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Non-vascularized fibular graft for distal radial reconstruction：42 years follow-up

Chinese m.dical Journal 2014年第2期127卷 389-390页

作者： Yang Yong Tian Wen Sunil Thirkannad Tian Guanglei Departm.nt of hand Surgery Beijing Jishuitan Hospital Beijing 100035 China christine m. kleinert institute for hand and microsurgery University of Louisville Louisville KY USA

The distal radius is the third m.st com.on site for giant cell tum.rs of bone This tum.r is known to be very locally aggressive and recurs in situ quite frequently after excision. En bloc resection, rem.ving a wide m.... 详细信息

关键词： nonvascularized fibular autograft distal radius reconstruction carpal arthritis

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Degree and location of m.tacarpal angulations

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Plastic and Aesthetic Research 2017年第10期4卷 174-177页

作者： Laxm.narayan Bhandari Cynthia Sathekga Francisco Aguilar Luis Vicentela Elkin Galvis christine m.kleinert institute for hand and microsurgery LouisvilleKY 40202USA.

Aim. Fractures of m.tacarpals are com.only encountered in hand surgery. For adequate fixation, a thorough knowledge about the anatom. is essential. While fixing the m.tacarpals with plates and screws, plates are bent to contour the dorsal surface. However, there are no reference values in literature for the location and degree of angulation. The authors studied the dorsal surface of m.tacarpals in cadavers to gather data regarding the location and degree of angulation of the dorsal cortex. m.thods: Cadaveric dissections of 118 m.tacarpals from.30 hands were perform.d. A true lateral view of each m.tacarpal was taken using *** pictures were analyzed using Im.ge J software. The dorsal cortex angle was m.asured in each im.ge, and the center of rotation of angulation (CORA) was identified. The distance from.the CORA to the base of m.tacarpal was m.asured and calculated as a percentage of the m.tacarpal length. Results: The average dorsal angle of the m.tacarpals was 11.5°. The average angles for each m.tacarpal were as follows: 2nd m.tacarpal = 13° (range, 6-26°;SD, 4.73), 3rd = 10° (range, 1-25°;SD, 5.28), 4th = 11° (range, 1-20°;SD, 4.45), 5th = 12°(range, 2-24°;SD, 5.11). The average location of the CORA from.the base of the m.tacarpal as a percentage of the m.tacarpal length was identified as follows: 53.5% for the index finger,52.1% for the long finger, 48.3% for the ring finger and 50.3% for the sm.ll finger. Conclusion:These m.asurem.nts are able to serve as reference values for plate bending while operating on a m.tacarpal fracture or m.tacarpal corrective osteotom..

关键词： m.tacarpals plate fixation anatom.

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Ligam.nt reconstruction with tendon interposition arthroplasty for first carpom.tacarpal joint osteoarthritis

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Chinese m.dical Journal 2014年第22期127卷 3921-3925页

作者： Yang Yong Huey Y.Tien Kannan K.Kum.r Chen Shanlin Li Zhongzhe Tian Wen Tian Guanglei Departm.nt of hand Surgery Beijing Jishuitan Hospital Beijing 100035 China christine m.kleinert institute for hand and microsurgery University of Louisville Louisville 40202 KY USA

Background Ligam.nt reconstruction tendon interposition （LRTI） is the m.st com.only perform.d surgical procedure for first carpom.tacarpal joint *** purpose of this study was to exam.ne the radiographic and clinical outcom.s of LRTI arthroplasty and docum.nt the clinical results based on m.tacarpal *** From.January 2008 to January 2011,19 patients （21 thum.s） underwent surgery for thum. carpom.tacarpal arthritis using ligam.nt reconstruction tendon interposition arthroplasty with flexor carpi radialis （FCR） in kleinert Kutz hand Care Center of Louisville University,*** follow-up period was an average of 13.9 ***,grip strength,tip pinch strength,range of m.tion,and radiographic m.asurem.nts were *** on first m.tacarpal subsidence,the cases were classified in to m.ld,m.derate,and *** outcom.s of the groups were evaluated and *** Grip strength im.roved from.18.6 kg to 20.5 kg,and tip pinch strength increased from.4.4 kg to 4.5 kg after the *** abduction and palm.r abduction im.roved after *** abduction increased from.55.7° to 60.6° and palm.r abduction im.roved from.56.7° to 63.5° after the *** analogue scores （VAS） were significantly reduced,from.6.6 to *** with the preoperative radiographs the first m.tacarpal had subsided about 54.6％ of the arthroplasty *** height of arthroplasty space and index of the arthroplasty space significantly decreased from.12.4 m. to 5.6 m. and from.0.27 to 0.12 *** the various groups （m.ld,m.derate and severe m.tacarpal subsidence）,there was no difference in grip strength,tip pinch strength,thum. range of m.tion,and *** Ligam.nt reconstruction tendon interposition arthroplasty resulted in excellent relief of pain and increase in range of ***,LRTI cannot m.intain the arthroplasty *** with the preoperative radiographs,the m.tacarpal subsided m.re than 50％.The am.unt

关键词： carpom.tacarpal arthritis ligam.nt reconstruction interposition arthroplasty

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