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J Braga Da Silva

Publications and source records attributed to J Braga Da Silva.

4 recordsLinked to original sources

["Reposition-flap" technique in amputation of the finger tip. Apropos of a series of 21 cases].

The authors review 21 cases of a so-called "reposition-flap" technique for finger tip injuries consisting of simple reposition when no vessels can be found for replantation. This technique is combined with palmar soft tissue excision and advancement of a local flap to cover the bone providing blood supply and good sensitivity. The mean age in the 19 patients was 34 years. The Weber test was an average of 6 mm in the 17 patients with more than 2 years of follow-up. A moderate nail hook deformity was noted in 24% and cold intolerance in 28.5%.

Adolescent↗

[Digital varices. 12 cases].

Twelve cases of varix of the fingers are reviewed. The mean age was 41 years with a female predominance (75%). A palmar site was predominant (92%) and the ring finger was most frequently involved (50%). No recurrence was observed after a mean follow up of 6 years.

Adult↗

The use of flaps in the treatment of fingertip injuries.

Fingertip injuries constitute a large portion of the traumatic injuries sustained to the hand and are frequently associated with significant disability for the patient. While many methods are available for the treatment of such injuries, quite often only certain procedures are appropriate for a particular digit in any given patient. The use of flaps in such instances provides an important tool for coverage of the exposed fingertip bone when more simple measures are inadequate. Herein follows a discussion of the indications and potential pitfalls for a variety of flaps which may be employed in the treatment of fingertip injuries.

Finger Injuries↗

[Endoscopic opening of the carpal canal].

A prospective study of 280 endoscopic operations of the carpal canal using the AGEE technique were reported. The first 80 cases were studied separately from the 200 subsequent cases. In the first series, the only complication was the need for an incision in 6 cases because of technical problems or anatomic variants (13%). An increase in the degree of paraesthesia was observed in 8% of the cases. In the 200 subsequent cases, one only required a classical incision and the lubrication of the blade was sufficient to reduce the frequency of post-operative aggravation of the paraesthesia to 1%. Five percent of the patients complained spontaneously of pain in the palm of the hand but a rate of 49% was found after questioning. Grip force fell less than after classical opening and recovery was more rapid and more complete.

Adult↗