Journal of Hand and Microsurgery最新文献

{"title":"Evaluation of tension-band osteosynthesis for cubitus varus deformity in pediatric patients: A retrospective review.","authors":"Man Duc Minh Phan, Terry Richard Light, Tiep Van Phan, Phi Duong Nguyen","doi":"10.1016/j.jham.2025.100213","DOIUrl":"10.1016/j.jham.2025.100213","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to evaluate the effectiveness and safety of lateral closing wedge osteotomy with tension-band wire fixation for correcting cubitus varus deformity in pediatric patients. The primary objective was to assess the bone union rate, functional outcomes, and potential complications associated with this surgical approach.</p><p><strong>Methods: </strong>We conducted a retrospective review of 104 pediatric cases (ages 7-15) with post-traumatic cubitus varus deformity treated between January 2018 and December 2019 at the Pediatric Orthopedic Department. The surgical technique involved a lateral closing wedge osteotomy with fixation achieved using an 8-figure tension-band wire on the lateral column of the distal humerus. Follow-up assessments were conducted for bone union, correction stability, range of motion, and any post-surgical complications.</p><p><strong>Results: </strong>Out of 104 cases, 63 involved left elbows and 41 right elbows, with an average patient age of 8.12 years. The deformity was severe (>30° varus) in 33.65 % of cases. Successful correction and bone union were achieved in 100 % of cases, with an average follow-up duration of 8 months (range: 3-20 months). Complications included minor recurrence in two cases due to early post-operative trauma, limited range of motion in three cases, K-wire protrusion in three cases, and infection in two cases. Functional outcomes rated as excellent in 94.2 % of cases and good in 5.8 %.</p><p><strong>Conclusion: </strong>Lateral closing wedge osteotomy with tension-band wire fixation is a reliable technique for correcting pediatric cubitus varus deformity, offering stable fixation, high success rates in bone healing, and favorable functional outcomes with minimal complications.</p>","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"17 2","pages":"100213"},"PeriodicalIF":0.3,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11757761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048220","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":"Top 75 most-cited articles in hand microsurgery: A bibliometric and visualised analysis.","authors":"Zhen Yu Wong, Oluwatobi Adegboye, Pegah Damavandi, Ryan Faderani, Muholan Kanapathy, Ben H Miranda, Dariush Nikkhah, Afshin Mosahebi","doi":"10.1016/j.jham.2025.100214","DOIUrl":"10.1016/j.jham.2025.100214","url":null,"abstract":"<p><strong>Introduction: </strong>Hand microsurgery is an important advancement of the speciality that has improved outcomes in hand trauma and hand surgical conditions. This bibliometric analysis aims to identify the 75 most cited hand microsurgery articles and explore their relevance to contemporary practice.</p><p><strong>Methods: </strong>The Web of Science core collection database was used to screen and identify the top 75 most-cited articles relevant to hand microsurgery. VOSviewer 1.6.18 and CiteSpace 6.2.R4 software were used to analyse and visualise occurrences, authorship, countries, institutions, journals, keywords, and Evidence Level (Oxford Centre for Evidence-Based Medicine).</p><p><strong>Results: </strong>The initial search identified 3024 articles. The top 75 most-cited articles were published between 1980 and 2018, with contributions from 291 authors. Professor Fu Chang Wei from Chang Gung Memorial Hospital, Taiwan, was the most prolific author. Articles originated from 14 countries, with the United States leading (29.3 %), followed by Taiwan (14.6 %), Italy (8.0 %), and Germany (8.0 %). The 75 most-cited articles were published in 22 journals, led by <i>Plastic and Reconstructive Surgery</i>, followed by the <i>Journal of Hand Surgery (American Volume)</i> and <i>Microsurgery</i>. A total of 345 keywords were analysed, with \"Hand,\" \"Defects,\" \"Reconstruction,\" and \"Regeneration\" being the most frequent. Level of Evidence 4 was most common (40 %), followed by Levels 3 (25 %) and 5 (24 %).</p><p><strong>Conclusions: </strong>The top 75 most-cited hand microsurgery articles influence current surgical practice and teaching material. Understanding specific surgical techniques in hand microsurgery and examining their outcomes will benefit patients, surgeons, researchers and policymakers alike.</p>","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"17 2","pages":"100214"},"PeriodicalIF":0.3,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11758942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048224","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":"\"Median nerve hand\": Replacing \"T1 hand\" in brachial plexus injuries.","authors":"J Terrence Jose Jerome","doi":"10.1016/j.jham.2024.100206","DOIUrl":"10.1016/j.jham.2024.100206","url":null,"abstract":"","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"17 3","pages":"100206"},"PeriodicalIF":0.3,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12126921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209847","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":"Linguistic validation and cultural adaptation of Tamil version of oxford shoulder score.","authors":"Senthilvelan Rajagopalan, Rajsirish Bellal Sridharan, Sivaranjani Radhakrishnan, Sathish Muthu","doi":"10.1016/j.jham.2024.100205","DOIUrl":"10.1016/j.jham.2024.100205","url":null,"abstract":"<p><strong>Background: </strong>The Oxford Shoulder Score (OSS) is a well-established and extensively utilized shoulder score translated into Western and Asian languages for use in respective countries. Our study aimed to translate, cross-culturally adapt, and psychometrically validate the OSS in the Tamil language community.</p><p><strong>Methods: </strong>The translation and cross-cultural adaptation were conducted according to previously established standards. We recruited 61 patients with degenerative or inflammatory shoulder pain presenting to a tertiary care hospital between January-August 2021. Patients were evaluated using the Tamil-OSS (OSS-T) and Constant-Murley scores (CMS). We assessed the understanding, acceptability, reproducibility, and reliability of the OSS-T. In addition, we evaluated the intra-observer and inter-observer reproducibility. We also evaluated the correlation of the OSS-T with another validated score namely the CMS.</p><p><strong>Results: </strong>The mean age of the patient included in the study was 43 (±12) years. Patients took an average of 8 (±2) minutes to complete the OSS form. Internal Consistency of the OSS-T was strong (Cronbach's alpha = 0.98). The intraclass coefficient was 0.963 (95 % CI 0.93-0.98, p < 0.001). We noted significant interobserver reliability (r = 0.963, p < 0.001). The Tamil OSS showed a strong significant correlation with the CMS (r = 0.82, p < 0.001) and original OSS (r = 0.98, p < 0.001). The OSS-T has a high level of convergent validity with CMS (p < 0.001). The 12 included translated questions in the OSS-T scored more than 0.95 from the subject experts for inclusion based on the three-point Likert scale.</p><p><strong>Conclusion: </strong>This study indicated that the Tamil version of the OSS is a reliable and valid, self-reported questionnaire, which can be applied to patients with shoulder disorders. Furthermore, the very good psychometric properties of the OSS-T score would allow for its use in clinical practice in national and international research projects concerning Tamil-speaking patients.</p><p><strong>Level of evidence: </strong>4.</p>","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"17 2","pages":"100205"},"PeriodicalIF":0.3,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11743114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013745","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":"Long-term outcomes and resource Utilization related to upper extremity off-roading vehicle injuries.","authors":"Gretchen Maughan, Alekhya Madiraju, Hernan Roca, Brittany N Garcia, Nikolas H Kazmers","doi":"10.1016/j.jham.2024.100202","DOIUrl":"10.1016/j.jham.2024.100202","url":null,"abstract":"<p><strong>Purpose: </strong>We aim to evaluate outcomes after off-roading injuries to determine their impact on patients' pain and function. Further, we aim to evaluate the burden on the healthcare system that result from these injuries.</p><p><strong>Methods: </strong>Patients treated surgically for an off-roading injury at a single tertiary academic center completed surveys about their current level of upper extremity pain and function using QuickDASH and VAS-Pain scores. Qualitative questions were used to assess work status. Patients were classified as having acceptable versus unacceptable pain and upper extremity function in reference to previously published PASS (Patient Acceptable Symptom State) thresholds. Descriptive statistics were calculated to describe the burden these injuries place on the healthcare system.</p><p><strong>Results: </strong>Of 23 included patients, mean age was 38 ± 12 and 70 % (16/23) were male. At a mean follow-up of 2.0 ± 1.2 years post-injury, 40 % (9/23) patients reported that they were unable to work, or this ability was severely impaired. The mean VAS pain and QuickDASH scores were 2.8 ± 2.9 and 19.8 ± 21.7 respectively. Nearly half of patients were classified as having unacceptable levels of pain and upper extremity function [48 % (11/23) and 43 % (10/23) respectively]. Patients required an average of 2.7 ± 2.6 surgeries and 100 % were admitted with a mean length of stay of 10.2 ± 12.1 days.</p><p><strong>Conclusions: </strong>Off-roading related upper extremity injuries have lasting impacts on patients and their abilities to work. Treatment of these injuries is resource-intensive based on the number of required surgeries and length of admission.</p>","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"17 2","pages":"100202"},"PeriodicalIF":0.3,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11753907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048221","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":"A case report of microsurgical penile replantation: Engaging multi-disciplinary expertise to optimise patient outcomes.","authors":"Ellen Geary, Eamon Francis, David Menzies, Gerry Lennon, Colin M Morrison, Roisin T Dolan","doi":"10.1016/j.jham.2024.100203","DOIUrl":"10.1016/j.jham.2024.100203","url":null,"abstract":"","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"17 2","pages":"100203"},"PeriodicalIF":0.3,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068621","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":"Finger reconstruction with vascularized partial osteo-onycho-cutaneous great toe transfer: It's time to address the donor site.","authors":"Nikhil Jhunjhunwala, Amitabh Dutta, Gourav Siwas, Mahesh Mangal","doi":"10.1016/j.jham.2024.100204","DOIUrl":"10.1016/j.jham.2024.100204","url":null,"abstract":"<p><p>Free vascularized partial great toe is a composite tissue consisting of the osteo-onycho-cutaneous component with neurovascular pedicle and is used for reconstructing amputated fingers at different levels. The half-big-toe nail flap represents that while it provides a good match and functional results; it also conserves the donor foot by having all five toes intact. The aesthetic and functional aspects of the amputated thumbs and fingers can be worked upon and significantly improved. We feel that all amputated fingers or thumbs at different zones or levels of amputation can be functionally reconstructed using vascularized tissue from the partial great toe and PIP joint from the 2nd toe. This conservative yet decisive surgery option keeps donor site functional morbidity to the minimum. Only that surgery must still look up to and progress in improving aesthetic reflection and functional elements for the larger benefit of the patients.</p>","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"17 2","pages":"100204"},"PeriodicalIF":0.3,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11731456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013743","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":"Lunate prosthetic arthroplasty for the treatment of Kienbock's disease: A systematic review.","authors":"Kalpesh R Vaghela, Anna Selby, Carlos Heras-Palou, Nick Johnson","doi":"10.1016/j.jham.2024.100199","DOIUrl":"10.1016/j.jham.2024.100199","url":null,"abstract":"<p><strong>Purpose: </strong>Prosthetic replacement of the fragmented, collapsed and unreconstructable lunate is a treatment option in Kienbock's disease. The objective of this study is to assess the effectiveness, safety and outcomes of prosthetic lunate arthroplasty for the treatment of Kienbock's disease.</p><p><strong>Methods: </strong>We conducted a PRISMA-P compliant systematic review PROSPERO (CRD 42021283996) searching Cochrane, Medline, PubMed and Embase databases for the outcomes of prosthetic lunate arthroplasty. Primary outcomes were patient reported outcome measures, complications and re-operations. Secondary outcomes were pain, grip strength and range of motion.</p><p><strong>Results: </strong>1093 citations were identified of which 42 studies met the inclusion criteria. Five types of prosthetic lunate arthroplasty were identified including silicone, pyrocarbon, acrylic, metal and 3D printed lunates. Swanson silicone lunates (n = 70) had a 78.5 % complication and 21.4 % re-operation rate at long-term (275.5 months) follow-up with high silicone synovitis incidence. High performance silicone lunates (n = 47) had a 63.8 % complication and 14.8 % re-operation rate at medium term (52.2 months) follow-up. Acrylic lunates (n = 14) had a complication rate of 14.2 % and re-operation rate of 7.1 % at long-term (169.4 months) follow-up. Metal lunates (n = 41) had a 7.3 % complication and re-operation rate at medium-term (120 months) follow-up. Anatomic design Pyrocarbon lunates (n = 13) with medium-term (30.3 months) follow-up had a 23 % complication rate and a 15.3 % re-operation rate with high implant dislocation incidence. 3D-Printed lunates (n = 7) with short-term (14.4 months) follow-up had no complications.</p><p><strong>Conclusions: </strong>The role of lunate prosthetic arthroplasty in the treatment of Kienbock's disease remains uncertain. Early silicone implants had unacceptably high complication and revision rates and their use has been discontinued as a result. Modern materials such as pyrocarbon and bespoke 3D printed designs remain unproven in the long-term and the challenges of maintaining implant stability remain.</p>","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"17 2","pages":"100199"},"PeriodicalIF":0.3,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11757762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048222","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":"Posterior interosseous artery distal ulna graft for management of radius nonunion: Technique and case report.","authors":"Annika N Hiredesai, Megan L Anderson, Casey J Martinez, Anthony A Smith, Shelley S Noland","doi":"10.1016/j.jham.2024.100201","DOIUrl":"10.1016/j.jham.2024.100201","url":null,"abstract":"<p><p>Distal radius fracture nonunion can result in significant deformity, loss of function, and chronic pain. Presented here is a case of distal radius nonunion that was surgically reconstructed with a pedicled distal ulna bone graft based on the periosteal branches of the posterior interosseus artery (PIA). This technique has limited prior utilization for adult distal radius nonunion treatment but offers an effective option for surgical reconstruction of distal radius nonunion with preservation of the radiocarpal joint, utilizing a less invasive surgery that also reduces hospitalization stay. The objective of this report is to provide the first illustrative step-by-step surgical technique for the vascularized distal ulnar bone graft technique and demonstrate its promising utility in clinical practice.</p>","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"17 2","pages":"100201"},"PeriodicalIF":0.3,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11718333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972606","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":"Chimeric anterolateral thigh-vastus lateralis free flap with propeller skin island for functional quadriceps reconstruction.","authors":"Beniamino Brunetti, Marco Morelli Coppola, Riccardo De Bernardis, Matteo Pazzaglia, Fiorella Oliveri, Stefania Tenna, Rosa Salzillo, Valeria Petrucci, Chiara Camilloni, Paolo Persichetti","doi":"10.1016/j.jham.2024.100200","DOIUrl":"10.1016/j.jham.2024.100200","url":null,"abstract":"<p><strong>Introduction: </strong>Soft-tissue sarcomas arising in the thigh may require total or subtotal compartmentectomy, with subsequent need for functional reconstruction with free functional muscle transfer (FFMT). We present our series, describing a new approach with chimeric propeller antero-lateral thigh-vastus lateralis (ALT-VL) free flap, which allows for independent muscle inset and soft tissue defect resurfacing.</p><p><strong>Patient and methods: </strong>A retrospective review of a prospectively maintained database was performed, analyzing all patients referred to Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy, between 2018 and 2023 for soft-tissue sarcomas of the thigh requiring wide excision and reconstruction with functional ALT-VL. Cases involving a functional chimeric ALT-VL flap with propeller skin island were reported.</p><p><strong>Results: </strong>Eight patients underwent quadriceps reconstruction with functional ALT-VL. All of them underwent neoadjuvant radiation therapy. Patients' age ranged from 59 to 82 years old (mean 68 years old). Skin defect size ranged from 54.95 cm² to 324.99 cm² (mean 204.26 cm²). The mean operation time was 611.5 min. Two of these patients required the chimeric flap harvesting with independent propeller mobilization of the skin island. The recipient vessels used were the descending branch of lateral circumflex femoral artery and venae comitantes. The recipient nerve was the motor branch to vastus lateralis.Minor complications occurred in three patients (one seroma and two cases of marginal skin necrosis with delayed wound healing), with no requirement for additional surgery. One patient developed an infected seroma with wound breakdown, necessitating hospital readmission and revision surgery. One patient experienced local relapse one year after surgery.</p><p><strong>Conclusion: </strong>The free functional chimeric ALT-VL flap with propeller skin island is a valid reconstructive option for complex defects of the anterior compartment of the thigh, especially indicated when functional impairment is associated with wide or transversely-oriented skin defects.</p>","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"17 2","pages":"100200"},"PeriodicalIF":0.3,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11730876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013741","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}