Techniques in Hand and Upper Extremity Surgery最新文献_第10页

Initial Outcomes of a Novel Modification of Looped Threaded Carpal Tunnel Release Method. 一种新型改良环形螺纹腕管松解法的初步结果。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2023-09-01 DOI: 10.1097/BTH.0000000000000423

Farsad Biglari, Amir Sabaghzadeh, Mehrdad Sadighi, Adel Ebrahimpour, Maryam Davoodi Bojd, Meisam Jafari Kafiabadi

{"title":"Initial Outcomes of a Novel Modification of Looped Threaded Carpal Tunnel Release Method.","authors":"Farsad Biglari, Amir Sabaghzadeh, Mehrdad Sadighi, Adel Ebrahimpour, Maryam Davoodi Bojd, Meisam Jafari Kafiabadi","doi":"10.1097/BTH.0000000000000423","DOIUrl":"10.1097/BTH.0000000000000423","url":null,"abstract":"Various surgical techniques are available for the alleviation of symptoms in carpal tunnel syndrome and each of them has its pros and cons. This study was designed and performed to present a novel approach for cutting transverse carpal ligament by the thread looping technique without the use of ultrasonography. The novel modification of looped threaded carpal tunnel release was performed on 10 hands of 10 patients. The disabilities of arm, shoulder, and hand score, visual analog scale, and 2-point discrimination were used for assessing the outcomes. No patients developed pillar pain or scar discomfort after surgery. Complete elimination of paresthesia, pain, and numbness occurred in all patients. There was a significant reduction in the disabilities of arm, shoulder, and hand and visual analog scale scores ( P value<0.05). This technique is safe, available, and effective for carpal tunnel release and minimizes postoperative complications, such as pillar pain, and scar discomfort with avoiding unnecessary injuries to the surrounding soft tissue.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"27 3","pages":"132-135"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10403582","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

Single-Incision Endoscopic Trigger Finger Release. 单切口内窥镜扳机指释放。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2023-09-01 DOI: 10.1097/BTH.0000000000000436

Cooper Tye, Madeline Ford, William F Pientka

引用次数: 0

Thumb Carpometacarpal Stabilization With a Dorsal Capsule Repair Augmented With an Internal Brace. 拇指手掌骨稳定与背囊修复与内支架增强。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2023-09-01 DOI: 10.1097/BTH.0000000000000429

Steven C Kronlage, Edward Alex Whitaker

引用次数: 0

Dorsal V - Y Advancement Flap for Lateral Finger Defect Based on Dorsal Skin Branch of Proper Digital Artery. 以指真动脉背侧皮肤支为基础的指侧缺损的背侧V - Y推进皮瓣。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2023-09-01 DOI: 10.1097/BTH.0000000000000431

Wuttipong Siriwittayakorn, Wichit Siritattamrong

引用次数: 0

An All-arthroscopic Technique of Repair of Substance Tears of the Triangular Fibrocartilage Complex in Symptomatic Patients. 有症状患者三角纤维软骨复合体实质性撕裂的全关节镜修复技术。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2023-09-01 DOI: 10.1097/BTH.0000000000000433

Muntasir Mannan Choudhury, Robert Tze Jin Yap, Dawn Sinn Yi Chia, Suraj Sajeev, Jackson Kian Hong Jiang

{"title":"An All-arthroscopic Technique of Repair of Substance Tears of the Triangular Fibrocartilage Complex in Symptomatic Patients.","authors":"Muntasir Mannan Choudhury, Robert Tze Jin Yap, Dawn Sinn Yi Chia, Suraj Sajeev, Jackson Kian Hong Jiang","doi":"10.1097/BTH.0000000000000433","DOIUrl":"10.1097/BTH.0000000000000433","url":null,"abstract":"Substance tears of the triangular fibrocartilage complex (TFCC) can occur secondary to trauma of the wrist. On the dorsal periphery, they are considered Palmer 1B tears or Atzei class 1 tears. If along the radial side, they can manifest as a tear of the central disc, classified as a Palmar class 1A tear. If it involves the ligaments, it is stated as a pre-1D tear as per the new classification system by Luchetti and colleagues. Multiple excellent repair techniques exist in the current literature for dorsal peripheral tears and even for those in the substance of the TFCC, whereas there are successful evolving techniques of repair of avulsed tears and those involving the substance of the ligaments on the radial side adjacent to the sigmoid notch. Here, we describe our technique of repairing substance tears of the TFCC arthroscopically without the need for any specialized equipment apart from the basic arthroscopy set. The technique was conducted in a patient with a transverse substance tear on the radial side of the triangular fibrocartilage involving the central disc with complete resolution of symptoms. It is a simple technique, which can be used to repair class 1B peripheral tears and pre-1D tears in the substance of the TFCC.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"27 3","pages":"169-174"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10026208","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

Scapulothoracic Fusion Using Multiple Suture Tape Cerclage. 多重缝合带环扎术的肩胸融合。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2023-09-01 DOI: 10.1097/BTH.0000000000000434

Papa Amadou Ba, Bradley Schoch, Jean-David Werthel

引用次数: 0

Antegrade Flexible Nailing for Pediatric Metaphyseal-diaphyseal Junction Distal Radius Fracture, is it Safe? 顺行柔性内钉治疗小儿骨干骺端-骨干端桡骨远端骨折安全吗？

Techniques in Hand and Upper Extremity Surgery Pub Date : 2023-09-01 DOI: 10.1097/BTH.0000000000000430

Aaron Lam, Adam M Gordon, Ahmed M Thabet, Amr A Abdelgawad

{"title":"Antegrade Flexible Nailing for Pediatric Metaphyseal-diaphyseal Junction Distal Radius Fracture, is it Safe?","authors":"Aaron Lam, Adam M Gordon, Ahmed M Thabet, Amr A Abdelgawad","doi":"10.1097/BTH.0000000000000430","DOIUrl":"10.1097/BTH.0000000000000430","url":null,"abstract":"Fractures involving the distal radius metaphyseal-diaphyseal junction (MDJ) present a unique challenge for pediatric orthopedic surgeons. These fractures are too proximal for percutaneous K -wire fixation and too distal for retrograde flexible nailing. The purpose of this study was to: (1) determine the safety of a described antegrade approach from the posterior interosseous nerve (PIN); (2) assess the efficacy of antegrade nailing in cases of distal MDJ fractures; and (3) describe a standardized lateral approach to the proximal radius. A cadaveric study was performed using 10 adult forearms. Anterograde flexinail was introduced at the proximal radius based on the described \"safe zone\". Distal MDJ fractures were created using osteotomes. We evaluated the distance between the entry point to the PIN in addition to the quality of the reduction for the fracture. The average distance between the entry point and piercing instrument to the PIN was 5.4 cm (range: 4.7 to 6.0 cm). When grouped based on sex, the average distance was significantly further for males (5.8 cm, range: 5.2 to 6.0 cm) versus females (4.9 cm, range: 4.7 to 5.2 cm), P =0.004. Fracture reduction was not maintained after the introduction of the antegrade flexible nail across the fracture site. For all specimens, >25% displacement was seen on the anterior-posterior imaging. Our modified lateral approach to the starting point in the proximal radius is safe as long as the entry point for antegrade flexible nailing stays proximal to the radial tuberosity during the lateral approach to the proximal radius while the elbow is flexed and the forearm pronated.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"27 3","pages":"161-164"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10085973","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

Forequarter Amputation: Reconstruction With Targeted Muscle Reinnervation to the Filet of Forearm Free Flap. 前肢截肢：前臂游离皮瓣腓骨肌神经重建。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2023-09-01 DOI: 10.1097/BTH.0000000000000424

Adrian Markewych, Mark Hansdorfer, Alan Blank, George Kokosis, David E Kurlander

引用次数: 0

Form and Function: Technique for Free Functional Gracilis Harvest With Greater Saphenous Vein for Large Skin Paddle. 形态与功能：大隐静脉游离功能性股薄肌摘取术。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2023-09-01 DOI: 10.1097/BTH.0000000000000437

Alexander Graf, Akinade Ojemakinde, Sachin Gupta, Nicole A Zelenski, L Scott Levin

引用次数: 0

V-Y Flap Over Moberg's Flap to Cover the Thumb's Fingertip Injury: Technique and Cases. V-Y皮瓣复盖Moberg皮瓣覆盖拇指指尖损伤的技术与案例。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2023-09-01 DOI: 10.1097/BTH.0000000000000428

Luis Carlos Díaz, Enrique Vergara-Amador, Felipe Camacho Castro

引用次数: 0