HAND最新文献

{"title":"Psychiatric Morbidity After Digital Replantation Versus Amputation.","authors":"Amy T Phan, Christopher M Dussik, Thomas J Carroll, Jeffrey Coombs, Bilal Mahmood, Constantinos Ketonis, Danielle Wilbur","doi":"10.1177/15589447261437838","DOIUrl":"https://doi.org/10.1177/15589447261437838","url":null,"abstract":"<p><strong>Background: </strong>The purpose of this study was to compare the psychological outcomes following digital amputations, successful digital replantation surgeries, and failed digital replantation surgeries.</p><p><strong>Methods: </strong>The TriNetX database was queried to identify 19,238 patients who had undergone primary digital amputations, 383 patients who had successful digital replantation surgeries, and 253 patients with failed digital replantation surgery that required revision amputation. We then queried the database for new psychiatric diagnoses and for new psychotropic medication prescriptions within 3 years after the index surgery.</p><p><strong>Results: </strong>Within the primary digital amputation group, the incidence of depression, generalized anxiety disorder, substance abuse, and adjustment disorder or post-traumatic stress disorder (PTSD) was 12.4%, 11.4%, 8.8%, and 5.2%, respectively. The incidence of depression, generalized anxiety disorder, substance abuse, and adjustment disorder or PTSD for all replantation surgery patients was 6.8%, 6.5%, 4.5%, and 6.3%, respectively. The incidence of depression, generalized anxiety disorder, and substance abuse were found to be significantly lower in all patients who underwent replantation surgeries compared with the primary amputation group. Meanwhile, the incidence of depression, generalized anxiety disorder, substance abuse, and adjustment disorder or PTSD for the successful replantation group was 6.5%, 6.3%, 3.9%, and 2.9% and was 6.7%, 5.5%, 4.0%, and 9.1%, respectively, for the failed digital replantation surgery cohort.</p><p><strong>Conclusions: </strong>The 3-year incidence of depression, generalized anxiety disorder, and substance abuse were found to be significantly lower in all patients who underwent replantation surgeries compared with the primary amputation group, regardless of the replantation success. These results are especially pertinent as replantation attempts trend downward in hand surgery.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447261437838"},"PeriodicalIF":1.8,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Peripheral Nerve Stimulation for the Treatment of Neuropathic Pain Following Brachial Plexus Injury: A Scoping Review of Neuromodulation Modalities.","authors":"Seeley Yoo, Jackson M Cathey, Kyle Steinbock, Edward Frails, Tara Dalton, Samantha Kaplan, C Rory Goodwin, Eliana Saltzman, Neill Y Li","doi":"10.1177/15589447261437821","DOIUrl":"https://doi.org/10.1177/15589447261437821","url":null,"abstract":"<p><p>A majority of patients with brachial plexus injuries (BPIs) develop neuropathic pain, which is not consistently resolved by medications or surgery. Peripheral nerve stimulation (PNS) shows promise as a supplemental treatment for BPI-associated pain, but comprehensive reviews analyzing its efficacy are limited. Therefore, this study aimed to summarize existing literature on the efficacy of PNS for treating BPI-associated neuropathic pain. A systematic literature search was performed in PubMed, Embase, and Web of Science, querying articles assessing PNS for treatment of neuropathic pain in adults with BPIs. Descriptive statistics and narrative syntheses summarized study characteristics, demographic and clinical data, and pain-related outcomes. Of 409 articles from the initial search, 9 met inclusion criteria. In 8 studies (88.9%), PNS was clinically effective in pain reduction. Of these, 5 (62.5%) used percutaneous electrode placement, 2 (25.0%) used open implantation, and 1 (12.5%) used transcutaneous stimulation. Peripheral nerve stimulation demonstrated pain-reduction capabilities in both preganglionic and postganglionic BPIs. These early findings show promise for PNS for treating refractory pain in patients with limited therapeutic options. Still, PNS for treating BPI-associated pain is an evolving and understudied field. Continued research is needed to better assess its indications, efficacy, and optimal settings to create a personalized pain-management approach.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447261437821"},"PeriodicalIF":1.8,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"National Surgical Incidence and Sociodemographic Differences for Pediatric Polydactyly of the Hand.","authors":"Bill Young, Gabriella B Smith, Ashley L Titan, Deborah E Kenney, Amy L Ladd","doi":"10.1177/15589447261437827","DOIUrl":"10.1177/15589447261437827","url":null,"abstract":"<p><strong>Background: </strong>Polydactyly surgery rates and trends are poorly characterized. The purpose of this study was to characterize national pediatric polydactyly management by examining operative and procedural trends over time, evaluating timing of treatment, identifying factors associated with interventions, and comparing costs and complications.</p><p><strong>Methods: </strong>We used the PearlDiver national administrative claims database to identify pediatric patients aged 18 and under with a diagnosis of polydactyly (2010-2023). We analyzed patients who received procedures coded as surgical correction or suture ligation, then characterized rates and factors associated with each intervention, and investigated postoperative complication rates.</p><p><strong>Results: </strong>Of 42 543 polydactyly patients, 3880 patients (9.1%) underwent surgery, and 5612 patients (13.2%) underwent procedures coded as suture ligation. Over the past decade, the incidence of polydactyly diagnosis and surgery has decreased, while rates of procedures coded as suture ligation have not changed significantly. In 2010, 12.0% of patients underwent surgery, compared to 7.3% in 2020. Patients of ages 1 to 2 years comprised the greatest proportion of the population who underwent surgical operations at 1729 patients (36.0%), and patients of ages 0 to 1 year comprised the greatest proportion of the population who underwent suture ligations at 3327 patients (51.0%) (<i>P</i> < .001). Younger age at diagnosis and higher comorbidity index were associated with a greater likelihood of surgery, while greater mean family income was associated with a lower likelihood. Among treatment categories, surgery was associated with greater 1-year and total payer-reimbursed costs (<i>P</i> < .05).</p><p><strong>Conclusions: </strong>We observed a declining incidence of pediatric polydactyly and polydactyly surgery. These findings may inform future guideline development and discourse for pediatric hand care.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447261437827"},"PeriodicalIF":1.8,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13139317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147814437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient Perceptions Regarding Opioid Use: Factors Influencing Participation in a Postoperative Pain Management Randomized Controlled Trial after Carpometacarpal Arthroplasty.","authors":"Gabriella B Smith, Ashley L Titan, Deborah E Kenney, Robert Reitz, Nicole S Pham, Jeffrey Yao, Amy L Ladd","doi":"10.1177/15589447261437834","DOIUrl":"10.1177/15589447261437834","url":null,"abstract":"<p><strong>Background: </strong>The opioid epidemic has motivated hand surgeons to explore alternatives to postoperative pain management. We retrospectively analyzed patients who declined participation in our double-blind randomized controlled trial (RCT) comparing ibuprofen/acetaminophen to oxycodone after carpometacarpal arthroplasty. The purpose of this study was to analyze patient considerations for declining participation to elucidate perspectives on postoperative pain control.</p><p><strong>Methods: </strong>We conducted a retrospective cohort study of eligible preoperative patients approached for our RCT between February 2021 and July 2024. Rationale for declining was recorded, and demographic and clinical characteristics were extracted. Associations between baseline demographic and clinical characteristics and reasons for declining were examined.</p><p><strong>Results: </strong>Out of 102 eligible patients approached, 62 (60.8%) enrolled while 40 (39.2%) declined. Of patients who declined, 20 participants (50.0%) cited opioid side effects or other opioid concerns. Eight patients (20.0%) were not interested in participating in research, and 6 patients (15.0%) wanted to ensure opioid access for effective pain control. Patients also cited side effects of ibuprofen/acetaminophen (2, 5.0%) or other medical concerns (4, 10.0%) when declining. Surgery on the right hand was the only significant association with the decision to enroll (<i>P</i> < .05), while surgery on the dominant hand was not significantly associated (<i>P</i> = .15).</p><p><strong>Conclusions: </strong>Our study identifies a trend in patient beliefs about postoperative pain control following hand surgery with half of the declined cohort referencing opioid-related concerns. Hand surgeons should consider patient perspectives when developing future postoperative pain studies and implementing protocols.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447261437834"},"PeriodicalIF":1.8,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13139315/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147814449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of Social Determinants of Health Z-Codes in Hand Trauma Patients.","authors":"Jessica I Billig, Michael D Dang, Jennifer R Cardin, Joseph H Joo, Joshua M Liao","doi":"10.1177/15589447261437816","DOIUrl":"10.1177/15589447261437816","url":null,"abstract":"<p><strong>Background: </strong>Hand trauma patients are more likely to be affected by social determinants of health (SDOH) that can adversely affect surgical outcomes. The introduction of z-codes reflecting SDOH has increased the ability to systematically capture SDOH, such as economic circumstances and social support. However, little is known about the uptake of z-codes for identifying SDOH and the characteristics of hand trauma patients with and without documented SDOH z-codes.</p><p><strong>Methods: </strong>This analysis used 2015-2025 national data from EPIC Cosmos for patients undergoing common surgical procedures for hand trauma. We assessed for the presence of SDOH using z-codes and compared characteristics of patients with and without documented SDOH.</p><p><strong>Results: </strong>Only 1.7% of surgically treated hand trauma patients had documented SDOH z-codes. Patients with SDOH were younger, Black, living in urban areas, and insured through Medicaid or Medicare compared with patients without SDOH. Between 2015 and 2025, the uptake of z-codes increased from 0.4% in 2015 to 4.1% in 2025, with housing, economic, and social support determinants being most common.</p><p><strong>Conclusions: </strong>While z-codes enable greater capture of SDOH, adoption was limited over the last decade. Strategies are needed to promote more comprehensive identification of SDOH among surgically treated hand trauma populations.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447261437816"},"PeriodicalIF":1.8,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13139306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147814489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety and Cost-Effectiveness of In-Office Digital Mucous Cyst Excisions.","authors":"Philip Femano, Skyler King, Adam Hoffman, Michael R McDermott, H Brent Bamberger","doi":"10.1177/15589447251350168","DOIUrl":"10.1177/15589447251350168","url":null,"abstract":"<p><strong>Background: </strong>Digital mucous cysts are a common lesion of the distal interphalangeal joint that can be treated nonoperatively with steroid injections and aspirations. Those who fail conservative treatment may undergo surgical removal of the cyst in the operating room; however, with rising health care costs, there has been a trend toward in-office-based hand surgery. This study examines the effectiveness, safety, and cost-effectiveness of performing this excision in the office.</p><p><strong>Methods: </strong>A retrospective cohort of consecutive patients who underwent in-office digital mucous cyst excision was established. Patient demographics, perioperative symptoms, and outcomes were recorded to examine the success rate of office-based cyst removal and characterize the postoperative infection/complication rate.</p><p><strong>Results: </strong>Sixty-seven patients underwent in-office cyst removal with a 95.5% success rate, with 3 patients having cyst recurrence. Full resolution of symptoms was seen in 89.4% of patients by 2 weeks and 100% by 12 weeks postoperation. There were 7 postoperative infections (10.4%), 6 of which were superficial and resolved with oral antibiotics. There was one deep infection that resolved following operative irrigation and debridement. There was no significant relationship between the use of perioperative antibiotics and postoperative infection. There was a significant relationship between the presence of medical comorbidities and the development of postoperative infection (<i>P</i> = .027). The cost of a digital mucous cyst excision in the hospital was found to be an 8.5-fold increase compared with the in-office excision.</p><p><strong>Conclusions: </strong>In-office excision is a cost-effective, safe, and successful option for treating digital mucous cysts, demonstrating a low rate of recurrence, infection, and persistent symptoms.Type of Study/Study level: Retrospective Cohort, Level III evidence.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"819-823"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of Trapeziometacarpal Joint Mechanics During Spanning and Nonspanning Fixation for Thumb Metacarpal Distraction Lengthening.","authors":"Winthrop C Lockwood, Francisco Rodriguez-Fontan, Thomas J France, Alexander Lauder, Fraser Leversedge, Kyros Ipaktchi","doi":"10.1177/15589447251322916","DOIUrl":"10.1177/15589447251322916","url":null,"abstract":"<p><strong>Background: </strong>Thumb trapeziometacarpal joint (TMj) contact area, pressures, and stability were quantified during metacarpal osteotomy and distraction lengthening with and without TMj-spanning fixation in a cadaver model. Spanning fixation was hypothesized to decrease TMj contact pressure, contact area, joint space narrowing, and subluxation compared with metacarpal fixation alone.</p><p><strong>Methods: </strong>Twenty matched-paired cadaver specimens underwent ligament-sparing thumb TMj dissection. A metacarpal external fixator was applied with and without a TMj-spanning component in 2 groups: spanning and nonspanning. A diaphyseal osteotomy was performed. The TMj contact pressure and area were recorded with an intraarticular sensor at baseline and at distraction intervals of 10, 20, 30, and 35 mm. The number of overloaded sensor cells (sensels), (>2000 psi) were recorded. The TMj subluxation and joint space width were assessed at all intervals with lateral thumb radiographs. Statistical analysis used paired 2-tailed <i>t</i> tests to account for inherent specimen characteristics.</p><p><strong>Results: </strong>Group 1 (TMj-spanning) exhibited a nonstatistically significant reduction in contact area and demonstrated fewer overloaded sensels. There was significantly less joint space narrowing and joint subluxation from 10 to 30 mm of distraction compared with group 2 (nonspanning).</p><p><strong>Conclusions: </strong>The TMj spanning fixation during metacarpal distraction decreased joint space narrowing and TMj subluxation. Despite finding reduced contact area and fewer overloaded sensels in group 1, these parameters did not reach statistical significance. Spanning TMj fixation may mitigate TMj instability during metacarpal distraction osteogenesis.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"722-729"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11996813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Highs and Lows of Fracture Fixation: Complications After Wrist Fracture Fixation for Users of Cannabis, Tobacco, or Neither Substance.","authors":"Arman Kishan, Victoria E Bergstein, Blake Prieskorn, Stanley Zhu, Ansh Kishan, Thomas P Cancian, Visakha Suresh, Pawel P Jankowski, Sami H Tuffaha, Dawn M LaPorte","doi":"10.1177/15589447251336399","DOIUrl":"10.1177/15589447251336399","url":null,"abstract":"<p><strong>Background: </strong>We investigated associations of cannabis and tobacco use with complications after open reduction and internal fixation (ORIF) of wrist fractures.</p><p><strong>Methods: </strong>We retrospectively analyzed PearlDiver data from 337 538 patients who underwent ORIF for wrist fractures from 2010 to 2022. We identified 5587 patients with a history of cannabis use disorder (\"cannabis group\"); 12 806 patients with a history of tobacco use and no history of cannabis use disorder (\"tobacco group\"), and 310 108 patients with no history of cannabis use disorder or tobacco use (\"control group\"). We excluded patients with a history of using other illicit drugs. Propensity matching was used to control for age, sex, and comorbidity burden. Demographic characteristics, comorbidity profiles, and medical and surgical complications were compared using chi-squared tests. Complications were assessed within 90 days after surgery. Postoperative outcomes were also stratified by fracture location. Alpha = .05.</p><p><strong>Results: </strong>Compared with the control group, the cannabis group had a significantly higher incidence of all medical complications and of fracture malunion, nerve injury, and tendon, muscle, or fascia injury. Compared with the tobacco group, the cannabis group had significantly lower incidence of sepsis, pneumonia, deep venous thrombosis, urinary tract infection, nerve injury, and wound dehiscence.</p><p><strong>Conclusions: </strong>Compared with nonusers of cannabis and tobacco, cannabis users had a higher incidence of several medical and surgical complications after ORIF for wrist fractures. These findings will help physicians better anticipate complications in patients who use cannabis or tobacco.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"744-751"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12069308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated With Complications and Reoperations in Distal Interphalangeal Joint Fusion.","authors":"Cameron Roth, Dafang Zhang, Kyra A Benavent, Brandon E Earp, Philip E Blazar","doi":"10.1177/15589447251334671","DOIUrl":"10.1177/15589447251334671","url":null,"abstract":"<p><strong>Background: </strong>This objective of this study was to identify risk factors for complications and reoperations after distal interphalangeal joint arthrodesis.</p><p><strong>Methods: </strong>A retrospective study was performed of all patients who underwent isolated distal interphalangeal joint arthrodesis between 2006 and 2019 at an integrated health system consisting of 2 Level I trauma centers and 2 community teaching hospitals. Demographics, implant, and treatment characteristics were collected from the medical record. The primary outcome was complication, and the secondary outcome was reoperation. Bivariate analyses were used to identify factors associated with our study outcomes.</p><p><strong>Results: </strong>A total of 209 fingers in 187 patients were included in this study. The radiographic union rate of our cohort was 96.7%. Forty patients (21.4%) had a postoperative complication, and 30 patients (16.0%) underwent reoperation. The use of a graft was significantly associated with decreased risk of reoperation, however, smoking, diabetes mellitus and type of implant were not associated with complication or reoperation.</p><p><strong>Conclusion: </strong>Although there are no specific risk factors associated with negative outcomes, the use of graft was associated with a decreased reoperation rate.</p><p><strong>Level of evidence: </strong>III, Therapeutic.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"813-818"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12084210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interosseous Membrane Reconstructions for Longitudinal Radioulnar Instability: A Cadaveric Comparison.","authors":"A Jordan Grier, Scott E Dart, Patrick Marinello, Lisa Ferrara, Bryan Loeffler","doi":"10.1177/15589447251336400","DOIUrl":"10.1177/15589447251336400","url":null,"abstract":"<p><strong>Background: </strong>Multiple options exist for reconstruction of the interosseous membrane (IOM) including biologic and nonbiologic materials. In this study, we present the biomechanical properties of reconstruction of the IOM using suture button suspension with and without pronator teres (PT) tendon rerouting.</p><p><strong>Methods: </strong>Using 8 cadaveric specimens, radioulnar displacement was tested for the following successive conditions: intact specimen, IOM release with radial head (RH) resection, IOM reconstruction with PT tendon transfer alone, and PT transfer augmented with a suture button suspension construct with and without RH replacement. Specimens were cyclically loaded with 3 compression cycles to 130 N using a uniaxial materials test apparatus. Radioulnar displacement was the primary endpoint measured by the crosshead displacement. A repeated measure 1-way analysis of variance (ANOVA) and Tukey test was used for statistical analysis using <i>P</i> < .05.</p><p><strong>Results: </strong>Interosseous membrane reconstruction with a PT soft-tissue graft supplemented with a suture button suspension construct with concomitant RH arthroplasty did not significantly decrease mean radioulnar displacement (PT Recon w/ RH: 2.99 ± 1.92 mm, TightRope w/ RH (2.88 ± 1.56 mm, <i>P</i> > .05). The use of suture button suspension augmentation did not significantly increase the stiffness of the PT IOM reconstruction construct when used concomitantly with an RH arthroplasty (PT Recon w/ RH: 82.48 N/mm, TightRope w RH: 71.51 N/mm, <i>P</i> > .05).</p><p><strong>Conclusions: </strong>Pronator teres transfer with suture button augmentation effectively restores radioulnar stability. No significant differences in stability were observed between PT transfer with and without suture button suspension augmentation.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"752-758"},"PeriodicalIF":1.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12069299/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}