Hand Surgery & Rehabilitation最新文献

{"title":"Revision of trapeziometacarpal arthroplasty","authors":"Pierre-Emmanuel Chammas ,&nbsp;Jacques Teissier ,&nbsp;Léo Chiche ,&nbsp;Cyril Lazerges ,&nbsp;Bertrand Coulet ,&nbsp;Michel Chammas","doi":"10.1016/j.hansur.2024.102066","DOIUrl":"10.1016/j.hansur.2024.102066","url":null,"abstract":"<div><div>Complications of trapeziometacarpal arthroplasty are uncommon, but are classified as intra- and post-operative, dislocation and loosening being the main causes of revision surgery. Periprosthetic fracture and ossification are rare. Whenever possible, prosthetic revision techniques consist in partial or total replacement with modular implants. Trapeziectomy-ligamentoplasty is the last-resort revision technique, with results similar to those of primary trapeziectomy-ligamentoplasty.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 1","pages":"Article 102066"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Concentrated autologous bone marrow injection in the surgical treatment of scaphoid non-union","authors":"Pierre Maincourt ,&nbsp;Christophe Andro ,&nbsp;Arnaud Perchoc ,&nbsp;Thomas Daoulas ,&nbsp;Weiguo Hu ,&nbsp;Anne Perruisseau-Carrier","doi":"10.1016/j.hansur.2024.102069","DOIUrl":"10.1016/j.hansur.2024.102069","url":null,"abstract":"<div><div>New surgical techniques for the treatment of scaphoid non-union, developed in the last two decades, now enable a healing rate of 80–90%.</div><div>However, no consensus exists for the surgical treatment of non-union. On the other hand, regenerative medicine techniques have enriched the therapeutic armamentarium for non-union, especially in the lower limbs, with the use of autologous concentrated bone marrow injection using autologous osteogenic precursors to create a favorable microenvironment for bone healing.</div><div>This technique has the advantages of being inexpensive, easily accessible and applicable in scaphoid non-union as a biological adjuvant to surgery, to improve both healing times and rates.</div><div>We report 6-month clinical results for the first patient receiving autologous concentrated bone marrow injection associated to scaphoid screw fixation in our center.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 1","pages":"Article 102069"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recurrence of a giant-cell tumor of the wrist with malignant transformation and pulmonary metastases treated with a custom-made prosthesis","authors":"Fulchignoni Camillo ,&nbsp;Pataia Elisabetta ,&nbsp;Ziranu Antonio ,&nbsp;Vitiello Raffaele ,&nbsp;Pietramala Silvia ,&nbsp;El Motassime Alessandro ,&nbsp;Maccauro Giulio","doi":"10.1016/j.hansur.2024.102076","DOIUrl":"10.1016/j.hansur.2024.102076","url":null,"abstract":"","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 1","pages":"Article 102076"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety of dorsal screw penetration at the proximal holes of volar locking plates","authors":"Harrison R. Ferlauto ,&nbsp;Dani Inglesby ,&nbsp;Joshua Barnett ,&nbsp;George Agriantonis ,&nbsp;Eitan Melamed","doi":"10.1016/j.hansur.2024.102047","DOIUrl":"10.1016/j.hansur.2024.102047","url":null,"abstract":"<div><div>Tendon-related complications comprise a significant portion of overall complications following volar locked plating of distal radius fractures. While much is known about the effect of prominent hardware in the volar and dorsal metaepiphyseal region of the distal radius, less is known about the effect of hardware prominence in the dorsal meta-diaphyseal region. The purpose of this anatomic study was to evaluate the safety of dorsal screw penetration at the proximal holes of volar locking plates. We applied a 7-hole volar locking plate to the distal radius of 10 cadaver forearms. Screws were intentionally protruding on the dorsal side. Measurements were taken from each protruding dorsal screw-tip to the nearest point on the abductor pollicis longus, extensor pollicis brevis, extensor pollicis longus and extensor digitorum communis, noting whether the nearest point was on the tendon or muscle belly. Results indicated that the muscle bellies of the abductor pollicis longus and extensor pollicis brevis were the structures most at risk from dorsal screw prominence, and that there was a smooth transition from the extensor pollicis brevis to abductor pollicis longus being the focus of risk as one moves from distal to proximal along the plate. The extensor pollicis brevis was most at risk at hole 3, and the abductor pollicis longus was most at risk at hole 6. All cases of direct contact between a protruding screw and the abductor pollicis longus or extensor pollicis brevis consisted of contact with the muscle belly, not the tendon. Average anteroposterior distal radius thickness ranged from 13.9 mm at the most distal proximal screw hole to 11.5 mm at the most proximal screw hole. We also found that the extensor pollicis longus tendon was at risk of contact with a protruding screw, but only at the most distal proximal screw hole. Overall, dorsal screw penetration at the proximal holes of volar locking plates appeared to be safe, particularly as one moves proximally along the plate.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 1","pages":"Article 102047"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142782238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trapezium reconstruction with pisiform autograft in trapeziometacarpal revision arthroplasty: a case report","authors":"Alexandre Quemener-Tanguy ,&nbsp;Jean-Baptiste De Villeneuve Bargemon ,&nbsp;Michel Levadoux","doi":"10.1016/j.hansur.2024.102048","DOIUrl":"10.1016/j.hansur.2024.102048","url":null,"abstract":"<div><div>The authors used a pisiform autograft to fill trapezial bone defect and allow revision of a trapeziometacarpal prosthesis. At 18 months, the patient regained a level of indolence and resumed her daily activities.</div></div><div><h3>Level of evidence</h3><div>IV.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 1","pages":"Article 102048"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retrospective study of 54 cases of wrist denervation","authors":"Davide Gravina ,&nbsp;Andrea Manfredi ,&nbsp;Riccardo Cuoghi Costantini ,&nbsp;Norman Della Rosa","doi":"10.1016/j.hansur.2024.102078","DOIUrl":"10.1016/j.hansur.2024.102078","url":null,"abstract":"<div><div>Most patients with post-traumatic and/or degenerative wrist arthritis present with pain and limitation of activities of daily living. Wrist denervation using a two-incision technique is an alternative to proximal row carpectomy and partial or total wrist arthrodesis. The purpose of this study was to evaluate whether two-incision denervation is a valid procedure for reducing pain in wrist arthritis of different etiologies.</div><div>A retrospective study of fifty-four patients, mean age 56 years, operated on by one senior surgeon at a single center was designed. Inclusion criteria were chronic wrist pain of various etiologies, patients with previous wrist surgery were excluded.</div><div>Preoperative pain was reported on a visual analog scale, and at least twelve months postoperatively, patient-rated wrist/hand assessment, pain, and range of motion were assessed.</div></div><div><h3>Results</h3><div>54.8% of the population presented with post-traumatic osteoarthritis of the wrist (scaphoid non-union advanced collapse or scapholunate advanced collapse).</div><div>71.5% of the population underwent surgery on the dominant extremity. After clinical evaluation, the mean PRWHE was 15.76 (±14.53), with total joint motion of 68° (±14.44), flexion 64.5° (±13.36), extension 76° (±7.71), pronation 72.4° (±6.20), and supination 74.8° (±9.21). The overall mean pain reduction was 60% and there were no re-operations.</div><div>Two-incision total wrist denervation is a valid technique for the treatment of wrist pain of various etiologies, leaving a good range of motion and acceptable autonomy in activities of daily living. If this technique fails, more invasive techniques such as proximal row carpectomy, partial or total wrist arthrodesis, and wrist arthroplasty can be used.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 1","pages":"Article 102078"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Excessively long screws may delay healing in intramedullary headless screw fixation for diaphyseal metacarpal fractures","authors":"Bert Vanmierlo ,&nbsp;Pieter Van Geel,&nbsp;Joris Duerinckx ,&nbsp;Bert O. Eijnde","doi":"10.1016/j.hansur.2025.102085","DOIUrl":"10.1016/j.hansur.2025.102085","url":null,"abstract":"","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 1","pages":"Article 102085"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply to Nathan Milliot, Jérome Jeudy, Nicolas Bigorre: metal hypersensitivity in trapeziometacarpal arthroplasty: a systematic pattern of progression","authors":"Marie Witters ,&nbsp;Jean-Baptiste de Villeneuve Bargemon ,&nbsp;Charlotte Jaloux","doi":"10.1016/j.hansur.2024.102024","DOIUrl":"10.1016/j.hansur.2024.102024","url":null,"abstract":"","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 1","pages":"Article 102024"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142804203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Free medial sural artery perforator flap for soft tissue defects in the hand: a cadaver study","authors":"Pierre-Louis Coulet ,&nbsp;Claire Muller ,&nbsp;François Dap ,&nbsp;Lionel Athlani","doi":"10.1016/j.hansur.2024.102070","DOIUrl":"10.1016/j.hansur.2024.102070","url":null,"abstract":"<div><div>We carried out a cadaver study using 10 fresh-frozen adult legs and hands to explore technical feasibility and reproducibility of the free Medial Sural Artery Perforator flap and its applicability for covering soft tissue defects in the hand. A mean of 2 cutaneous perforators (1–4) were found. Each flap had a pedicle composed of a main perforator that arose from the medial sural artery. Distance between the middle of the popliteal fossa and the emergence of the main perforator was 10 ± 1.9 cm. The pedicle length was 13 ± 1.6 cm. It included an artery (diameter: 2.5 ± 0.6 mm) and a vein (diameter: 3.2 ± 1.2 mm). Skin paddle thickness was 8.5 ± 1.9 mm. Using an 10 × 8 cm skin paddle, it was always possible to cover the entire palmar and dorsal sides of the hand. Our findings suggest that this free flap is a reliable and reproducible option for large cutaneous defects of the hand, offering an effective alternative to conventional flaps.</div></div><div><h3>Level of evidence</h3><div>IV.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 1","pages":"Article 102070"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient preferences for carpal tunnel release education: a comparison of education materials from popular healthcare websites and ChatGPT","authors":"Nicholas B. Pohl,&nbsp;Omar H. Tarawneh,&nbsp;Evan Johnson,&nbsp;Daren Aita,&nbsp;Madeline Tadley,&nbsp;Daniel J. Fletcher","doi":"10.1016/j.hansur.2024.102073","DOIUrl":"10.1016/j.hansur.2024.102073","url":null,"abstract":"<div><h3>Introduction</h3><div>ChatGPT has been increasingly utilized to create, simplify, and revise hand surgery patient education materials. While significant research has examined the quality and readability of ChatGPT-derived hand surgery patient education, the patient perspective has not previously been evaluated. This study compared patient reported clarity and readability grades as well as patient preferences for carpal tunnel surgery educational information from medical education websites and ChatGPT.</div></div><div><h3>Methods</h3><div>Patients without a history of carpal tunnel release surgery at two orthopaedic hand surgery outpatient clinics were asked to complete an anonymous survey which gathered demographic information and included a blinded educational passage on carpal tunnel release surgery from ChatGPT, WebMD, or Mayo Clinic. Patients graded the blinded passages regarding clarity, readability, length, likeliness to recommend to others, and overall satisfaction with the education material.</div></div><div><h3>Results</h3><div>There were no significant differences in clarity (p = 0.682),readability (p = 0.328), or likeliness to recommend to others (p = 0.106) between the different educational sources. When stratified by age, younger patients (under 55) were more likely to recommend Mayo Clinic over other resources (p = 0.002). When further stratified to include only those who reported previously using websites for healthcare information, patients tended to have a higher likelihood of recommending Mayo Clinic compared to other sources, but this was not a statistically significant difference.</div></div><div><h3>Conclusions</h3><div>There were no differences in clarity, readability, or preference ratings between patient education materials that were produced by ChatGPT, WebMD and Mayo Clinic. However, while ChatGPT-generated materials are comparable in quality based on patient ratings, younger patients may still favor well-established sources for medical education. This information regarding patient preferences provides valuable insights for hand surgeons when selecting suitable educational resources for their patients.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 1","pages":"Article 102073"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142904645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}