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 · Mar 1988
Case Reports[Complex dislocation fracture of the wrist. Transscaphoid-translunar-transstyloid dislocation fracture].
The most common injuries of the carpus are lunate and perilunate dislocations. The authors describe a complex dislocation of the carpus associated with fractures of the scaphoid, lunate, and styloid process of the radius. The pathogenesis of this dislocation is believed to be extreme hyperextension and radial deviation of the wrist. This mechanism can cause posterior dislocation of the carpus with fracture of scaphoid and lunate.
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Handchir Mikrochir Plast Chir · Mar 1988
[Indications for primary wound closure in bite injuries of the face].
Because of high infection rats and because of possible deformities after radical débridement there is still some restraint in primary wound closure in facial bite injuries. Today the sophistication of facial reconstructive surgery provides the possibility even with injuries with significant skin defects to gain primary healing with satisfactory results from a cosmetic point of view as well as from a functional one.
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Handchir Mikrochir Plast Chir · Jan 1988
Case Reports[Aneurysms. A rare cause of ulnar nerve compression in the palm].
A case of an aneurysmatic dilatation of the ulnar artery with compression of the ulnar nerve in Guyon's canal is described. The etiology, symptomatology, and therapy are illustrated. ⋯ The diagnosis was confirmed by angiogram of the arm and hand. Resection and reconstruction was advised and showed good results.
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Handchir Mikrochir Plast Chir · Nov 1987
Case Reports[A combination of amputation of the upper arm and a plexus lesion. Case report].
A 17-year-old male sustained an amputation of his left arm and a simultaneous complete brachial plexus lesion on the same side. The median nerve was torn nearly completely out of the amputate and the ulnar nerve was avulsed of the stump. The severed extremity was replanted without primary nerve reconstruction. ⋯ Two years post trauma the patient has regained sensibility down to the fingertips. He can actively abduct the shoulder, extend his elbow joint, and flex his wrist joint and fingers. The question about replantation of a severed extremity with a coexistent complete brachial plexus lesion is discussed.
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Handchir Mikrochir Plast Chir · Nov 1986
[Reconstruction of flexor tendons following prognostically unfavorable injuries in the "no man's land" of the hand using transplantation of a tendon-tendon sheath unit--preliminary report].
For the reconstruction of injured flexor tendons with a bad prognosis in "no man's land", the authors used a composite flexor tendon graft from the foot. In one case, first in the literature, they carried out the transplantation with microvessel anastomosis. They modified the method proposed by Chacha in 1974 in several ways. On the basis of their favourable results they propose the method for reconstruction after flexor tendon injuries with a poor prognosis.