoperatorias , Estudios Retrospectivos , Factores de Tiempo , Heridas Penetrantes/cirugía
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