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  • 1
    Electronic Resource
    Electronic Resource
    The ‘mirrored’ Bennett fracture of the base of the fifth metacarpal (2000)
    Springer
    Archives of orthopaedic and trauma surgery 120 (2000), S. 592-593 
    Details
    ISSN: 1434-3916
    Keywords: Keywords Dislocation ; Fractures ; Hand injury ; Os metacarpale
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Fractures of the base of the metacarpals are usually treated conservatively. The intra-articular fracture of the base of the first metacarpal (‘Bennett fracture’) is an exception to this rule because inadequate repositioning and fixation of the dislocated radial fragment lead to permanent deformity of the joint and subsequent degenerative joint disease. The dislocated intra-articular fracture of the base of the fifth metacarpal is similar to a Bennett fracture in many aspects. Repositioning of this ‘mirrored’ Bennett fracture cannot be guaranteed by a plaster cast. Inadequate repositioning will lead to pain, reduced strength and early degenerative joint disease. We present six patients with dislocated intra-articular fractures of the base of the fifth metacarpal to illustrate the necessity of surgical reduction and fixation.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004020000140
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Heparin-soaked gauze to salvage congested flaps: the poor man’s leech (2000)
    Springer
    European journal of plastic surgery 23 (2000), S. 185-187 
    Details
    ISSN: 1435-0130
    Keywords: Key words Congestion ; Microsurgery ; Exsanguination ; Leeches ; Heparin
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  An important and broad area of plastic surgery entails the cover of defects by pedicled or free flaps and the revascularisation of amputated parts of the body. Failure of perfusion in flaps and replants, due to venous congestion, presents a problem even to the most experienced surgeon. Many bleeding techniques have been used to relieve venous congestion after replantation and transplantation. The best known bleeding technique is probably the use of the medicinal leech. However, the use of leeches may present problems such as infection and significant blood loss. Instead, we advocate the use of heparin soaked gauzes on an intentionally de-epithelialized part of the congested flap. Over the last 12 months, we successfully applied this method in five cases. A full report on one of these cases is provided.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s002380050246
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    Paper (German National Licenses)
    Fulltext
  • 3
    Electronic Resource
    Electronic Resource
    Early and late surgical treatment of complete rupture of the radial collateral ligament of the first metacarpophalangeal joint (2000)
    Springer
    European journal of plastic surgery 23 (2000), S. 232-234 
    Details
    ISSN: 1435-0130
    Keywords: Key words Hand surgery ; Radial collateral ligament ; Metacarpophalangeal joint ; Thumb ; Bone anchor
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  Stability of the first metacarpophalangeal joint is important for daily activities. Rupture of the radial collateral ligament of the first metacarpophalangeal joint (RCL) is less common than rupture of the ulnar collateral ligament, but serious ruptures of the radial ligament are as debilitating as those of the ulnar ligament. Consistent guidelines for treatment of complete RCL rupture have not yet been established. We recommend 4 weeks of immobilization by two K-wires, followed by extensive hand therapy, as primary treatment of complete RCL rupture. As late treatment of complete RCL rupture, we recommend surgical repair using a bone anchor, 4 weeks of immobilization, and subsequent hand therapy. Two patients with a complete RCL rupture are presented. One was treated early and the other received treatment 2 months after injury. These two cases illustrate the methods of early and late treatment.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s002380050258
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    Paper (German National Licenses)
    Fulltext
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