Journal of Hand and Microsurgery最新文献

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Outcomes of wrist denervation and core decompression of the radius for Kienbock's disease. 腕部去神经支配和桡骨核心减压治疗Kienbock病的疗效。
IF 0.5
Journal of Hand and Microsurgery Pub Date : 2024-10-10 eCollection Date: 2025-01-01 DOI: 10.1016/j.jham.2024.100168
Lynn Ann Forrester, Liana J Tedesco, Bryanna Geiger, Robert J Strauch
{"title":"Outcomes of wrist denervation and core decompression of the radius for Kienbock's disease.","authors":"Lynn Ann Forrester, Liana J Tedesco, Bryanna Geiger, Robert J Strauch","doi":"10.1016/j.jham.2024.100168","DOIUrl":"10.1016/j.jham.2024.100168","url":null,"abstract":"<p><strong>Background: </strong>The definitive treatment of Kienbock's disease has yet to be determined. Wrist denervation combined with core decompression of the radius has not been previously studied as a combined treatment for Kienbock's disease.</p><p><strong>Purpose: </strong>The purpose of this study was to assess the efficacy of simultaneous wrist denervation and core decompression of the radius in the treatment of Kienbock's disease.</p><p><strong>Methods: </strong>All patients with Kienbock's disease who were treated with simultaneous core decompression of the radius and wrist denervation by a single surgeon at a single institution from 2012 to 2022 were contacted for this study. Demographic, clinical and radiographic data were collected retrospectively. Quick DASH and Upper Extremity PROMIS scores were collected prospectively.</p><p><strong>Results: </strong>Ten patients met inclusion criteria. Mean age at time of surgery was 31 years old. One patient was Lichtman stage 2, 5 patients were stage 3a, and 4 patients were stage 3 b. Patient reported outcomes were collected at a mean of 5.1 years since surgery (7 month-10.3 years). The mean Upper Extremity Promise T-score was 49 (median 52; age >/ = 40, normal 51.2 ± 8.2; age <40, normal 55.9 ± 6.6) and the mean Quick DASH score was 13 (median 7; normal 0-20). Nine of 10 patients reported they were satisfied with the procedure, and 100 % of patients said they would choose to have the procedure again.</p><p><strong>Conclusions: </strong>Patients with Lichtman stage 2, 3a and 3 b Kienbock's disease treated with simultaneous core decompression and wrist denervation reported minimal to no disability at 5 years after surgery. All patients in this study reported they would choose to have the surgery again to treat their Kienbock's disease.</p>","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"17 1","pages":"100168"},"PeriodicalIF":0.5,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060906","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
The long-term functional outcome of the mangled upper extremity intricate management. A single center experience. 上肢损伤的远期功能预后复杂。单中心体验。
IF 0.5
Journal of Hand and Microsurgery Pub Date : 2024-10-05 eCollection Date: 2025-01-01 DOI: 10.1016/j.jham.2024.100167
Efstratios D Athanaselis, Theodoros Mylonas, Efstathios Konstantinou, Michael Hantes, Theofilos Karachalios, Sokratis Varitimidis
{"title":"The long-term functional outcome of the mangled upper extremity intricate management. A single center experience.","authors":"Efstratios D Athanaselis, Theodoros Mylonas, Efstathios Konstantinou, Michael Hantes, Theofilos Karachalios, Sokratis Varitimidis","doi":"10.1016/j.jham.2024.100167","DOIUrl":"10.1016/j.jham.2024.100167","url":null,"abstract":"<p><strong>Purpose: </strong>Severe injury of multiple anatomical structures of the upper extremity can be caused by an extremely violent mechanism during labor and motor vehicle accidents, gunshots and explosions. The mangled upper extremity consists of trauma of at least 3 of 4 tissue types: connective tissue (skin, subcutaneous tissue, tendons, muscles), vessels, nerves, and bones. The purpose of this study is to evaluate the medium and long-term results of the limb salvage management of those injuries in our department.</p><p><strong>Methods: </strong>Sixty-seven patients with multi-injured upper limb were operated in our department between 2014 and 2022 and evaluated with clinical examination and questionnaires (PROMs) on an outpatient basis at a mean follow up of 7.4 years. Patients' demographics, the injured anatomic structures and the surgical interventions needed, were recorded.</p><p><strong>Results: </strong>The overall outcome, configured by functional scores was quite acceptable concerning injuries' severity. Nineteen patients (29 %) underwent more than one operation, 2-point discrimination test was impaired in 30 % of the patients who had an injured nerve and total loss of regional sensation was diagnosed in 2 patients. Primary amputation was necessary in 8 % of the patients.</p><p><strong>Conclusions: </strong>Even though the mangled upper extremity refers to a severe injury with often poor postoperative results and high rates of amputations, a thorough evaluation and management by expert hand surgeons is essential for maximizing the possible outcomes.</p>","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"17 1","pages":"100167"},"PeriodicalIF":0.5,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060917","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
Rethinking brachial plexus birth palsy: Beyond physician blame. 重新思考臂丛分娩性麻痹:超越医生的责任。
IF 0.5
Journal of Hand and Microsurgery Pub Date : 2024-10-05 eCollection Date: 2025-01-01 DOI: 10.1016/j.jham.2024.100166
J Terrence Jose Jerome, Somsak Leechavengvongs, Kanchai Malungpaishrope, Thirumagal Kuppusamy
{"title":"Rethinking brachial plexus birth palsy: Beyond physician blame.","authors":"J Terrence Jose Jerome, Somsak Leechavengvongs, Kanchai Malungpaishrope, Thirumagal Kuppusamy","doi":"10.1016/j.jham.2024.100166","DOIUrl":"10.1016/j.jham.2024.100166","url":null,"abstract":"<p><p>Brachial plexus birth palsy, a devastating injury affecting newborns, has long been a source of contention and misunderstanding. This article aims to dispel the myth that healthcare providers are solely responsible for these injuries, presenting evidence that highlights the complex interplay of maternal, fetal, and biological factors in their causation. By shifting the narrative away from blame and towards a more comprehensive understanding, we can foster a more supportive and informed approach to childbirth.</p>","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"17 1","pages":"100166"},"PeriodicalIF":0.5,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060908","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
Safety and efficacy of outpatient versus inpatient adult brachial plexus surgery. 门诊与住院成人臂丛手术的安全性和有效性。
IF 0.5
Journal of Hand and Microsurgery Pub Date : 2024-09-28 eCollection Date: 2025-01-01 DOI: 10.1016/j.jham.2024.100164
Katherine D Drexelius, Eliana B Saltzman, Kirby W Bonvillain, Julia C Mastracci, Kennedy K Gachigi, Daniel R Lewis, Peter M Waters, Bryan J Loeffler, R Glenn Gaston
{"title":"Safety and efficacy of outpatient versus inpatient adult brachial plexus surgery.","authors":"Katherine D Drexelius, Eliana B Saltzman, Kirby W Bonvillain, Julia C Mastracci, Kennedy K Gachigi, Daniel R Lewis, Peter M Waters, Bryan J Loeffler, R Glenn Gaston","doi":"10.1016/j.jham.2024.100164","DOIUrl":"10.1016/j.jham.2024.100164","url":null,"abstract":"<p><strong>Purpose: </strong>Outpatient orthopedic surgery is becoming more common as a method of providing safe and cost-effective medical care. The purpose of this study was to compare outcomes between adult patients undergoing outpatient versus inpatient brachial plexus surgery.</p><p><strong>Methods: </strong>A single institution database was queried for patients with brachial plexus injuries undergoing brachial plexus exploration with or without concomitant reconstructive procedures from 2010 to 2022. Outcome measures included 90-day major and minor complications, as well as longer term pain scores and reoperation rates. Multivariate analysis was performed to compare outcomes between the cohorts.</p><p><strong>Results: </strong>In a group of 51 adult patients, 36 (70.6 %) were admitted for at least one night following surgery and 15 (29.4 %) underwent outpatient surgery. The cohorts were similar with respect to demographics. When compared to brachial plexus procedures performed between 2010 and 2016, those performed between 2017 and 2022 were 67 % more likely to be outpatient (OR 0.33; p = 0.11). The overall major complication rate during the 90-day episode of care was 11.8 % (n = 6), all of which occurred in the inpatient cohort<i>.</i> There was no significant difference in minor complication rate. 90-day reoperation rate due to complications was 2.8 % in the inpatient cohort and 0.0 % in the outpatient cohort.</p><p><strong>Conclusion: </strong>No prior study has assessed the safety of brachial plexus exploration and reconstruction in an outpatient setting. This study demonstrates that outpatient brachial plexus surgery is a safe option for properly selected patients. Procedures were more often performed outpatient in recent years, reflecting a continuing evolution of our practice.</p>","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"17 1","pages":"100164"},"PeriodicalIF":0.5,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060912","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
Pillar pain incidence, duration, and psychological correlations in WALANT. A prospective study of 170 patients. 腰痛的发生率、持续时间和心理相关性。一项170例患者的前瞻性研究。
IF 0.5
Journal of Hand and Microsurgery Pub Date : 2024-09-27 eCollection Date: 2025-03-01 DOI: 10.1016/j.jham.2024.100165
Ignacio Rellan, Agustín Guillermo Donndorff, Gerardo Luis Gallucci, Pablo De Carli, Pedro Bronenberg Victorica, Rocio Avanzi, Ivan Alfredo Huespe, Jorge Guillermo Boretto
{"title":"Pillar pain incidence, duration, and psychological correlations in WALANT. A prospective study of 170 patients.","authors":"Ignacio Rellan, Agustín Guillermo Donndorff, Gerardo Luis Gallucci, Pablo De Carli, Pedro Bronenberg Victorica, Rocio Avanzi, Ivan Alfredo Huespe, Jorge Guillermo Boretto","doi":"10.1016/j.jham.2024.100165","DOIUrl":"10.1016/j.jham.2024.100165","url":null,"abstract":"<p><strong>Purpose: </strong>To prospectively address our patients seeking carpal tunnel release (CTR) to evaluate the incidence, intensity, and duration of pillar pain (PP) and its correlation with catastrophic thinking, depression, and health anxiety.Methods: this is a prospective cohort study consisting of patients who underwent mini-open CTR under WALANT. Pillar pain was evaluated using the table test and was recorded as dichotomous variable and rated with a visual analogue scale (VAS). Patients with a positive result were evaluated on a monthly basis until the test yielded a negative result.To assess catastrophic thinking, health anxiety and depression levels, we employed the Pain Catastrophizing Scale (PCS) the Short Health Anxiety Inventory (SHAI), and the Beck scale respectively.</p><p><strong>Results: </strong>The study enrolled 170 patients who underwent CTR using WALANT technique. Among them, 84 patients (49 %) exhibited a positive table test. With exception of age and diabetes, both groups showed comparable demographic characteristics.The mean pain score for patients with a positive test was 3.5 ± 1.5, and the median duration of it was 3 months (interquartile range [IQR] 2-4). The median PCS score was 8 (IQR 2-14) in patients without PP, compared to 8 (IQR 4-11) in patients with PP. In the logistic regression model, the PCS variable had a crude odds ratio (OR) of 1 (95 % CI: 0.96-1.03) and an adjusted OR of 1 (95 % CI: 0.97-1.04). The SHAI score showed a crude OR of 0.97 (95 % CI: 0.93-1.01) and an adjusted OR of 0.97 (95 % CI: 0.92-1.01). The BECK score had a crude OR of 0.99 (95 % CI: 0.96-1.03) and an adjusted OR of 1.02 (95 % CI: 0.98-1.06).</p><p><strong>Conclusion: </strong>Patients undergoing mini-open CTR have a risk of 49 % of experiencing PP, which typically registers a pain intensity of approximately 3 points and will last for a median of 3 months. The likelihood of experience it does not depend on catastrophic thinking, depression, and health anxiety.</p><p><strong>Type of study/level of evidence: </strong>Prognostic II.</p>","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"17 2","pages":"100165"},"PeriodicalIF":0.5,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12173819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334103","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
Clinical results of carpal tunnel Re-release revision surgery and synovial wrap for recurrent carpal tunnel syndrome. 腕管再松解翻修手术加滑膜包裹治疗复发性腕管综合征的临床效果。
IF 0.5
Journal of Hand and Microsurgery Pub Date : 2024-09-21 eCollection Date: 2025-01-01 DOI: 10.1016/j.jham.2024.100162
Mahiro Kimura, Ryosuke Ikeguchi, Takashi Noguchi, Manabu Nankaku, Rie Yamawaki, Koichi Yoshimoto, Daichi Sakamoto, Terunobu Iwai, Kazuaki Fujita, Shuichi Matsuda
{"title":"Clinical results of carpal tunnel Re-release revision surgery and synovial wrap for recurrent carpal tunnel syndrome.","authors":"Mahiro Kimura, Ryosuke Ikeguchi, Takashi Noguchi, Manabu Nankaku, Rie Yamawaki, Koichi Yoshimoto, Daichi Sakamoto, Terunobu Iwai, Kazuaki Fujita, Shuichi Matsuda","doi":"10.1016/j.jham.2024.100162","DOIUrl":"10.1016/j.jham.2024.100162","url":null,"abstract":"<p><strong>Introduction: </strong>Carpal tunnel syndrome is a challenging condition when conventional carpal tunnel revision surgery fails to alleviate symptoms. This study aims to assess the outcomes of combining carpal tunnel revision surgery with a synovial wrap for cases of recurrent carpal tunnel syndrome in patients who had adhered median nerve, with a minimum 1-year follow-up.</p><p><strong>Patients and methods: </strong>A retrospective analysis was conducted on 10 patients (mean age: 73.7 years, nine females and one male) who underwent treatment for recurrent carpal tunnel syndrome. The approach involved carpal tunnel revision surgery coupled with a median nerve synovial wrap. Patients were followed up for a minimum of 1 year. The procedure involved harvesting a 3.5 cm × 4 cm section of the flexor synovial membrane with a distal ulnar pedicle, which was then wrapped around the adherent site of the median nerve. Physical assessments included the pain visual analogue scale (VAS), Tinel sign in the carpal tunnel, thenar muscle atrophy, the Semmes-Weinstein monofilament test (SW test), manual muscle test (MMT) as assessed on the 5-point British Medical Research Council Scale (5/5, normal; 0/5, absent), and the Disabilities of the Arm, Shoulder, and Hand (Quick DASH) questionnaire. The physical variables were compared before surgery and at final follow-up.</p><p><strong>Results: </strong>All patients showed some improvement in SW test. The MMT for the abductor pollicis brevis showed significant improvement at final follow-up (3 for four patients, 4 for four patients, and 5 for two patients) compared to pre-surgery assessments (2 for six patients, 3 for two patients, and 4 for two patients). The mean VAS score and DASH score at final follow-up (13.0 ± 10.3, 19.3 ± 12.7, respectively) were significantly lower than those recorded before surgery (76.5 ± 11.1, 52.4 ± 17.1, respectively). The Tinel sign and the thenar muscle atrophy significantly improved from before surgery to final follow-up.</p><p><strong>Conclusion: </strong>Carpal tunnel release with a synovial wrap demonstrated significant improvements in muscle strength, pain relief and function. The synovial wrap method is an effective procedure for treating recurrent carpal tunnel syndrome.</p>","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"17 1","pages":"100162"},"PeriodicalIF":0.5,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060784","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
A systematic review of systematic reviews comparing simple trapeziectomy versus trapeziectomy with ligament reconstruction and tendon interposition for trapeziometacarpal osteoarthritis. 一项比较简单梯形切除术与梯形切除术联合韧带重建和肌腱置入术治疗梯形腕骨关节炎的系统综述。
IF 0.5
Journal of Hand and Microsurgery Pub Date : 2024-09-21 eCollection Date: 2025-01-01 DOI: 10.1016/j.jham.2024.100160
Evan Fang, Tara Behroozian, Achilles Thoma
{"title":"A systematic review of systematic reviews comparing simple trapeziectomy versus trapeziectomy with ligament reconstruction and tendon interposition for trapeziometacarpal osteoarthritis.","authors":"Evan Fang, Tara Behroozian, Achilles Thoma","doi":"10.1016/j.jham.2024.100160","DOIUrl":"10.1016/j.jham.2024.100160","url":null,"abstract":"<p><strong>Background: </strong>The outcomes of simple trapeziectomy (T) versus trapeziectomy with ligament reconstruction and tendon interposition (LRTI) for trapeziometacarpal (TMC) osteoarthritis have been compared in several systematic reviews (SRs) with conflicting results across the various outcomes studied. Despite a lack of conclusions regarding the superiority of one treatment versus the other, LRTI remains the most popular surgical option. This raises the questions of whether published SRs are of high methodological quality, and whether discordant conclusions can be attributed to differences in methodologic quality. To answer these, a SR of SRs comparing T vs LRTI was conducted.</p><p><strong>Methods: </strong>A search of MEDLINE, EMBASE, and the Cochrane Database of SRs was performed from 1946 to September 18, 2023. SRs directly comparing T vs LRTI for TMC osteoarthritis were selected for inclusion. Methodological characteristics, results and conclusions of the selected SRs were extracted. Outcomes and conclusions were assessed for disagreement in the context of methodological differences. Quality of the included reviews was assessed using the AMSTAR 2 tool.</p><p><strong>Results: </strong>Seven SRs, published between 2004 and 2022, were included. Based on AMSTAR 2 criteria, all seven SRs received a quality rating of \"critically low\" due to weaknesses in more than one critical domain. The most frequent weaknesses in critical domains included: failure to indicate that the review followed an <i>a priori</i> protocol (5 of 7 SRs), failure to provide a list of excluded studies and justification for each (5 of 7 SRs), failure to account for risk of bias from primary studies when discussing results (4 of 7 SRs), and failure to justify methods used for meta-analysis (4 of 5 meta-analyses).</p><p><strong>Conclusions: </strong>SRs comparing T vs LRTI have had methodological or reporting flaws which limit confidence in results. Future SRs should ensure a rigorous methodology is followed and clearly reported in the publication.</p>","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"17 1","pages":"100160"},"PeriodicalIF":0.5,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060778","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
Vascularised Composite Allotransplantation - A guide to optimal dissemination of scientific outputs. 血管化复合异体移植。科学成果最佳传播指南。
IF 0.5
Journal of Hand and Microsurgery Pub Date : 2024-09-21 eCollection Date: 2025-01-01 DOI: 10.1016/j.jham.2024.100161
C M Hehir, G P Dowling, G G Calpin, M O'Connor, L Kelly, C S Honeyman, H L Stark, R T Dolan
{"title":"Vascularised Composite Allotransplantation - A guide to optimal dissemination of scientific outputs.","authors":"C M Hehir, G P Dowling, G G Calpin, M O'Connor, L Kelly, C S Honeyman, H L Stark, R T Dolan","doi":"10.1016/j.jham.2024.100161","DOIUrl":"10.1016/j.jham.2024.100161","url":null,"abstract":"<p><strong>Purpose: </strong>The impact of academic research is not just important within the clinical domain but within society as a whole. Altmetric Attention Score (AAS) offers a means of assessing how scholarly outputs are interacted with online. Vascularised Composite Allotransplantation (VCA) is a modern but rapidly evolving topic which encompasses a broad range of complex and clinically significant surgical interventions. Primarily VCA is utilised in the reconstruction of complex, composite tissue defects, including limb and face transplantation. There is also a growing interest in the role of VCA as an early means of real-time immuno-monitoring, in sentinel skin flap transplant (SSF).</p><p><strong>Materials & methods: </strong>In July 2024, a search was conducted using the <i>Altmetric Explorer (AE)</i> database using the search term 'vascular-composite' AND 'allograft' OR 'allotransplant'. A simultaneous literature search was carried out using Web of Science (WoS) database utilising the same search terms with extraction of traditional citation-based metrics as well as relevant '<i>meso'</i> and '<i>micro'</i> subject headings. Corresponding citation-based metrics were extracted utilising <i>SCImago</i>. Data was compiled and analysed using a linear regression model with level of significance set at p < 0.05.</p><p><strong>Results: </strong>The Top 100 (T100) performing articles relating to VCA displayed a mean Altmetric Attention Score (AAS) of 3.31. All T100 papers were published in the English language. Sixty percent (n = 60) of T100 papers were published in Q1 Journals. News outlet mentions (r = 6.95), blog mentions (r = 6.20), and <i>Twitter/X</i> mentions (r = 0.52) demonstrated the greatest positive impact on AAS upon application of a linear regression model (p < 0.05).</p><p><strong>Conclusion: </strong>Altmetric Scores offer a means of appraising the impact of research outputs in both academic and societal domains. Such modern metrics are useful in evolving topics such as VCA as AAS is not dependent on citation counts. Publishing of outputs in high quartile, open access journals with timely utilisation of news and social media outlets should be utilised by researchers aiming to maximise dissemination of research outputs in the field of VCA.</p>","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"17 1","pages":"100161"},"PeriodicalIF":0.5,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060936","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
Using machine learning to identify risk factors for short-term complications following thumb carpometacarpal arthroplasty. 利用机器学习识别拇指腕掌关节成形术后短期并发症的风险因素。
IF 0.5
Journal of Hand and Microsurgery Pub Date : 2024-09-20 eCollection Date: 2024-12-01 DOI: 10.1016/j.jham.2024.100156
Rohan M Shah, Rushmin Khazanchi, Anitesh Bajaj, Krishi Rana, Saaz Malhotra, Jennifer Moriatis Wolf
{"title":"Using machine learning to identify risk factors for short-term complications following thumb carpometacarpal arthroplasty.","authors":"Rohan M Shah, Rushmin Khazanchi, Anitesh Bajaj, Krishi Rana, Saaz Malhotra, Jennifer Moriatis Wolf","doi":"10.1016/j.jham.2024.100156","DOIUrl":"10.1016/j.jham.2024.100156","url":null,"abstract":"<p><strong>Background: </strong>Thumb carpometacarpal (CMC) joint osteoarthritis is among the most common degenerative hand diseases. Thumb CMC arthroplasty, or trapeziectomy with or without tendon augmentation, is the most frequently performed surgical treatment and has a strong safety profile. Though adverse outcomes are infrequent, the ability to predict risk for complications has substantial clinical benefits. In the present study, we evaluated a well-known surgical database with machine learning (ML) techniques to predict short-term complications and reoperations after thumb CMC arthroplasty.</p><p><strong>Methods: </strong>A retrospective study was conducted using data from the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) years 2005-2020. Outcomes were 30-day wound and medical complications and 30-day return to the operating room. We used three ML algorithms - a Random Forest (RF), Elastic-Net Regression (ENet), and Extreme Gradient Boosted Tree (XGBoost), and a deep learning Neural Network (NN). Feature importance analysis was performed in the highest performing model for each outcome to identify predictors with the greatest contributions.</p><p><strong>Results: </strong>We included a total of 7711 cases. The RF was the best performing algorithm for all outcomes, with an AUC score of 0.61±0.03 for reoperations, 0.55±0.04 for medical complications, and 0.59±0.03 for wound complications. On feature importance analysis, procedure duration was the highest weighted predictor for reoperations. In all outcomes, procedure duration, older age, and female sex were consistently among the top five predictors.</p><p><strong>Conclusions: </strong>We successfully developed ML algorithms to predict reoperations, wound complications, and medical complications. RF models had the highest performance in all outcomes.</p>","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"16 5","pages":"100156"},"PeriodicalIF":0.5,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11632740/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819727","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
Dynamic CT features of scapholunate instability during the wrist extension to flexion-An in vivo study. 腕关节伸屈时舟月骨不稳定的动态CT特征-一项体内研究。
IF 0.5
Journal of Hand and Microsurgery Pub Date : 2024-09-18 eCollection Date: 2024-12-01 DOI: 10.1016/j.jham.2024.100158
Melanie Amarasooriya, Rami Al Dirini, Kimberley Bryant, Gregory Ian Bain
{"title":"Dynamic CT features of scapholunate instability during the wrist extension to flexion-An in vivo study.","authors":"Melanie Amarasooriya, Rami Al Dirini, Kimberley Bryant, Gregory Ian Bain","doi":"10.1016/j.jham.2024.100158","DOIUrl":"10.1016/j.jham.2024.100158","url":null,"abstract":"<p><strong>Purpose: </strong>This biomechanical study aimed to assess the change in the radioscaphoid and the radiolunate angles during wrist extension to flexion in scapholunate instability compared to the healthy wrist.</p><p><strong>Methods: </strong>Dynamic CT scans of 19 participants with no history of wrist pathology and 19 patients with scapholunate instability without degenerative changes were selected. Motion sequence studied was wrist extension to flexion. Image segmentation followed by 3D registration techniques were used to calculate the displacement field between scaphoid and lunate models in each time point. The radiocarpal angles and centroid positions were computed in the neutral wrist and throughout wrist motion. Comparisons were made between the normal and the scapholunate instability wrists.</p><p><strong>Results: </strong>The scapholunate instability wrist had less range of extension to flexion compared to the normal wrist. The scapholunate instability scaphoid was flexed and internally rotated in the neutral wrist position and throughout the range of motion. The scapholunate instability scaphoid centroid remained radial and distal in the extended wrist. The scapholunate instability lunate was significantly extended from wrist 20° extension to 50° flexion. The scapholunate instability lunate centroid was more ulnar from 70° wrist extension to 50° flexion.</p><p><strong>Conclusions: </strong>The scapholunate instability scaphoid demonstrated rotational abnormalities in two planes throughout the wrist motion and abnormal centroid positions in the extended wrist. The lunate extension in scapholunate instability was significant mostly during wrist flexion. Radioscaphoid instability appear to be the primary pathology in SLI and can be used to differentiate the SLI wrist from the normal throughout wrist extension to flexion. Lunate extension is not different between the normal and scapholunate instability in the extended wrist.</p><p><strong>Level of evidence: </strong>Level III.</p>","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"16 5","pages":"100158"},"PeriodicalIF":0.5,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11632807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819412","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
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