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Faculty of Medicine and Health Technology, Tampere University Hospital, Tampere, Finland
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Department of Orthopaedics and Traumatology, Tampere University Hospital, Finland
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fracture heals. 52 – 55 It has been hypothesized that reducing the fracture to near the anatomical position would produce a superior functional outcome in the younger patient population. 58 There have been a few studies that have compared
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to bone and prosthetic stems are free to glide into the medullary canal during flexion and extension. The so-called ‘piston effect’ allows the distribution of forces over a broader section and permits the flexible hinge to find a better position with
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learning curve and little room for error. Appropriate training is essential before embarking on this procedure. Patient selection, precise preparation of the procedure and positioning of the components is essential to avoid complications ( 3 ). The learning
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head for optimal positioning of the screw inside the intramedullary canal. Some authors 5 suggest using a blunt K-wire to avoid cortical penetration. We use headless cannulated compression screws (SpeedTip CCS, Medartis, Basel, Switzerland) and
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seated across him and the instrument nurse (3) sidewise to the surgeon, the microscope stand is positioned at the side of the assisting surgeon. Screen is visible to the nurse and the patient. After a strategic approach with skin marks, the skin
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ulnocarpal articulation and 80% across the radiocarpal articulation. Sixty per cent of this occurs at the radioscaphoid articulation, and 40% through the radiolunate articulation. Modification of the carpal bone position and motion involves a load transfer
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’ test. Hueston 36 described a simple test that can be easily completed in the clinic, the so-called ‘table top’ test. This test is positive when the hand cannot be placed in a flat position on the table ( Fig. 3 ). Patients usually report
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tooth part. 1 , 6 , 13 , 30 , 31 Any patient with an open wound at the knuckles should be carefully examined with the hand in the position that the injury occurred because, due to the mobility of the skin on the dorsal aspect of the hand, the exact
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procedures still may be insufficient, although continuous efforts have been made to improve the outcome. To make a correct diagnosis and to treat patients properly with various nerve injuries and disorders, it is important to have a basic knowledge of the
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). Patients classically present with swollen, tender PIP joints, with a more diffuse, swollen appearance and a fusiform joint contour. Joint stiffness is almost always present and often correlates with the degree of swelling. In specific post
