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Corrective Osteotomy for Post-Traumatic Malunion of the Phalanges in the Hand download_trans.gif Скачать

Описание:
Rotation, angulation, deviation, shortening or a combination of deformities can occur due to
phalangeal malunion and can lead to impairment of hand function.
A historical cohort study of 57 patients who had phalangeal corrective osteotomies for posttraumatic
malunion between 1978 and 1990 was undertaken. 59 rotational, radial/ulnar deviation,
flexion/extension, length adjustment procedures, and combinations thereof were performed, using
rigid internal fixation. Concurrent tenocapsulolysis was done in 50% of the cases.
Satisfactory correction was obtained in 76% of the patients. Bony union was obtained in all
cases. A net gain in active range of motion was achieved in 89% of the patients. Excellent and
good results were obtained in 96% of the patients who had corrective osteotomies for malunion
involving only the bone and in 64% of the patients who had corrections for malunion with
involvement of multiple structures (P < 0.01).
Journal of Hand Surgery (British and European Volume, 1996) 21B: 1." 33-42
Добавлено:
15 Mar 2009
Загружено:
Черенок Е.П. (handsurg)
Дата:
15 Mar 2009
Автор:
Черенок Е.П.
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