Operative Orthopädie und Traumatologie
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Oper Orthop Traumatol · Jun 2009
Clinical Trial[Endoscopic decompression of the ulnar nerve in cubital tunnel syndrome].
Long endoscopic in situ decompression of the ulnar nerve in cubital tunnel syndrome (sulcus ulnaris syndrome) with direct visualization and minimal incision. ⋯ 52 patients were operated using this method. 53% felt an immediate improvement right after surgery. 47 patients (90%) were available for reexamination after 8 months. Two-point discrimination, grip and pinch strength, and nerve conduction velocity had improved significantly to normal levels. Results, measured with the modified Bishop Rating System, were excellent in 66%, good in 32%, and fair in 2%. There were no poor results. Patients with advanced stages of disease also achieved good results.
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Oper Orthop Traumatol · Jun 2009
Review[Pectoralis major muscle transfer for reconstruction of elbow flexion in posttraumatic brachial plexus lesions].
Active elbow flexion is necessary for bimanual tasks. Reconstruction of powerful active elbow flexion. Reconstruction of missing muscle unit by neurovascular pedicled functional muscle transposition. ⋯ Meta-analysis of the literature and personal results show functional (very good and good) results in 54-86% of patients. There are only few complications.