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s by means of ulna head replacement with silastic implants. We define these implants as Type 1 implants, aimed at creating an interposition between the bone ends. Since the failed silicone arthroplasty was abandoned, until recently few reports could
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preferable for patients with AVN of the proximal fragment or with a previously failed surgery. Munk et al, 2004 8 Meta-analysis (147 studies) 5246 pts NVBG: 80.0–84.0% VBG: 91.0% VBG cases were almost exclusively cases with prior surgery and
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Introduction Osteoarthritis of the carpometacarpal joint of the thumb (CMC-1) is a common problem and surgical treatment is indicated when conservative measures fail to provide sufficient relief. Of the many surgical treatment options, no
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3 cm in diameter or when prior non-surgical management has failed, curettage with bone-graft packing and factor replacement therapy may be required. 16 , 28 Indications for surgical excision include failure of conservative therapy, extensive
Department of Orthopaedics and Traumatology, Paracelsus Medical University, Nuremberg, Germany
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Institute for Hand- and Plastic Surgery, Oldenburg, Germany
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advanced osteoarthritis or when other reconstruction methods have failed. Different techniques for arthrodesis of the PIP joint have been described and their main difference is if there is compression on the arthrodesis or not ( 6 ). There is no clear
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situations or as a revision after failed arthroplasty. Several techniques have been described for this procedure. Tension band wiring ( Fig. 3 ), plate fixation, and screw arthrodesis ( Fig. 4 ) are the most common techniques. Tension band wiring has the
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, collagenase injection carried a higher incidence of haematomata and when skin ruptures happened, these tended to be larger in the collagenase group. Scherman et al 46 also failed to find differences in the reduction of contractures between collagenase
Hand Unit, Guy’s and St Thomas’ NHS Foundation Trust, London, UK
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Faculty of Life Sciences and Medicine, King’s College London, London, UK
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Introduction Wrist arthritis, either primary or secondary, is a debilitating condition that often leads to significant limitations in the use of the hand due to chronic wrist pain. When conservative treatment fails, surgical intervention is
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structures at exploration and a previously failed proximal nerve reconstruction. Contra-indications are when there are better surgical solutions (i.e. a more direct nerve reconstruction), a severe degeneration of the target muscle due to long time from injury
