1,720,968 research outputs found
Arthroscopic assisted bone grafting for early stages of Kienböck's disease
No full textKienböck's disease is known for its difficulty in being diagnosed and treated at early stages; option treatments are few and most of them quite aggressive. The author describes his experience with arthroscopic assisted lunate bone grafting. Three patients with diagnosis of stage I avascular necrosis of the lunate (average age: 45 years), were treated. Before surgical procedure, the patients underwent to a conservative treatment. After harvesting the bone graft from the volar surface of the radius, arthroscopic bone grafting was performed. At an average follow-up of 13.5 months (9-15), all the patients show a normal density of the lunate and no arthritic changes in radiographs. The MRI confirmed the lunate vascularity. The number of patients is definitely small, due also to the rarity of the disease and the difficulty in diagnosis, but, despite the very high learning curve, could be the proper first choice of treatment
Tecnica endoscopica e tecnica a cielo aperto per il trattamento del dito a scatto : risultati a confronto
No full text
A comparison of endoscopic and open trigger finger release
No full textThe main complaint of the patients after an open trigger finger release is a discomfort at the incision site. In this prospective study, we compared the two consecutive groups of patients with trigger fingers. One was treated by an open approach and the other by the endoscopic release of the A1 pulley. Pre- and post-operative evaluation at seven, 30 and 90 days showed a faster recovery from the discomfort with a faster return to daily and working activities, after the endoscopic procedur
Economical management in carpal tunnel release. Comparison of endoscopic release (Agee) versus open release
No full textArthroscopic evaluation and treatment by tendon interpositional arthroplasty of first carpometacarpal joint arthritis
No full textBasal joint arthritis of the thumb is usually seen in females beginning from the fourth and fifth decades. In the last two decades, arthroscopic techniques have brought new chances of diagnosis and treatment for this condition. In this paper, the authors describe the indications and their experience concerning arthroscopic hemitrapezectomy and tendon interposition using the palmaris longus tendon. A series of 16 patients with a maximum follow-up of 12 months is analysed. All of the 16 patients were followed and assessed with grasp strength, pinch strength, DASH and MAYO evaluation score both pre- and post-operatively at 12 months follow-up. According to the MAYO score, there were six excellent results, six good, three fair and one poor. No complications occurred. According to our preliminary results, this procedure with the proper indications gives a valid option for the treatment of thumb carpometacarpal joint arthritis in stages I and II according to Eaton's classification
New trend in surgical management of hemiplegic patient. What’s new in Hand and Reconstructive Surgery?
No full textThe TACK knee prosthesis. Analysis of a uniform case series
No full textWe implanted the total arthroplasty knee or TACK prosthesis in 40 patients with degenerative osteoarthritis. We used the same surgical technique in all patients. Full extension and flexion more than 90 were achieved in all 40 knees. All patients obtained a HSS score of more than 88 points.
The results confirm that the TACK prosthesis provides excellent results in patients with degenerative osteoarthritis
if there is no significant bone loss, serious ligament laxity or extensive deformatio
- …
