A medial arm free flap is a plausible reconstructive option with good knowledge of the anatomical variations, as the defect on the medial arm is cosmetically more acceptable and has a better color match for head and neck reconstructions.

The density of antimicrobial use in PAP was found to be very high in our hospital. Antibiotic overuse extended into the postoperative period.

The aim of this prospective, randomised, controlled trail was to compare two methods of rehabilitating extensor tendon repairs in zones V-VII. Patients who incurred simple and complete lacerations of their extensor tendons in zones V-VII enrolled into the study and underwent either static splinting (n = 25) or dynamic splinting (n = 27) after primary acute repair of tendons. Extension lag, flexion deficit, total active motion (TAM), grip strength, and functional status of upper extremities were measured. TAM was improved in the dynamic group when compared with the static group in the injured digits at 4 weeks (p = 0.001), at 12 weeks (p = 0.05), and at 6 months (p = 0.001). Grip strength outcomes demonstrated improved grip force for the dynamic group when compared with the static group at 12 weeks (p = 0.001). There were no ruptures in either group. Also, a better functional level was found in the dynamic splinting group at 6 months (p = 0.001). The findings of the current study suggest that dynamic splinting of complex lacerations of the extensor tendons in zones V-VII provides improved functional outcomes at 4 and 12 weeks and 6 months when compared with static splinting.

No abstract

ÖzetAmaç: El bileği veya parmak düzeyinde yaralanması olan hastalarda el fonksiyon testlerinin hasta tarafından yanıtlanan fonksiyonel değerlendirme anketleri ile ilişkisinin araştırılması amaçlandı. Gereç ve Yöntem: El bilek düzeyinde sinir yaralanması (median/ulnar) (EBS grubu) veya parmak düzeyinde kırık ve/veya tendon yaralanması (PKT grubu) olan 43 hastanın demografik verileri kaydedildi. Muayene ile saptanan fonksiyonel düzeyleri EBS grubundaki hastalar için Seddon fonksiyonel sonuç skalasına göre, PKT grubundaki hastalar için BuckGramco'ya göre değerlendirildi. Tüm hastalara Sollerman El Fonksiyon Testi (SEFT) uygulandı, Quick-DASH ve Duruöz El İndeksi (DEİ) doldurtuldu. El kaba kavrama kas gücü sağlam tarafa göre leze elin yüzdesi olarak hesaplandı. Bulgular: Hastaların yaş ortalaması ve cinsiyet dağılımı açısından gruplar arasında fark saptanmadı (p=0,429, p=0,229). EBS grubunda Seddon'a göre hastaların 3'ü (%14,3) çok iyi, 10'u (%47,6) iyi, 6'sı (%28,6) orta, 2'si (%9,5) kötü idi. PKT grubunda Buck-Gramko'ya göre bir (%4,5) mükemmel, 9 (%40,9) iyi, 4 (%18,2) zayıf, 8(%36,4) kötü hasta vardı. EBS ve PKT grubunda sırasıyla SEFT puanı 72, 3±16,8, 76,1±5,6,9±19,4,19,6±15,2, DEİ puanı 19,3±21,2,11,3±10,6, leze el kas gücü yüzdesi 65,4±29,9, 72,5±25,8'di. SEFT hem EBS hem PKT grubunda Q-DASH, Duruöz skorları ile anlamlı koreleydi (p<0,05). EBS grubunda SEFT ile Seddon (r=0,449) ve kas gücü arasında (r=0,585) anlamlı ilişki vardı. PKT grubunda SEFT ile Buck-Gramco arasında anlamlı ilişki saptanmazken kas gücü ile anlamlı pozitif ilişki bulundu(r=0,463). Sonuç: El fonksiyon testinin hem bilek düzeyinde sinir yaralanması olan hastalarda, hem de parmak düzeyinde tendon yaralanması veya kırık olan hastalarda hasta bazlı fonksiyonel değerlendirme yapan anketlerle pozitif korelasyon gösterdiği saptandı. Türk Fiz T›p Re hab Derg 2013;59:112-6. Anah tar Ke li me ler: El fonksiyonu, falanks kırığı, sinir yaralanması, tendon yaralanması Sum maryObjective: We aimed to research the relationship between functional assessment questionnaires answered by patients and hand function tests in patients with injury on level of wrists or fingers. Materials and Methods: Demographic characteristics of 43 patients with nerve injury at the level of wrists (median/ulnar) (LW group) and patients with fracture or tendon injury at the level of fingers (LF group) were recorded. Functional level detected by examination was evaluated according to the Seddon classification in LW group, and according to Buck-Gramco scores in LF group. The Sollerman Hand Function Test (SHFT) was administered to all patients, and the Quick-DASH (Q-DASH) and Duruöz Hand Index (DHI) were completed by all patients. Hand grip strength was expressed as a percentage of that of the uninjured hand. . Results: There was no difference in mean age and distribution of gender between the groups (p=0.429, p=0.229). Three (14.3%) patients had excellent, 10 (47.6%) good, 6 (28.6%) moderate, and 2 (9.5%) patients had poor results according to the Seddon classification in LW grou...