SURGICAL TECHNIQUES

Principles

Marc Revol, MD, Jean-Marie Servant, MD

(Service de Chirurgie Plastique. Hopital Saint-Louis. 75475 Paris Cedex 10. France)

 

     
Goals and resources of surgery Goal : to increase the patient's physical independence  
     
  Resources :  
 
to improve opening and closure of the fingers and the thumb

   

 
     
 
to make the most of the tenodesis effects related to the movements of the wrist

 
     

Elbow The elbow BEFORE the hand  
  Control of the position of the hand in space  
  Active control of the BR and ECRL tension  
     
 
     
 
     
     
     
     
     
     
     
     
     

Surgical chronology on hands 1. Opening

2. Closure

 
     
 
   
   
 
     
     
  Fingers and thumb are reanimated simultaneously for opening, then for closure (grasp and pinch)  
     
     

Key-grip    
   
     
     

Intrinsic palliative    
     
     

Immobilization    
     
     
     
     
 
       
 
     
     
     
     
     
     

Sensibility    
     
   
     
     
     
     
     
     
     
     
     
     
     
 

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