Jason Silvestre, James A Clemmons, Benjamin Chang, Robert H Wilson
{"title":"Differences in Academic Qualifications for Leadership at Hand Surgery Fellowships in the United States.","authors":"Jason Silvestre, James A Clemmons, Benjamin Chang, Robert H Wilson","doi":"10.1055/s-0043-1760764","DOIUrl":"10.1055/s-0043-1760764","url":null,"abstract":"<p><strong>Objective: </strong>In the United States, orthopaedic, general, and plastic surgery hand fellowship programs train hand surgeons. Currently, differences in the academic qualifications of hand surgery fellowship directors (HSFDs) are unknown. This study compares the academic qualifications of HSFDs by specialty.</p><p><strong>Methods: </strong>American Medical Association's Residency and Fellowship Database was queried for hand surgery fellowship training programs. Scholarly activity, academic characteristics, and training pedigrees were collected for each HSFD.</p><p><strong>Results: </strong>Ninety-two HSFDs (73 orthopaedic surgeons, 17 plastic surgeons, 2 general surgeons) were identified. Most were male (87%) and Caucasian (82%). Mean age was 55 ± 11 years and most were trained in orthopaedic surgery (80%). Ten percent of orthopaedic hand surgery fellowship programs were run by a plastic surgeon HSFD, which was greater than 0% of plastic surgery hand fellowship programs run by an orthopaedic surgeon HSFD (<i>p</i> < 0.05). Mean H-index was 15 ± 9 from an average of 57 ± 47 publications. Orthopaedic and plastic surgeon HSFDs had similar levels of scholarly activity (<i>p</i> > 0.05). Age correlated with higher H-index values (<i>r</i> = 0.38, <i>p</i> < 0.001). More plastic surgeon HSFDs were trained by their top five fellowship programs than orthopaedic surgeon HSFDs (65 vs. 27%, <i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>Ultimately, HSFDs have strong research backgrounds and similar characteristics despite disparate training pathways. Women and racial minority groups are largely underrepresented among leadership positions at hand surgery fellowships. These benchmarks can help inform future diversity initiatives.</p>","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"1 1","pages":"100014"},"PeriodicalIF":0.4,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11127534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41562438","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}
Joideep Phadnis, Terrence Jose Jerome, Andrew Stone
{"title":"Development of a Framework for Assessment and Management of Proximal Ulna Fracture Dislocations of the Elbow.","authors":"Joideep Phadnis, Terrence Jose Jerome, Andrew Stone","doi":"10.1055/s-0043-1777429","DOIUrl":"10.1055/s-0043-1777429","url":null,"abstract":"","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"15 5","pages":"325-327"},"PeriodicalIF":0.3,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10751196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139049524","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}
Suvashis Dash, Raja Tiwari, Rakesh Dawar, Shivangi Saha, Maneesh Singhal
{"title":"Review of Replantation Services from a Level One Trauma Center in India.","authors":"Suvashis Dash, Raja Tiwari, Rakesh Dawar, Shivangi Saha, Maneesh Singhal","doi":"10.1055/s-0043-1777066","DOIUrl":"10.1055/s-0043-1777066","url":null,"abstract":"<p><p>The aim of this article is to examine the elements that contribute to effective operation of a specialized replantation center and to provide readers with a general idea of the outcome of replantation services in India. A dedicated high-volume center coupled with a sound referral system is the backbone of replantation services in a country. A retrospective study was done on all patients who visited a level 1 trauma center in India from November 1, 2017, to December 31, 2018, for various amputations. The medical records and digital pictures of these patients were extracted from the records and analyzed. During the study period, 77 replants were performed on 63 patients at our center. Males were 68% of the study, mostly belonging to the 20 to 40 years age group (63%). Thirty-four percent of cases were smokers. Agricultural injuries (49%) were the most common cause of amputation. Finger replantation was the most common type of replantation (82%). The rate of successful replantation was highest for scalp (100%) followed by hand (71%) and thumb (67%). Setting up dedicated replantation services is essential, especially in highly populated areas. Manpower, resources, and a protocol-led approach help in achieving optimum results. A multidisciplinary team approach with round-the-clock availability plays a vital role in intraoperative decision-making and planning postoperative rehabilitation.</p>","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"15 5","pages":"328-339"},"PeriodicalIF":0.3,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10751205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139049525","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}
{"title":"Multiple Mini Incision Technique for Sural Nerve Harvest: When to Add a Fibular Incision Based on a New Surgical Classification","authors":"Sreekanth Raveendran, Binu Prathap Thomas","doi":"10.1055/s-0043-1771397","DOIUrl":"https://doi.org/10.1055/s-0043-1771397","url":null,"abstract":"Abstract Sural nerve is the most common nerve used as a source for nerve grafting. Open harvest with longitudinal incisions produces unsightly scars, and this have led to development of less invasive techniques using endoscopes, nerve stripper, and mini-incisions. Several anatomical classifications have also been proposed due to the variations in the anatomy of the sural nerve. A simple and practical surgicoanatomical classification of the sural nerve based on which we have refined our minimal access technique, the multiple mini-incision technique for sural nerve harvest is proposed. In this technique, the incisions required for harvest of the sural nerve are standardized and predictable. A fibular incision is required when the sural nerve has major contribution from the common peroneal nerve. We have found this a simpler and reliable technique of harvest of sural nerve in nerve reconstructive surgery.","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"5 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135679830","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}
Eliana B Saltzman, J Terrence Jose Jerome, R Glenn Gaston
{"title":"Current Concepts and Management of Upper Limb Amputees.","authors":"Eliana B Saltzman, J Terrence Jose Jerome, R Glenn Gaston","doi":"10.1055/s-0043-1773775","DOIUrl":"10.1055/s-0043-1773775","url":null,"abstract":"","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"15 4","pages":"245-246"},"PeriodicalIF":0.3,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10495203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10242943","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}
{"title":"From Art to Science: Patient-Reported Outcomes in Hand Surgery.","authors":"Jane E McEachan, J Terrence Jose Jerome","doi":"10.1055/s-0043-1770769","DOIUrl":"10.1055/s-0043-1770769","url":null,"abstract":"","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"15 3","pages":"161-164"},"PeriodicalIF":0.3,"publicationDate":"2023-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10310449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9801320","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}
Simon B M MacLean, Elizabeth C Bond, J Terrence Jose Jerome
{"title":"Dorsal Fracture-Dislocations of the Proximal Interphalangeal Joint.","authors":"Simon B M MacLean, Elizabeth C Bond, J Terrence Jose Jerome","doi":"10.1055/s-0043-1767792","DOIUrl":"10.1055/s-0043-1767792","url":null,"abstract":"","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"15 2","pages":"85-86"},"PeriodicalIF":0.3,"publicationDate":"2023-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10070000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9299931","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}
{"title":"Implant Failure in Orthopaedics: Law Does Not Hold the Surgeon Accountable.","authors":"J Terrence Jose Jerome, Arpitha Hc, Nandimath Ov","doi":"10.1055/s-0043-1762553","DOIUrl":"10.1055/s-0043-1762553","url":null,"abstract":"","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"15 1","pages":"1-4"},"PeriodicalIF":0.3,"publicationDate":"2023-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/00/11/10-1055-s-0043-1762553.PMC9904970.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10124910","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}
Marco Guidi, Matteo Guzzini, Carolina Civitenga, Riccardo Maria Lanzetti, Bong-Sung Kim, Inga Swantje Besmens, Martin Riegger, Stefano Lucchina, Maurizio Calcagni, Dario Perugia
{"title":"Multifactorial Analysis of Treatment of Long-Bone Nonunion with Vascularized and Nonvascularized Bone Grafts.","authors":"Marco Guidi, Matteo Guzzini, Carolina Civitenga, Riccardo Maria Lanzetti, Bong-Sung Kim, Inga Swantje Besmens, Martin Riegger, Stefano Lucchina, Maurizio Calcagni, Dario Perugia","doi":"10.1055/s-0042-1748783","DOIUrl":"10.1055/s-0042-1748783","url":null,"abstract":"<p><p><b>Introduction</b> The purpose of the study was to evaluate the results of treatment of the nonunion of long bones using nonvascularized iliac crest grafts (ICGs) or vascularized bone grafts (VBGs), such as medial femoral condyle corticoperiosteal flaps (MFCFs) and fibula flaps (FFs). Although some studies have examined the results of these techniques, there are no reports that compare these treatments and perform a multifactorial analysis. <b>Methods</b> The study retrospectively examined 28 patients comprising 9 women and 19 men with an average age of 49.8 years (range: 16-72 years) who were treated for nonunion of long bones between April 2007 and November 2018. The patients were divided into two cohorts: group A had 17 patients treated with VBGs (9 patients treated with MFCF and 8 with FF), while group B had 11 patients treated with ICG. The following parameters were analyzed: radiographic patterns of nonunion, trauma energy, fracture exposure, associated fractures, previous surgeries, diabetes, smoking, age, and donor-site morbidity. <b>Results</b> VBGs improved the healing rate (HR) by 9.42 times more than the nonvascularized grafts. Treatment with VBGs showed a 25% decrease in healing time. Diabetes increased the infection rate by 4.25 times. Upper limbs showed 70% lower infection rate. Smoking among VBG patients was associated with a 75% decrease in the HR, and diabetes was associated with an 80% decrease. <b>Conclusion</b> This study reports the highest success rates in VBGs. The MFCFs seem to allow better clinical and radiological outcomes with less donor-site morbidity than FFs.</p>","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"15 2","pages":"106-115"},"PeriodicalIF":0.3,"publicationDate":"2022-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10070005/pdf/10-1055-s-0042-1748783.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10075037","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}
{"title":"Hand Surgery Day in India.","authors":"J Terrence Jose Jerome, Anil K Bhat","doi":"10.1055/s-0042-1755631","DOIUrl":"10.1055/s-0042-1755631","url":null,"abstract":"","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"14 3","pages":"187"},"PeriodicalIF":0.3,"publicationDate":"2022-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9392586/pdf/10-1055-s-0042-1755631.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10391317","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}