Skeletal fixation in the upper extremity:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
1997
|
| Schriftenreihe: | Hand clinics
13,4 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XIV S., S. 531 - 789 :. Ill. |
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Datensatz im Suchindex
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|---|---|
| adam_text | SKELETAL FIXATION IN THE UPPER EXTREMITY
CONTENTS
Preface xiii
Stephen J. Leibovic
Internal Fixation Sets for Use in the Hand: A Comparison of
Available Instrumentation 531
Stephen J. Leibovic
Optimal clinical results of internal fixation in the hand depend on appro¬
priate patient selection criteria, good surgical techniques, and appropriate
implant selection. A variety of implant sets with plates and screws from
different manufacturers are available for hand bone fixation. Traditionally,
such sets have been made of stainless steel, but more recently, implants
have been manufactured from titanium. Sizes and configurations vary
significantly between manufacturers. In this article, commonly available
internal fixation sets are compared. Plate, screw, and instrument design
are considered. These comparisons should help the surgeon make an
enlightened choice of implant sets.
Fixation of Phalangeal Fractures 541
Mark Everett Baratz and Brian Divelbiss
The indications and methods for operative treatment of phalangeal frac¬
tures are reviewed. Included are descriptions with examples of closed
reduction and percutaneous pin fixation, percutaneous reduction and per¬
cutaneous fixation, open reduction and internal fixation, and static and
dynamic external fixation. Also included are tips for facilitating phalangeal
fixation and a description of potential complications.
Metacarpal Fixation 557
Edward Diao
This article discusses and categorizes common metacarpal fractures and
their treatments, including various techniques of obtaining skeletal fixa¬
tion. It reviews metacarpal shaft fracture; intra articular metacarpal head
fractures; and metacarpal neck and base fractures including carpal meta
carpal dislocations, and Rolando s and Bennett s fractures of the base of
thumb metacarpal. Also discussed are the effects of shortening or length
HAND CLINICS VOLUME 13 • NUMBER 4 • NOVEMBER 1997 vii
ening the digital skeleton and bioabsorbable implants, a potential treat¬
ment modality currently under development.
Internal Fixation of Scaphoid Fractures 573
Scott H. Kozin
Scaphoid fracture fixation is indicated in certain acute situations and for
scaphoid nonunion. Internal fixation requires an understanding of the
distinctive scaphoid anatomy with relation to its shape, blood supply,
fracture healing, and radiographic evaluation. The choice of surgical ap¬
proach varies with the fracture configuration and procedure planned. A
variety of innovative implants are available to accomplish internal fixation
of the scaphoid. The ultimate goal is to achieve union and restore stability
to the carpus.
Fractures of the Carpal Bones 587
Mark S. Cohen
Fractures of the carpal bones, excluding the scaphoid, are less common
and are often missed on standard, plain radiographs. The diagnosis re¬
quires knowledge of the anatomy and common fracture patterns of the
bones and the specialized radiographic views necessary to image them.
Although the hamate hook, trapezial ridge, and pisiform often fracture
from direct trauma, other fractures of the carpus may indicate more
widespread injury and require a detailed evaluation to rule out associated
perilunate or carpometacarpal fracture subluxations. Fortunately, if treated
appropriately, the vast majority of these fractures heal uneventfully and
allow recovery of motion and function of the wrist and hand.
Internal Fixation for Small Joint Arthrodeses in the Hand: The
Interphalangeal Joints 601
Stephen J. Leibovic
Interphalangeal arthrodeses are performed frequently for disabling pain
and deformity in the proximal and distal interphalangeal joints. Such
arthrodeses are the gold standard for eliminating pain in arthritic joints of
the fingers. Kirschner wire fixation is simple to perform but often leads to
nonunion or delayed union. Fixation with tension band wires and Herbert
and Accutrak screws is discussed in this article. The techniques are simple
and straightforward, and they afford considerably more stability and a
higher union rate than Kirschner wires alone.
Limited Wrist Fusion 615
Alexander D. Mih
Limited wrist fusion can provide patients a measure of pain relief with
retention of a functional range of motion. Recent biomechanic investiga¬
tions have shed light on the potential benefits of such procedures. Clinical
studies have demonstrated the usefulness of limited wrist fusion for the
treatment of numerous conditions involving the wrist. Significant compli¬
cations are associated with many of these fusions and should be consid¬
ered before performing these procedures.
Static External Fixation in the Hand and Carpus 627
Gary M. Lourie and Robert E. Lins
Static external fixation in the hand and carpus remains a valuable part of
the hand surgeon s armamentarium for the treatment of complex injuries.
This article describes a brief history, indications, case examples, and com
vJJj CONTENTS
plications using these constructs. Pertinent pitfalls are emphasized to avoid
suboptimal outcomes.
Dynamic Skeletal Fixation in the Upper Extremity 643
N. George Kasparyan and Robert N. Hotchkiss
Recent advances in the understanding of the biomechanics of the elbow
and improvement in material designs have revolutionized the ability to
treat difficult problems of the proximal interphalangeal and elbow joints.
Dynamic skeletal fixation addresses the desire to allow an injured joint to
heal, move, and remain stable simultaneously. In the past, such goals were
achieved sequentially or in series. It is now possible to perform such tasks
in parallel.
Fixation for Distal Radius Fractures 665
Stephen J. Leibovic
Distal radius fractures are common fractures that can cause significant
disability. As techniques and implants have improved, better results can
be expected from internal and external fixation of complex wrist fractures.
With meticulous technique, articular alignment can be secured and small
articular fragments can be replaced in anatomic locations through limited
open or arthroscopic techniques. Bone graft should be used liberally in
comminuted articular fractures. Such procedures are demanding, however.
Familiarity with the techniques described in this article will enhance the
surgeon s ability to restore function in this group of patients.
Wrist Fusion 681
Ira Richterman and Arnold Peter C. Weiss
Wrist arthrodesis is a reliable procedure for the treatment of a variety of
disorders of the wrist. It provides predictable pain relief, enhanced hand
function, and a high degree of patient satisfaction. The AO/ASIF wrist
fusion plate allows rigid internal fixation and optimizes wrist position
for maximum hand function. In comparison to other wrist arthrodesis
techniques, the wrist fusion plate produces a high rate of fusion utilizing
local bone graft from the distal radius.
Forearm Fixation 689
John A. McAuliffe
The great majority of forearm fractures in adults are best treated by open
reduction and internal fixation. Although alternative methods exist, plate
fixation is favored by most surgeons. With strict attention to surgical
detail, complication rates are low and early active function is possible. The
treatment of high energy, open fractures can include various techniques
such as internal or external fixation. Refracture remains the greatest risk
following hardware removal, which is not necessary for all patients.
Fixation of Complex Elbow Fractures, Part I: General Overview and
Distal Humerus Fractures 703
Hill Hastings II and Drew R. Engles
Complex elbow fractures are those intra articular injuries which result in
displacement or incongruity of one or more of the articulations between
the distal humerus, proximal radius, or proximal ulna. This article dis¬
cusses a system for clinical and radiographic evaluation, operative man¬
agement, and rehabilitation of distal humerus fractures. This review pre¬
sents detailed descriptions of skeletal reconstructive techniques for these
CONTENTS ix
injuries based on a review of the literature, biomechanic principles, and
clinical experience. The importance of rigid internal fixation and early
postoperative mobilization is emphasized.
Fixation of Complex Elbow Fractures, Part II: Proximal Ulna and
Radius Fractures 721
Hill Hastings II and Drew R. Engles
Complex fractures of the elbow often include significant injury to the
proximal ulna and /or proximal radius. Such injuries are often combined
with injury to the periarticular soft tissues. Appropriate treatment is de¬
pendent on accurate diagnosis, definitive treatment of both the skeletal
and ligamentous components of injury, and initiation of rehabilitation
programs that stress early motion.
Fixation Methods in Contaminated Wounds and Massive Crush
Injuries of the Forearm 737
Kevin G. Shea, Diego L. Fernandez, and Mark Casillas
This article presents a critical review of the current literature on the
stabilization methods of severe open fractures or crush injuries of the
forearm. Due to the complexity of the problem, the advantages and disad¬
vantages of the different fixation methods are presented in order to pro¬
vide the reader with a combination of possibilities for timing and decision
making when confronted with such fractures in clinical practice.
Infection in the Presence of Skeletal Fixation in the Upper Extremity 745
Michael A. McClinton and Stephen L. Helgemo, Jr
Infection is infrequent after open fractures of the upper extremity. Treat¬
ment begins with prevention through the appropriate use of prophylactic
antibiotics, adequate wound debridement, and timely soft tissue coverage.
If infection supervenes, the surgeon must identify the responsible bacteria
and administer antibiotics accordingly. Stable fixation is retained. Unstable
fixation is removed and skeletal stability restored. Using these principles,
infection in the presence of skeletal fixation can be controlled and fracture
union achieved.
Therapy After Skeletal Fixation in the Hand and Wrist 761
Brad K. Bryan and Elizabeth N. Kohnke
Skeletal fixation can be very beneficial to the recovery of wrist and hand
function after a displaced fracture because it allows mobilization of soft
tissues before the completion of fracture healing. The benefits of skeletal
fixation can be greatly diminished, however, if excessive force causes the
fixation to fail before fracture healing has occurred, infection occurs
around the implant, or the patient develops reflex sympathetic dystrophy.
Those complications, as well as others, are often caused by inappropriate
or inadequate hand therapy. This article discusses the techniques needed
to avoid many such complications while providing the best possible func¬
tional result for every patient.
Cumulative Index 1997 777
Subscription Information Inside back cover
x CONTENTS
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| spelling | Skeletal fixation in the upper extremity Stephen J. Leibovic, guest ed. Philadelphia [u.a.] Saunders 1997 XIV S., S. 531 - 789 :. Ill. txt rdacontent n rdamedia nc rdacarrier Hand clinics 13,4 Armen (ledematen) gtt Fixateur interne Fixatie (geneeskunde) gtt Traumatismes du membre supérieur - Chirurgie Arm Injuries surgery Internal Fixators instrumentation Speichenbruch (DE-588)4140212-1 gnd rswk-swf Unterarmbruch (DE-588)4186964-3 gnd rswk-swf Oberarmbruch (DE-588)4172220-6 gnd rswk-swf Ellbogengelenkfraktur (DE-588)4152017-8 gnd rswk-swf Osteosynthese (DE-588)4044022-9 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Oberarmbruch (DE-588)4172220-6 s Osteosynthese (DE-588)4044022-9 s DE-604 Unterarmbruch (DE-588)4186964-3 s Ellbogengelenkfraktur (DE-588)4152017-8 s Speichenbruch (DE-588)4140212-1 s Leibovic, Stephen J. Sonstige oth Hand clinics 13,4 (DE-604)BV000019309 13,4 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007907966&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Skeletal fixation in the upper extremity Hand clinics Armen (ledematen) gtt Fixateur interne Fixatie (geneeskunde) gtt Traumatismes du membre supérieur - Chirurgie Arm Injuries surgery Internal Fixators instrumentation Speichenbruch (DE-588)4140212-1 gnd Unterarmbruch (DE-588)4186964-3 gnd Oberarmbruch (DE-588)4172220-6 gnd Ellbogengelenkfraktur (DE-588)4152017-8 gnd Osteosynthese (DE-588)4044022-9 gnd |
| subject_GND | (DE-588)4140212-1 (DE-588)4186964-3 (DE-588)4172220-6 (DE-588)4152017-8 (DE-588)4044022-9 (DE-588)4143413-4 |
| title | Skeletal fixation in the upper extremity |
| title_auth | Skeletal fixation in the upper extremity |
| title_exact_search | Skeletal fixation in the upper extremity |
| title_full | Skeletal fixation in the upper extremity Stephen J. Leibovic, guest ed. |
| title_fullStr | Skeletal fixation in the upper extremity Stephen J. Leibovic, guest ed. |
| title_full_unstemmed | Skeletal fixation in the upper extremity Stephen J. Leibovic, guest ed. |
| title_short | Skeletal fixation in the upper extremity |
| title_sort | skeletal fixation in the upper extremity |
| topic | Armen (ledematen) gtt Fixateur interne Fixatie (geneeskunde) gtt Traumatismes du membre supérieur - Chirurgie Arm Injuries surgery Internal Fixators instrumentation Speichenbruch (DE-588)4140212-1 gnd Unterarmbruch (DE-588)4186964-3 gnd Oberarmbruch (DE-588)4172220-6 gnd Ellbogengelenkfraktur (DE-588)4152017-8 gnd Osteosynthese (DE-588)4044022-9 gnd |
| topic_facet | Armen (ledematen) Fixateur interne Fixatie (geneeskunde) Traumatismes du membre supérieur - Chirurgie Arm Injuries surgery Internal Fixators instrumentation Speichenbruch Unterarmbruch Oberarmbruch Ellbogengelenkfraktur Osteosynthese Aufsatzsammlung |
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