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Predicting Amputation and Multiple Debridements in Tooth Knuckle Injuries.

CONCLUSIONS: Our models were able to predict what patients were at the greatest risk for amputation and multiple debridement. Reducing rates of osteomyelitis and delays in presentation may help reduce the incidence of amputation and reoperation in this injury.
PMID: 30760142 [PubMed - in process] (Source: Hand Surgery)

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Sliding Position of the Flexor Tendons Relative to the Hook of Hamate in CT Scans.

CONCLUSIONS: Our study suggested that 40% of the base of the hook of the hamate does not contact with the flexor tendon, suggesting that flexor tendon injury is unlikely to occur in that region.
PMID: 30760158 [PubMed - in process] (Source: Hand Surgery)

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The Presence of Scarring and Associated Morbidity in the Burn Model System National Database.

CONCLUSIONS: In this large, longitudinal, multicenter cohort of burn survivors, nearly all patients noted the presence of scarring, and a majority noted additional symptoms and morbidity related to their scars even at 2 years after injury. This study demonstrates a need for the continued support of burn survivors to address scar-related morbidity. Furthermore, future studies examining the impact of novel treatments for scarring should use similar scar problem questionnaires and distress scores.
PMID: 30724824 [PubMed - in process] (Source: Hand Surgery)

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Insufficient consensus regarding circle size and bone loss width using the ratio-"best fit circle"-method even with three-dimensional computed tomography.

CONCLUSION: The ratio method varies in all glenoid parameters and is not valid for consistently quantifying glenoid bone defects even in 3D computed tomography. This must be taken into consideration when determining proper surgical treatment. The degree of glenoid bone loss alone should not be used to decide for or against a bony procedure. Rather, it is more important to define a defect size as "critical" and to also take other patient-specific factors into consideration so that the best treatment option can be undertaken. Application of the "best fitting circle" is a source of error when using the ratio method; therefore, care should be taken when measuring the circle diameter.
PMID: 30725122 [PubMed - as supplied by publisher] (Source: Hand Surgery)

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Long-term results of the reverse Total Evolutive Shoulder System (TESS).

CONCLUSIONS: In terms of clinical scores, radiographic loosening, complication rates and implant survivorship the reverse Total Evolutive Shoulder System provides results comparable to those of conventional stemmed reverse shoulder arthroplasty.
PMID: 30725191 [PubMed - as supplied by publisher] (Source: Hand Surgery)

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Systematic review on outcome of free functioning muscle transfers for elbow flexion in brachial plexus injuries.

Authors: Yi Lee TM, Sechachalam S, Satkunanantham M
Elbow flexion is widely regarded as the most important function to restore in brachial plexus injuries. Free functioning muscle transfer surgery is indicated in patients with delayed presentation or failure of other primary procedures. Results of the transfer surgeries have been reported in the form of case series, but no further studies are available. This systematic review aims to provide a deeper understanding of this complex surgery and consists of 19 articles that include 364 patients. Data on injury characteristics, surgical techniques, complications as well as outcome measures were analysed. Our results show that functional muscle transfer for elbow flexion enables 87% and 65% of patients to achieve a useful power ...

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Compartment pressures in children with normal and fractured lower extremities.

CONCLUSION: We could show that children have higher normal compartment pressures than adults in the lower leg. They seem to be able to tolerate higher absolute compartment pressures and lower pressure gradients before ACS occurs. More studies are needed to make a final statement on tolerable compartment pressures in children.
PMID: 30715553 [PubMed - as supplied by publisher] (Source: Hand Surgery)

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The intra- and interobserver reliability of the Tile AO, the Young and Burgess, and FFP classifications in pelvic trauma.

CONCLUSIONS: All three classifications reach their maximum reliability with advanced expertise in the surgery of pelvic fractures. The novel FFP classification has proved to be at least equivalent when directly compared to the established systems. The FFP classification system showed substantial reliability in patients older than 60 years.
PMID: 30715568 [PubMed - as supplied by publisher] (Source: Hand Surgery)

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Impact of Body Composition on Surgical Outcome in Rectal Cancer Patients, a Retrospective Cohort Study.

CONCLUSION: VO patients more often had a history of cardiac disease, hypertension and diabetes mellitus. Visceral obesity correlated with a worse outcome after surgery for rectal cancer.
PMID: 30719554 [PubMed - as supplied by publisher] (Source: Hand Surgery)

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