Commentary: Percutaneous Release of the A1 Pulley Using a Modified Kirschner Wire: A Cadaveric Study

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Commentary: Percutaneous release of the A1 pulley using a modified Kirschner wire: a cadaveric study.

PURPOSE. To evaluate the outcome of percutaneous release of the A1 pulley in 40 cadaveric fingers using a modified Kirschner wire. METHODS. A 2.5-mm-diameter Kirschner wire measuring >12 cm in length was used. One end of the wire was sharpened into a 'J' shape using a grinder. The J-shaped tip featured a blunt, elongated lower tip, a sharp J-shaped curve, and a blunt upper tip. Completeness of ...

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Percutaneous A1 Pulley Release a Clinical Study.

Percutaneous A1 pulley release is being increasingly used as an alternative to open surgical release and injection of local steroids for the treatment of the trigger digit. In 31 cases (26 patients), a percutaneous release was performed with a 14-gauge intravenous catheter needle under local anaesthesia in the outpatient setting. We report a 97% successful release and only one case of incomplet...

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Percutaneous release of the A1 pulley: a cadaver study.

PURPOSE Percutaneous release of the A1 pulley has been used for treatment of trigger fingers with success. However, lack of direct visualization raises concerns about the completeness of the release and about potential injury to the tendons or neurovascular structures. The purpose of this study was to assess the efficacy and safety of percutaneous release of the A1 pulley in a cadaveric model u...

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Kirschner wire fixations for scapholunate dissociation: a cadaveric, biomechanical study.

PURPOSE To compare 5 different Kirschner wire fixation techniques in terms of the failure loads seen as scapholunate (SL) dissociation in a cadaveric, biomechanical study. METHODS 10 fresh-frozen, finger-amputated wrists with sectioned SL ligaments from 3 male and 2 female cadavers were tested. The change of SL angle, SL dissociation, and the load to failure of the 5 different Kirschner wire ...

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ژورنال

عنوان ژورنال: Journal of Orthopaedic Surgery

سال: 2014

ISSN: 2309-4990,2309-4990

DOI: 10.1177/230949901402200203