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Journal of Hand Surgery, European Volume

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https://www.readbyqxmd.com/read/28820008/radioscapholunate-fusion-with-triquetrum-and-distal-pole-of-scaphoid-excision-long-term-follow-up
#1
Ngoc B Ha, Joideep Phadnis, Simon B M MacLean, Gregory I Bain
The purpose of this study was to assess the long-term outcomes of radioscapholunate fusion, with and without distal pole of scaphoid excision and excision of the triquetrum. These compromised three operative groups. Seventeen patients were identified with a minimum of 10 years follow-up, with a mean of 15 years (range 10-19). Fifteen of the 17 patients were satisfied with their outcome. Two were converted to total wrist fusion. The mean outcomes scores were; pain visual analogue scale score 2.1/10, Quick Disabilities of the Arm, Shoulder, and Hand 29 and Modified Mayo Wrist score 60...
August 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28795621/self-inflicted-wrist-injuries-masquerading-as-scaphoid-fractures-in-military-recruits
#2
Assaf Kadar, Dani Rotman, Haggai Schermann
No abstract text is available yet for this article.
August 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28784034/robust-thumb-flexor-tendon-repairs-with-a-six-strand-m-tang-method-pulley-venting-and-early-active-motion
#3
Z J Pan, J Qin, X Zhou, J Chen
We present the outcomes of flexor pollicis longus tendon repairs in 34 thumbs using a six-strand M-Tang repair with venting of one or two pulleys according to site of tendon laceration. The A2 pulley was vented in all three thumbs with zone 1 injury. In 31 thumbs with zone 2 injuries, the oblique pulley was vented partially or entirely. Twenty-two thumbs had both the A1 and oblique pulleys vented. Six to 46 months post-surgery, 14 thumbs with zone 2 injuries were rated excellent, 13 good, three fair and one failure according to Tang criteria...
August 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28784020/microsurgical-thumb-repair-and-reconstruction
#4
Roberto Adani, Sang Hyun Woo
In this article, we review microsurgical reconstructive techniques available to treat thumb amputation at different levels based on our experience. We reference techniques used by other surgeons and identify the most suitable technique for different clinical situations. Indications and techniques for microsurgical partial or composite transfer of the great or second toe for thumb reconstruction are summarized. Different microsurgical transfer techniques suggest a great freedom of surgical choices. However, the choices are considerably restricted if all functional and cosmetic requirements are to be met...
August 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28784013/biomechanical-comparison-of-the-lim-tsai-tendon-repair-with-a-modified-method-using-a-single-looped-suture
#5
Min Kai Chang, Yoke Rung Wong, Shian Chao Tay
The Lim/Tsai tendon repair technique has been modified clinically to achieve a 6-strand repair using a single looped suture with one extratendinous knot. We compared biomechanical performance of the original and modified methods using 20 porcine flexor digitorum profundus tendons. The ultimate tensile strength, load to 2 mm gap force, mode of failure, and time taken to repair each tendon were recorded during a single cycle loading test in 10 tendons with each repair method. We found that despite having the same number of core strands, the single looped suture modified Lim/Tsai technique possessed significantly greater ultimate tensile strength and load to 2 mm gap force...
August 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28784009/techniques-and-survival-incidence-for-revascularization-of-degloved-fingers
#6
Murat Kayalar, Özgün Barış Güntürk, İbrahim Kaplan, Tahir Sadık Sügün, Yalçın Ademoğlu
We report techniques and survival incidence of three subtotally and nine completely degloved fingers in seven patients. We performed end-to-end arterial repairs in seven fingers, vein graft repairs for arteries in two fingers, arteriovenous anastomoses in three fingers. End-to-end vein anastomosis was performed in all fingers. One finger requred re-exploration. Soft tissues in the eight degloved fingers survived completely, two failed completely, and two were partially necrotic. We conclude from our results that following revascularization, the skin from a completely degloved finger skin will survive in approximately two cases out of three...
August 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28770645/patient-reported-outcomes-of-carpal-tunnel-release-surgery-in-patients-with-bilateral-severe-carpal-tunnel-syndrome
#7
C Q Y Tang, S W H Lai, S C Tay
This retrospective study examined whether the presenting complaint of numbness is relieved post-operatively in severe carpal tunnel syndrome and also assessed any correlation between outcomes of the first and second procedures in staged bilateral carpal tunnel releases. Carpal tunnel release (60 open and 38 endoscopic) was done in 49 patients with bilateral severe carpal tunnel syndrome. There was complete resolution of numbness post-operatively in 77% ( n = 75) of hands. The median post-operative time before complete resolution of numbness was 21 days (IQR 8 to 21; range 3 to 482)...
August 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28758528/the-influence-of-late-displacement-in-distal-radius-fractures-on-function-grip-strength-range-of-motion-and-quality-of-life
#8
M Å Wadsten, G O Sjödén, G G Buttazzoni, C Buttazzoni, E Englund, A S Sayed-Noor
Late displacement of distal radius fractures, still in acceptable radiological position after 1-2 weeks, occurs in approximately one-third of cases. The aim of this study was to investigate the influence of late displacement on the functional outcome and quality of life at 1 year in non-operatively treated distal radius fractures. One hundred and seventy five unilateral conservatively treated distal radius fractures with minimal displacement after 10-14 days were finally evaluated in the study. Follow-up included radiographs at 3 months and clinical examination 1 year after the fracture...
July 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28756731/pyrocarbon-interposition-arthroplasty-for-failed-total-wrist-arthrodesis
#9
Sergi Barrera-Ochoa, Gerardo Mendez-Sanchez, Xavier Mir-Bullo
No abstract text is available yet for this article.
July 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28707510/outcomes-of-sympathectomy-and-vascular-bypass-for-digital-ischaemia-in-connective-tissue-disorders
#10
R L Shammas, B H Hwang, L S Levin, M J Richard, D S Ruch, S K Mithani
All patients (36 hands) with connective tissue disorders who underwent periarterial sympathectomy of the hand alone or in conjunction with vascular bypass at our institution between 1995-2013 were reviewed. The durable resolution of ulcers was significantly higher in patients treated by periarterial sympathectomy and bypass than in patients treated by periarterial sympathectomy alone. Although there were more digital amputations in patients treated by periarterial sympathectomy alone, the difference was not statistically significant...
July 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28701068/primary-trapeziometacarpal-prosthesis-for-complicated-fracture-of-the-base-of-the-thumb-metacarpal
#11
S Barrera-Ochoa, G Mendez-Sanchez, X Mir-Bullo
No abstract text is available yet for this article.
July 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28681691/four-dimensional-rotational-radiographic-scanning-of-the-wrist-in-patients-after-proximal-row-carpectomy
#12
A Peymani, M Foumani, J G G Dobbe, S D Strackee, G J Streekstra
We measured cartilage thickness, contact surface area, volume of the capitate and shape of the capitate during motion in the operated and unaffected wrists of 11 patients with a mean follow-up of 7.3 years after proximal row carpectomy. Radiocapitate cartilage thickness in the operated wrists did not differ significantly from radiolunate cartilage thickness in the unaffected wrists. The radiolunate surface area was significantly less than the radiocapitate surface area. The volume of the capitate was significantly increased in the operated wrists...
July 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28673197/flexor-pulley-reconstruction-using-a-palmar-fascia-strip-a-case-report
#13
K Bulic, N Fuchs
No abstract text is available yet for this article.
July 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28673114/how-to-cut-a-nerve-morphological-implications-of-instruments-used-in-preparation-of-severed-nerves-for-neurorrhaphy
#14
E W Jernigan, J M M Patterson, R W Draeger
No abstract text is available yet for this article.
July 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28673103/a-method-of-treating-comminuted-phalangeal-fractures-by-ligamentotaxis-using-a-single-kirschner-wire
#15
C Rex, K Patel, K M Sandeep
No abstract text is available yet for this article.
July 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28669261/dupuytren-s-disease-my-personal-view
#16
D Warwick
Dupuytren's disease is a heterogenous condition for which a palette of treatment options is required. Randomized control trial evidence is sparse; design challenges, such as validated outcome measures, blinding, equipoise, funding and assessment of recurrence, may limit further data accrual. Recurrence has different significance with different treatments and so rates are not directly comparable. The risk of any treatment is a function of both the chance of a complication and the clinical sequelae of that complication...
June 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28641495/mixing-local-anaesthetics-corticosteroid-and-ketorolac-tromethamine-leads-to-no-extreme-ph-or-precipitation
#17
M Q H Leow, K S Chua, S C Tay
No abstract text is available yet for this article.
June 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28627963/the-natural-history-of-recovery-of-elbow-flexion-after-obstetric-brachial-plexus-injury-managed-without-nerve-repair
#18
T E J Hems, T Savaridas, D A Sherlock
In this study, we report the outcome for spontaneous recovery of elbow flexion in obstetric brachial plexus injury managed without nerve reconstruction. Excluding those with transient paralysis, our records revealed 152 children with obstetric brachial plexus injury born before our unit routinely offered brachial plexus reconstruction. Five had had nerve repairs. Of the remainder, only one patient had insufficient flexion to reach their mouth. Elbow flexion started to recover clinically at a mean age of 4 months for Narakas Group 1, 6 months for Group 2, 8 months for Group 3 and 12 months for Group 4...
June 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28610464/methodological-quality-and-reporting-of-systematic-reviews-in-hand-and-wrist-pathology
#19
J Wasiak, A Y Shen, R Ware, T J O'Donohoe, C M Faggion
The objective of this study was to assess methodological and reporting quality of systematic reviews in hand and wrist pathology. MEDLINE, EMBASE and Cochrane Library were searched from inception to November 2016 for relevant studies. Reporting quality was evaluated using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and methodological quality using a measurement tool to assess systematic reviews, the Assessment of Multiple Systematic Reviews (AMSTAR). Descriptive statistics and linear regression were used to identify features associated with improved methodological quality...
June 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28610461/the-impact-of-transferred-vascularized-toe-joint-length-on-motion-arc-of-reconstructed-finger-proximal-interphalangeal-joints-a-cadaveric-study
#20
C-C Hsu, C Y Y Loh, D Kao, S L Moran, Y-T Lin
Vascularized toe joint transfer for finger proximal interphalangeal joint reconstruction can result in sub-optimal arc of motion and extension lag due to inappropriate intercalated bony segment length. We investigated the impact of intercalated segment length on passive arc of motion and extension lag of the reconstructed proximal interphalangeal joint. Cadaveric intercalated joint grafts were harvested from lesser toes and transferred to cadaveric fingers. The pre-determined finger proximal interphalangeal joint defect size was 2 cm...
June 1, 2017: Journal of Hand Surgery, European Volume
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