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A-0326 Single palmar approach for proximal row carpectomy and total wrist fusion in the spastic hand
Christoph Erling, Michael Hiller, Thomas Giesen, Olga Politikou, Maurizio Calcagni, University Hospital Zurich, Switzerland
Friday, June 15, 2018 · 8 a.m. · 04m 31s
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00:00:00
thank you for this kind introduction to critics did i i will present our experience with a single
00:00:06
time approach approximate cut back to me and told her breast fusion in this that stick and
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the rest and ten function it depend on the delicate
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balance between extrinsic end intrinsic muscles specificity alters
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this equilibrium with proper diagnosis of l. executed surgical
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planned a successful surgical outcome can be achieved
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gone was the first to describe the proximal come back to me and told applied
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fixation technique for torture wrist fusion this technique allows concomitant copy ten really is
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flex attendant realise or transfer and avoided also prominent hardware
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and the cosmetic you an designed it's car on the social side of the hand
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in in the puget patient he performed the proximal cut back to
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me and remove the articulate cartilage by this whole approach
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and fuse the wrist with a pretty band three point five to build up late
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that you covered with the wrist cups you and the pointed rockford artist master
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looking at the literature some complications which might be seen
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into to restitution after for example post traumatic arthritis
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might be seen more frequent in a patient group that's office from
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c. d. us to kenya due to reduced and function
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fractious off the distal radius and fractures of the thought matter copper have been described
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that's rated object image shows the fracture line going through the most proximate screw which was
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placed nudist a radius three point five through therefore we adopted our surgical procedure
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we operated on three may patients with false plastic wrists with the mean fixed flexion contract of eighty degrees
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this image shows the patient try tend suffering from
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tetris plastic cerebral palsy huge initial make installed
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with the intrinsic mind sent and the thumb in on deformity
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we used to modify procedure all patients helicopter tender with these
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and uh f. t. s. f. t. p. transfer and it turned out to me of the wrist fleck subject tendons
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after the proximal cut back to me the response used the two point five three top plate and with
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unorthodox bone graft of the pork similar copper bones concomitant
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prissy just applied to fulfil the patients request
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these are the intro operated images of the patients and you've seen before
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i mean follow up time in our patients was twelve months
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the meantime of operation was two hours one case of tension blisters
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and patient with a chair therapeutic articulation cute and eventually
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the meantime to reach fusion was three months in spite of one
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case of secondary street displacement edges of correction angle of restriction
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and good due to insufficient just a fixation you mean corrected angle
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was seventy degrees these are the pictures of the patient
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these are the pictures of the case the secondary just craze meant in screws loosening
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the theoretical advantage for this procedure is one single
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palm approach to fulfil the operative plan
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electrically we hope that the post operators spelling intention vistas
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might be a we'd used even if the few reports
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in the literature we show this computational who
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who uh who investigators complication annotation call worked with a fixed predation contraction upon the
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plates car might even be more appealing than in a normal patient caught
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the proximal compact mirror under spawn harvest at other sites but it's potential don't aside mobility is used yes
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sometimes the problem itself is not complex other angle of view or a solution
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to solve the problems often patients have very specific and simply demands
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proximal cut back to me decreases the number of fusion services releases tension
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along better deformity reduction and provides a local source of pontiff
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bad for we routinely use p. or c. during restart reduces in patients with server parts it
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proctor moroccan back to me and showed with fusion is possible by palm approach
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and we uh hope to reduce the complexity of the the
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and the problems with post operative spending thank you
Conference Program
A-0326 Single palmar approach for proximal row carpectomy and total wrist fusion in the spastic hand
Christoph Erling, Michael Hiller, Thomas Giesen, Olga Politikou, Maurizio Calcagni, University Hospital Zurich, Switzerland
June 15, 2018 · 8 a.m.
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