Journal of Hand and Microsurgery最新文献_第3页

Metallosis Following Titanium Implant Use in the Hand: A Case Report and Review of Current Literature. 手部使用钛植入物后的金属中毒：病例报告和当前文献综述。

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Journal of Hand and Microsurgery Pub Date : 2022-06-28 eCollection Date: 2023-09-01 DOI: 10.1055/s-0042-1748762

Camelia Qian Ying Tang, Khoon Leong Chuah, Lam Chuan Teoh

引用次数: 0

Surgeons Attitude toward Psychosocial Aspects of Trapeziometacarpal Osteoarthritis. 外科医生对掌骨骨关节炎心理社会方面的态度。

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Journal of Hand and Microsurgery Pub Date : 2022-06-10 eCollection Date: 2022-10-01 DOI: 10.1055/s-0042-1748879

Janna S E Ottenhoff, David Ring, Aebele B Mink van der Molen, J Henk Coert, Teun Teunis

{"title":"Surgeons Attitude toward Psychosocial Aspects of Trapeziometacarpal Osteoarthritis.","authors":"Janna S E Ottenhoff, David Ring, Aebele B Mink van der Molen, J Henk Coert, Teun Teunis","doi":"10.1055/s-0042-1748879","DOIUrl":"10.1055/s-0042-1748879","url":null,"abstract":"Background There is notable evidence that unhelpful thoughts (symptoms of anxiety and depression) increase symptom intensity among patients with trapeziometacarpal osteoarthritis (TMC OA). Surgeons may or may not be mindful of this line of evidence when interacting with patients. In a survey-based experiment, we randomized surgeons to be prompted about the psychosocial aspects of TMC OA. We aimed to measure the influence of mindfulness of mental health on treatment recommendations and willingness to discuss mental health interventions. Methods We randomized 121 hand surgeons to read one of two paragraphs: (A) about biomedical treatment options for TMC OA, or (B) about the impact of mental and social aspects on TMC OA. Thereafter, surgeons were asked several questions about their opinions and treatment recommendations. Results We found that prompting surgeons with information about the psychosocial aspects of TMC OA did not influence their attitudes or treatment recommendations. Most surgeons were willing to offer patients a workbook (92%) or psychologist referral (84%). Among the few surgeons declining to refer, their reasoning was \"it would not be of any help\" and \"stigmatization.\" Conclusion The observation that a paragraph to encourage mindfulness about the psychosocial aspects of TMC OA, which had no influence on surgeon opinions, suggests that awareness may not be a major factor accounting the relatively limited implementation of this evidence in practice to date. Surgeons seem aware of the importance of psychological influence and barriers may include availability, stigma, and a sense of futility. This is a diagnostic study that reflects level of evidence III.","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"14 4","pages":"315-321"},"PeriodicalIF":0.3,"publicationDate":"2022-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9666062/pdf/10-1055-s-0042-1748879.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9600294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preoperative Expectations in Hand Surgery Patients. 手部手术患者的术前期望。

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Journal of Hand and Microsurgery Pub Date : 2022-06-07 eCollection Date: 2023-09-01 DOI: 10.1055/s-0042-1748782

Patrick M J Sajak, Samir Kaveeshwar, Ali Aneizi, Alexander Hahn, Cameran I Burt, Dominic J Ventimiglia, Kali N Stevens, Ngozi M Akabudike, Raymond A Pensy, R Frank Henn Iii

{"title":"Preoperative Expectations in Hand Surgery Patients.","authors":"Patrick M J Sajak, Samir Kaveeshwar, Ali Aneizi, Alexander Hahn, Cameran I Burt, Dominic J Ventimiglia, Kali N Stevens, Ngozi M Akabudike, Raymond A Pensy, R Frank Henn Iii","doi":"10.1055/s-0042-1748782","DOIUrl":"10.1055/s-0042-1748782","url":null,"abstract":"Introduction Studies have shown a link between patients' preoperative expectations and their postoperative satisfaction. However, limited studies exist concerning patient factors associated with higher preoperative expectations in the hand surgery population. This study analyzed preoperative expectation scores of patients undergoing hand surgery and aimed to determine associated patient characteristics. Materials and Methods A total of 418 elective hand surgery patients aged 15 years and older enrolled in a prospectively collected orthopaedic registry from June 2015 to December 2018 were analyzed. Patients were administered preoperative questionnaires including six Patient-Reported Outcome Measurement Information System domains and other activity and pain scales. Expectation scores were measured using the six domains of the Musculoskeletal Outcomes Data Evaluation and Management System expectations questionnaire. Bivariate and multivariable analyses were conducted to identify independent predictors of higher expectations. Results Overall, patients had high expectations (≥ 80.0) of their hand surgery. Higher mean expectation scores were seen with females, college graduates, better baseline health status, and fewer prior hand surgeries ( p < 0.05 for all). No significant associations were found among the Common Procedural Terminology codes and expectations. Multivariable analysis confirmed that college degree ( p = 0.023) and less pain ( p = 0.008) were predictive of higher baseline expectations. Conclusion In sum, more educated patients with less pain at baseline and better baseline health status have higher expectations of their hand surgery. Hand surgeons can use these results to help focus their preoperative counseling and expectation management.","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"15 4","pages":"299-307"},"PeriodicalIF":0.3,"publicationDate":"2022-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10495209/pdf/10-1055-s-0042-1748782.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10295038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Variation in the Index Finger Vascular Pedicle in a Case of Congenital Hypoplasia of the Thumb. 一例先天性拇指发育不良患者食指血管蒂的变异。

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Journal of Hand and Microsurgery Pub Date : 2022-06-06 eCollection Date: 2023-09-01 DOI: 10.1055/s-0042-1748765

Harsh R Shah, Eldy Pereira, Amita Hiremath, Mukund R Thatte

引用次数: 0

Trends in Distal Radius Fixation Reimbursement, Charge, and Utilization in the Medicare Population. 医疗保险人群桡骨远端固定的报销、收费和使用趋势。

IF 0.3

Journal of Hand and Microsurgery Pub Date : 2022-06-01 eCollection Date: 2023-09-01 DOI: 10.1055/s-0042-1748781

Suresh K Nayar, Aoife MacMahon, Heath P Gould, Adam Margalit, Kyle R Eberlin, Dawn M LaPorte, Neal C Chen

{"title":"Trends in Distal Radius Fixation Reimbursement, Charge, and Utilization in the Medicare Population.","authors":"Suresh K Nayar, Aoife MacMahon, Heath P Gould, Adam Margalit, Kyle R Eberlin, Dawn M LaPorte, Neal C Chen","doi":"10.1055/s-0042-1748781","DOIUrl":"10.1055/s-0042-1748781","url":null,"abstract":"Background Distal radius fractures (DRF) are the second most common fragility fracture experienced by the elderly, and surgical management constitutes an appreciable sum of Medicare expenditure for upper extremity surgery. Using Medicare data from 2012 to 2017, our primary aim was to describe temporal changes in surgical treatment, physician payment, and patient charges for DRF fixation. Methods We examined surgical volumes and retrospective patient charge (services billed by surgeon) and surgeon payment (professional fee) data from 2012 to 2017 for four DRF surgeries: closed reduction percutaneous pinning (CRPP), open reduction internal fixation (ORIF) of extra-articular fractures, ORIF of intra-articular (IA) (2-fragment) fractures, and ORIF of IA (> 3 fragments) fractures. The reimbursement ratio was defined and calculated as the ratio of charges to payment. Rates were adjusted for inflation using the annual consumer-price index. Results For these four surgeries from 2012 to 2017, total patient charges grew by 64% from $117 to 193 million, while surgeon payment grew by 42% from $30 to 42 million. CRPP cases fell by 47%, while ORIF increased by 17, 14, and 45% for extra-articular, IA (2-fragment), and IA (> 3 fragments) surgeries, respectively. After adjusting for inflation, payment to physicians increased by more than or equal to 16% for all procedures except for CRPP, which fell by 2%. Charges during this same period increased from 13 to 38%. Reimbursement ratios declined from -9.2% to -13% for each procedure. Conclusion From 2012 to 2017, while charges have outpaced surgeon payment, payment has outpaced inflation for all forms of distal radius ORIF, aside from CRPP. There has been a continued sharp decline of CRPP. Level of Evidence is III, economic.","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"15 4","pages":"308-314"},"PeriodicalIF":0.3,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10495210/pdf/10-1055-s-0042-1748781.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10295039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hemodynamics in Distally Based Sural Flaps for Lower Leg Reconstruction: A Literature Review. 用于小腿重建的远端硬膜瓣的血液动力学：文献综述。

IF 0.3

Journal of Hand and Microsurgery Pub Date : 2022-06-01 eCollection Date: 2023-09-01 DOI: 10.1055/s-0042-1749445

Tolga Türker, Eric Hines, David Haddad

引用次数: 0

Scapholunate Ligament Insufficiency in a Patient with Scaphocapitate Coalition. 一名肩胛骨联合症患者的肩胛韧带损伤。

IF 0.3

Journal of Hand and Microsurgery Pub Date : 2022-03-14 eCollection Date: 2023-09-01 DOI: 10.1055/s-0042-1744210

Joan Arenas-Prat

引用次数: 0

A Study of Hand Flap Viability when Using a Wide Awake Local Anesthesia No Tourniquet (WALANT) Technique. 使用宽清醒局部麻醉无止血带 (WALANT) 技术的手部皮瓣存活率研究。

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Journal of Hand and Microsurgery Pub Date : 2022-02-23 eCollection Date: 2023-09-01 DOI: 10.1055/s-0042-1742456

Clément Prénaud, Lorenzo Merlini, Simon A Hurst, Thomas Gregory, Charles Dacheux

{"title":"A Study of Hand Flap Viability when Using a Wide Awake Local Anesthesia No Tourniquet (WALANT) Technique.","authors":"Clément Prénaud, Lorenzo Merlini, Simon A Hurst, Thomas Gregory, Charles Dacheux","doi":"10.1055/s-0042-1742456","DOIUrl":"10.1055/s-0042-1742456","url":null,"abstract":"Objectives Flap surgery using a wide awake local anesthesia no tourniquet (WALANT) technique has historically been avoided because of technical challenges and concerns regarding the vasoconstriction caused by the necessary injection of epinephrine alongside the local anesthetic. The objective of our work was to evaluate the viability of the hand flaps performed using a WALANT technique compared with those performed under regional with a tourniquet. Materials and Methods Seventy-four patients were enrolled in a prospective comparative single-center study and subsequently divided into two groups: 36 patients in the locoregional anesthesia group and 38 patients in the WALANT group. Flap viability was evaluated on day 2 and day 10 using predetermined criteria. Results We did not find any significant difference in outcomes assessed for flap viability between the two groups postoperatively. Conclusion There was no evidence to suggest that vascularization of the flaps was compromised by the injection of epinephrine. The WALANT technique may, therefore, potentially be able to be safely deployed within this population.","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"15 4","pages":"270-274"},"PeriodicalIF":0.3,"publicationDate":"2022-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10495206/pdf/10-1055-s-0042-1742456.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10589101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Operative Trends in Orthopaedic Hand Surgery Fellowships. 手部矫形外科研究员的手术趋势。

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Journal of Hand and Microsurgery Pub Date : 2022-02-16 eCollection Date: 2023-09-01 DOI: 10.1055/s-0042-1742457

James J Drinane, Stella Lee, Yannick A J Hoftiezer, Neal C Chen, Kyle R Eberlin

{"title":"Operative Trends in Orthopaedic Hand Surgery Fellowships.","authors":"James J Drinane, Stella Lee, Yannick A J Hoftiezer, Neal C Chen, Kyle R Eberlin","doi":"10.1055/s-0042-1742457","DOIUrl":"10.1055/s-0042-1742457","url":null,"abstract":"Objective Since 1958, more than 50 postresidency fellowship programs in hand surgery have been introduced within the United States. Ongoing changes in health care and medical education necessitate the evaluation of these fellowships. The purpose of this study is to identify trends in operative experience over time regarding procedure volume, surgery type, and anatomic region. Materials and Methods National Accreditation Council for Graduate Medical Education (ACGME) case logs of graduating orthopaedic hand surgery fellows were evaluated for years 2011 to 2019. Procedures were grouped according to ACGME-defined categories for hand surgery. The mean number of procedures per fellow in each category was trended over time using a Mann-Kendall test. Results All 1,257 fellows were included. The mean number of procedures completed annually by each fellow increased from 797.6 in 2011 to 945.6 in 2019 ( p < 0.01). Over the course of the study period, there were increases in the number of \"soft tissue,\" \"fracture,\" and \"nerve\" procedures ( p < 0.001), while the number of \"congenital\" procedures decreased ( p < 0.05). Additionally, small but statistically significant increases were found in \"amputation,\" \"Dupuytren's,\" and \"decompression of tendon sheath/synovectomy/ganglions\" procedures ( p < 0.01). Conclusion There has been an increase in the number of procedures performed by orthopaedic hand surgery fellows over the past decade. This appears to be due to the increase in nerve, fracture, and soft tissue categories, and there has been a decrease in the number of congenital cases completed. These data confirm that the operative experiences for most hand surgery fellows are robust and growing over time.","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"15 4","pages":"275-283"},"PeriodicalIF":0.3,"publicationDate":"2022-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10495214/pdf/10-1055-s-0042-1742457.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10242944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Selection in Scopus. 在 Scopus 中进行选择。

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Journal of Hand and Microsurgery Pub Date : 2022-02-15 eCollection Date: 2022-01-01 DOI: 10.1055/s-0042-1743269

J Terrence Jose Jerome

引用次数: 0