Chirurgie de la main
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Chirurgie de la main · Dec 2010
Case Reports[Use of dermal substitute Matriderm® in severe injuries of the hand: about one case].
Restoring function after hand burns is still a great surgical challenge. Reconstitution of elasticity and pliability are of utmost importance for hand function and aesthetics results. Dermal substitutes have been developed and have been used for many years. ⋯ After debridement incisions in emergency, early excision and skin graft using Matriderm® were performed. Physical therapy was established at Day 10. At six weeks follow-up, full range of motion was achieved and the patient was able to use his hand in daily activities.
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Chirurgie de la main · Oct 2010
Comparative Study[Fingertip reconstruction with occlusive dressing: clinical results and biological analysis of the dressing content's].
To evaluate the fingertip reconstruction with occlusive dressing and explore the mechanisms and the mediators of this "fingertip regeneration". ⋯ The occlusive dressings remain a reliable and reproducible alternative for treatment of fingertip injuries in zone 1 and 2. This reconstruction seems to depend on bacterium pullulement and cellular growth factors liberation.
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Chirurgie de la main · Sep 2010
Comparative Study[Fractures of the distal radius in patients over 70 years old: Volar plates or K-wires?].
In a growing elderly osteoporotic population, the management of distal radius fractures remains without consensus as to volar distal plate versus K-wires. The goal of this retrospective study was to evaluate these treatments in elderly people. In a series of 38 patients over 70 years, 21 were treated by a volar plate and 17 by percutaneous K-wire fixation. ⋯ However, they analyze only global mean scores. Volar plates give more stability and a higher rate of satisfaction, with similar results of wrist mobility and grasp strength. The main advantage of the plates is earlier return to daily activities.
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Chirurgie de la main · Apr 2010
[Orthopaedic treatment of floating elbow in a child: a case report].
The floating elbow in the child is rare and serious. The authors report a traumatic case of floating elbow without vascular and nervous lesions associated in a 6-year-old child. We treated these both fractures of the distal forearm and the supracondylar humeral by respectively cast plaster and a collar and cuff with an anatomical reduction. The radiological and clinical results were excellent with the 29 months follow-up.
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Chirurgie de la main · Apr 2010
Case ReportsBilateral posterior fracture dislocation of the shoulder.
The authors report a case of shoulder bilateral posterior fracture dislocation in a 42-year-old man with osteogenesis imperfecta history. The importance of the communition, the large size of articular surface involved and the poor quality of the bone indicate a bilateral total shoulder arthroplasty. At midterm outcome, a good range of motion of both shoulders was registered.