Database : HANSEN
Search on : TRANSFERENCIA DE TENDAO/REABIL [Subject descriptor]
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Id:18438
Author:Bauer, B; Khoa, N. -K; Chabaud, B; Chaise, F; Quang, H. -T; Comtet, J. -J
Title:Transfert tendineux palliatif utilisant le Flexor Superficialis Digitorium dans les paralysies intrinseques d'origine lepreuse Flexor digitorum superficialis tendon transfer for intrinsic paralysis in leprosy-
Source:s.l; s.n; 2007. 5 p. tab, graf.
Abstract:A follow up study was performed in the rehabilitation centre for patients with leprosy in Hôchiminhville - Vietnam. All patients had claw-hand deformity due to ulnar and median nerve intrinsic paralysis. Thirty-two affected hands (128 long fingers) were included in the study. A Bunnel-Littler tendon transfer procedure was performed using a four-tailed graft of the flexor digitorum superficialis of the third finger. Clinical evaluation included anatomical measurements of interphalangeal and metacarpal joints in complete extension and in the intrinsic position. In the open hand assessment, 48.5% reported good results, 14.8% medium results and 36.7% poor results. With the hand in the intrinsic position, 53.9% achieved good results, while 33.6% achieved medium results and poor in 12.5%. Poor functional outcome is related to a failure of this procedure and seems to be due to extensor tendon laxity, with or without stiffness of the interphalangeal joints. There were many anatomical deformities (27.3%) found at the time of follow up, notably boutonniere (51.4%) and mallet finger deformities (31.4%) The fourth and fifth fingers had the worst results. We have therefore decided to change our protocol for claw-hand correction and use the Bouvier test in deciding on our surgical indications. Preoperative physiotherapy is absolutely necessary to reduce stiffness of the interphalangeal joints. (AU).
Descriptors:TRANSFERÊNCIA DE TENDAO/métodos
TRANSFERÊNCIA DE TENDAO/reabil
TRANSFERÊNCIA DE TENDAO/normas
TRANSFERÊNCIA DE TENDAO/util
METACARPO/les
METACARPO/cirurg
HANSENIASE/compl
HANSENIASE/reabil
HANSENIASE/cirurg
Limits:HUMANO
MASCULINO
FEMININO
ADOLESCENCIA
ADULTO
MEIA-IDADE
Location:BR191.1; 09433/S


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Id:18088
Author:Mukherjee, R; Dasgupta, S; Ladi, D. S; Gandhi, V. H
Title:Management of a case of lagophthalmos by Gillies' method (a case report) ..-
Source:s.l; s.n; 1990. 2p p. .
Abstract:A case of facial palsy with lagophthalmos with exposure keratitis was corrected surgically by a method of temporalis transfer. When the slings were tightened leaving 1 cm gap in the palpebral aperture, lagophthalmos persisted. A secondary tightening procedure causing overlap of the upper lid over the lower yielded good results.
Descriptors:PARALISIA FACIAL/compl
PROCEDIMENTOS CIRURGICOS RECONSTRUTIVOS/métodos
OFTALMOPLEGIA/compl
OFTALMOPLEGIA/cirurg
TRANSFERÊNCIA DE TENDAO/métodos
 TRANSFERÊNCIA DE TENDAO/reabil
Limits:RELATO DE CASO
Location:BR191.1; 00258/s


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Texto Completo-Es
Id:7012
Author:Blank, A; Wolf, J; Gonen, B; Schochina, M; Sheskin, J.
Title:Tendon-test del nervio tibial en el mal de Hansen / Tendon-test of tibial nerve in Hansen's disease
Source:Hansen. Int;8(2):101-104, dez. 1983. tab.
Abstract:De un total de 17 enfermos hansenianos examinados por tendon-test, se obtuvo respuesta claramente patologica en 9. En otros 4 no hubo respuesta alguna, y cabe suponer que ello se debe al serio estado patologico del nervio. El total de respuestas patologicas llegaria asi a 76,5% (13 enfermos). En otros dos pacientes la respuesta fue limitrofe, y se los clasifico junto con los dos pacientes que dieron respuesta normal, alcanzando asi el porcentaje a 23,5% (4 enfermos). A fin de verificar si los nervios tibiales son atacados al mismo tiempo que los ulnares y medianos, se recomienda practicar este metodo no traumatico en un numero superior de enfermos, y en otro ambiente socio-geografico. (AU).
Descriptors:HANSENIASE
HANSENIASE
NERVO TIBIAL
 NERVO TIBIAL
 TRANSFERENCIA DE TENDAO
Electronic Medium:http://hansen.bvs.ilsl.br/textoc/hansenint/v01aov20/1983/PDF/v8n2/v8n2a03.pdf / Es
Location:BR191.1



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