Compartment Syndrome of the Hand in Multiple Metacarpal Fractures: A Case Report and Review of Literature | Chapter 16 | An Overview of Disease and Health Research Vol. 2

Metacarpal fractures are the most common injuries in the emergency department and account for to17.2% of all adults’ fractures and more than 30% of all hand injuries. The majority of these cases are stable injuries and conservative treatment with closed reduction and immobilisation offers both good clinical and functional outcomes. Compartment syndrome of the hand is an urgent pathological condition which produces irreversible changes to the neurovascular supplies of the hand and may lead to ischemia, permanent loss of hand functions or amputation. The purpose of this study is bimodal: Firstly, to present two cases which presented in the emergency department of our unit, after a traffic accident, with multiple metacarpal fractures and developed acute syndrome of the hand. Based on this condition, a theoretical question should be answered: Do multiple metacarpal fractures increase the risk of acute syndrome of the hand? Secondly, develop a sense of suspicion of this kind of lesion in physicians in the emergency department with a scope to the precocious diagnosis and treatment. While multiple metacarpal fractures may be a responsible factor, the emphasis must be placed on the mechanism and energy of injury, as well as the adequacy of early management, in assessing the risk of compartment syndrome.

 

Author(s) Details

Kastanis G
Reconstructive Hand Surgery Unit, General Hospital of Heraklion –Venizeleio, Crete, Greece and Department of Orthopaedics, General Hospital of Heraklion –Venizeleio, Crete, Greece.

 

Siligardou MR

Department of Orthopaedics, General Hospital of Heraklion –Venizeleio, Crete, Greece.

Ioannou P
Department of Orthopaedics, General Hospital of Heraklion –Venizeleio, Crete, Greece.

 

Chaniotakis C
Department of Orthopaedics, General Hospital of Heraklion –Venizeleio, Crete, Greece.

 

Tsioupros A
Department of Orthopaedics, General Hospital of Heraklion –Venizeleio, Crete, Greece.

 

Ktistakis I
Department of Orthopaedics, General Hospital of Heraklion –Venizeleio, Crete, Greece.

Kapsetakis P
Department of Orthopaedics, General Hospital of Heraklion –Venizeleio, Crete, Greece.

 

Stavrakakis I
Department of Orthopaedics, General Hospital of Heraklion –Venizeleio, Crete, Greece.

 

 

Please see the book here:- https://doi.org/10.9734/bpi/aodhr/v2/5721

A Comparative Study on Conjunctival Rotational Flap and Autograft Techniques in Pterygium Surgery at AL-Hussain Teaching Hospital from 2009-2015 | Chapter 08 | Issues and Developments in Medicine and Medical Research Vol. 2

 The purpose of this study is to examine the recurrence rate and consequences of primary pterygium surgery employing a conjunctival flap vs an autograft.

Methods: At AL-Hussain teaching hospital in Kerbala, a total of 70 patients (thirty males and forty females) were operated on for primary pterygium utilising conjunctival autografts (36 eyes) or conjunctival flaps (34 eyes) with an 18-month follow-up. Patients were asked to examine their ocular surface state on their own time.

The average age of the participants was 43.5 years (range 21-70) Males made up 42.65% of the patients, and 70% of them worked largely outside. The average follow-up time was 12 months (3-18).

The graft recurrence rate was 8.3 percent, while the flap recurrence rate was 8.8 percent; however, the graft had greater oedema, while the flap had no granuloma.

Conclusions: Despite the fact that autograft surgery is a longer procedure with higher postoperative oedema, there were no statistically significant differences in recurrence rates after this extended follow-up period for conjunctival flap and autograft procedures.

Author(S) Details

Imad Salih Mehdy
Department of Ophthalmology AL-Hussain Teaching Hospital, Kerbala, Iraq.

View Book:- https://stm.bookpi.org/IDMMR-V2/article/view/5437