Analysis on the Application of Comfortable Nursing in the Nursing of Patients with Hand Fracture in Hand and Foot Surgery

Abstract Introduction The allogeneic bone screw transplant is a new osteosynthesis device making the use of foreign fixation material obsolete for various kinds of indications. Moreover, it is integrated into the recipient bone by natural bone remodeling without harming the surrounding tissue. The aim of this study was to determine the efficacy and safety of the transplant for osteotomy and arthrodesis in hand and foot surgery and to evaluate the clinical importance of the device. Materials and methods A single-surgeon case series of 32 patients who had undergone hand or foot surgery with the application of an allogeneic bone screw with an average follow-up time of 1 year is reported. Clinical data were reviewed to evaluate the pain levels and satisfaction of the patients and the frequency and type of complications occurring during the healing process. Routine radiography and computed tomography were reviewed to determine the fusion rate, the ingrowth behavior of the transplant and the possible occurrence of transplant failure. Results High patient satisfaction was paired with low postoperative pain levels and a low complication rate. 97% of the patients were free of pain at the timepoint of the second follow-up examination, the mean time of recovery of full mobility was 50.1 ± 26.1 days after surgery. Wound healing disturbance occurred only in two cases. Bony consolidation of the osteotomy or arthrodesis gap as well as osseointegration of the transplant was seen in all cases. No transplant failure or transplant loosening occurred. Conclusions The application of the allogeneic bone screw resulted in a 100% fusion rate while the patient burden was low. The transplant is safe and suited for various kinds of osteosynthesis in hand and foot surgery.

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Use of small cannulated screws for fixation in foot surgery

Journal of the American Podiatric Medical Association ◽

10.7547/87507315-90-5-240 ◽

2000 ◽

Vol 90 (5) ◽

pp. 240-246 ◽

Cited By ~ 3

Author(s):

AE Burns

Keyword(s):

Effective Means ◽

Bone Screws ◽

Cannulated Screws ◽

Implant Fixation ◽

Foot Surgery ◽

Fixation Failure ◽

Untoward Event ◽

Patient Noncompliance

Use of cannulated bone screws, as compared with use of traditional bone screws, has been reported to decrease surgical time, allow for more precise screw placement, and reduce sources of error. Cannulation of the smaller-size screws that are routinely used in foot surgery has not been available until the last few years. This article reports on the use of the small cannulated screws manufactured by Alphatec Manufacturing, Inc (Palm Desert, California). The screw sizes available in the Mini Lag Screw System are 2.7, 3.5, and 4.0 mm. A long-term clinical and radiographic prospective evaluation of 70 procedures performed on 49 patients was conducted. The follow-up time for all patients was 2 years. None of the 70 implants fractured, and seven procedures (in seven patients) resulted in some type of implant-fixation failure. All of the fixation failures, however, appeared to be related to an untoward event or patient noncompliance. These smaller cannulated screws proved to be a reliable and effective means of fixation in foot surgery.

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Hand fracture management

Journal of Hand Therapy ◽

10.1016/s0894-1130(03)80002-9 ◽

2003 ◽

Vol 16 (2) ◽

pp. 79-80 ◽

Cited By ~ 3

Author(s):

Maureen Hardy ◽

Eric Wegener

Keyword(s):

Fracture Management ◽

Hand Fracture

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Inflatable Bump to Facilitate Exposure during Foot Surgery

Foot & Ankle ◽

10.1177/107110079201300107 ◽

1992 ◽

Vol 13 (1) ◽

pp. 42-43 ◽

Cited By ~ 1

Author(s):

John E. Herzenberg

Keyword(s):

Foot Surgery

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Surgical Off-loading of the Diabetic Foot

Journal of the American Podiatric Medical Association ◽

10.7547/1000369 ◽

2010 ◽

Vol 100 (5) ◽

pp. 369-384 ◽

Cited By ~ 12

Author(s):

Robert G. Frykberg ◽

Nicholas J. Bevilacqua ◽

Geoffrey Habershaw

Keyword(s):

Diabetes Mellitus ◽

High Risk ◽

Diabetic Foot ◽

Surgical Intervention ◽

Surgical Decompression ◽

Foot Ulcers ◽

Foot Surgery ◽

Patients With Diabetes

Surgical intervention for chronic deformities and ulcerations has become an important component in the management of patients with diabetes mellitus. Such patients are no longer relegated to wearing cumbersome braces or footwear for deformities that might otherwise be easily corrected. Although surgical intervention in these often high-risk individuals is not without risk, the outcomes are fairly predictable when patients are properly selected and evaluated. In this brief review, we discuss the rationale and indications for diabetic foot surgery, focusing on the surgical decompression of deformities that frequently lead to foot ulcers. (J Am Podiatr Med Assoc 100(5): 369–384, 2010)

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Sensory Nerve Neuromas—Leading to Failed Foot Surgery

Foot & Ankle ◽

10.1177/107110078600700209 ◽

1986 ◽

Vol 7 (2) ◽

pp. 110-117 ◽

Cited By ~ 32

Author(s):

John E. Kenzora

Keyword(s):

Surgical Technique ◽

Sensory Nerve ◽

Foot Surgery ◽

Nerve Stump ◽

Muscle Belly ◽

Common Cause

Sensory nerve neuromas caused by incisions on the dorsum of the foot are a common cause of failed foot surgery and can be severely painful and disabling. Thirty-seven patients with 55 symptomatic sensory nerve neuromas were evaluated and treated at the Painful Foot Center. Ten patients with moderately severe symptoms chose not to undergo surgery and were treated with oversized shoes with or without protective orthoses. Twenty-seven patients underwent surgery. Four with spindle neuromas were treated by neurolysis. Two improved slightly, one remained the same, and one became worse. Twenty-three were treated by proximal resection with or without burial of the nerve stump into an appropriate muscle belly. Thirteen of the 23 obtained good results, four obtained fair results, and six obtained poor results. Thus, a total of 20 patients (74%) obtained clinically satisfactory results, and seven (26%), unsatisfactory results. It is much easier to prevent a sensory neuroma by meticulous surgical technique than to treat a highly sympatomatic neuroma.

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