By by Bruce H. Ziran (Editor)
Addressing the zone of the higher extremity, this useful reference gains contributions from 17 experts and provides state of the art descriptions of numerous fractures, remedy techniques and surgical innovations. additionally it is a bankruptcy on nonunions of the higher extremity.
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Additional resources for Fractures of the Upper Extremity
Sample text
Type II fractures that do not involve a mechanical block to motion can be treated as type 1 fractures. If the patient has continued pain and stiffness after fracture union and an appropriate functional rehabilitation, a delayed radial head excision can be performed after any injury of the interosseous membrane has healed. If the patient has a mechanical block to motion, the fracture should be treated operatively. Improvements in implant design have recently made this fracture more amenable to open reduction and internal fixation.
G Foucher, F Van Genechten, F Merle, et al. A compound radial artery forearm flap in hand surgery: An original modification of the Chinese forearm flap. Br J Plastic Surg 37:139–148, 1984. CV Pendato, AC Maspuelet, JP Chevrel. The anatomic basis of the fasciocutaneous flap of the posterior interosseous artery. Surg Radiol Anat 8:209–215, 1986. RG Meirer, C Schrank, R Putz. Posterior radial collateral artery as the basis of the lateral forearm flap. J Reconstr Microsurg 16:21–25, 2000. M Stevanovic, F Sharpe, JM Itamura.
B. Secondary Intention Wound healing by secondary intention requires a clean, healthy bed devoid of stripped bone, tendon, nerves, or an exposed joint. The size of the wound affects mainly the healing time. Even large wounds will eventually heal with a linear scar. Healing by secondary intention requires frequent dressing changes, which may not be optimal if a cast is required for added stability to an unstable fracture or dislocation. 24 Goitz and Jurbala The first stage of wound healing is a local inflammatory response.