Journal of Hand Surgery-Asian-Pacific Volume最新文献

{"title":"The Effectiveness of Operative Fixation for Comminuted Distal Radial Fractures in the Hyper-aged Patients Over 75 Years Old in South Korea.","authors":"Jisu Park, Jaemin Lee, Jin Rok Oh","doi":"10.1142/S2424835525500377","DOIUrl":"10.1142/S2424835525500377","url":null,"abstract":"<p><p><b>Background:</b> In 2025, South Korea's society is facing the transition into a hyper-ageing society. The effectiveness and functional outcome between surgical operation and conservative treatment of distal radial fractures in the elderly have been consistently debated. The aim of this study is to present the outcomes of surgical fixation for comminuted distal radial fractures in hyper-aged patients aged 75 years or older. <b>Methods:</b> This is a retrospective study of all patients aged 75 years or older who underwent surgical fixation of distal radial fractures in the period from January 2011 to December 2021 with a minimum follow-up of at least 3 months. Data collected included sex, age, residence status, economically active population, osteoporosis, AO/OTA fracture classification and use of bone graft. Functional outcomes were evaluated with Mayo wrist score system (MWSS) and radiologic outcomes between preoperative, postoperative and unaffected sides of each patient was measured. <b>Results:</b> The study included 38 patients (35 females) with a median age of 79.7 years (range: 75-92). MWSS at postoperative 6 months showed that 30 patients (78.9%) expressed excellent or good outcomes. Postoperative parameters indicated radial height 6.90 mm (4.82-9.08), radial inclination 15.5° (13.0°-19.9°) and volar tilt 10.8° (7.2°-14.5°). These values were significantly different compared with preoperative values. We identified with McNemar's test that in all time periods (2 weeks, 1 month and 3 months), there were no significant difference in the proportion of acceptable reduction in all parameters. <b>Conclusions:</b> Although treatment of distal radial fractures in the elderly is still controversial, operative treatment showed significantly improved functional and radiological outcomes and showed possibilities to reduce socioeconomic burden and to aid in early functional restoration and aesthetic deformity correction. <b>Level of Evidence:</b> Level IV (Therapeutic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":"271-280"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005363","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}

{"title":"Efficacy and Safety of Gabapentinoids in the Treatment of Carpal Tunnel Syndrome: A Systematic Review and Meta-Analysis.","authors":"Saara Raatikainen, Kati Jaatinen, Teemu Karjalainen, Vieda Lusa","doi":"10.1142/S2424835525500328","DOIUrl":"10.1142/S2424835525500328","url":null,"abstract":"<p><p><b>Background:</b> The off-label use of gabapentinoids for carpal tunnel syndrome (CTS) is increasing despite limited evidence of efficacy and known risks of adverse effects. This systematic review and meta-analysis aimed to synthesise the evidence of the benefits and harms of oral gabapentinoids in treating CTS. <b>Methods:</b> We searched Medline and Cochrane Central Register of Controlled Trials for randomised controlled trials (RCT). Based on the search results, we formed three comparisons assessing the effect of oral gabapentinoid interventions against (1) placebo (primary comparison), (2) open label no-treatment (with co-interventions in both arms) or (3) splinting. The primary outcome was symptom severity. The secondary outcomes were pain, function, clinical improvement, health-related quality of life, adverse effects and need for surgery. We adhered to the Cochrane and GRADE methodology throughout conducting this systematic review and meta-analysis. <b>Results:</b> Gabapentinoids probably do not improve CTS symptoms (moderate certainty) compared with placebo. The benefit was 0.08 points better (95% confidence interval [CI] 0.33 better to 0.17 worse; two studies, 286 randomised participants) expressed on the Boston Carpal Tunnel Syndrome Questionnaire (BCTQ) Symptom Severity Scale (1-5 points, lower is better; minimal clinically important difference [MCID] 1.14 points) with gabapentinoids at 8 weeks. Secondary comparison to no treatment aligned with this finding. Gabapentinoids probably cause more fatigue (risk ratio [RR] 1.67 [95% CI 1.06-2.63]) and may cause more dizziness (RR 1.96 [95% CI 0.93-4.13]) compared to placebo. When compared to no-treatment at short term, gabapentinoids may provide minor benefits for pain but not for hand function. <b>Conclusions:</b> Current evidence does not support the use of oral gabapentinoids for CTS. There were no clinically important benefits in symptom relief when compared to placebo or no-treatment, and gabapentinoids caused adverse effects, particularly fatigue and maybe also dizziness. <b>Level of Evidence:</b> Level II (Therapeutic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":"243-253"},"PeriodicalIF":0.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442958","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}

{"title":"Malignant Transformation of Multiple Hand Enchondromas Secondary to Ollier Disease: A Case Report.","authors":"Daniela Kristina Carolino, Keiichi Muramatsu, Yasuhiro Tani, Masaya Ueda","doi":"10.1142/S2424835525720087","DOIUrl":"https://doi.org/10.1142/S2424835525720087","url":null,"abstract":"<p><p>Enchondromatosis secondary to Ollier disease (OD) is rare, with secondary chondrosarcomas (CS) accounting for only 1% of malignant osseous tumours. This is one of only two reports documenting four enchondromas of different bones of the same hand developing malignant transformation, with long-term follow-up. This is a 72-year-old female with histologically proven CS from multiple enchondromas of the index finger metacarpal and proximal phalanx, and middle finger proximal and middle phalanges. Six years following curettage and bone grafting, she showed no recurrence or metastases from CS. While CS of the hand behaves aggressively, they rarely metastasise and show good 5-year survival rates. Due to good prognosis, function-sparing surgical options are acceptable over amputation, accompanied by close surveillance. <b>Level of Evidence:</b> Level V (Therapeutic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144462","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}

{"title":"Morbidity and Unplanned Secondary Surgery Following All-Inside Transosseous Flexor Tendon Repairs in Jersey Finger Injuries.","authors":"Nathan Sarli, Kassem Ghayyad, David Hirsch, Jonas Matzon, Amir R Kachooei","doi":"10.1142/S2424835525500432","DOIUrl":"https://doi.org/10.1142/S2424835525500432","url":null,"abstract":"<p><p><b>Background:</b> We hypothesised that the complication rate is correlated with the technique and the type of suture in all-inside transosseous flexor digitorum profundus (FDP) tendon repairs. <b>Methods:</b> A retrospective review of our database identified zone 1 injuries of FDP or flexor pollicis longus (FPL) that were repaired using the transosseous technique. In this method, two limbs of the nonabsorbable sutures are passed from volar to dorsal via transosseous tunnels and tied just proximal to the germinal matrix over the proximal aspect of the distal phalanx (dorsal to the terminal band). Demographics, operative details and complications were compiled. <b>Results:</b> Eleven patients met inclusion criteria with an average age of 35 years (range: 13-66) and an average follow-up of 7 months (range: 4-16). Sutures used included two Prolene, three Supramid and six FiberWires (Arthrex, USA). Three of these injuries were associated with distal phalanx fractures. Infection-like symptoms, including painful flare-ups of swelling of the eponychium, occurred in six patients (55%) in whom a braided suture was used, which included all three patients with Supramid and three patients with FiberWire (Arthrex, USA). Three of the patients experienced multiple episodes of painful swelling of the eponychium that were managed with antibiotics. Three patients (27%) experienced nail deformities. Eight (73%) of the eleven patients experienced complications, five requiring incision, drainage or subsequent suture removal. <b>Conclusions:</b> All-inside transosseous flexor tendon repair is correlated with a high complication rate mainly associated with suture abscess and nail deformity, with a high risk of needing additional intervention. We speculate that the braided sutures are more likely to cause recurrent symptoms of suture abscess. Although antibiotics may control the symptoms, the suture material should be occasionally removed in cases of recurrent suture abscesses. <b>Level of Evidence:</b> Level IV (Therapeutic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144463","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}

{"title":"Short-Term Results of the Hammock Method Combined with the Mini TightRope^® for Thumb Carpometacarpal Arthrosis.","authors":"Ikuo Nakai, Denju Osada","doi":"10.1142/S2424835525500420","DOIUrl":"https://doi.org/10.1142/S2424835525500420","url":null,"abstract":"<p><p><b>Background:</b> Suspension arthroplasty using the abductor pollicis longus (APL) tendon for advanced thumb carpometacarpal (CMC) arthrosis is known as the hammock method. We retrospectively investigated the short-term results of a previous attempt to use this method combined with the Mini TightRope^® to improve CMC joint stability. <b>Methods:</b> We included 22 hands of 19 patients (4 men and 15 women; mean age: 61.7 years) with primary advanced thumb CMC arthrosis who underwent this procedure during the past 4 years. All patients had Eaton stages II-IV thumb CMC arthritis. The Mini TightRope^® was inserted before APL tendon fixation to the metacarpal bone. After a 2-week immobilisation, the patients were permitted unrestricted hand usage. We assessed the grip and pinch strength; radial and volar abduction angles; the quick disabilities of the arm, shoulder and hand (quick DASH), hand 20 and Kapandji scores; trapezial height before surgery and at the final follow-up; postoperative complications and operative time. <b>Results:</b> The mean follow-up was 24.2 months, and the mean operative time was 58.1 minutes. The grip, tip pinch and side pinch strengths increased postoperatively. Additionally, the radial and volar abduction angles improved. The Kapandji, quick DASH and hand 20 scores showed improvements. The mean trapezial height was 8.4 mm preoperatively and 6.4 mm at the final follow-up. Postoperative complications included superficial radial neuropathy (<i>n</i> = 3), thumb flexor tendinitis (<i>n</i> = 2) and flexor carpi radialis (FCR) tendinitis (<i>n</i> = 3). <b>Conclusions:</b> The hammock method combined with the Mini TightRope^® shows good short-term results. <b>Level of Evidence:</b> Level IV (Therapeutic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144464","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}

{"title":"Restoration of Hand Function in Birth Brachial Plexus Injury.","authors":"Bharath K Kadadi, Madhusudhan N C","doi":"10.1142/S242483552540003X","DOIUrl":"https://doi.org/10.1142/S242483552540003X","url":null,"abstract":"<p><p>Birth brachial plexus palsy (BBPP) can lead to significant functional impairment of the upper limb, particularly affecting hand function. Despite advancements in primary nerve reconstruction, many patients require secondary procedures to optimise hand use. This study evaluates surgical strategies aimed at restoring hand function in BBPP, emphasising the timing of intervention, nerve transfer options and reconstructive techniques. A comprehensive review of direct root transfers, secondary tendon transfers, along with an analysis of sensory re-education and long-term functional outcomes. Early nerve reconstruction, particularly nerve transfers to the lower trunk or medial cord, demonstrated superior functional recovery when performed within the critical period of motor endplate viability. Secondary tendon and free muscle transfers proved beneficial in patients with persistent deficits, particularly for enhancing grasp, pinch and intrinsic hand function. Sensory recovery remained a key determinant of overall hand utility, with targeted nerve transfers improving protective sensation. Optimising hand function in BBPP requires a multimodal approach tailored to each patient's residual deficits. Early nerve surgery provides the best potential for meaningful recovery, while secondary procedures play a crucial role in refining outcomes. Understanding the interplay between motor and sensory recovery is essential for achieving the best functional restoration. <b>Level of Evidence:</b> Level V (Therapeutic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032473","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}

{"title":"Trends in the Incidence of Flexor Tendinopathy after Surgical Fixation of Distal Radius Fractures: Analysis of a Population-Based Database.","authors":"Thompson Zhuang, Lauren M Shapiro, Robin N Kamal","doi":"10.1142/S2424835525500390","DOIUrl":"https://doi.org/10.1142/S2424835525500390","url":null,"abstract":"<p><p><b>Background:</b> While early research identified features of volar locking plate design and placement as risk factors for flexor tendinopathy, temporal trends in rates of flexor tendinopathy have not been characterised despite the use of newer generations of volar plates and increased awareness of these risk factors. In this study, we tested the null hypothesis that there is no temporal trend in the incidence of flexor tendinopathy after surgical fixation of distal radius fractures. <b>Methods:</b> Using a national administrative claims database, we identified adults undergoing surgical fixation of isolated, closed distal radius fractures from 2011 to 2020. Patients were grouped by the quarter of the year they underwent surgery. We measured the incidence of flexor tendinopathy, malunion, nonunion and hardware removal at 1 and 2 years after the index procedure. We used a linear regression model to evaluate the association between time (per quarter) and the incidence of each complication. <b>Results:</b> We included 196,194 patients who underwent surgical fixation of distal radius fractures. With respect to 1-year outcomes, the incidence of flexor tendinopathy decreased by 0.6% per quarter, malunion increased by 0.8% per quarter, nonunion decreased by 2.1% per quarter and hardware removal increased by 0.5% per quarter. With respect to 2-year outcomes, the incidence of flexor tendinopathy decreased by 0.6% per quarter, malunion increased by 0.5% per quarter, nonunion decreased by 2.6% per quarter and hardware removal increased by 0.4% per quarter. <b>Conclusions:</b> The incidence of flexor tendinopathy after distal radius fracture fixation decreased from 2011 to 2020, which may reflect developments in volar plate design, improvements in implant selection and/or increased surgeon awareness of the risk of flexor tendinopathy. Further studies are needed to evaluate the aetiology of this trend. <b>Level of Evidence:</b> Level III (Therapeutic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052531","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}

{"title":"Outcomes and Quality of Evidence of the Treatment of Upper Extremity Cartilage Injuries: A Systematic Review.","authors":"Emily A Schultz, Eli M Snyder, Andrea Tian, Robin N Kamal","doi":"10.1142/S2424835525500407","DOIUrl":"https://doi.org/10.1142/S2424835525500407","url":null,"abstract":"<p><p><b>Background:</b> Cartilage injuries of the hand, wrist and elbow are common and may be managed by a variety of established procedures. While much literature has been devoted to cartilage injuries in the joints of the lower extremity, what data is available regarding treatment of similar injuries in the upper extremity is unknown. This systematic review assesses current procedures utilised to treat isolated cartilage injuries in the upper extremity and their outcomes. <b>Methods:</b> A systematic review was performed using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. PubMed/MEDLINE was searched to identify articles that reported on cartilage procedures of the hand, wrist or elbow. Study demographic information, type of procedure and clinical outcomes (patient-reported outcome measures [PROMs], radiographic measures, return to play [if applicable], complications and follow-up) were collected and reported. <b>Results:</b> The initial search yielded 532 articles. Of these, 118 articles underwent full-text review; 47 articles were ultimately included and analysed. The majority of articles were Level IV evidence and reported on osteochondral autograft transplantation (OATS) in the elbow and hand. The remaining articles for the elbow reported on arthroscopic debridement with microfracture or drilling, arthroscopic debridement alone and core decompression. The remaining articles for the wrist reported on autologous chondrocyte implantation and arthroscopy. One hand article reported on periosteal autografting. <b>Conclusions:</b> The most significant improvements in PROMs, range of motion and return to play were reported for OATS procedures of the elbow, wrist and hand. Studies of a higher level of evidence are important to further standardise the treatment of cartilage injuries of the upper extremity. <b>Level of Evidence:</b> Level III (Therapeutic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040411","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}

{"title":"Surgical Outcomes of Distal Biceps Brachii Tendon Rupture by Use of a New Instrument, PushLock^® Knotless Suture Anchor.","authors":"Keiichi Muramatsu, Yosuke Yamashita, Daniela Kristina D Carolino, Yasuhiro Tani, Masaya Ueda, Hideaki Sugimoto","doi":"10.1142/S2424835525500389","DOIUrl":"https://doi.org/10.1142/S2424835525500389","url":null,"abstract":"<p><p><b>Background:</b> Ruptures of the distal biceps brachii tendon (DBT) have only a few published reports in Asia. In this study, we report on the diagnosis and surgical outcomes of six acute traumatic cases surgically treated using a new internal fixation instrument, PushLock^® Knotless Suture Anchor. <b>Methods:</b> In the past 3 years, we treated six patients with DBT rupture. All were males, aged 39-67 years at the time of surgery. Three patients had complete rupture of both the long and short head and three patients had only rupture of the long head. The ruptured DBT tendon was tightly fixed to the anatomical insertion in the radial tuberosity by use of a 2.9 mm PushLock^® Knotless Suture Anchor. <b>Results:</b> All patients had recovered to MMT 5 in elbow flexion post-operatively and there was no limitation of ROM in elbow or forearm. The DASH score significantly improved from a mean of 28.5 points to 17.5. One patient had a transient complaint of numbness in the area of the superficial radial nerve. <b>Conclusions:</b> Even if the long head of DBT is injured alone, pain and consequent elbow flexion weakness will occur. Repair of the injured tendon should be considered even for partial rupture of DBT, especially in manual workers. The SutureTape and 2.9 mm PushLock^® Knotless Suture Anchor are new internal fixation instruments, and their usefulness for repair of ruptured DBT has not been reported yet. In this case series, excellent outcomes were obtained. Pain relief and recovery of muscle strength were achieved early after surgery. Our technique is simple, safe and reliable for surgical repair of the ruptured DBT. <b>Level of Evidence:</b> Level IV (Therapeutic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025142","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}

{"title":"Effectiveness of Nerve Wrapping and Capping with a Nerve Conduit and Blocking Splint Therapy for a Painful Neuroma at the Metacarpophalangeal Joint.","authors":"Kosuke Shintani, Yutaka Kubota, Daisaku Matsuda","doi":"10.1142/S2424835525720026","DOIUrl":"10.1142/S2424835525720026","url":null,"abstract":"<p><p>A 42-year-old man suffered an avulsion amputation of his right middle finger. He had undergone several surgeries since the age of 24, including amputation plasty and implantation of the injured nerve into fat and bone, but had difficulty returning to work due to persistent severe pain. He underwent nerve capping with an artificial nerve conduit at a university hospital, and his symptoms improved slightly, but immediately flared up again. Therefore, he was referred to our hospital and was treated with a blocking splint in addition to resection of the traumatic neuroma, covering with an artificial nerve conduit and wrapping with an adiposal flap. The lumen of the conduit was observed without collapse until it was resorbed, and he returned to work without pain 10 months after surgery. The blocking splint to an angle that preserves the lumen of the conduit was useful for artificial nerve surgery near the joint. <b>Level of Evidence:</b> Level V (Therapeutic).</p>","PeriodicalId":51689,"journal":{"name":"Journal of Hand Surgery-Asian-Pacific Volume","volume":" ","pages":"213-217"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958573","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}