Decision-Making in Reconstructive Surgery: Upper Extremity by G. Germann PDF

By G. Germann

ISBN-10: 3642595855

ISBN-13: 9783642595851

ISBN-10: 3642640370

ISBN-13: 9783642640377

A new method of methodical and strategic pondering tissue reconstruction. all of the decision-making procedures are damaged down into algorithms in keeping with the authors' scientific adventure and the present literature. The atlas part describes the 25 most often used flaps, and exhibits them in standardised photo shape besides many sensible suggestions and tips. New this is the inclusion within the illustrations of useful feedback for the physician, in addition to rehabilitation protocols for post-operative administration. in brief, the e-book offers a greatest of knowledge with at the least text.

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Stage I: B. III. Stage II: partial to complete scapholunate tear (no 0151) complete scapholunate interosseus ligament tear plus tear of attenuation of volar ligaments (dynamic 0151) C. Stage III: complete disruption of the ligaments of stage II plus dorsal ligament disruption, radiotriquetral (static 0151) D. Stage IV: complete disruption of all ligaments noted in stage III (static 0151) Dissociative: ligament lesion, usually between bones of the proximal carpal row but occasionally between bones of the distal carpal row, the metacarpals, or even the radius and ulna Classification and Zones of Injury 31 Taleisnik's Classification of Carpal Instabilities Static Dynamic Lateral Medial Proximal Scapotrapezium Triquetrohamate (dynamic "central") Radiocarpal Ulnar translocation Scapocapitate DISI without SlD VISI Dorsal translocation Volar translocation Scapholunate (DIS I with SLD) Triquetrolunate (static VISI) Midcarpal (secondary DISI without SlD) Location Cause Type Other information By joint Sl, IT, Cl, RC, UT Primary (intrinsic) Isolated Residual Associated Static (constant) Dynamic (intermittent) Direction: DISI,VISI, Carpal translocation By area lateral Medial Proximal Secondary Potential Dissociation CID ClND 32 Classification and Zones of Injury Mayo Classification of Carpal Instabilities Type, site and name Radiographic pattern I.

Early active motion as soon as possible! 52 Principles of Treatment and Management Contractu res I Skin Wide scar Linear scar Joint area involved Joint area involved Yes No No Yes L J Excision First attempt at correction Yes No Skin graft Flap coverage Excision Excision Flap coverage Z-plasty First attempt at correction Yes Z-plasty V-Y plasty Butterfly plasty No Flap coverage Z-plasty I Extensive contractu res will require all limbs of the algorithm Early rehabilitation program after healing of surgical intervention General Strategy 53 Contractu res II Joints Stiffness Tendons Ankylosis Heterotopic ossification Arthrolysis Tenolysis Two-stage Tenodesis?

Stage IV: complete disruption of all ligaments noted in stage III (static 0151) Dissociative: ligament lesion, usually between bones of the proximal carpal row but occasionally between bones of the distal carpal row, the metacarpals, or even the radius and ulna Classification and Zones of Injury 31 Taleisnik's Classification of Carpal Instabilities Static Dynamic Lateral Medial Proximal Scapotrapezium Triquetrohamate (dynamic "central") Radiocarpal Ulnar translocation Scapocapitate DISI without SlD VISI Dorsal translocation Volar translocation Scapholunate (DIS I with SLD) Triquetrolunate (static VISI) Midcarpal (secondary DISI without SlD) Location Cause Type Other information By joint Sl, IT, Cl, RC, UT Primary (intrinsic) Isolated Residual Associated Static (constant) Dynamic (intermittent) Direction: DISI,VISI, Carpal translocation By area lateral Medial Proximal Secondary Potential Dissociation CID ClND 32 Classification and Zones of Injury Mayo Classification of Carpal Instabilities Type, site and name Radiographic pattern I.

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Decision-Making in Reconstructive Surgery: Upper Extremity by G. Germann


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