MANAGEMENT AND RESULTS OF THE EXTENSIVE VOLAR WRIST LACERATIONS

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MAFI P.; HASANPOUR S.E.; BEYKPOUR H.

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Journal: Iranian Journal of Surgery Year:2004 | Volume:12 | Issue:32 Page(s): 36-41

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Title

MANAGEMENT AND RESULTS OF THE EXTENSIVE VOLAR WRIST LACERATIONS "THE SPAGHETTI WRIST" IN 124 PATIENTS 5 YEARS PERIOD IN 15 KHORDAD HOSPITAL, TEHRAN

Author(s)

MAFI P. | HASANPOUR S.E. | BEYKPOUR H. | Issue Writer Certificate

Keywords

VOLARQ4

SPAGHETTI WRISTQ4

FLEXOR INTRINSIC MUSCLEQ4

Abstract

Introduction & objective: SPAGHETTI WRIST is an extensive VOLAR wrist laceration in which at least 10 structures, including tendons, at least one major nerve and usually one major vessel are divided. These injuries are usually accompanied with severe permanent complications. The aim of this study was to evaluate the SPAGHETTI WRIST injury in IRAN and find the ways of decrease the complications and obtain better results.Materials & Methods: Medical records of all patients with SPAGHETTI WRIST lacerations whom operated on by the authors between March 1999 and March 2003 in the Department of Plastic and Reconstructive Surgery of 15th Khordad Hospital were reviewed retrospectively.Results: This study reviews 124 patients with" SPAGHETTI WRIST" lacerations. All injuries were sharp lacerations. A total of 115 men and 9 women with average age of 24.5 years (range 8 to 62 years) sustained SPAGHETTI WRIST injures. The most commonly injured hand was right hand (74.9 percent). The most frequently injured tendons were third and fourth FDS (98.3 percent). The ulnar nerve was more commonly injured than the median nerve. The ulnar artery was more commonly injured than the radial artery.In the subset of 30 patients available for follow-up examination, range of motion was excellent in 14 patients and good in 8 patients. Intrinsic muscle recovery was good in 9 patients and fair to poor in 21 patients. Sensory return was disappointing: 17 patients recovered only protective sensation and 13 patients demonstrated return of two-point discrimination that ranged from 7 to 13mm in 10 patients and from 2 to 6mm in 3 patients.Conclusions: Generally recovery of function in "spaghetti wrist" after repair is not satisfactory. In order to better results we should first pay precise attention to repair of injured structures, second early movement, appropriate physiotherapy and patient's co-operation are required.

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APA: Copy

MAFI, P., HASANPOUR, S.E., & BEYKPOUR, H.. (2004). MANAGEMENT AND RESULTS OF THE EXTENSIVE VOLAR WRIST LACERATIONS "THE SPAGHETTI WRIST" IN 124 PATIENTS 5 YEARS PERIOD IN 15 KHORDAD HOSPITAL, TEHRAN. IRANIAN JOURNAL OF SURGERY, 12(32), 36-41. SID. https://sid.ir/paper/113007/en

Vancouver: Copy

MAFI P., HASANPOUR S.E., BEYKPOUR H.. MANAGEMENT AND RESULTS OF THE EXTENSIVE VOLAR WRIST LACERATIONS "THE SPAGHETTI WRIST" IN 124 PATIENTS 5 YEARS PERIOD IN 15 KHORDAD HOSPITAL, TEHRAN. IRANIAN JOURNAL OF SURGERY[Internet]. 2004;12(32):36-41. Available from: https://sid.ir/paper/113007/en

IEEE: Copy

P. MAFI, S.E. HASANPOUR, and H. BEYKPOUR, “MANAGEMENT AND RESULTS OF THE EXTENSIVE VOLAR WRIST LACERATIONS "THE SPAGHETTI WRIST" IN 124 PATIENTS 5 YEARS PERIOD IN 15 KHORDAD HOSPITAL, TEHRAN,” IRANIAN JOURNAL OF SURGERY, vol. 12, no. 32, pp. 36–41, 2004, [Online]. Available: https://sid.ir/paper/113007/en

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