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A-0712 Long-term outcomes of the use of a spherical ulnar head prosthesis for failed Sauvé-Kapandji procedures
Margaret Fok
Friday, June 15, 2018 · 3:51 p.m. · 07m 22s
Margaret Fok 1, Diego Fernandez 2, Jörg van Schoonhoven 3 1 Department of Orthopaedics and Traumatology, Queen Mary Hospital, The University of Hong Kong, Hong Kong; 2 Department of Orthopaedic Surgery, Lindenhof Hospital, Bern, Switzerland; 3 Clinic for Hand Surgery, Bad Neustadt an der Saale, Bavaria, Germany
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good afternoon um okay so does this actually some work that is done via and um that's
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email to san diego and george so i'm just presenting the and most of the results
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so some angie and procedures are actually of five osaka procedures for um
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patients with the outcome take instruction and with good functional i'll come
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um however that there are some cases where you have come patience with reported symptomatic
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i make your own a convergence with our rate up to thirty nine cents
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the problem is that um you can see that i made on
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impeachment um and as can be actually demonstrated in its right
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and with the stress to install actually our concept is
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with these patients with a radio oh no infringement
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we can we store the owner continue i teach with uh plus he says that's good i'm articulated with and the
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service often used out in the head so it becomes a ball and socket joint like in this case
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so that i'm mechanical classification is a consideration is that
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we remove they've used um on the had to fight this field goal socket into which uh to go ahead
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using the herbert owner had one ceases system and could be you i mean could be inserted
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and stability of the posse says and the control of the radio oh not conversions is
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guaranteed but it's beautiful i'm containment of what's he says that makes all that
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so we actually have actually been presented out preliminaries out
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in the effort up two point six the it's in the previous hate that and at that time and said that there are ten patients
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and all the temptations was satisfied with the operations and we can see that that's who didn't paint at all are
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and good range of movement and the grip strength it's improved from twenty six
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to thirty three cents and they're working ability had improved as well
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so our aim is to evaluate of long term outcome of
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the origin local what other patients treated with this technique
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and with that it happened we did um ten more patients and off which i three have lots to follow up
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with the i'm gonna go and we go out and walk up what happened when we go logical and instability of the other stuff
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h. average ages forty seven years old and and each ought to work or
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in each initial to ask people to use our our post traumatic
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yeah and j. in program t. in most of them and that we have that i'm
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the out into a apple it's our clothes and it's i think the and gate
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and then watching actually have noted also increase um what minimum up to a maximum six circuits
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and all that stuff here again with the the protein performing eighty out and we have a problem with that
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thing of them with ceramic only had one ceases in two of them with protocol overhead what ceases
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and even without we have one hot sex yes i think it's it's yeah it's taking from four to seven
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um and improve in latin up them out at seventeen and them have actually we have mark rein
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in one of them have what you're right which actually segmentation which i could talk about later
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and we had and we can see that the way to prove manhattan who expected of action extension
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and also the regular deviation and now that the patient which has the task least and
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and see how i have also improved um with a statistically snap into some forty sixty
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percent and sixty six decide which is comparable outside with the um other side
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and at bashful has who from twenty seven to what you want with this that's the significance
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be patient and satisfaction school it's night time and fourteen at return to a previous
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am occupations and three you'd like to tell you that would be better
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okay let's see the so and we can see that the next greatest knows signed up loosening at the final four lot
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and two pages have a couple crowned head um which we find out that they have significant asked allies is um
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a shot the affluence and then the patients have developed severe
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pain and we revise to ash um tokyo you j.
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posses and and thirty six months and put him two months
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to patients have traumatic also substation other policies is
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um of which we did that oh no also to me and
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and that actually have improved has sent especially results afterwards
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and one half inch wap effect chop the s. a. m. as with pieces of which which we did with smooth fixation
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so these are some of the cases does that patients with um and you can see that there
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is in this instability in on some of the um and then so that's yeah ascii
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um release procedure of which we've been know to um does the sockets
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and uh and i'm not sorry that was like and then we would use the and
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that would put into our heads posses and we checked is divinity in top
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with the flea and that is that one yeah the um and one three months
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one point eight yep was up and with a good local i'll come
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and this is at fourteen gets pose opting in c. that they still it's
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null and loosening noted and that's the clickable to at fourteen years
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this is another case with a post traumatic it's not um deformity an unstable due out on that there's still on this stuff
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and then in this one we actually did that would like to get ambiguous to me um
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just so that we get because the patients is also what and also this and the last guy and and so we did that
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put like to regard as me in order to have the owner had had that's uh i had um reduction
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and after that we put in the play put out um video um point um i start to me
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and it is you that oppose all x. ten years pulls up and
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that is it tends years post op and the clickable tools
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um this is the ones that we show about the covered from head and you can see compared to this okay you can
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see the asked if the police options and the and this is how the pages we show that there's also license
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at one point two years of which we change to a check this says any constraints total posses
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and this is the patients with um severe pain afterwards but then but the shit
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that's that's uses it has good range of movement and happy paying have improved
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so uh in discussion we think that's there is and the time to long term without other ceramics rico
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only had one ceases for this though ascii procedure is encouraging and um and we think that
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and the circumcision about how it has to be easy and can be we'd use is because of
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technical oversight and can be treated so the coon had should not be in in inserted in
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direct contact with the bin can zealous punk because that will cause um that will cost the us
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allies is that's when i had to think that it's is well guns with well tolerated and
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created and limited you'll join space off one point five to two meeting each is um one of
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