Alireza Saied; Fatemeh Arabnejad; Alia Ayatollahi Moussavi
Abstract
Tourniquet is a device that prevents blood entrance and exit from a limb. Its use goes back to 200 years BC- the Roman emperors’ era - and has been utilized especially in amputations. During the history, several types of tourniquets have been used by surgeons and its design has changed regularly. Nowadays ...
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Tourniquet is a device that prevents blood entrance and exit from a limb. Its use goes back to 200 years BC- the Roman emperors’ era - and has been utilized especially in amputations. During the history, several types of tourniquets have been used by surgeons and its design has changed regularly. Nowadays tourniquet is used very often in orthopaedic, vascular and plastic surgery. Although its usage is not routine, but it is a great help to the surgeon. Tourniquet, like other techniques has risks and side effects and the surgeons have to be aware of them as well as its proper use. This article mainly deals with pneumatic tourniquet, its usage and complications.
Massoud Yavari, MD; Ali Karbalaei Khani, MD; Alia Ayatollahi Mousavi, MD; Alireza Saied, MD
Abstract
Background: Tendon transfer for radial nerve palsy is often a rewarding procedure. The aim of this study is to compare the results of three different kinds of transfers used for radial nerve paralysis.Methods: In a retrospective study, 41 patients with irreversible radial nerve paralysis who had undergone ...
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Background: Tendon transfer for radial nerve palsy is often a rewarding procedure. The aim of this study is to compare the results of three different kinds of transfers used for radial nerve paralysis.Methods: In a retrospective study, 41 patients with irreversible radial nerve paralysis who had undergone tendon transfer over a 5-year period (2005-2009) were studied. 18 patients had received flexor carpia ulnaris transfer, 10 cases had flexor carpi radialis transfer, and 13 had transfer of flexor digitorum superficialis. With a mean follow-up of 20 months, the patients were evaluated for achieved range of motion, return to previous job, and their overall satisfaction. The DASH score was also calculated for each patient.Results: There was no statistical difference between the 3 groups in terms of DASH score, ability and time of returning back to job, and their satisfaction with the procedure. The range of motion also did not show any difference. An overall satisfaction rate of 95 percent was observed, with no major complication in any of the groups.Conclusion: The 3 different methods of tendon transfer studied in this paper give satisfactory results irrespective of the method used.
