Hellow guys, Welcome to Utubetrends, and you are watching Tendon Graft and Pulley Reconstruction Extensor Pollicis Longus (EPL) for Prehension. and this vIdeo is uploaded by Dr Thomas McClellan at 2016-04-30T18:12:34-07:00. We are pramote this video only for entertainment and educational perpose only. So, I hop you like our website.
| Name | Tendon Graft and Pulley Reconstruction Extensor Pollicis Longus (EPL) for Prehension |
| Video Uploader | Video From Dr Thomas McClellan |
| Upload Date | This Video Uploaded At 01-05-2016 01:12:34 |
| Video Discription | www.MPSurgery.com www.Hand411.com This is a video demonstrating the importance of Prehension and the surgical restoration of that essential function. The position of the thumb in relation to the fingers and palm allows humans to interact with their environment through grasp. The patient presented had a significant deficit in prehension secondary to trauma in which the Extensor Pollicis Longus tendon was missing. Additionally the suboptimal vector to the ulnar thumb prevented ideal abduction and extension of the thumb. An EPL tendon graft using a Pulvertaft weave and secondary pulley creation from the capsule of a titanium plate to redirect the pull of the EPL tendon was performed. The human hand is a complex instrument, that has multiple aims. In a physiologic view, the hand represents the effector extremity of the arm, as it can be in the most favorable position to execute specific functions (Lehmkuhl; Smith 1989). The functional capacities of the hand as a perfect locomotor system organ have great influence in the social and creative efficiency of humans. Only the hand is capable of making minute distinctions about external characteristics because it combines strength and accuracy (Catovic et al. 1991). Using the independent movements of the several segments of fingers and hand we can hold, maintain, release, take the hand to objects or handle them and move them in all directions. Although the hand has multiple functions, the essential function is prehension. Such capacity appears from the tweezers lobster to the hand of the monkey, but in humans prehension reached its highest degree of functionality. This is due to a particular provision of thumb, which may object to all other fingers (Kapandji 1980). |
| Category | Education |
| Tags | Tendon | Pulley | pulvertaft weave | capsule | plate | tendon transfer | tendon graft | hand411 | plastic surgery | mcclellan | morgantown | west virginia | hand surgery | extensor pollicis longus | palmaris longus | thumb | prehension | grasp |
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