HAND最新文献

{"title":"Thumb Radial Collateral Ligament Injuries Show Greater Rates of Metacarpophalangeal Subluxation Compared With Thumb Ulnar Collateral Ligament Injuries: A Comparative Imaging Analysis.","authors":"John F Hoy, Caitlin M Ward, Jason H Kim, Xavier C Simcock","doi":"10.1177/15589447251338586","DOIUrl":"10.1177/15589447251338586","url":null,"abstract":"<p><strong>Background: </strong>The ulnar and radial collateral ligaments (UCL and RCL) of the thumb are essential lateral stabilizers of the thumb metacarpophalangeal (MCP) joint. Despite anatomical and biomechanical findings suggesting a higher rate of MCP joint subluxation after RCL injury compared with that of UCL injury, this has not been clinically substantiated. This study examines and compares imaging of the thumb MCP joint in patients with operative RCL versus UCL injuries of the thumb.</p><p><strong>Methods: </strong>One hundred seventy-five operative thumb injuries were retrospectively reviewed, consisting of 131 UCL injuries, 40 RCL injuries, and 4 concomitant UCL and RCL injuries. Preoperative radiographs and magnetic resonance imaging (MRI) images were assessed for volar MCP joint subluxation, classified by severity based on percentage subluxation from grade I to IV.</p><p><strong>Results: </strong>On radiographs, the mean percent subluxation was 16.6 ± 10.2% for UCL injuries compared with 35.5 ± 16.2% for RCL injuries. On MRI, the mean percent subluxation was 30.4 ± 16.5% for UCL injuries compared with 43.8 ± 18.8% for RCL injuries. On radiographs, 0.8% of UCL injuries were classified as grade III or IV subluxation, while 22% of RCL injuries were classified as grade III or IV subluxation. On MRI, 11.6% of UCL injuries were classified as grade III or IV subluxation, while 23.5% of RCL injuries were classified as grade III or IV subluxation.</p><p><strong>Conclusions: </strong>Radial collateral ligament injuries show significantly higher volar subluxation of the MCP joint compared with UCL injuries on both plain radiographs and MRI. This has implications for operative indications of complete RCL injuries to help restore joint congruity.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447251338586"},"PeriodicalIF":1.8,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12098321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144119361","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":"Targeted Muscle Reinnervation Using the Anterior Interosseous Nerve for Symptomatic Wrist Level Neuromas.","authors":"Mitchell G Fagan, Bradley H C Greene, Joshua A Gillis","doi":"10.1177/15589447251339506","DOIUrl":"10.1177/15589447251339506","url":null,"abstract":"<p><strong>Background: </strong>Iatrogenic and traumatic sensory nerve injury at the level of the wrist can lead to debilitating neuroma. Targeted muscle reinnervation (TMR) is an effective treatment for the management of symptomatic neuromas. We investigate the use of the anterior interosseous nerve (AIN) as a recipient nerve for the treatment of iatrogenic neuromas. This case series describes 4 patients treated for neuromas of the lateral antebrachial cutaneous nerve (LABC), palmar cutaneous branch of median nerve (PCB), and radial sensory nerve (RSN).</p><p><strong>Methods: </strong>Four cases involved a symptomatic neuroma of the LABC, PCB, or RSN. These were treated with TMR, using the AIN motor branch to pronator quadratus. The neuromas were identified in all 4 cases and transected distally. The AIN was identified through a proximal extension of the exploratory incision and an end-to-end coaptation was performed to the proximal aspect of the donor nerve and the distal AIN.</p><p><strong>Results: </strong>All 4 patients underwent routine follow-up for a duration of 2 to 10 months, with a long-term follow-up from 25 to 49 months. At routine follow-up, all patients reported resolution of pain and symptoms and had a negative Tinel's sign over their previous neuroma site. At the long-term follow-up, 2 patients reported recurrence of hyperesthesia, both to a lesser severity than before treatment. All 4 patients reported returning to work or routine and stated the TMR procedure improved their pain and symptoms.</p><p><strong>Conclusions: </strong>The motor branch of the distal AIN to pronator quadratus is a viable option as a TMR recipient for the management of symptomatic neuromas of the wrist level. Long-term follow-up shows reduction of reported pain and improvement of function.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447251339506"},"PeriodicalIF":1.8,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12098322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144119360","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":"Sagittal and Coronal Plate Position Is Not Associated With Flexor Tendon Irritation, Rupture, or Need for Plate Removal After Volar Locking Plate Fixation of Distal Radius Fractures.","authors":"Thompson Zhuang, Kaveh Mansuripur, Lauren M Shapiro, Suhail K Mithani, David S Ruch, Marc J Richard, Robin N Kamal","doi":"10.1177/15589447251338533","DOIUrl":"10.1177/15589447251338533","url":null,"abstract":"<p><strong>Background: </strong>Whether sagittal and coronal plate placement influences the risk of flexor tendon complications after volar plating of distal radius fractures is debated. In this study, we tested the null hypothesis that sagittal and coronal plate position is not associated with flexor tendon irritation, rupture, or plate removal.</p><p><strong>Methods: </strong>We performed a retrospective review of 144 patients treated for distal radius fractures with a volar locking plate by 4 fellowship-trained hand surgeons. Patient, surgical, and radiographic factors were recorded, including measures of sagittal (Soong grade) and coronal (plate translation index) plate position and volar tilt. Outcomes assessed were flexor tendon irritation, rupture, and plate removal for any reason. We used multivariable logistic regression models to adjust for patient and surgical factors.</p><p><strong>Results: </strong>Of 144 patients treated with volar locking plates (mean follow-up: 18 months), 22 (15%) patients developed flexor tendon irritation, 2 patients (1%) developed flexor tendon rupture, and 18 (13%) patients underwent subsequent plate removal. In the univariable analysis, neither Soong grade nor plate translation index was associated with flexor tendon irritation, flexor tendon rupture, or plate removal. Even after adjusting for the effects of age, sex, laterality, and volar tilt, neither Soong grade nor plate translation index was associated with flexor tendon irritation or plate removal.</p><p><strong>Conclusions: </strong>Soong grade and plate translation index were not associated with the incidence of flexor tendon irritation, rupture, or need for plate removal. Plate placement in the coronal and sagittal planes can be determined based on the needs of the fracture pattern.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447251338533"},"PeriodicalIF":1.8,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12095267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144110304","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":"15589447251334671"},"PeriodicalIF":1.8,"publicationDate":"2025-05-15","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":"New-Onset Dupuytren After Surgical Treatment of Carpal Tunnel and Trigger Finger.","authors":"Raquel Maroto-Rodríguez, María Tibau-Alberdi, Mercè Font Bilbeny, Guillem Paz Ramírez, Maria Fernanda Gómez Blanco, Andrés Pérez Prieto, Paola Barrera Veloza, Miguel Picallo Fernández, Tania Chicaiza García","doi":"10.1177/15589447251339503","DOIUrl":"10.1177/15589447251339503","url":null,"abstract":"<p><strong>Background: </strong>Dupuytren disease is a progressive fibrotic condition of the hand that often leads to contractures. Although its etiology remains multifactorial, recent studies suggest potential associations with surgical interventions for carpal tunnel syndrome (CTS) and trigger finger (TF). Understanding the incidence and risk factors for Dupuytren disease development following these procedures may improve postoperative management and early detection.</p><p><strong>Methods: </strong>A retrospective study was conducted on 426 patients who underwent surgical treatment for CTS or TF. The incidence of Dupuytren disease development postsurgery was assessed, and data on demographics, comorbidities, occupational factors, and type of surgery were collected. Statistical analysis, including odds ratio (OR) calculations, was used to identify risk factors associated with Dupuytren disease onset.</p><p><strong>Results: </strong>Seven percent of the study population developed new-onset Dupuytren disease within an average of 15.2 weeks postsurgery, with most cases presenting as early-stage nodule formation. The fourth digit was most commonly affected (73.3%). Significant associations were observed between Dupuytren disease onset and comorbidities, such as rheumatoid arthritis (OR = 3.24) and shoulder capsulitis (OR = 9.7), as well as occupational factors like manual labor and vibration exposure (OR = 2.45). Patients treated for TF had a 2.3-fold higher risk of developing Dupuytren disease compared with those treated for CTS.</p><p><strong>Conclusions: </strong>The findings highlight the potential for Dupuytren disease development following CTS and TF surgeries, emphasizing the need for proactive monitoring of at-risk patients. Further research is warranted to explore underlying mechanisms and optimize preventive and management strategies for this patient population.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447251339503"},"PeriodicalIF":1.8,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12069309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143976528","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":"15589447251336399"},"PeriodicalIF":1.8,"publicationDate":"2025-05-11","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":"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":"15589447251336400"},"PeriodicalIF":1.8,"publicationDate":"2025-05-11","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}

{"title":"Thanks to Reviewers.","authors":"","doi":"10.1177/15589447251335492","DOIUrl":"https://doi.org/10.1177/15589447251335492","url":null,"abstract":"","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447251335492"},"PeriodicalIF":1.8,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12061900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143997862","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":"Outcomes of Hemi-Hamate Arthroplasty for Proximal Interphalangeal Joint Reconstruction.","authors":"Shelby R Smith, Andre Sabet, Eric J Gullborg, John J Fernandez, Mark S Cohen, Xavier C Simcock, Robert W Wysocki","doi":"10.1177/15589447251329581","DOIUrl":"https://doi.org/10.1177/15589447251329581","url":null,"abstract":"<p><strong>Background: </strong>Hemi-hamate arthroplasty (HHA) is a reconstructive option for the proximal interphalangeal joint (PIP) following fracture-dislocation injuries. This study reports outcomes following HHA, including PIP and distal interphalangeal (DIP) joint range of motion (ROM), complications, and need for revision surgery with intermediate term follow-up.</p><p><strong>Methods: </strong>Thirty-five patients following HHA were included over a 12-year period from two fellowship-trained surgeons at a single institution. The primary outcome included postoperative PIP and DIP (ROM). The secondary outcome included complications and a need for a revision surgery.</p><p><strong>Results: </strong>Preoperative PIP ROM averaged 14° in arc of motion (14° extension, range: 0°-39°, 28° flexion, range: 0°-71°). Postoperative PIP ROM averaged a 62° arc of motion (20° extension, range: 0°-60°, 82° flexion, range: 25°-100°). Distal interphalangeal extension was 3° and 2° preoperatively and postoperatively, respectively. The average follow-up duration was 6 months (range: 2-26 months). Three patients underwent secondary HHA following open reduction internal fixation or volar plate arthroplasty; postoperative PIP average extension-flexion motion resulted in 30° and 65°, respectively (range: 14°-50°, 30°-85°). Flexion stiffness was the most common complication, with eight patients undergoing flexor tenolysis following the index procedure. One patient had graft resorption, and one had mild degenerative joint changes at the time of final follow-up. No patients required a revision surgery or demonstrated persistent joint instability.</p><p><strong>Conclusions: </strong>Hemi-hamate arthroplasty for reconstruction of the volar margin of the middle phalanx following fracture-dislocations leads to functional PIP and DIP ROM. Patients undergoing secondary HHA had reduced PIP ROM compared to the primary cohort. No patient required a revision surgery or demonstrated persistent instability with intermediate follow-up.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447251329581"},"PeriodicalIF":1.8,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12061912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999745","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":"Reoperation Rates and Short-Term Complications Following Endoscopic vs. Open Carpal Tunnel Release: A Longitudinal Analysis.","authors":"Riley Kahan, Kassra Garoosi, Luke F Enthoven, Michael Gehring, Mark Greyson","doi":"10.1177/15589447251333817","DOIUrl":"https://doi.org/10.1177/15589447251333817","url":null,"abstract":"<p><strong>Background: </strong>Carpal tunnel syndrome (CTS), affecting approximately 8% of the population, is treated with open (oCTR) or endoscopic (eCTR) carpal tunnel release. Previous literature compares outcomes within 1 to 2 years; this study evaluated >5-year reoperation rates and short-term complications using a large electronic health record database.</p><p><strong>Methods: </strong>A retrospective analysis using data from the TriNetX Research Network (2007-2024) identified patients with unilateral CTS who underwent either oCTR or eCTR within 1 year of diagnosis, using Current Procedural Terminology (CPT) and International Classification of Diseases (ICD) codes. Propensity score matching and multiple logistic regression calculated adjusted risk and odds ratios (ORs) with 95% confidence intervals (95% CIs) to assess reoperation rates at 2, between 2 and 5, >5 years after operation and 90-day postoperative complications (wound dehiscence, surgical site infection [SSI]).</p><p><strong>Results: </strong>Within 2 years of CTR, reoperation rate was higher for eCTR than that for oCTR (relative risk [RR] = 1.15, 95% CI = 1.09-1.22; OR = 1.36, 95% CI = 1.21-1.53). Beyond 5 years, the revision rate of the two approaches was similar (RR = 0.85, 95% CI = 0.74-1.01; OR = 0.76, 95% CI = 0.58-1.00). The number needed to treat to prevent one reoperation within 2 years was 67, and beyond 5 years, it was 473. Within 90 days of surgery, eCTR was associated with decreased wound dehiscence (RR = 0.67, 95% CI = 0.53-0.85; OR = 0.50, 95% CI = 0.36-0.71) and SSI (RR = 0.77, 95% CI = 0.65-0.91; OR = 0.63, 95% CI = 0.48-0.81).</p><p><strong>Conclusion: </strong>This study demonstrates the clinical insignificance of the difference in early CTR revision rate between approaches and that eCTR necessitates a similar reoperation rate at long term, supporting eCTR to remain an appropriate intervention for CTR.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447251333817"},"PeriodicalIF":1.8,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12052913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143969900","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}