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Journals and Conferences
We treated twenty-two consecutive patients for an open fracture and segmental loss of bone in the upper extremity by delayed insertion of a graft of iliac corticocancellous bone. All of the wounds were left open and healed by secondary intention. Sixteen patients (nineteen grafts) had long-term follow-up. Ten injuries were secondary to a gunshot wound. The… (More)
Stable fractures of the metacarpal and proximal phalanges can be treated satisfactorily by closed methods. The problem in those unstable fractures is whether to treat with open or closed reduction. Stiffness of the proximal interphalangeal joint (PIP), malunion, rotation deformities, shortening, and nonunion are known complications of fractures of the… (More)
The author describes his experience in a Miami hospital, where an average of three to five cases per week of infections to the hand related to intravenous drug abuse were seen. The infections are classified along with the appropriate treatment techniques.
Closed treatment of hand fractures avoids the stiffness associated with internal fixation. Early motion within the framework described allows the soft tissues to participate in achieving stability of the fracture and seems to speed union.
Phialophora richardsiae was discovered in an index finger mass which was thought to be a residual of a steroid injection for tendinitis of the extensor tendon. A case report is presented.
Six patients with full-thickness skin loss complicating traumatic problems of the hand each had a retrograde forearm fascia flap transfer. Fascial pedicle flaps were used, because more conventional means of coverage had failed or were deemed inappropriate. Four patients had an uncomplicated one-stage flap transfer. Two patients had postoperative hematoma,… (More)