Techniques in Hand and Upper Extremity Surgery最新文献_第8页

You Don't Know What You Don't Know. 你不知道你不知道什么。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-09-01 DOI: 10.1097/BTH.0000000000000404

Alexander Y Shin

引用次数: 0

Coracoclavicular Ligament Reconstruction Using TightRope for Delayed Grade III Acromioclavicular Joint Injury After Ipsilateral Diaphyseal Clavicle Fracture Fixation: Surgical Technique and Review of Current Literature. 同侧骨干锁骨骨折固定后迟发性III级肩锁关节损伤用钢丝重建喙锁韧带:手术技术及文献综述。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-09-01 DOI: 10.1097/BTH.0000000000000386

Zachary W Fulton, Amy Singleton, Richard M Miller

引用次数: 0

Anatomical 3 Ligaments Reconstruction for Symptomatic Thumb Carpometacarpal Joint Instability. 解剖韧带重建治疗症状性拇指腕掌关节不稳。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-09-01 DOI: 10.1097/BTH.0000000000000384

Naoki Kato, Eisuke Nomura

引用次数: 0

Vascularized, Denervated Muscle Targets for Treatment of Symptomatic Neuromas in the Upper Extremity: Description of Operative Technique. 血管化、去神经化肌肉靶治疗上肢症状性神经瘤:手术技术描述。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-09-01 DOI: 10.1097/BTH.0000000000000374

Nicholas A Calotta, Philip J Hanwright, Aviram Giladi, Sami H Tuffaha

引用次数: 3

An Ultrasound-guided Percutaneous Surgical Technique for Trigger Finger Release Using a Minimally Invasive Surgical Knife. 超声引导下使用微创手术刀进行扳机指释放的经皮手术技术。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-06-01 DOI: 10.1097/BTH.0000000000000367

Michiel Cromheecke, Vincent Haignère, Olivier Mares, Pieter-Bastiaan De Keyzer, Pascal Louis, Jean-Michel Cognet

{"title":"An Ultrasound-guided Percutaneous Surgical Technique for Trigger Finger Release Using a Minimally Invasive Surgical Knife.","authors":"Michiel Cromheecke, Vincent Haignère, Olivier Mares, Pieter-Bastiaan De Keyzer, Pascal Louis, Jean-Michel Cognet","doi":"10.1097/BTH.0000000000000367","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000367","url":null,"abstract":"Triggering of the finger at the A1 pulley is one of the most frequent pathologies encountered in hand surgery and a common cause of hand pain. Open release of the A1 pulley is currently still regarded as the golden-standard procedure. Nevertheless, there is an increasing interest in minimally invasive percutaneous techniques for the treatment of this condition. Current techniques range from percutaneous needle techniques without imaging, to the use of hook knives, with ultrasound guidance. Because of concerns about possible complications or incomplete releases, hand surgeons remain wary. The objective of this study was to introduce a new ultrasound-guided percutaneous surgical technique for trigger finger release, using a second-generation minimally invasive surgical knife. In this series of 78 releases, complete resolution of the symptoms was found in 98.7% of the cases. One recurrence of triggering was observed. There were no tendon injuries, infections, or neurovascular lesions recorded. This paper contains technical pearls and possible pitfalls to ensure the surgeon of a complete release and to avoid complications. A video of the technique was also included as Supplemental Digital Content (http://links.lww.com/BTH/A143). We can conclude that the procedure can be considered as safe and highly effective for the treatment of triggering at the A1 pulley.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"26 2","pages":"103-109"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10478446","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: 3

Mini-invasive Osteotomy for Pediatric Distal Radius Malunion. 微创截骨治疗小儿桡骨远端畸形愈合。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-06-01 DOI: 10.1097/BTH.0000000000000362

Markus Pääkkönen

引用次数: 0

Use of 3D Planning and Patient-specific Guides for Proximal Humerus Corrective Osteotomy Associated With Shoulder Prosthesis Implantation in Proximal Humeral Varus Malunion. 肱骨近端矫正截骨联合肩关节假体植入术治疗肱骨近端内翻畸形愈合的3D规划和患者特异性指南的应用

Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-06-01 DOI: 10.1097/BTH.0000000000000372

Raffaele Russo, Andrea Cozzolino, Antonio Guastafierro, Giuseppe Della Rotonda, Stefano Viglione, Michele Ciccarelli, Marco Mortellaro, Paolo Minopoli, Fabrizio Fiorentino, Livia R Pietroluongo

{"title":"Use of 3D Planning and Patient-specific Guides for Proximal Humerus Corrective Osteotomy Associated With Shoulder Prosthesis Implantation in Proximal Humeral Varus Malunion.","authors":"Raffaele Russo, Andrea Cozzolino, Antonio Guastafierro, Giuseppe Della Rotonda, Stefano Viglione, Michele Ciccarelli, Marco Mortellaro, Paolo Minopoli, Fabrizio Fiorentino, Livia R Pietroluongo","doi":"10.1097/BTH.0000000000000372","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000372","url":null,"abstract":"Humeral stem prosthesis implantation in case of proximal humerus varus malunion (type 1D fracture sequelae) is often complicated by greater tuberosity fracture and by posterosuperior rotator cuff iatrogenic damage. Moreover, the varus malunited humeral head could lead to scapular impingement and reduce the range of motion. To address this problem, we introduced a new surgical procedure consisting in a proximal humerus osteotomy, planned with three-dimensional (3D) preoperative virtual surgery, and performed with patient-specific surgical guides, to correct humerus deformity before the implantation of the prosthetic humeral stem. A 3D evaluation of the deformity, based on the comparison to the healthy contralateral side or to anatomical standard values, is firstly performed. The metaphyseal osteotomy is then planned and virtually performed. To faithfully reproduce the planned correction, 3D printed surgical guides are prepared. Before the surgery, it is advisable to perform a simulation of the planned osteotomies to verify their real feasibility and to find any critical issues. Preliminary outcomes of this surgical technique are encouraging, but formal studies are warranted to validate its clinical utility and longevity of results.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"26 2","pages":"131-138"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10122408","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: 2

Rebalancing the Spastic Wrist by Transposition of Antagonistic Muscle-Tendon Complex. 拮抗肌-肌腱复合体转位对痉挛腕关节的再平衡作用。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-06-01 DOI: 10.1097/BTH.0000000000000371

Silvia Schibli, Jan Fridén

引用次数: 0

Arthroscopic Triangular Fibrocartilage Complex Reconstruction Using a Palmaris Longus Tendon Graft. 关节镜下掌长肌腱移植重建三角纤维软骨复合体。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-06-01 DOI: 10.1097/BTH.0000000000000365

Shingo Abe, Toshiyuki Kataoka, Rie Suzuki, Yukihiko Yasui, Kohji Kuriyama

{"title":"Arthroscopic Triangular Fibrocartilage Complex Reconstruction Using a Palmaris Longus Tendon Graft.","authors":"Shingo Abe, Toshiyuki Kataoka, Rie Suzuki, Yukihiko Yasui, Kohji Kuriyama","doi":"10.1097/BTH.0000000000000365","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000365","url":null,"abstract":"Patients suffer from persistent ulnar wrist pain and distal radioulnar joint instability because of chronic triangular fibrocartilage complex (TFCC) foveal tear are treated with TFCC reconstruction. We performed an arthroscopic TFCC reconstruction using a palmaris longus tendon graft that provided a minimally invasive procedure. After confirming the TFCC foveal tear and stability between the TFCC remnant and radius, the bone tunnel was made in the ulna from the ulnar shaft to ulnar fovea. The position of the bone tunnel was checked by fluorography and arthroscopy. Curved bendable 18-gauge needles into which 3-0 nylon sutures were inserted in a loop shape were passed through the tunnel from the ulnar side, and both volar-side and dorsal-side TFCC remnants were penetrated. The nylon suture was extracted from the arthroscopic 4/5 portal, and the palmaris longus tendon graft was introduced into the joint. The graft was passed through the TFCC remnant and ulnar bone tunnel from the arthroscopic portal and fixed to the ulna using an interference screw. This procedure was indicated for TFCC foveal tears with intact radial-side TFCC remnants. If the radial-side tear and instability between the TFCC and radius coexist, this technique is contraindicated, and stabilization of both the radial and ulnar sides of the TFCC should be considered. This arthroscopic technique does not violate the distal radioulnar joint capsule, extensor carpi ulnaris tendon, or tendon sheath. In addition, it helps to stabilize the ulnar carpal complex.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"26 2","pages":"93-97"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10477982","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

Double Vascularized Fibula Proximal Growth Plate Transplantation: Novel Technique for the Radial Longitudinal Deficiency (RLD) Grade IV Reconstruction. 双带血管的腓骨近端生长板移植:桡骨纵向缺损(RLD)四级重建的新技术。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-06-01 DOI: 10.1097/BTH.0000000000000366

Dzintars Ozols, Marisa M Butnere, Linda Kalnina, Arturs Mokanu, Santa Ozola, Aleksandrs Mikitins, Aigars Petersons

{"title":"Double Vascularized Fibula Proximal Growth Plate Transplantation: Novel Technique for the Radial Longitudinal Deficiency (RLD) Grade IV Reconstruction.","authors":"Dzintars Ozols, Marisa M Butnere, Linda Kalnina, Arturs Mokanu, Santa Ozola, Aleksandrs Mikitins, Aigars Petersons","doi":"10.1097/BTH.0000000000000366","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000366","url":null,"abstract":"Radial absence or severe hypoplasia in radial longitudinal deficiency (RLD) is most commonly treated through stabilization of the carpus on the ulna (centralization or radialization) with or without preliminary distraction. Alternative methods include bone transfer to replace the absent or deficient radius using the proximal fibula, vascularized or nonvascularized, and more recently the transfer of a vascularized second metatarsophalangeal joint. There is paucity of articles suggesting vascularized fibula growth plate transfer for RLD grade III where proximal part of radius can be found and none about double fibular growth plate transplantation. We developed new technique a bilateral growth plate transplantation for the pediatric patient with unilateral RLD stage IV (Bayne and Klug). Totally 2 patients were operated using new technique. No vascular problems occurred and no peroneal nerve damage were observed at the follow-ups. Annual growth was determined on x-rays at the 1 and 2-year follow-ups measuring 0.75 to 0.9 cm with open growth plates. The x-rays also show no changes that can harm the long-term growth potential in the forearm, demonstrating this technique's capacity to achieve better results for forearm length and functionality in comparison to the Vilkki procedure or radialization operation and there is no need to sacrifice second toe. Thumb reconstruction can be done at age 3 or 4 years using pollicization or toe-to hand transplantation techniques. The patients and parents are satisfied with functional and esthetic outcomes. We believe the double fibular growth plate transplantation is a promising method to use to reconstruct unilateral RLD grade IV.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"26 2","pages":"98-102"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10477983","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