Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here to sign up for SAGE Journal Email Alerts today!

Sign In to gain access to subscriptions and/or personal tools.
Journal of Hand Surgery (British and European Volume)
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by SUNDINE, M.
Right arrow Articles by SCHEKER, L. R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by SUNDINE, M.
Right arrow Articles by SCHEKER, L. R.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Articles

A Comparison of Immediate and Staged Reconstruction of the Dorsum of the Hand

M. SUNDINE
L. R. SCHEKER

From the Christine M. Kleinert Institute of Hand and Micro Surgery and the University of Louisville, Louisville, Kentucky, USA

Correspondence: Luis R. Scheker MD, Christine M. Kleinert Institute for Hand and Micro Surgery, 225 Abraham Flexner Way, Suite 850, Louisville, KY 40202, USA.

The treatment of complex dorsal hand lesions involving skin and subcutaneous tissues, extensor tendons, and bone remains a difficult problem for reconstructive surgeons. Traditional treatment of these defects uses staged reconstruction, first obtaining soft tissue cover and then performing bone and tendon grafts. The purpose of this study was to compare a series of seven patients who underwent staged reconstruction with seven patients who had immediate reconstruction involving primary bone and tendon grafting. All procedures were performed to correct similar severe dorsal hand defects. Patients with immediate reconstruction had a significantly faster return to maximum range of movement (ROM) (214 days compared to 630 days, P = 0.002), significantly fewer operations (2.1 compared to 5.9, P = 0.002) and a greater chance of returning to work (86% compared to 48.2%, P = 0.3) than patients with staged reconstruction.

Journal of Hand Surgery (British and European Volume), Vol. 21, No. 2, 216-221 (1996)
DOI: 10.1016/S0266-7681(96)80102-1
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 J Hand Surg Eur VolHome page
A. R. KOUL, R. K. PATIL, and V. PHILIP
Complex Extensor Tendon Injuries: Early Active Motion Following Single-Stage Reconstruction
J Hand Surg Eur Vol., December 1, 2008; 33(6): 753 - 759.
[Abstract] [Full Text] [PDF]