Hand and Microsurgery最新文献_第2页

Posterior interosseous Nerve Palsy after Corticosteroid Injection for Tennis Elbow 皮质类固醇注射治疗网球肘后骨间神经麻痹

Hand and Microsurgery Pub Date : 2023-01-01 DOI: 10.5455/handmicrosurg.72413

Ziv Wasrbrout, S. Luria

引用次数: 0

Wrist Total Arthrodesis with Vascularized Fibula Graft in Bone Tumors of the Distal Radius 带血管腓骨移植物腕部全关节融合术治疗桡骨远端骨肿瘤

Hand and Microsurgery Pub Date : 2023-01-01 DOI: 10.5455/handmicrosurg.144262

Y. Un, U. Bezirgan, M. Karaca, M. Gezer, S. Bilgin, M. Armangil

{"title":"Wrist Total Arthrodesis with Vascularized Fibula Graft in Bone Tumors of the Distal Radius","authors":"Y. Un, U. Bezirgan, M. Karaca, M. Gezer, S. Bilgin, M. Armangil","doi":"10.5455/handmicrosurg.144262","DOIUrl":"https://doi.org/10.5455/handmicrosurg.144262","url":null,"abstract":"Objectives: Reconstruction of the wrist after resection of distal forearm tumours involving the joint may often be difficult for surgeons. The aim of this study was to examine the clinical results of 5 patients on whom total wrist arthrodesis was performed with vascularised fibula graft (VFG) after tumour resection in the distal radius. Methods: A retrospective examination was made of 5 patients (4 males, 1 female) applied with wrist arthrodesis with VFG. The patients were evaluated in respect of defect amount after resection, the length of VFG used, time to bone healing, postoperative complications, reconstruction procedures, and forearm rotation. The postoperative clinical evaluation of the patients was made according to the Musculoskeletal Tumour Society (MSTS) score. Results: The resected distal radius segment of the patients was mean 7.05cm and the mean VFG length was 8.19cm. The diagnoses were malignant mesenchymal tumour in 2 patients, osteosarcoma, giant cell tumour, and chondrosarcoma in the other 3. Osseofasciacutaneous VFG was harvested in 4 patients and only osseous VFG in 1. Bone healing was observed radiologically in mean 4.6 months (range, 4-6 months) in all the patients. The mean MSTS sore at the final follow-up examination was 84%. Conclusion: When there is a bone defect involving the wrist joint, wrist arthrodesis applied with VFG is a useful and reliable reconstructive option that provides satisfactory results.","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88546892","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}

引用次数: 0

Our Finger Replantation Results in the SARS-COV-2 Pandemic 我们的手指再植导致了SARS-COV-2大流行

Hand and Microsurgery Pub Date : 2023-01-01 DOI: 10.5455/handmicrosurg.93146

N. Atılgan, N. Duman, M. Yilmaz, O. Orhan, Muhammed lu

{"title":"Our Finger Replantation Results in the SARS-COV-2 Pandemic","authors":"N. Atılgan, N. Duman, M. Yilmaz, O. Orhan, Muhammed lu","doi":"10.5455/handmicrosurg.93146","DOIUrl":"https://doi.org/10.5455/handmicrosurg.93146","url":null,"abstract":"Purpose: Finger injuries are important causes of emergency department admissions. In order to perform daily activities, the fingers must work fully and flawlessly. Replantation surgery aims to keep the injured finger alive and perform its functions almost completely. Our study aims to evaluate the reasons affecting the success of replantation during the SARS COV-2 pandemic period and to question the functional recovery after replantation. Methods: Finger and hand replantation performed in a single center by the same surgeon were reviewed retrospectively. Preoperative, intraoperative, and postoperative and demographic data of the patients, mechanism of injury, ischemia duration, complications, surgical treatment approaches, and functional evaluation scales after rehabilitation were collected and statistically evaluated. Results: In our study, 88 fingers of 56 patients were replanted. While single finger replantation was performed in 38 patients, multi-finger replantation was performed in 18 patients. The total success rate of replantation was 73.2%. While successful results were obtained in 81.6% of 38 patients with single finger replantation, 55.6% of 50 fingers in 18 patients with multiple finger replantation were successful. We found that 3 patients after surgery and 11 patients in the six months before surgery were positive for SARS COV-2. No finger loss or complications occurred in these 14 patients after replantation. Conclusion: We concluded that SARS COV-2 disease had no significant effect on finger replantation surgery. Our study found that the most important variables affecting surgical success were the mechanism of injury, injury level, age, gender, anesthesia technique applied, number of repaired veins, smoking, and ischemia duration.","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"253 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91125254","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}

引用次数: 0

Early division of cross finger flap for fingertip amputation shortens time to return work 早期分割横指皮瓣治疗指尖截肢可缩短恢复工作的时间

Hand and Microsurgery Pub Date : 2023-01-01 DOI: 10.5455/handmicrosurg.153934

N. Cam, M. Kanar

引用次数: 0

Comparison of Ultrasound-Guided Steroid and Platelet-Rich Plasma (PRP) Injection in Patients with Carpal Tunnel Syndrome 超声引导类固醇与富血小板血浆(PRP)注射治疗腕管综合征的比较

Hand and Microsurgery Pub Date : 2023-01-01 DOI: 10.5455/handmicrosurg.146910

Devran Ertilav, E. Ertilav

{"title":"Comparison of Ultrasound-Guided Steroid and Platelet-Rich Plasma (PRP) Injection in Patients with Carpal Tunnel Syndrome","authors":"Devran Ertilav, E. Ertilav","doi":"10.5455/handmicrosurg.146910","DOIUrl":"https://doi.org/10.5455/handmicrosurg.146910","url":null,"abstract":"Objective: Imaging-guided injection treatments can yield effective results in patients with mild-to-moderate carpal tunnel syndrome (CTS) resistant to conservative methods. Methods: Patients who presented with typical median nerve entrapment findings for at least 3 months, were diagnosed with mild-moderate CTS electrophysiologically, and underwent ultrasound-guided steroid and PRP injection were included in the study. Visual analog scale (VAS) scores, Boston Carpal Tunnel Questionnaire (Functional status scale (FSS) and Symptom severity scale (SSS) parameters) scores were recorded in the pre-procedure, 1st month and 6th month controls of the patients. Sonographically, median nerve cross-sectional area (CSA) measurements were recorded at pre-procedure and post-procedure 1st and 6th month controls. Results: In 27 patients (21 women, 6 men), 40 median nerve injections (9 patients right, 5 patients left, 13 patients bilateral) were evaluated. In all patients, CSA, VAS, FSS, and SSS scores were significantly lower at 1 month and 6 months after the procedure than before the procedure. (p=0.000, p=0.000, p=0.000, P=0.000, respectively). While the VAS scores were found to be significantly lower in the steroid group than in the PRP group at 1 month (p=0.04), there was no significant difference between the two groups in terms of CSA, FSS, and SSS scores (p=0.1, p=0.5, p=0.8, respectively). At 6 months, CSA, VAS, FSS, and SSS scores were significantly lower in the PRP group compared to the steroid group (p=0.000, p=0.000, p=0.000, p=0.000 respectively). Conclusion: In mild-to-moderate carpal tunnel syndrome, steroid injections applied under ultrasonography guidance of the median nerve are effective for a short time, and PRP injections are a superior and safe option to steroids for long-term efficacy.","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73092565","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}

引用次数: 0

Use of Instant Multimedia Messaging Applications in Patient Follow-up in Hand Surgery: Retrospective Analysis and Telemedicine Satisfaction Questionnaire Evaluation 即时多媒体通讯应用于手外科病患随访:回顾性分析及远程医疗满意度问卷评估

Hand and Microsurgery Pub Date : 2023-01-01 DOI: 10.5455/handmicrosurg.169576

Ali zdemir, Numan Mercan, Mehmet Acar

{"title":"Use of Instant Multimedia Messaging Applications in Patient Follow-up in Hand Surgery: Retrospective Analysis and Telemedicine Satisfaction Questionnaire Evaluation","authors":"Ali zdemir, Numan Mercan, Mehmet Acar","doi":"10.5455/handmicrosurg.169576","DOIUrl":"https://doi.org/10.5455/handmicrosurg.169576","url":null,"abstract":"Objectives: Physicians can provide remote care services to patients through telemedicine applications such as photographs, videos, and telephone calls. One of the most frequently used applications among these mentioned applications is WhatsApp. In this study, we planned to sample the use of telemedicine in hand surgery via WhatsApp and present our results. In addition, another aim is to measure patient satisfaction in telemedicine-based follow-up in these patients via TSQ. Methods: Between January 2020 and January 2022, 102 patients who were operated in our clinic were communicated using the WhatsApp application throughout their treatment processes. Of the 102 patients in our study, 54 evaluated their telemedicine satisfaction with the TSQ. Results: Five clinical evaluation categories were prominent in our study. These were wound monitoring (51 patients), monitoring the physical therapy process (47 patients), follow-up of the pathology results (7 patients), recalled to the clinic for control (5 patients), follow-up of imaging examinations (4 patients). One of the findings obtained in our study was the decrease in the number of outpatient clinic admissions for patients contacted via WhatsApp. A minimum of 58 and a maximum of 70 points out of 70 were obtained from the TSQ applied in our study, and the average value is 64.07. Conclusion: The use of multimedia messaging applications such as WhatsApp can offer various advantages such as reducing the number of outpatient clinic visits and high patient satisfaction rates in patients being followed for hand surgery.","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"2013 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135058301","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}

引用次数: 0

Scaphocapitate Fusion with lunatum excision in advanced Kienböck disease: 5.3-year mean follow-up 晚期Kienböck疾病的舟头融合+半月体切除:平均随访5.3年

Hand and Microsurgery Pub Date : 2023-01-01 DOI: 10.5455/handmicrosurg.151603

K. Kayaokay

{"title":"Scaphocapitate Fusion with lunatum excision in advanced Kienböck disease: 5.3-year mean follow-up","authors":"K. Kayaokay","doi":"10.5455/handmicrosurg.151603","DOIUrl":"https://doi.org/10.5455/handmicrosurg.151603","url":null,"abstract":"Objective: This study evaluated the clinical and radiological outcomes of scaphocapitate fusion (SCF) performed after lunate excision in patients with advanced Stage III Kienbock's disease. Materials and method: Eleven patients diagnosed with Stage 3 Kienbock's disease who underwent SCF following lunate excision retrospectively evaluated in this study. The scores of arm, shoulder and hand disability (DASH) and Visual Analogue Scores (VAS) recorded preoperatively were also recorded at the final follow-ups after surgery. Wrist ROM (flexion, extension, radial, ulnar) was measured using a goniometer in the operated and contralateral wrists. Grip, tip pinch, key pinch forces and palmar grip were measured using a Jamar dynamometer and pinch gauge (Model SH 5005, South Korea). Results: The study included a total of eleven patients including six female and five male patients. The mean follow-up period was 63.45 months (range 24-86). According to the functional evaluation, the mean preoperative and postoperative Visual Analog Scores (VAS) were 8.45 (range 7-10) and 1.18 (range 0-3), respectively. The mean disabilities of the arm, shoulder and hand (DASH) score was reduced from 52.27 (range 36.40-70) to 16.51 (4.5-47.7) between the preoperative and postoperative periods. According to the evaluation of joint range of motion, the mean range of flexion was 72.9%, the mean range of extension was 84.9%, the mean radial deviation range was 57.35% and the mean ulnar deviation range was 82.46% in the operated hands compared to the contralateral wrist. While wrist flexion and extension ranges exhibited a statistically significant increase, radial deviation exhibited a statistically significant decrease compared to the preoperative period (p<0.05). Conclusion: SCF after lunate excision is a successful surgical method that provides pain relief and increases joint range of motion by maintaining acceptable range of motion in the medium-long term.","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90934782","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}

引用次数: 0

Letter to the editor: Association between contralateral radial polydactyly and radial hypoplasia 致编辑的信对侧桡骨多指畸形与桡骨发育不良之间的关系

Hand and Microsurgery Pub Date : 2023-01-01 DOI: 10.5455/handmicrosurg.141788

P. Hever, M. Pickford

引用次数: 0

Use of arteriovenous loop vein graft in the microsurgical free tissue transfer: A Case Report 动静脉环静脉移植在显微外科游离组织移植中的应用:1例报告

Hand and Microsurgery Pub Date : 2022-01-01 DOI: 10.5455/handmicrosurg.124943

B. Aysal, Harun Erbek, L. L., T. Bayraktar, Emre Gunenc, Ozlem Çolak

{"title":"Use of arteriovenous loop vein graft in the microsurgical free tissue transfer: A Case Report","authors":"B. Aysal, Harun Erbek, L. L., T. Bayraktar, Emre Gunenc, Ozlem Çolak","doi":"10.5455/handmicrosurg.124943","DOIUrl":"https://doi.org/10.5455/handmicrosurg.124943","url":null,"abstract":"In reconstructions after severe traumatic injuries of the lower extremity, free tissue transfers are essentially used to cover the defects and accepted as extremity saving procedures. When major vessels of the lower extremity are patent or uninjured, these vessels can be used for anastomoses in free tissue transfers, however, in some injuries, only one major vessel remains intact and concomitant endothelial damage might also be present in this vessel. In such cases, since the nourishment of the extremity is dependent on this single vessel, its use as a recipient vessel may be risky for the perfusion of the extremity. In such cases, bringing an additional and healthy recipient vessel to the field is a useful option. Loop vein grafts are normally created by vascular surgeons for dialysis patients, and reconstructive surgeons often do not have much experience in this procedure. In this study, it was aimed to give information about the decision making progress that we used during and after the operation by presenting a 32-year-old case who had been admitted with a mangled extremity severity score (MESS) score of seven and a Gustilo-Anderson Type 3C lower extremity injury after a traumatic motorcycle accident injury. It is considered to be helpful for our colleagues who have not used loop grafts in reconstructive microsurgery operations before.","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"748 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82381791","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}

引用次数: 0

Traditional Transungual Approach for Treatment of Subungual Glomus Tumors 传统经甲入路治疗甲下血管球瘤

Hand and Microsurgery Pub Date : 2022-01-01 DOI: 10.5455/handmicrosurg.134271

Zeynel lu, Kenan ven, Erdem Ate, M. Eskandari

引用次数: 0