Hand and Microsurgery最新文献_第4页

Scaphoid Pseudoarthrosis Treatment Without Bone Grafting 无骨移植治疗舟骨假关节

Hand and Microsurgery Pub Date : 2022-01-01 DOI: 10.5455/handmicrosurg.140887

Mehmet rker, Erdinç Acar, Numan lgan, Burkay ra

{"title":"Scaphoid Pseudoarthrosis Treatment Without Bone Grafting","authors":"Mehmet rker, Erdinç Acar, Numan lgan, Burkay ra","doi":"10.5455/handmicrosurg.140887","DOIUrl":"https://doi.org/10.5455/handmicrosurg.140887","url":null,"abstract":"Objectives: In the present study, we aimed to evaluate the postoperative changes in pain, function, and scapholunate angle in patients who underwent percutaneous headless compression screw fixation (PHCSF) without bone grafting for scaphoid pseudoarthrosis (SP). Patients and Methods: Thirty-three patients (31 males, 2 females; mean age: 27.64±9.85 years; range, 16 to 59 years) with scaphoid pseudoarthrosis who underwent percutaneous headless compression screw fixation without bone grafting between January 2010 and December 2017 were retrospectively analyzed. The Quick Disabilities of the Arm, Shoulder and Hand (Q-DASH) questionnaire, Visual Analog Scale (VAS) were used, and scapholunate angle measurements were performed. Results: The union rate was (87.9%), and the mean time to union was 14.0±1.9 weeks. Postoperative VAS and Q-DASH scores were significantly lower than baseline (p<0.001). There was no significant difference between pre- and postoperative scapholunate angle values (p=0.182). According to the age groups, the changes in Q-DASH and scapholunate angle values were significantly higher in patients aged ≥26 years. There was no statistically significant difference between the sports injury, falls, and traffic accidents groups in terms of VAS, Q-DASH, and scapholunate angle differences before and after percutaneous headless compression screw fixation. Conclusion: Pain and function can be improved with the percutaneous headless compression screw fixation without bone grafting in the treatment of scaphoid pseudoarthrosis. Age seems also to be an important factor in functional success.","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87833625","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

Normative reference values of volar cortical angle measured on computed tomography in a Turkish adult population 土耳其成年人掌侧皮质角计算机断层扫描的标准参考值

Hand and Microsurgery Pub Date : 2022-01-01 DOI: 10.5455/handmicrosurg.54250

S. Unsal, T. Yıldırım

{"title":"Normative reference values of volar cortical angle measured on computed tomography in a Turkish adult population","authors":"S. Unsal, T. Yıldırım","doi":"10.5455/handmicrosurg.54250","DOIUrl":"https://doi.org/10.5455/handmicrosurg.54250","url":null,"abstract":"Introduction: It is controversial whether volar plates match the palmar curve of the distal radius. In this study, we aimed to describe the volar cortical angle (VCA) of the normal distal radius in an adult Turkish population. Patients and Methods: We retrospectively reviewed the distal radius computed tomography scans of 206 normal wrists in adults. The age range was 18–90 years, with a mean age of 41.91 (SD = 16.90). Of the 206 patients, 155 (75.20%) were men and 51 (24.80%) were women. VCA measurements were performed on all distal radius in the sagittal plane. Results: The mean middle, radial and ulnar VCA were 34.02o, 31.84o and 37.27o, respectively. There were statistically significant differences between the ulnar, middle and radial VCAs (p < .001). The ulnar VCA was significantly greater in males than in females (37.55o vs. 36.41o, p = .040). The ulnar VCA was significantly higher for the 41–60 age group than the 61 and above age group (37.78o vs. 35.90o, p = 0.005). Conclusion: There are significant differences in VCA based on age and gender. Commercially available plates may not have a flexion angle that accurately reflects the patient’s VCA. Physicians should be vigilant about the fact that pre-contoured plates may lead to malreduction of the distal radius.","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"110 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79256881","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

Effects of Different Variables on Postoperative Ruptures After Flexor Tendon Repairs in Delayed Primary Period 不同变量对延迟一期屈肌腱修复术后断裂的影响

Hand and Microsurgery Pub Date : 2022-01-01 DOI: 10.5455/handmicrosurg.70765

B. Aysal, Ozlem Çolak, Ilker Usçetin, Batibey Batmaci, Emre Gunenc

{"title":"Effects of Different Variables on Postoperative Ruptures After Flexor Tendon Repairs in Delayed Primary Period","authors":"B. Aysal, Ozlem Çolak, Ilker Usçetin, Batibey Batmaci, Emre Gunenc","doi":"10.5455/handmicrosurg.70765","DOIUrl":"https://doi.org/10.5455/handmicrosurg.70765","url":null,"abstract":"Introduction : Flexor tendon injuries are important and surgically problematic injuries. Despite universally accepted repair techniques being used, several variables can affect the success of tendon repair. Although it is not very common, patients have to be operated again after ruptures, which increases morbidity. Material methods : 73 patients who had primary tendon repairs after flexor tendon injuries were included in the presented study. Gender, age group (pediatric and adult group), identity (native or foreigner), the repaired tendons, the zone of the tendon, the time period between the trauma and the repair surgery were noted. Results : A total of 211 flexor tendons were repaired 72 of the patients were in delayed primary repair period. Patients’ ages ranged between 2 and 61 years. The Follow-up period ranged between 6 and 9 months. 5.5% of the patients were re-operated on as a result of tendon ruptures (n=4). The median ages for rupture and non-rupture groups were 19,5 and 25, respectively (p=0.815). There was no difference amongst the pediatric and the adult groups (p=0,283). The mean time interval for repair surgery was 7,13 ±6,96 days without correlation between rupture and non-rupture groups (p=0,496). All tendon-rupture patients were males (p=0,567). 63% of the patients had multiple tendon lacerations and rupture rate was 4,3% (p=0,623). 67% of the patients had co-existing nerve injuries (n=1,00). 83% were Turkish nationals and there was no significant effect of the ethnicity on the tendon ruptures. Conclusion : Flexor tendons can safely be repaired in the delayed primary period when universally accepted surgical techniques are used.","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78683128","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

Particular Type of High-pressure Injection Injuries: Oil-based Paint Guns, a retrospective, single center experience 特殊类型的高压注射伤害:油基油漆枪，回顾，单一中心的经验

Hand and Microsurgery Pub Date : 2022-01-01 DOI: 10.5455/handmicrosurg.22637

M. Akyurek, Caghan Benli

引用次数: 0

Percutaneous Pinning Versus ORIF For Treatment Of Extraarticular Metacarpal Fractures 经皮钉钉与ORIF治疗关节外掌骨骨折

Hand and Microsurgery Pub Date : 2022-01-01 DOI: 10.5455/handmicrosurg.32737

Mahmut zdemir, Mert Karaduman, Mustafa lu, Hakan en, smail Demirkale, M. Altay

{"title":"Percutaneous Pinning Versus ORIF For Treatment Of Extraarticular Metacarpal Fractures","authors":"Mahmut zdemir, Mert Karaduman, Mustafa lu, Hakan en, smail Demirkale, M. Altay","doi":"10.5455/handmicrosurg.32737","DOIUrl":"https://doi.org/10.5455/handmicrosurg.32737","url":null,"abstract":"Objectives: Metacarpal fractures are common, and several surgical treatment methods have been described. This study aims to compare the clinical and economic aspects of two different surgical methods, closed reduction and K-wire fixation (CRPF) and open reduction and plate screw fixation (ORIF). Methods: Between January 2009 and March 2014, 51 patients who received surgical treatment for metacarpal fractures were retrospectively evaluated. Of them, 36 patients (29M, 7F) performed CRPF, and 15 (12M, 3F) performed ORIF. Patients were followed up for an average of 17.6 weeks. All patients were assessed according to the union, operation time, complications, cost-effectiveness, and the Michigan hand outcome questionnaire scores. Results: The mean operation time was 13.7 minutes (5-37 minutes) in the CRPF group and 32.2 minutes (23-62 minutes) in the ORIF group (p<0.05). The mean union time was 5.4 weeks (4-9 weeks) in the CRPF group and four weeks (3-8 weeks) in the ORIF group (p<0,05). Hospital expenses were found to be, on average, 257.5 USD (45.8-311 USD) in the CRPF group and 660 USD (454.9-1074.6 USD) in the ORIF group (p<0,05). The mean Michigan Hand Surgery Outcome Questionnaire results were 86.4% (66-98) in the CRPF group and 68.7% (62-83) in the ORIF group (p<0,05). Conclusion: We recommend CRPF because of its shorter operation time, better functional scores, and cost-effectiveness. Type of study/level of evidence: Level III; Causal comparative retrospective study","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"240 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84956177","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

Clinical outcomes of proximal row carpectomy 近行腕骨切除术的临床效果

Hand and Microsurgery Pub Date : 2022-01-01 DOI: 10.5455/handmicrosurg.102656

Y. Aydın, Caner Mataracı, Muhammet Kalkışım, B. Ozcanyuz, M. Yildiz

引用次数: 0

Volar V-Y Advancement Flap Without Suturing of Proximal Part for Reconstruction of Fingertip Amputations 无近端缝合掌侧V-Y推进皮瓣重建指端截肢

Hand and Microsurgery Pub Date : 2022-01-01 DOI: 10.5455/handmicrosurg.98166

M. K., M. Demirel, Serdar Turgut, B. elik

{"title":"Volar V-Y Advancement Flap Without Suturing of Proximal Part for Reconstruction of Fingertip Amputations","authors":"M. K., M. Demirel, Serdar Turgut, B. elik","doi":"10.5455/handmicrosurg.98166","DOIUrl":"https://doi.org/10.5455/handmicrosurg.98166","url":null,"abstract":"Purpose: This study aimed to assess the results of volar V-Y advancement flap surgery without suturing the proximal part to reconstruct fingertip amputations. Methods: Between 2018 and 2020, 18 patients (16 males, two females) who underwent volar V-Y advancement flap surgery without suturing the proximal part due to a fingertip amputation were retrospectively identified and included. All the clinical outcomes were obtained at the final follow-up appointment. The total range of motions of injured fingers and the same ones of the contralateral healthy DIP (distal interphalangeal) joint were measured. Fingertip tenderness was measured with Visual Analog Score (VAS). Cold intolerance and two-point discrimination (2PD) were assessed in the flap area. Results: The mean age was 37 (range = 19–62) years, and the mean follow-up was 15 (range = 12–22) months. The thumb was injured in 5 patients, index finger in 7, long finger in 4, ring finger in 1, and little finger in 1. Partial or total flap necrosis was not encountered in any patient. Range of motion deficit of DIP joint was 17.5 (range = 0–30) % in the operated finger (p = 0.38). The mean VAS for fingertip tenderness was 0.11 (range = 0–1). While no cold intolerance was encountered in 14 patients, it was minimal in 2 patients, mild in 1, and severe in 1. 2PD ratio that was comparatively measured to the contralateral healthy finger was 45% (range = 0–120) (p < 0.034). Sensory function was preserved in all patients. Conclusion: Volar V-Y advancement flaps without suturation of the proximal part can offer good clinical and aesthetical outcomes, protect the finger contour, and reduce the risk of flap necrosis.","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90292629","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

A Look at the Course and Management of Non-Traumatic Upper Extremity Amputation 非创伤性上肢截肢的治疗过程与治疗方法

Hand and Microsurgery Pub Date : 2022-01-01 DOI: 10.5455/handmicrosurg.23893

Conrad Stoy, Stephanie A. Kwan, Justin M. Kistler, J. Tulipan

{"title":"A Look at the Course and Management of Non-Traumatic Upper Extremity Amputation","authors":"Conrad Stoy, Stephanie A. Kwan, Justin M. Kistler, J. Tulipan","doi":"10.5455/handmicrosurg.23893","DOIUrl":"https://doi.org/10.5455/handmicrosurg.23893","url":null,"abstract":"Objectives Amputation is a major source of morbidity and mortality. Non-traumatic amputations of the upper extremity are less common, and less well-characterized, than the lower extremity. We hypothesize that upper extremity amputations are often associated with multiple returns to the operating room. Methods Twenty-five patients were identified that underwent primary or revision ray or phalangeal amputations for vascular/infectious indications. Chart review was utilized to gather information on additional amputations and demographic information. These groups were compared via chi-squared analysis assuming equal distributions of operations would be present between groups. Results Of the patients with infectious and/or vascular amputations, 56% had a subsequent amputation. Additionally, 23 irrigation and debridement’s (I and D) were performed before resorting to amputation with 6 patients requiring multiple I and Ds. Post-amputation, 3 patients required I and D, 7 revision amputations at higher levels, 8 amputations of additional ipsilateral digits, and 4 amputations of contralateral digits were performed. After initial amputation, there is a 76% chance of undergoing an additional operation and/or amputation of the upper extremity. A subgroup of these patients with diabetes showed statistically significant increases in ipsilateral amputations following initial amputation. Conclusions Our study shows that patients undergoing digit amputation for nontraumatic indications may require additional upper extremity operations following initial amputation. Subsequent revision amputation at a higher level is common and suggests that more aggressive early amputation may be warranted in these patients. Specifically, diabetic patients are at significantly increased risk of requiring additional digit amputations and may benefit from more aggressive initial surgery at time of presentation.","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"117 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89621571","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

Relative Motion Flexion Splint to Increase Proximal Interphalangeal Joint Extension 相对运动屈曲夹板增加近端指间关节伸展

Hand and Microsurgery Pub Date : 2022-01-01 DOI: 10.5455/handmicrosurg.2921

E. Ayhan, O. Arslan, C. Baş, Orhan Kunu, C. Oksuz

引用次数: 1

Non-Traumatic Pediatric Posterior Interosseous Nerve Entrapment Neuropathy 非创伤性小儿后骨间神经卡压神经病

Hand and Microsurgery Pub Date : 2022-01-01 DOI: 10.5455/handmicrosurg.43035

Emir k, W. Msangi, Eren Cans

引用次数: 0