Hand and Microsurgery最新文献

{"title":"Non-surgical management of displaced bony mallet injuries using dorsal hyperextension splint: an early-term outcome analysis","authors":"Bur z, Atilla k","doi":"10.5455/handmicrosurg.120604","DOIUrl":"https://doi.org/10.5455/handmicrosurg.120604","url":null,"abstract":"Purpose: There is still controversy over the ideal treatment of acute bony mallet injuries. The purpose of this study was to evaluate outcomes of a dorsal hyperextension splint treatment for displaced bony mallet injuries. Methods: A retrospective review of a single institution database identified all acute displaced bony mallet injuries that were conservatively treated using dorsal hyperextension aluminum splint in a one-year period. In this method, each splint is custom-made and applied by a one surgeon at the clinic. The demographics, treatment process, complications, and outcomes were reviewed. Results: Seventeen patients (11 men, 6 women) with a mean age of 25.1 years (range 15–45) were enrolled. The mean treatment delay was 7 days (range 1–21). Radiographic healing was achieved in all patients at a mean duration of 5½ weeks (range 4–6 weeks). Early complications included the maceration, prolonged erythema in two patients and a partial thickness wound in one patient. The mean follow-up period was 22 months (range 17–26) for fifteen patients. Late complications included two slight swan neck deformities and one complex regional pain syndrome. Four patients had noticeable (>5°) extension lag between 6° and 11°. Two patients had intractable pain with Visual Analog Scale of 3 and 4 points. Overall, 12 out of 15 fingers were subjectively rated as good or excellent. Conclusion: Using a dorsal hyperextension splint, conservative treatment of displaced bony mallet injury provides overall good results in terms of union rates, patient outcomes, function, and few complications in a short term.","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81519209","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":"Steroid Induced Avascular Necrosis of the Femoral Head after COVID-19 Disease and Treatment Options Including Free Vascularized Fibula Reconstruction","authors":"O. Orman, Hakan Ertem, Ethem nkar, kahraman rk","doi":"10.5455/handmicrosurg.98242","DOIUrl":"https://doi.org/10.5455/handmicrosurg.98242","url":null,"abstract":"The COVID-19 pandemic caused serious mortality and morbidity all over the world. SARS-CoV-2 infection can involve several different organ systems. Osteonecrosis has been reported in the femoral head of patients treated with corticosteroids due to COVID-19 similar to SARS-COV (severe acute respiratory syndrome) endemic in 2003. Being a tertiary hospital for osteonecrosis of femoral head (ONFH) for our country, we retrospectively analyzed OFNH patients for steroid administration for COVID-19 infection. Ten male and a female, mean age 38.7, total eleven patients (16 hips) who were treated with corticosteroids due to COVID-19 disease and had ONFH were found. Four of 11 patients were medical doctors. Cumulative dose of methylprednisolone in these patients was 1964.5 (+/-1083.2) mg. The mean daily dose of methylprednisolone was 289.4 (+/-182.6) mg. Free vascularized fibula reconstruction in 8 hips, core decompression in 3 hips and conservative treatment in 5 hips were done. Overall, visual analogue scale score for pain was decreased 2.9 points, Harris Hip score were increased 14.6 points and total hip range of motion were increased 45 degrees. The COVID-19 pandemic is an ongoing issue, and avascular necrosis of the femoral head should be considered in patients who present with hip pain at the late period after COVID-19.","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"156 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86315410","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":"Ulnar Nerve Deficit Case Series in Pediatric Midshaft Forearm Fractures: Four Cases with Nerve Entrapment in Callus Tissue","authors":"G. Karahan, Levent Y l k, Ali ce","doi":"10.5455/handmicrosurg.104643","DOIUrl":"https://doi.org/10.5455/handmicrosurg.104643","url":null,"abstract":"Purpose: Ulnar nerve palsy is a rare condition in children with closed fractures of the forearm. In the present study, we aimed to analyze 4 pediatric cases who underwent closed reduction and casting due to forearm mid-shaft fracture and then underwent surgical treatment for neurological deficit due to ulnar nerve entrapment in callus tissue. Methods: The files of 4 pediatric cases (3 male-1 female) who were diagnosed with forearm double fracture and underwent surgery for ulnar nerve deficit between 2013 and 2020 were reviewed retrospectively. Results: Nerve auto-graft was required in one patient (Case 1) who underwent late exploration, and end-to-end anastomosis was required in one patient (case 2). There was sensory recovery at the 8th week post anastomosis. However the two point discrimination recovery was not full. Partial motor recovery occurred in the 16th week. Pinch and grip strengths and low motor amplitude were still partially defective at 36 weeks. Conclusion: Albeit rare, ulnar nerve injuries associated with mid-shaft forearm fractures of both the radius and ulna exist and can result in debilitating morbidity if not detected in a timely manner. For this reason, early diagnosis and early surgical exploration are important. Routine neurological examination and USG in case of doubt may be beneficial in early diagnosis.","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90270415","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":"HAND INJURY PREVENTION","authors":"T. Kaleli","doi":"10.5455/handmicrosurg.103624","DOIUrl":"https://doi.org/10.5455/handmicrosurg.103624","url":null,"abstract":"<jats:p />","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86743371","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":"Hand Trauma Aetiology and Anaesthesia during the first UK lockdown: \"&#\".ord($0).\";\"\"&#\".ord($0).\";\"Lessons for Pandemic Planning\"&#\".ord($0).\";\"\"&#\".ord($0).\";\".","authors":"D. Thomson, A. Khoury, Martin E Jones","doi":"10.5455/handmicrosurg.139354","DOIUrl":"https://doi.org/10.5455/handmicrosurg.139354","url":null,"abstract":"","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"70 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84205062","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":"Open and arthroscopic excision of the distal clavicle for osteoarthritis of the acromioclavicular joint--results over 5 years","authors":"Murat Saylık, K. Gokkus","doi":"10.5455/handmicrosurg.114389","DOIUrl":"https://doi.org/10.5455/handmicrosurg.114389","url":null,"abstract":"Abstract Objective. Initially performed as open surgery, arthroscopic applications of distal clavicle excision (DCE) have gained prevalence in recent years. Literature reviews about the long-term results give no clear indication that one method is superior to the other. This study aims to compare the follow-up results of patients treated with arthroscopic and open DCE for more than five years and to detect the superiority of each method. Material and Method. The study involved 328 patients treated with DCE between February 2008 and April 2017. One hundred and fourteen patients (66 male and 48 female; 81 arthroscopic and 33 open surgery), who had their records available and underwent no other surgery than DCE, were included in the study. The Disability of the Arm, Shoulder, and Hand (DASH) score and Visual Analogue Scale (VAS) were used to assess post-DCE shoulder functions and pain, respectively. Within the study's scope, surgery duration, excision extent, complications (frozen shoulder, hematoma, surgical site infection, and instability), and revisions were compared. Results. In the >5-year follow-up process, no statistically significant difference was observed between pre-DCE DASH and VAS values or between post-DCE DASH and VAS values of the two groups, one involving 32 patients who underwent open surgery and the other involving 82 patients treated with arthroscopic surgery. However, there was a statistically significant difference between the pre- and post-DCE DASH and VAS scores of both groups, and it was observed that both surgical methods were effective. No statistically significant difference was observed between the two groups regarding the surgery duration. Arthroscopic DCE was measured to be 4.70 mm on average, while the average measure for open surgery was 5.53 mm, which indicated a statistically significant difference between the two groups. However, no significant association was observed between the excision extent and the DASH and VAS scores. Furthermore, no significant difference was observed between complication and revision rates. Conclusion. In the >5-year follow-up of patients who underwent arthroscopic or open DCE due to their acromioclavicular joint osteoarthritis, which could not be treated with conservative treatment, no statistically significant difference was observed in the two groups' post-DCE DASH scores, VAS scores, complication rates, and revision rates. There was, however, a statistically significant difference between both groups' pre- and post-DCE VAS and DASH scores, and both methods were effective.","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90573750","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":"Intraoperative and Postoperative Medication and Follow-up in Surgery Including Vascular Anastomosis","authors":"G. Yildiran, M. Armangil, Sinan yaman","doi":"10.5455/handmicrosurg.134528","DOIUrl":"https://doi.org/10.5455/handmicrosurg.134528","url":null,"abstract":"","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"62 11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90706068","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 influence and effects of the COVID-19 pandemic on orthopaedic resident training: a nationwide cross-sectional survey in Turkey","authors":"E. Duman, H. evik, Osman Atl, nder Ersan","doi":"10.5455/handmicrosurg.40033","DOIUrl":"https://doi.org/10.5455/handmicrosurg.40033","url":null,"abstract":"","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78468867","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":"Congenital hand problems: Retrospective review of 110 cases, a single center experience","authors":"Y. Aydın, B. Ozcanyuz, Ali Cavit, H. Ozcanli","doi":"10.5455/handmicrosurg.102036","DOIUrl":"https://doi.org/10.5455/handmicrosurg.102036","url":null,"abstract":"","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"119 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91348706","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":"Is it Possible to Achieve Satisfactory Results With Intramedullary Locking Nails In Adult Forearm Fractures ?","authors":"O. Kaya, Ajlan Kasabaligil, N. Demir, Kerim Sarıyılmaz","doi":"10.5455/handmicrosurg.15289","DOIUrl":"https://doi.org/10.5455/handmicrosurg.15289","url":null,"abstract":"Objectives Plate osteosynthesis is the most commonly used surgical method in the treatment of diaphyseal forearm fractures in adults. Intramedullary nailing (IMN) is an easy surgical alternative for treating these fractures. In the present study we discussed the minimum 2 year follow up results of intramedullary nailing for the management of forearm fractures in a secondary trauma center. Methods A retrospective analysis of patients operated for adult forearm fractures, using intramedullary locking nails, between 2013 and 2015 in a secondary trauma center was performed. Patient demographics and clinical characteristics were retrieved from the hospital database. The union rates and complications were also recorded. Results Twenty nine patients (22 M 7 F) with mean age 29.4 years (range: 19 and 51) were included into the study. Mean follow up time was 26.8 months (range: 24 and 36). Twenty one patients had fracture of both bones, 4 had isolated ulna and 4 had isolated radius fractures. There were 2 open fractures. Average clinical healing time was approximately 20 days and radiologic healing time was 40 days. One patient with an open fracture underwent revision with plate screw fixation due to union delay. Patients improved in terms of health related quality of life questionnaire scores. Conclusion The intramedullary locking nail is a suitable treatment method for the surgical treatment of forearm fractures, and can be an alternative to open reduction and internal fixation with plate screw constructs when the patients can not undergo open surgery due to different factors.","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"125 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85126341","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}