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Related Concept Videos

Assessment of apical radial pulse01:25

Assessment of apical radial pulse

Apical-Radial (A-R) Pulse Assessment
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Measuring blood pressure is a fundamental skill in healthcare that aids in diagnosing and monitoring hypertension and other cardiovascular conditions. An aneroid sphygmomanometer, commonly used in clinical settings, offers a manual and precise method for blood pressure measurement. The technique for using this instrument involves specific steps that must be carefully executed to ensure accuracy. The following detailed description outlines a two-step technique for assessing blood pressure using...
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To wash hands properly, follow these steps:
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Related Experiment Video

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Estimation of Contact Regions Between Hands and Objects During Human Multi-Digit Grasping
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[A "simple" method for correction of the Apert's hand].

H Piza-Katzer1, E-M Baur, M Rieger

  • 1Klinik für Plastische und Wiederherstellungschirurgie, Medizinische Universität Innsbruck, Osterreich. hildegunde.piza@i-med.ac.at

Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|September 26, 2008
PubMed
Summary

This study introduces a simplified surgical technique for Apert syndrome hand malformations, reducing the number of operations. The method streamlines complex procedures into single sessions for improved patient outcomes.

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Area of Science:

  • Plastic Surgery
  • Orthopedic Surgery
  • Medical Genetics

Background:

  • Apert syndrome presents complex congenital malformations, necessitating multiple surgical interventions.
  • Surgical correction of hand deformities in Apert syndrome is challenging due to syndactyly and other anomalies.

Purpose of the Study:

  • To present a simplified, single-session surgical approach for Apert syndrome hand malformations.
  • To reduce the overall number of surgical procedures required for Apert hands.

Main Methods:

  • Preoperative planning using Multi-Slice Computed Tomography (MSCT) angiography to visualize bone, soft tissue, and vascular structures.
  • Surgical technique involves transecting bony/cartilaginous bridges, inserting silastic sheets, and performing full-thickness skin grafting.
  • Simultaneous correction of thumb deformities or staged procedures as needed.

Main Results:

  • Demonstrated feasibility of performing multiple surgical steps in one session for Apert hands.
  • The described technique facilitates the formation of well-vascularized tissue and promotes healing.
  • Successful application in three illustrative patient cases.

Conclusions:

  • A simplified, single-session surgical approach can effectively address complex hand malformations in Apert syndrome.
  • This method reduces surgical burden and potentially improves functional outcomes.
  • Careful preoperative planning with advanced imaging is crucial for success.