RESUMO
The authors analyzed 14 patients with severe osteomyelitis of the upper extremity between 1985 and 1992, managed with the vascularized fibular graft. Eleven radii, two humeri and one ulna were reconstructed. Bone loss after resection ranged from 6 to 12 cm (mean 8.14 cm). Follow-up ranged from 8 months to 7 years and 10 months (mean 3 years and 3 months). The therapeutic applications of the vascularized fibular graft in severe bone infections of the upper extremity were discussed and the good results of this surgical procedure established it as a good option for treatment. Morbidity at the donor site was minimal.
Assuntos
Braço , Fíbula/transplante , Osteomielite/cirurgia , Adolescente , Adulto , Criança , Pré-Escolar , Feminino , Fíbula/irrigação sanguínea , Seguimentos , Humanos , Úmero/cirurgia , Masculino , Pessoa de Meia-Idade , Rádio (Anatomia)/cirurgia , Ulna/cirurgiaRESUMO
The authors reviewed 62 neurotizations of the brachial plexus in 71 patients performed between 1974 and 1989. The nerves used were the accessory, the motor or sensory branches of the cervical plexus, and the intercostals. Twenty-five suprascapular nerves, 19 musculocutaneous, 4 medial roots of the median nerve, and 12 lateral roots of the median nerve were neurotized. The authors concluded that useful results can be achieved using extraplexual neurotizations.
Assuntos
Plexo Braquial/cirurgia , Transferência de Nervo/métodos , Adolescente , Adulto , Plexo Braquial/lesões , Humanos , Masculino , Paralisia/etiologia , Paralisia/cirurgiaRESUMO
Wrist arthroscopy was performed in 12 patients that complained of wrist pain for four months and in whom the diagnosis not established. The instruments and the technique of the procedure is described. In two patients the wrist pain diminished and in eight it disappeared. In other two patients the pain was not relieved. There were no complications.