Techniques in Hand and Upper Extremity Surgery最新文献_第5页

Plating of Proximal Ulna Fractures Using Posterolateral Distal Humerus Plates: Surgical Technique and Case Series. 肱骨远端后外侧钢板钢板治疗尺骨近端骨折:手术技术和病例系列。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2023-06-01 DOI: 10.1097/BTH.0000000000000415

Allicia O Imada, Samuel McArthur, Nathan T Morrell

引用次数: 0

Bilateral Lesser Tuberosity Fractures: Technique and a Case Report with Literature Review. 双侧小结节骨折:技术及1例报告并文献复习。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2023-06-01 DOI: 10.1097/BTH.0000000000000417

Daniel M Zuchelli, Gregory S Penny, William R Aibinder

引用次数: 0

Assessment of Intraoperative Rotational Alignment of Closed Locked Intramedullary Nailing for Humerus Fractures. 闭锁髓内钉治疗肱骨骨折术中旋转对准的评价。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2023-06-01 DOI: 10.1097/BTH.0000000000000411

Benjamin Boothby, Lucas Haase, Robert Wetzel

引用次数: 0

Arthroscopic Capsulodesis for the Treatment of Dynamic Scapholunate Dissociations. 关节镜下囊腔固定术治疗动态舟月骨分离。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2023-06-01 DOI: 10.1097/BTH.0000000000000418

Max Haerle, Nicole Schmelzer-Schmied, Florian M Lampert

引用次数: 0

Iliac Crest Bone Graft With Intramedullary Headless Implant for Metacarpal Bone Loss. 髂骨移植物髓内无头植入治疗掌骨骨缺损。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2023-06-01 DOI: 10.1097/BTH.0000000000000421

Madison Milhoan, Victoria Hoelscher, William F Pientka

引用次数: 0

The Extensor Indicis Proprius Transposition for the Ulnar Collateral Ligament Stabilization in Thumb Hypoplasia Grades II-IIIa. 拇固有伸肌转位治疗II-IIIa级拇指发育不全患者尺侧副韧带稳定。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2023-06-01 DOI: 10.1097/BTH.0000000000000413

Dzintars Ozols, Rudolfs Laucis, Reinis Osins, Marisa Maija Berezovska, Linda Kalnina, Aleksandrs Mikitins, Aigars Petersons

{"title":"The Extensor Indicis Proprius Transposition for the Ulnar Collateral Ligament Stabilization in Thumb Hypoplasia Grades II-IIIa.","authors":"Dzintars Ozols, Rudolfs Laucis, Reinis Osins, Marisa Maija Berezovska, Linda Kalnina, Aleksandrs Mikitins, Aigars Petersons","doi":"10.1097/BTH.0000000000000413","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000413","url":null,"abstract":"Congenital upper extremity deformities are rare, the reported incidence is from 0.15% to 0.2%. The thumb is very important for a hand's functionality, as it provides up to 50% of its total performance. Proper pinch grip formation at the age of 12 to 16 months is part of normal development; however, no functional development can affect a child's psychoemotional development. Well-described techniques such as third or fourth superficial flexor transposition can be found in the literature. There is a paucity of studies on using the extensor indicis proprius (EIP) transposition for stabilization of the ulnar collateral ligament for the first metacarpophalangeal joint (MCPJ). Techniques for the usage of EIP tendon for the reconstruction of absent extensor pollicis longus tendon are more commonly practiced as they create abduction and extension for the thumb hypoplasia grade II-IIIa. We performed EIP transposition with subperiosteally fixation for the ulnar collateral ligament stabilization for thumb hypoplasia patients with a mean age of 38 months (11 to 128) and grade II (n=9), grade IIIa (n=4), and grade IIIb (n=1). Long-term follow-up (2 to 10 y) for the esthetical and functional study was performed. Patients and parents are satisfied with functional and esthetic outcomes. We believe that the EIP tendon transposition can be an alternative method for thumb hypoplasia patients grade II-IIIa reconstruction.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"27 2","pages":"73-78"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10123251","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

Repurposing Spinal Distractor to Reduce Pediatric Wrist Fractures. 重新利用脊柱牵开器减少儿童腕部骨折。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2023-06-01 DOI: 10.1097/BTH.0000000000000416

Harjot S Uppal, Richard A Biama

{"title":"Repurposing Spinal Distractor to Reduce Pediatric Wrist Fractures.","authors":"Harjot S Uppal, Richard A Biama","doi":"10.1097/BTH.0000000000000416","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000416","url":null,"abstract":"Fracture geometry, particularly a jagged bone spike, can present a physical barrier in closed reduction of pediatric distal radius-ulna fractures. When closed reduction of the fracture is not possible, accepting an incomplete reduction and hoping for remodeling, or open reduction, which poses a greater risk for infection and potential physeal injury, are alternative treatment options. The objective of this study was to describe a technique, coined as Percutaneous Skeletal Traction Aided Reduction (P_STAR), for reducing these fractures, thereby eliminating the acceptance of an incomplete reduction and the risks associated with open reduction. In P_STAR, 2 distraction pins are placed 1.5 cm proximal and distal to the fracture site in clearance of the distal radial physis. A shadow-line spinal distractor is then used to distract the pins, reducing the fracture over the irregular impeding fracture geometry. After distraction is released, 1 or 2 K-wires can be percutaneously inserted to transfix the fracture. A video of the technique was also included as Supplemental Digital Content, http://links.lww.com/BTH/A188 . When performed on 18 children with distal radius-ulna fractures, P_STAR achieved near anatomic fracture alignment with no nerve or tendon injury, infection, or refracture.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"27 2","pages":"84-89"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10497215","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

Surgical Technique: Lateral Plate Osteosynthesis of Proximal Phalanx Fractures. 手术技术:侧钢板固定术治疗近端指骨骨折。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2023-03-01 DOI: 10.1097/BTH.0000000000000407

Zhixue Lim, Anthony Tun Lin Foo, Soumen Das De

引用次数: 0

Arthrodesis of the First to Second Metacarpal for Definitive Management of Failed Thumb Carpometacarpal Arthroplasty: A Case Series. 第一至第二掌骨关节融合术对拇指手掌骨置换术失败的最终治疗:一个病例系列。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2023-03-01 DOI: 10.1097/BTH.0000000000000405

Eric Taleghani, Thomas E Moran, Anthony Ignozzi, Abhinav Bobby Chhabra, Aaron Freilich

{"title":"Arthrodesis of the First to Second Metacarpal for Definitive Management of Failed Thumb Carpometacarpal Arthroplasty: A Case Series.","authors":"Eric Taleghani, Thomas E Moran, Anthony Ignozzi, Abhinav Bobby Chhabra, Aaron Freilich","doi":"10.1097/BTH.0000000000000405","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000405","url":null,"abstract":"Thumb carpometacarpal (CMC) arthroplasty with resection of the trapezium and soft tissue interposition, with or without ligament reconstruction, has historically proven to be an efficacious treatment for thumb CMC arthritis. The incidence of failure following primary thumb CMC arthroplasty is low; however, the evaluation and management of a patient experiencing an unsatisfactory outcome following CMC arthroplasty is challenging. If symptoms are refractory to conservative measures, then revision surgical treatment may be indicated. Clinical decision making becomes even more complicated in cases of failure after an initial revision surgery has already been performed. In patients with a failed CMC arthroplasty revision in whom all soft tissue options have been exhausted, the senior author considers arthrodesis of the first metacarpal base to the second metacarpal base as a salvage procedure. The authors describe this surgical technique and present our experience with 4 cases in 3 patients who underwent this surgical intervention. Successful radiographic fusion was achieved in all 4 cases, with satisfactory clinical outcome in 3 out of 4 cases, supporting this surgical technique as a definitive option for patients who have failed multiple CMC arthroplasty revision surgeries.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"27 1","pages":"22-29"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10124032","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: 1

Arthroscopic Assisted Treatment of Combined Trapezium and Bennett Fracture-Dislocation. 关节镜辅助治疗合并斜方和Bennett骨折脱位。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2023-03-01 DOI: 10.1097/BTH.0000000000000406

Fabio Andrés Tandioy-Delgado, Lucian Lior Marcovici, Riccardo Luchetti, Andrea Atzei

{"title":"Arthroscopic Assisted Treatment of Combined Trapezium and Bennett Fracture-Dislocation.","authors":"Fabio Andrés Tandioy-Delgado, Lucian Lior Marcovici, Riccardo Luchetti, Andrea Atzei","doi":"10.1097/BTH.0000000000000406","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000406","url":null,"abstract":"Trapezium fractures are unusual; however, they represent the third most frequent fracture of the carpal bones. As they usually follow a high-energy trauma, they are associated with distal radius, Bennett, or Rolando fractures in 80% of cases. Traditional treatment options include, closed reduction and percutaneous pinning, or open reduction and internal fixation. To minimize the additional surgical trauma, an arthroscopic technique has been developed for safe, minimally invasive management of complex injuries of the first carpo-metacarpal joint. Intra-articular dislocated fracture fragments are reduced under direct visualization and fixed through small incisions. Limiting additional surgical damage on the carpo-metacarpal joint ligaments, capsule, and other soft tissues around the fracture preserves the blood supply to fracture fragments and also the proprioceptive system, which is key for the dynamic stability of such a hypermobile joint. This report confirms that the procedure is feasible, and a complete functional recovery can be expected with reduced postoperative rehabilitation.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"27 1","pages":"30-37"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10123226","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