Hand, Plastic, Reconstructive and Nerve Surgery

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@geewhiz4924 12 күн бұрын

This is such a great video! Looking forward to more practical videos like these. A few questions. We don’t have access to glue so we would have to suture. Is the nail then secured indefinitely or is it removed at some point to allow new nail growth. Secondly we don’t have the dressing you used. Would jelonet be fine?

@geewhiz4924 12 күн бұрын

Please upload any other cases you do esp tendon repairs, nerve repairs, tenosynovitis debridements, deformity corrections. At the institution I work at we don’t have a plastics consultant so often we just read and try our best. These videos are really really helpful.

@sharpnsurgery 11 күн бұрын

Thank you for your comment. The nail even if sutured gets stuck on to the remaining nail bed, and doesn’t have to be removed. New nail will grow from the eponychial fold and push the old nail out(just like shown at the end of the video), so you have to warn the patient it will look add for a few months and to keep trimming until the new nail completely covers the nail bed.

@sharpnsurgery 11 күн бұрын

Yea Jelonet will be fine, but you can’t leave jelonet for that long as the paraffin dries up and it will be very stuck, so if you use jelonet then change the dressing sooner at 1 week.

@diajassy 17 күн бұрын

Excellent video thank you ❤

@sharpnsurgery 16 күн бұрын

🙏 thank you

@RaceTeq17 18 күн бұрын

Use a taper needle

@sharpnsurgery 18 күн бұрын

That’s right, the needle is tapered, makes it sharp and good for debriding bone.

@Alexander-k8w7f 23 күн бұрын

What material are you using to simulator the tendon?

@sharpnsurgery 23 күн бұрын

The biological material is rind/fat of a pork chop that’s been boiled to soften it. The hollow clear tube is the sleeve that comes on the top of a pair of suture or tenotomy scissors.

@КрасимираМихайлова-ц6в 29 күн бұрын

❤❤❤❤❤❤

@sharpnsurgery 26 күн бұрын

❤️

@КрасимираМихайлова-ц6в 29 күн бұрын

❤

@sharpnsurgery 26 күн бұрын

👍

@4234578 Ай бұрын

Thank you🎉

@sharpnsurgery Ай бұрын

You’re welcome 😊

@4234578 Ай бұрын

Thanks for the video.looking for the ulnar and radial nerve🙏🏻

@sharpnsurgery Ай бұрын

Coming soon!

@ELROBRINI Ай бұрын

What about scratch collaps test

@sharpnsurgery Ай бұрын

It’s a great party trick, and a good adjunct, but in isolation shouldn’t affect your decision about surgery. We try in on our residents and it is positive in a lot of people with subclinical nerve compression.

@judytaa 2 ай бұрын

Thank you so much for the video ❤ I am 4 days after surgery, I am doing these exercises and every day I see improvement in my hand mobility 😊

@sharpnsurgery 2 ай бұрын

Glad it’s helping!

@sirfranzpharmacology7959 2 ай бұрын

Thank you Dr.

@sharpnsurgery 29 күн бұрын

You’re welcome

@sharpnsurgery 27 күн бұрын

You’re welcome!

@МастураХаджиева-з3е 3 ай бұрын

Значит этот синдром без операции не лечится.??? А я все видео упражнения каждый день выполняю с надеждой, что в один прекрасный день этот синдром исчезнет😢

@sharpnsurgery 29 күн бұрын

If it is detected early, sometimes splints and conservative treatment can help. It is important to recognise the cause and your doctor can help you with the most appropriate treatment.

@marktravore5524 5 ай бұрын

Exactly what my surgeon told me to do for my CTS.

@sharpnsurgery 26 күн бұрын

Glad we’re on the same page!

@jazminetorian 5 ай бұрын

Can you have tendon repair surgery years after an injury?

@sharpnsurgery Ай бұрын

Usually after that long you would need a 2-stage reconstruction or a tendon transfer.

@jazminetorian Ай бұрын

@@sharpnsurgery aghh.. I will look into this! Thank you so much!

@КрасимираМихайлова-ц6в 5 ай бұрын

❤❤❤❤❤❤❤❤

@sharpnsurgery 29 күн бұрын

🙏

@muhammadtanweer9072 6 ай бұрын

My 5 year child diagnosis with tendon injury she had a glass cut on her ankle of foot in emergency they stitch the injured area and now after 10 days of trauma the doctors diagnose the tender injured n suggested to reopen the wound n surgery .is it safe to undergrow surgical process for 5 year child

@sharpnsurgery 6 ай бұрын

Hi and thank you. We are unable to give medical advice on KZbin regarding your child unfortunately, but in general the main question in the ankle you have to ask your doctor is which specific tendon has been injured, what function is lost and do the risks of surgery and anesthesia outweigh the benefits of repair.

@muhammadtanweer9072 6 ай бұрын

Thank you so much . they did not mentioned anything just said this need a surgery to fix and did not had any mri of her foot just done an xray and examine her foot her foot n finger can move downward but she has to struggle to lift her thumb

@muhammadtanweer9072 6 ай бұрын

@@sharpnsurgery tendon can recover without surgery ?is it important to go for surgery

@antonvolkov8982 6 ай бұрын

In fact, the best tendon suture is the one has been made a thousand times

@sharpnsurgery 29 күн бұрын

There would be no tendon left at that point unfortunately.

@kendaddi5857 6 ай бұрын

Too many foreign bodies in the epitendinous repair. I think the Kessler’s or modified Kessler’s for me, is still the gold standard. Thanks for the excellent demonstration.

@sharpnsurgery 6 ай бұрын

Thank you, the epitendinous suture is actually an adjunct to the core suture which could be a Kessler, they are not used independent of each other. The epitendinous suture adds around 30% to the strength of your repair, and only really needs to be used in flexors distal to zone V.

@kendaddi5857 6 ай бұрын

@@sharpnsurgery Oh great. Thanks for this reply. For epitendinous sutures I have hitherto used simple or continuous 5/0 or 6/0 prolene sutures, but will try this technique next time.

@sharpnsurgery 6 ай бұрын

@@kendaddi5857 yes we would usually use a 5-0, maybe 6-0 in a little finger flexor or child. The continuous epitendinous is just as good and actually like you say has less suture foreign material reaction and might be better than the silferskiold according to more recent studies, so it's fine to stick to a continuous epitendinous suture.

@frankreyes5082 6 ай бұрын

yea I do not understand how doctors still doing open carpal tunnel surgery release, do your research, with all these technologies there are other procedures this days that makes recovery much faster

@sharpnsurgery 6 ай бұрын

There is always a place for newer minimal access techniques, and we do them as well, but patient selection is important. As a specialist nerve surgery unit, we also see all the complications from these newer minimal access procedures that haven't been around long enough to have obtained enough of a safety profile, and risking the possibilities of nerve pain for life for short term quicker recovery is a choice not everyone might want to make as the outcome at 3 months are the same for both procedures. There are also a lot of places which might not be able to afford the newer technologies.

@AbdulazizAsiry 7 ай бұрын

simple EFFECTIVE EXPLANATION

@sharpnsurgery 7 ай бұрын

Glad you think so!

@sharpnsurgery 26 күн бұрын

Thank you!

@abdulhalimkikhia7330 7 ай бұрын

thanks doctor

@sharpnsurgery 29 күн бұрын

Youre welcome!

@alekseylebed4945 8 ай бұрын

Отлично

@sharpnsurgery 29 күн бұрын

Thanks

@ellaa7969 9 ай бұрын

OK, but what about if your fingers and hand is really swollen and your fingers will not move up-and-down like mine

@sharpnsurgery 9 ай бұрын

You will have to gradually do it, and elevate your hand as much as you can to reduce the swelling and then you can mobilise more. Consult your doctor if you are having problems as issues like Complex Regional Pain Syndrome should be identified and treated early.

@user-ql4yi5qg3j 9 ай бұрын

Thank you so much!

@sharpnsurgery 29 күн бұрын

You're welcome!

@GuitarDoco 10 ай бұрын

informative Wont the forehead rotation flap distort the position of the right eyebrow? 2:20

@sharpnsurgery 10 ай бұрын

Not if you are a good distance away which you will be if you're on the scalp, and if you raise the flap completely so that it rotates instead of advances. And the burrows triangle or back cut further takes tension off the eyebrow, but you're right, one will have to be aware of the eyebrow and tailor your flap to protect it from disruption so very good question.

@valerieflynn1279 10 ай бұрын

Just what I needed. I wasn’t able to find too many videos about exercises for after the surgery. Thanks!

@sharpnsurgery 10 ай бұрын

Glad it was helpful!

@alekseylebed4945 10 ай бұрын

Отлично!!!

@sharpnsurgery 29 күн бұрын

Thanks!

@ExecutiveExecutions 11 ай бұрын

Do tendons re seal themselves? Or are they permanently only held together by sutchers?

@sharpnsurgery 11 ай бұрын

Thank you for your question. The short answer is yes, they heal and "re seal" themselves through intrinsic and extrinsic means. The sutures provide strength while they heal so that the ends are approximated and rehabilitation and moving the tendon is possible to prevent adhesions and stiffness. The tendon is fully healed to around 80% of the original strength at 12 weeks and the patient can return to all previous activity. At this point if you were to (hypothetically) do an operation to cut and remove the sutures, it would make no difference to the integrity of the tendon.

@musahissifu7700 11 ай бұрын

Good job

@sharpnsurgery 29 күн бұрын

Thank you

@drsaugatdas8839 Жыл бұрын

Beautiful

@sharpnsurgery 29 күн бұрын

Thanks!

@cxSMILEYx Жыл бұрын

our mnemonic in texas is "real texans drink cold beer"

@sharpnsurgery Жыл бұрын

Brilliant

@arifkeskin3925 Жыл бұрын

Hello, I would be very happy if you could help me. I had stitches on my arm 13 years ago. My wrist tendon was stitched. Do you think the stitches on my wrist tendon are the type of stitches that dissolve? The other day I felt a pain in my arm and something appeared inside. I did some research. And there were 2 pieces of sewing thread left that had not melted. I removed one of them myself because it was just under the skin, but I couldn't even touch a piece of it and couldn't remove it any further. If I go to the surgeon now, can they remove this? So this rope is not connected to the tendon or anything, right? Do you think it will be a problem? The aid I used was a blue colored rope. Thanks for

@sharpnsurgery Жыл бұрын

Hi, the suture that was used to repair your tendon was likely the blue suture you see, which is usually non-dissolvable. The tendon is fully healed in 3 months, so 13 years down the line if you remove the suture it shouldn't cause any problems, but yes a surgeon would be able to remove your suture for you if it is extruding/showing now.

@arifkeskin3925 Жыл бұрын

@@sharpnsurgery Thank you for your answer, but I don't remember getting stitches on my tendon. I feel a bulge when I touch the tendon. Does that mean there's a seam there? So the glass was on my arm. The tendon in my arm remained as it was, that is, the glass did not cut the tendon, but in such a case, does the tendon still need to be stitched again?

@Dr-Skincare Жыл бұрын

Can you please upload your surgeries, that would be amazing to learn about flaps ❤

@sharpnsurgery Жыл бұрын

Yes of course!

@saidath4445 Жыл бұрын

Which material you are showing this technique ,where can we arrange that material for practice

@sharpnsurgery Жыл бұрын

Hi, the sutures are being demonstrated on pig fat, it is the rind/fat of a piece of pork chop which has been cut in half. The hollow plastic tube is just the protective tube that comes with disposable forceps/scissors to protect the tip.

@hyrochinz Жыл бұрын

can you please tell me this? in the modified kessler technique, are the transverse bites supposed to go under the longitudinal fibres?

@sharpnsurgery Жыл бұрын

Essentially yes, under the sutures of the longitudinal bites, watch the hollow tube part under common errors to see how it looks like from the side.

@agnesdebezenac Жыл бұрын

Thank you for this very helpful information. It was soo clear and concise.

@sharpnsurgery Жыл бұрын

Glad it was helpful!

@gowthamnaidu1439 Жыл бұрын

Keep the videos coming👍🏼

@sharpnsurgery 29 күн бұрын

Will try our best!

@ifejohnson834 Жыл бұрын

Awesome

@mdakterkhan2916 Жыл бұрын

Please tell me how long it takes for the tendon to return to normal or as it was before because I had my right knee tendon cut and then surgically reattached. Please tell me how long it will take to recover

@sharpnsurgery Жыл бұрын

Hi, the tendons in the hand are different to the knee tendons. A repaired flexor tendon will only get back to being about 80% as strong as it was structurally, although this will not be obvious clinically and one should be able to regain full power. The recovery is slow the tendon is weakest from 1-2 weeks after repair, then gets stronger up to 8 weeks when splints are usually discontinued and only applied at night and full recovery is complete at 12 weeks, where return to full activity, heavy lifting and contact sports can be resumed. The knee tendon, will be different and might have a longer rehabilitation period depending on which tendon is cut.

@mdakterkhan2916 Жыл бұрын

@@sharpnsurgery Thank you very much. My tendon below my knee was cut a lot with ceramic cutter glander, the day after the cut I had surgery to attach it then put 42 pins in the upper part now how long will it take to heal and after how long can I join heavy work please Please let me know if I do any heavy work before the scheduled time, is there a risk of tearing the tendons that have been reattached?

@sharpnsurgery Жыл бұрын

Hi, you will have to ask your treating surgeon for that advice, as said before knee tendons are very different to hand tendons.

@mdakterkhan2916 Жыл бұрын

@@sharpnsurgery If I ask the person who is doing the surgery or to meet him, it takes 30 thousand in Bangladeshi taka because I am in Saudi Arabia and at the moment I don't have any money to ask him. So I asked you if I could know anything, it would be helpful. I am 24 years old. And now I am unemployed after the operation, all the money I had was spent on the operation, so I can no longer go to the doctor

@sarvnazsepehripour5581 Жыл бұрын

Excellent video! perfect for exams and real life!

@sharpnsurgery Жыл бұрын

Thank you!

@josepadillap5231 Жыл бұрын

Gracias

@sharpnsurgery 29 күн бұрын

You’re welcome

@keysiruiz1316 Жыл бұрын

What a great video! You made this so easy to learn. thank you sooo soo much i was struggling really bad to learn it

@sharpnsurgery Жыл бұрын

You're so welcome!

@michaelfieldman2806 Жыл бұрын

I don't understand why this video hasn't garnered more views - this is by far the best post CT Release exercise video I've seen - THANK YOU

@sharpnsurgery Жыл бұрын

Thank you for your kind words.

@wedding5409 Жыл бұрын

100% agree. I’m doing the exercises and progressing well.

@yaoicat8866 Жыл бұрын

best video, really needed this for my physio examination

@sharpnsurgery Жыл бұрын

Thank you 🙏

@saulofontesalmeida9737 Жыл бұрын

Excelente 👏👏

@sharpnsurgery 29 күн бұрын

Thanks

@chilldudie7662 Жыл бұрын

Hello, I had surgery done on zone 5 (right before middle knuckle). Its been a few years now, and from what i remember he did not use stitches, and he shortened the tendon to much because it very uncomfortable to close my fist

@sharpnsurgery Жыл бұрын

Dear Chill Dudie, It's unlikely you have had a tendon repair if they didn't use sutures. More likely you have had a laceration with no tendon injury but the healing has caused scarring which has stuck to the tendons a little bit and it is tight when you close your fist because it pulls on the tight scarred area. The initial treatment for this is physio therapy and if still a problem surgery to release the scarring and adhesions.

@alekseylebed4945 Жыл бұрын

Отлично!

@sharpnsurgery 29 күн бұрын

Thank you 🙏

@ayazmuhannad8254 Жыл бұрын

Sir can radial nerve be fixed by making by pass grafting

@ayazmuhannad8254 Жыл бұрын

joining an additional nerve as original nerve is weak due to degeneration.

@sharpnsurgery Жыл бұрын

Yea of course, we graft radial nerves all the time with good outcomes. If it is weak or doesn't work, you can augment it with tendon transfers.

@drashishmonga Жыл бұрын

Excellent. Kindly upload more videos of surgery

@sharpnsurgery 29 күн бұрын

Will do! Thanks

@tarekbendada1378 Жыл бұрын

Great great❤

@sharpnsurgery 29 күн бұрын

Thank you for your support

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