Handsurgery

Background: Most surgeons used, or are currently using telehealth during the SARS-CoV-2 (COVID-19) pandemic. We studied surgeon personal factors associated with relative use of telehealth during the worldwide height of the pandemic. Questions/Purposes: (1) Are there any personal factors/characteristics associated with use and utilization of telehealth? (2) What are surgeon's perspectives/ opinions with regard to use of telehealth for five common upper extremity conditions in terms of future prospects and viability? Methods: Hand and upper extremity surgeons in the Science of Variation Group (SOVG) were invited to participate in a web-based survey...

Hand surgery is a combination of microsurgery, osteosynthesis, nerve and tendon surgery focusing on the most essential organ in daily life and in societal interactions: the human hand. A discipline as important and highly specialized as hand surgery must be based on scientific studies and milestones from the past. Our work accompanies the video with english subtitles that was displayed in part during the opening ceremony of the 58th Congress of the Deutsche Gesellschaft für Handchirurgie (DGH, German Society of Hand Surgery) in Munich (President of the conference, Univ...

No abstract text is available yet for this article.

No abstract text is available yet for this article.

OBJECTIVE: The Internet is becoming increasing-ly important as a source of information for patients in medical issues. However, many patients have problems to adequately understand texts, especially with medical content. A basic requirement to understand a written text is the read-ability of a text. The aim of the present study was to examine texts on the websites of German -plastic-surgical hospitals with patient information regarding their readability. MATERIALS AND METHODS: In this study, the read-ability of texts of 27 major departments of plastic and Hand surgery in Germany was systematically analysed using 5 recognised readability indices...

No abstract text is available yet for this article.

Evidence-based supradisciplinary guideline that deals with the epidemiology, pathogenesis, symptoms, clinical and electrophysiological diagnosis, supplementary imaging investigations, differential diagnosis, conservative and surgical treatments, prognosis and course along with complications and revision surgery. The recommendations on investigation and treatment are based on a comprehensive literature search with critical evaluation and two consensus methods (expert group and Delphi technique) within the participating specialist societies...

Long before the term 'handsurgery' was coined, surgery in the hand was performed. The development towards a surgical speciality, however, is closely bound to the name Sterling Bunnell. By the end of World War II he instituted hand centers, in which tissue specific surgery was replaced by region specific surgery. Introduction of microvascular surgery made an immediate and global repair of all injured structures possible and desirable.

The situation of 40 severely disabled arthritic patients who have received a wheelchair is reported. Most of the patients had had their rheumatoid arthritis for more than 15 years. Knee involvement was frequently the reason for needing a wheelchair. Most of the patients had general joint involvement. Orthopedic- or handsurgery as well as proper technical aids and a well adapted housing facilitated the maintenance of functional capacity. Wheelchairs with big wheels back, seat higher than normal, raisable and removable leg rests, neck-support and elongated brake handle will satisfy most patients...

Since 1960's the new technique of microsurgery of the nerves was introduced in Germany at Departments of Plastic Surgery, Handsurgery and Neurosurgery. Since 1974 the technique of microvascular surgery was used in different places. In March 1975 the first free flap transfer was performed at our clinic in Munich. In the same year 24 h reimplantation services were established in Hamburg and Munich. In connection with training of other colleagues and information of the population we could perform up to 31 march 1980 703 replantations at the hand with a survival rate of 78...

Recently microsurgical techniques have become standard procedures in microvascular surgery especially in plastic surgery and hand surgery and peripheral nerve surgery. In gynecology and urology microsurgery has improved the results of infertility surgery by two or three times. Microsurgical training in vascular and nerve repair should be undertaken by every fellow in plastic and reconstructive surgery of handsurgery. Gynecologists and urologists should be aware of the possibilities of microsurgery and have the opportunity during their training to participate on these procedures...

In 63 patients, who underwent handsurgery under tourniquet ischemia, 2 g of Cefoxitin were given i.v. The antibiotic levels in tissue and serum at different times were obtained using biological assay. The results area compared with cefoxitin-concentrations of samples from abdominal surgery. By means of regression-analysis the tissue-serumquotient is defined as the relation of function to the time. The model-character of the conditions unter tourniquet ischemia is described.

Anomalies of muscles and tendons in hand and wrist are not uncommon. Their signification in practicing handsurgery must be known. They can rarely be foreseen. When found at random during operation, they may be often neglected. But they are sometimes the cause of different syndromes such as disability of some artist's hands, painful wrist by sports of efforts, nerve compression simulating a carpal tunnel syndrome, camptodactylia, etc. They may also necessitate a modification of planning tendon transfers or grafting...

During the years 1960-1980 42 patients with syndactyly were treated at the Department for Handsurgery of the University of Munich. In addition to the conventional classification and in regard to the criteria for operative management, we stress the difference between the simple and the more complex forms of syndactyly as well as those cases in which the syndactyly is part of a syndrome. There was a relation of 1:1 between the simple and the 'complex' syndactyly. The results of former and modern operative management are reviewed and the value of some special methods is pointed out...

To prevent tendons from postoperative proliferation and adhesion to surrounding structures is still a main problem in handsurgery. In addition to numerous modifications of atraumatic handsurgical techniques which have been developed some sporadic attempts are made by animal experiments and clinical trials in order to avoid postoperative adhesive tenosynovitis by hormone therapy. Because of the high doses of cortisone which are required this method of treatment is generally not accepted. Using a new method of postoperative fixation of flexor tendon sutures in rabbits the possibility of a "hormonal tenolysis" by extremely high doses of cortisone could be confirmed...

Plating in handsurgery has become a more frequently used method since the special instruments of the Swiss AO and the self-compression plates of Mittelmeier (made by Osteo AG) have been introduced. The results of biomechanical measurements, comparing the interfragmental compression power and tensile strength of the small-fragment-plates of the AO with the crescent-formed plates of Mittelmeier are reported. The compression power of the first reach their maximum by 8 kp, the latter an average of 20 kp. A gapping of the fracture occures under a deflection-momentum of 4 kp - cm using AO-plates and 10 kp - cm using the crescent-formed plates...