Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deutschen Plastischen Chirurgen
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Handchir Mikrochir Plast Chir · Nov 1994
[Hand injury in polytrauma. A retrospective study of 782 cases].
The incidence of hand injuries in multiple trauma is not well investigated. Between 1980 and 1986, 782 multiple trauma patients received primary treatment at the University Hospital of Erlangen. At the time of the study, 22% (n = 173) of these patients had died. 93% of the patients met with a traffic accident. ⋯ The severity of multiple trauma had no influence on the incidence of hand injury. Young people between twenty and fourty years of age were mostly affected in multiple trauma, with increased incidence of hand injuries especially after motorcycle accidents. Delay of diagnosis of hand injuries was rare.
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Handchir Mikrochir Plast Chir · Nov 1994
Case Reports[Reconstruction of grip function in bilateral complex explosion injury].
Evaluation, therapeutical possibilities, and surgical planning for the restoration of bilateral grip function are described, based upon the case of a blind patient presenting after severe bilateral explosion injuries of the hand with grade 3-4 loss of thumbs and fingers. Finally, the given level of amputation and remaining components of the hand together with toe transplantation permitted restoring of power grip on one side and fine grip on the other side in combination with bone and soft-tissue procedures.
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Handchir Mikrochir Plast Chir · Nov 1994
[Wrist para-articular radioulnar arthrodesis with distal Kapandji ulnar resection].
In 19 patients, the Sauvé-Kapandji procedure was performed between 1990 and 1993. The most important indication was the painful and restricted forearm rotation after fracture of the distal radius combined with dislocated or destroyed radio-ulnar joint. 18 patients were followed up. The only failure was found in a patient with bony regeneration across the resected ulnar segment and non-union of the distal radio-ulnar joint fusion. In all other cases, we found reduction of pain, an improved forearm rotation and grip strength.