By T. Capo John, Virak Tan
Hand and wrist surgical procedure is evolving quickly and sometimes, advances are directed at constructing tactics which are much less invasive, with smaller incisions and shorter rehabilitation instances. Minimally Invasive Hand and Wrist surgical procedure is the single ebook dedicated solely to those fascinating new percutaneous and minimum entry concepts for the therapy of continual and anxious stipulations of the hand and wrist. approximately 40 tactics are defined, with step by step info and ample illustrations, all contributed by means of the best foreign specialists who're pioneering those new approaches.
Key beneficial properties comprise always formatted chapters for simple studying… thousands of illustrations detailing every one step of the operative techniques… very important info on sufferer choice… consequence info from the authors' sufferer sequence and, while to be had, released sequence… summaries of key components, together with dangers and advantages of those new and infrequently technically hard approach
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Additional info for atlas of minimal invasive hand and wrist surgery
This hex-shaped end ﬁts into the screwdriver and is sheared off when the screw is fully seated. Source: Courtesy of John T. Capo, MD. Viljanen et al. 5-mm metallic screws the distal femur in rabbits. They found that at 36 weeks, there was a signiﬁcantly increased amount of external callus with the metallic ﬁxation group when compared with the SR-PLLA group. However, cortical bone mineral density was decreased in the metallic ﬁxation group at both 6 and 36 weeks. Magnetic resonance imagings showed edema surrounding the screws in both groups, however, the size of the edematous zones was signiﬁcantly decreased in the SR-PLLA group.
SUMMATION POINTS Indications & & & & Distal radius fractures with metaphyseal comminution Simple bone cysts Aneurysmal bone cysts Enchondromas Outcomes & & Less pain Earlier restoration of movement and grip strength Disadvantages & & & & Lack osteogenic or osteoinductive potential Poor strength under sheer stress Extrusion into soft_tissue and joint space may cause inﬂammatory reactions in a small percentage of patients High cost & REFERENCES 1. Kahn B. Superior gluteal artery laceration, a complication of iliac bone graft surgery.
The study evaluated interfragmentary compression generated by this screw compared with four conventional metal screws. The mean maximum compression forces for the resorbable screw, the Asnis, and Acutrak screws were comparable and no statistical difference was found. The compression forces of the FIGURE 8 Postoperative X-rays show near anatomic alignment of the metacarpal fracture in the (A) anterior–posterior and (B) lateral views. Source: Courtesy of John T. Capo, MD. The position of the guidewire and ﬁnal screw is crucial to the success of the procedure.