Techniques in Hand and Upper Extremity Surgery最新文献_第9页

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

One-stage Distal Interphalangeal Joint Fusion With External Fixator for the Treatment of Septic Joint Arthritis. 外固定器一期远端指间关节融合术治疗感染性关节关节炎。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-06-01 DOI: 10.1097/BTH.0000000000000361

Jose Couceiro, Manuel R Sanchez-Crespo, Higinio Ayala, Fernando Del Canto, Guillermo Menendez, Marta Fernandez-Sampedro

引用次数: 0

Proximal Humeral Replacement With Osteoarticular Allograft Prosthetic Composite in Failed Revision Total Elbow Arthroplasty With Marked Bone Loss. 同种异体骨关节假体复合材料肱骨近端置换术在翻修失败的全肘关节置换术中伴有明显骨丢失。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-06-01 DOI: 10.1097/BTH.0000000000000369

Sailesh V Tummala, Kade S McQuivey, Nathaniel B Hinckley, Krista A Goulding, Kevin J Renfree

引用次数: 0

Alternative Noninvasive Treatment of Unstable Extra-articular Proximal and Middle Phalangeal Fractures: A Static Linear Traction Orthosis Design. 不稳定指骨关节外近端和中端骨折的非侵入性治疗:静态线性牵引矫形器设计。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-06-01 DOI: 10.1097/BTH.0000000000000368

Kristen MacDonald, Juliana Larocerie-Salgado, Shrikant Chinchalkar

引用次数: 0

The Gift of Complications. 复杂的礼物。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-06-01 DOI: 10.1097/BTH.0000000000000392

Katherine M Hinchcliff, Alexander Y Shin

引用次数: 0

Corrective Fifth Metacarpal Neck Osteotomy and Intramedullary Screw Fixation Technique: Technique and Case Report. 第五掌颈矫正截骨髓内螺钉固定技术:技术与病例报告。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-06-01 DOI: 10.1097/BTH.0000000000000363

Luis G Rosifini Alves Rezende, Filipe J Shimaoka, Luiz G Mandarano-Filho, Nilton Mazzer

引用次数: 1

The Nottingham Palmar Plate Arthroplasty for Metacarpophalangeal Joint Noninflammatory Arthritis. 诺丁汉掌板置换术治疗掌指关节非炎性关节炎。

Techniques in Hand and Upper Extremity Surgery Pub Date : 2022-06-01 DOI: 10.1097/BTH.0000000000000370

Ryan W Trickett, John A Oni

{"title":"The Nottingham Palmar Plate Arthroplasty for Metacarpophalangeal Joint Noninflammatory Arthritis.","authors":"Ryan W Trickett, John A Oni","doi":"10.1097/BTH.0000000000000370","DOIUrl":"https://doi.org/10.1097/BTH.0000000000000370","url":null,"abstract":"Palmar (volar) plate interposition arthroplasty for osteoarthritis (OA) of the metacarpophalangeal (MCP) joints of the fingers is a well-established technique. Its use has diminished since its initial description and introduction because of poor results in patients with inflammatory arthropathy and a difficult surgical technique. We report the surgical technique and mid-term results of the novel Nottingham interposition arthroplasty for noninflammatory MCP joint OA. A dual dorsal and palmar incision is utilized to maximize the harvest of interposition substance. The surgical technique is described and illustrated in full. Prospective data concerning pain, range of movement and function are reported. The results of 12 arthroplasties in 9 patients are reported. At a median follow-up of 76.1 months the median arc of movement was 44 degrees, favoring an improvement in flexion. The median visual analog score for pain was 0, with all but 1 patient reporting no pain at all. Range of movement has been further improved with a progressively less restrictive rehabilitation regimen giving a median arc of 70 degrees in the more recent patients. Compared with modern implant arthroplasty techniques, the Nottingham Palmar Plate Arthroplasty has demonstrated favorable results in terms of range of movement and most importantly resolution of pain. We consider it to be a viable option in the first line management of MCP joint OA.","PeriodicalId":39303,"journal":{"name":"Techniques in Hand and Upper Extremity Surgery","volume":"26 2","pages":"122-126"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10122402","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