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The Brunelli Procedure does not fix the torn ligament. A hole is drilled through the Scaphoid bone and a part of a tendon taken from the patient is put through this hole and attached to the nearby bones. The procedure usually results in reduced movement of the wrist. Instability in the wrist can, over time, lead to wrist osteoarthritis.
A recent advance is the progression to 'wide awake hand surgery.' [8] In a few countries such as Sweden, Finland and Singapore, hand surgery is recognized as a clinical specialty in its own right, [9] with a formal four to six years hand surgery resident training program. Hand surgeons going through these programs are trained in all aspects of ...
The first short-term success in human hand transplant surgery occurred with Clint Hallam, [4] from New Zealand. Hallam lost his hand in an accident while in prison. [5] [6] [7] The operation was performed on September 23, 1998, [8] in Lyon, France, by a team assembled from different countries around the world led by French Professor Jean-Michel Dubernard, including Professor Nadey Hakim, from ...
Hand injuries when not treated on time can result in long term morbidity. [6] Simple hand injuries do not typically require antibiotics as they do not change the chance of infection. [7] Many hand injuries need surgery, but the time from injury to surgery (delays of up to 4 days) doesn't increase the chance of infection [8]
The multi-stage fitness test was first described by Luc Léger [6] with the original 1-minute protocol, which starts at a speed of 8.5 km/h, and increases by 0.5 km/h each minute. Other variations of the test have also been developed, where the protocol starts at a speed of 8.0 km/h and with either 1 or 2-minute stages, but the original ...
The hand is actively used as soon as possible after surgery, but the dependent position is avoided. Usually, the dressing can be removed by the patient at home 2 or 3 days after the surgery, and then gentle washing and showering of the hand is permitted. Gradual resumption of normal hand use is encouraged.
At the 2007 meeting of the American Society for Surgery of the Hand, a former advocate of endoscopic carpal tunnel release, Thomas J. Fischer, MD, retracted his advocacy of the technique, based on his own personal assessment that the benefit of the procedure (slightly faster recovery) did not outweigh the risk of injury to the median nerve.