Techniques in Hand and Upper Extremity Surgery最新文献

Vascularized Proximal Radius Bone Graft for a Massive Elbow Bone Defect: An Anatomic Study and Case Report.

Techniques in Hand and Upper Extremity Surgery Pub Date : 2025-02-10 DOI: 10.1097/BTH.0000000000000508

Sergi Barrera-Ochoa, Julio A Martínez-Garza, Maximiliano Ibañez, José A Prieto-Mere, Melissa Bonilla-Chaperon, Francisco Soldado

{"title":"Vascularized Proximal Radius Bone Graft for a Massive Elbow Bone Defect: An Anatomic Study and Case Report.","authors":"Sergi Barrera-Ochoa, Julio A Martínez-Garza, Maximiliano Ibañez, José A Prieto-Mere, Melissa Bonilla-Chaperon, Francisco Soldado","doi":"10.1097/BTH.0000000000000508","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000508","url":null,"abstract":"From an anatomic perspective, this paper delineates the proximal radial bone branches of the radial artery (RA). We also report the successful clinical use of a vascularized proximal radius bone graft (VPRBG), supplied by the RA, in a complex case involving a massive osseous elbow defect. In 10 latex-colored upper limbs from fresh human cadavers, RA branches were dissected under ×2.5 loupe magnification, noting all periosteal and osseous branches for the proximal radius. VPRBG length was measured. In the proximal forearm, the RA provides 10 (range: 7 to 14) periosteal and osseous branches to supply the area from the radial head to the proximal diaphysis. A 15 cm (11 to 17) vascularized bone graft can be harvested from the proximal radius, and RA dissection generates a 12 cm (9 to 15) pedicle with a wide arc of rotation, readily capable of reaching the distal part of the humerus. We used a 14 cm long VPRBG for elbow arthrodesis to fill a 12 cm defect, caused by a previous recalcitrant elbow infection in a 68-year-old man. The patient experienced no postoperative complications and successful consolidation was achieved 6 months postoperatively, with flap survival confirmed. After 2 years of follow-up, the contoured dorsal plate was removed, with no signs of infection. Final Disabilities of the Arm, Shoulder, and Hand and Mayo Wrist scores were 23 and 88, respectively. A VPRBG might be a safe and effective surgical option for massive osseous elbow defects, whenever elbow arthrodesis is planned, where it should be combined with a one-bone forearm technique.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383284","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

Orthokids Precise De-rotation Jig for Rotational Osteotomies of Humerus. 肱骨旋转截骨术矫形儿童精确去旋转夹具。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2025-01-17 DOI: 10.1097/BTH.0000000000000507

Maulin Shah, Joyance James, Tashfin Rubaiath, Preksha Vijay

引用次数: 0

Flexor Carpi Ulnaris Surgical Approach to the Volar Ulnar Corner of the Distal Radius. 尺侧腕屈肌手术入路桡骨远端掌尺角。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2025-01-13 DOI: 10.1097/BTH.0000000000000505

Arya Minaie, Christopher Warburton, Nikhil Patel, Nicolette Schurhoff, Christopher Oguayo, Seth D Dodds

引用次数: 0

Revision Triceps Reconstruction With Achilles Bone Block Allograft Augmentation: A Novel Inlay Technique. 跟腱骨块异体骨块增强改良三头肌重建：一种新的镶嵌技术。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2025-01-06 DOI: 10.1097/BTH.0000000000000504

Matthew B Weber, Glenn Lee, Ilvy Cotterell

{"title":"Revision Triceps Reconstruction With Achilles Bone Block Allograft Augmentation: A Novel Inlay Technique.","authors":"Matthew B Weber, Glenn Lee, Ilvy Cotterell","doi":"10.1097/BTH.0000000000000504","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000504","url":null,"abstract":"Managing rerupture of the triceps brachii tendon after surgical repair is challenging due to poor tissue quality, retraction, and adhesions. This clinical scenario often requires augmentation with native tissue or tendon allografts. Traditional techniques include V-Y advancement, reinforced triceps advancement with double row or suture bridge fixation, and allograft tendon augmentation. This paper presents a novel method of fixation using an Achilles tendon allograft with a calcaneal bone block which aims to enhance previously described techniques. This new technique involves inserting an Achilles allograft calcaneal bone plug into the dorsal ulna to increase surface area for primary bone healing. The bone plug is then secured under a precontoured locking plate, potentially reducing the risks of displacement or fixation failure. This also avoids the placement of screws through the calcaneal plug, which puts it at risk for fracture. This technique also has drawbacks, such as increased costs, the potential need for a second surgery to remove hardware, and more extensive soft tissue dissection. In the patient case described, this method effectively reconstructed the triceps tendon in a revision setting.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932991","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

Deconstructing Dogma in Surgery. 解构外科教条。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2025-01-06 DOI: 10.1097/BTH.0000000000000503

Alexander Y Shin

引用次数: 0

Chronic Exertional Compartment Syndrome of the Forearm: Compartment-specific Endoscopic Fasciotomy. 前臂慢性劳损筋膜室综合征：腔室特异性内窥镜筋膜切开术。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-12-05 DOI: 10.1097/BTH.0000000000000502

Guy Guenthner, Bradley Wiekrykas, Matthew Salzler, Charles Cassidy

引用次数: 0

Stabilization of the Thumb Carpometacarpal Joint Utilizing a Minimally Invasive Approach: A Novel Technique. 利用微创入路稳定拇指掌关节：一种新技术。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-12-02 DOI: 10.1097/BTH.0000000000000501

Monica Shoji, John B Park, Alexy Ilchuk, Carl M Harper

引用次数: 0

De Quervain's Tenosynovitis Release With Excision of the First Dorsal Compartment: Novel Surgical Technique and a Case Series. 通过切除第一背侧腱鞘室解除 De Quervain's Tenosynovitis：新颖的手术技术和病例系列。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-12-01 DOI: 10.1097/BTH.0000000000000488

Adam Margalit, Jared Bookman, Michael Aversano, Michael Guss, Omri Ayalon, Nader Paksima

{"title":"De Quervain's Tenosynovitis Release With Excision of the First Dorsal Compartment: Novel Surgical Technique and a Case Series.","authors":"Adam Margalit, Jared Bookman, Michael Aversano, Michael Guss, Omri Ayalon, Nader Paksima","doi":"10.1097/BTH.0000000000000488","DOIUrl":"10.1097/BTH.0000000000000488","url":null,"abstract":"Incision of the dorsal side of the tendon sheath in release of De Quervain's tenosynovitis has traditionally been advocated to prevent the risk of volar tendon subluxation. We describe a novel technique of complete excision, rather than simple incision, of the first dorsal compartment tendon sheath. Over a 10-year period, 147 patients (154 wrists) underwent first dorsal compartment release using this technique of complete excision of the sheath. No postoperative immobilization is used. Patients were followed for a mean of 7.0 months. Records were assessed for any complications including reoperation, tendon subluxation, recurrence, wound complications, scar tenderness, and superficial radial sensory nerve paresthesias. There were no cases of recurrence, reoperation, or tendon subluxation after release with this technique. Postoperatively, 7 (4.5%) patients had scar tenderness and 5 (3.2%) of these patients also had superficial radial sensory nerve parasthesias, which all resolved at the time of final follow-up. Mean range of motion was 73±11 degrees of flexion and 69±10 degrees of extension. In contrast to simple incision, we propose that this technique provides a more complete release of the compartment without risk of symptomatic subluxation or bowstringing and provides a complete release of a separate extensor pollicis brevis subsheath or any concomitant retinacular cysts associated with the tendonitis. There is an immediate removal of the symptomatic swelling and visible, painful bump associated with the thickened retinaculum with this technique. Furthermore, no immobilization is required after surgery.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":"197-200"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141440941","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

Radial Longitudinal Deficiency: Description of a Novel Surgical Technique and Clinical Cases. 放射状纵向缺陷：一种新的手术技术和临床病例描述。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-10-15 DOI: 10.1097/BTH.0000000000000497

Enrique Vergara-Amador, Laura López-Rincón, Camilo Romero Barreto, Tatiana Almario-Aristizábal

{"title":"Radial Longitudinal Deficiency: Description of a Novel Surgical Technique and Clinical Cases.","authors":"Enrique Vergara-Amador, Laura López-Rincón, Camilo Romero Barreto, Tatiana Almario-Aristizábal","doi":"10.1097/BTH.0000000000000497","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000497","url":null,"abstract":"Radial longitudinal deficiency III and IV present as a short upper limb, functional elbow, and wrist with severe radial and palmar angulation, where the carpus articulates with the radial and palmar edge of the ulna, allowing limited mobility in a nonfunctional position. Surgical treatment aims to correct radial angulation and flexed carpal position, often altering carpal positioning over the distal ulna and impacting wrist mobility. In addition, fixation through distal ulnar epiphysis affects its growth. Although these procedures improve appearance, functionality remains suboptimal. This study describes a novel ulnar osteotomy and extensor carpi ulnaris transfer for the correction of wrist deformity in radial longitudinal deficiency with preservation of ulnocarpal motion and epiphyseal growth. The surgical technique, indications, contraindications, and potential complications are described. Three cases with postoperative follow-ups at 36, 12, and 6 months, evaluating deformity and pre/postsurgical wrist mobility ranges, are reported. A correction was achieved in the forearm-hand angle of 71 to 88 degrees of the initial. The total range of movement, between 50 degrees and 80 degrees, was almost the same before and after the operation in the most anatomic position. In one patient, there was a residual deformity at the dorsoradial border, which showed no progression during the last 6 months of follow-up. For patients with radial longitudinal deficiency, functional outcomes with preserved mobility appear to hold greater significance. The technique described in this study enabled deformity correction while maintaining a wide range of motion. The preservation of the physis in a different orientation is an aspect that will need evaluation in long-term follow-up but offers potential treatment options in the future; due to the unknown of the secondary deformity, it is recommended that the long-term results should be awaited before adoption of this technique.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903711","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

The Use of Nitinol Staples as Reduction Aids in Fixation of Forearm Diaphyseal Fractures: Surgical Technique and Case Series. 使用镍钛诺订书钉作为前臂骨骺骨折固定的还原辅助工具：手术技术与病例系列。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2024-09-17 DOI: 10.1097/BTH.0000000000000496

Ethan Y Song, Emmanuel O Emovon Iii, Andrew W Hollins, Eliana B Saltzman, Suhail K Mithani, Marc J Richard, Tyler S Pidgeon

{"title":"The Use of Nitinol Staples as Reduction Aids in Fixation of Forearm Diaphyseal Fractures: Surgical Technique and Case Series.","authors":"Ethan Y Song, Emmanuel O Emovon Iii, Andrew W Hollins, Eliana B Saltzman, Suhail K Mithani, Marc J Richard, Tyler S Pidgeon","doi":"10.1097/BTH.0000000000000496","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000496","url":null,"abstract":"Forearm diaphyseal fractures are common orthopedic injuries that typically require surgical intervention using various implants and approaches. Maintaining reduction while simultaneously achieving compression in radial and/or ulnar shaft fractures during compression plate application can be challenging, particularly with unstable segmental and/or transverse fracture patterns. Nitinol compression staples have become increasingly used as a reduction aid because of their ability to provide continuous compression between the staple legs at the fracture site, low profile, and ease of application. These staples have the potential to be an effective means of maintaining reduction and applying compression before definitive plate fixation for radial and ulnar shaft fractures. We present our surgical technique and an associated patient series detailing our institution's experience, highlighting favorable outcomes and potential considerations when using nitinol compression staples for forearm fracture management.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297605","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