Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0003090 (arthrodesis)
 8,374 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Over a period of 9 years (1979-1988), more than 1000 patients have been seen in the Department of Hand Surgery with a tentative diagnosis of skier's thumb or a painful metacarpophalangeal of the thumb. Most injuries were treated conservatively, but 562 operations on the ulnar collateral ligament were done during this period. An X-ray Film was taken in all cases to exclude a fracture. The indications for an operation depend on the clinical symptoms. Swelling, pain just over the ulnar collateral ligament, and instability of the joint with a widening of the ulnar aspect of the joint of more than 30 degrees in comparison to the other hand are typical clinical symptoms, which together with the widening in the flexion position, prove a rupture of the collateral ligament. As part of our standard examination we take X-ray films of the hand in two projections to exclude a fracture, followed by abducted stress views in comparison to the other side. The best results were obtained when surgical therapy was performed within the first 8 days. Fractures of the base of the proximal phalanx of the thumb were operated on by pin wire fixation of the bone fragment in the anatomically correct position along with temporary transarticular pin wire arthrodesis. In ligamentous ruptures, periostal sutures together with a temporary arthrodesis were carried out. Old injuries without sufficient regeneration of the ligament and capsule necessitated plastic surgery using the long pulmar tendon or a PDS wire. In each case the joint was immobilized with a cast for 5-6 weeks, followed by active physiotherapy.
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PMID:[Skier's thumb]. 279 17

Small rods of resorbable Polydioxanon (PDS-splints) are suitable for stabilizing fractures of a phalanx, either near the base or the head, be the fracture transverse or comminuted. Such internal splints are especially useful in replantation of clean amputations. Used in combination with intraosseous wiring, osteosynthesis can be achieved that is stable for exercise in all cases. Another use is in arthrodesis of the distal interphalangeal joints and the metacarpophalangeal joint of the thumb. Disadvantages that accompany Kirschner wire fixation are thus avoided. Case descriptions and results are presented.
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PMID:[Resorbable PDS splints in fracture stabilization and for arthrodeses of the hand]. 309 1

Dorsal tension band fixation is a wide-spread technique of finger arthrodesis. When using a resorbable PDS-suture as tension band fixation a costly implant removal is not needed. Aim of this study is the investigation of the primary stability of this technique in combination with the cup-in-cone-procedure. Freeze-preserved fingers with thread tension band fixation using the PDS-material (series 1), the same fixating method on formaldehyde preserved fingers (series 3), freeze-preserved fingers with a standard tension band fixating (wire loop, series 2) are load in a four-point-bending in the direction of palmarflexion. From 6 degrees onwards the wire-tension-system requires a higher torque for bending, but in case of higher torque frequently leads to fracture. The examination shows that the thread-tension-band method by PDS-loop for the stabilisation of finger joint arthrodesis has a sufficient initial stability against bending forces.
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PMID:[Technique of finger arthrodesis by dorsal thread tension band fixation. Comparing biomechanical investigations]. 1042 Aug 27