Handchirurgie
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From 1968 to 1976, 89 flexor tendon injuries were reconstructed with bridging (mini-)-tendon grafts. This technique was also applied to injuries in "no-man's land". ⋯ According to the criteria of BUCK-GRAMCKO there were very good and good results in 65% as compared to 51% with traditional tendon grafting. The method is recommended only for experienced hand surgeons.
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15 cases with pain in the shoulder girdle following an operation in supraclavicular brachial plexus anesthesia are reported. The pain developped after an interval of several days. According to the neurological findings the diagnosis is regarded as neuralgic amyotrophy. Possible causes are discussed.
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The treatment of hydrofluoric acid burns by injection, as it is recommended by many authors, does not give a satisfactory outcome in cases in which the fingers are involved. In these cases the treatment might be dangerous. However good results are seen after early excision of the burned area and covering the defect with split thickness skin grafts. In a case report the typical course and treatment is demonstrated.
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In children the treatment of pulp injuries should amed at conservation. In amputations, replantation should always be tried owing to the high possibility of success and subsequent of functional recovery. In non-specialized workers the simplest and shortest operative procedure (natural healing or skin graft) should be preferred to ensure the quickest possible return to work. ⋯ In the index finger, employed manity for fine actions, DIP mobility is important for good pick up ability. Local flaps are preferred. If impossible sensitive flaps should be used on the radical aspect of the pulp, to avoid functional substitution of the middle finger for the index.