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Long-term outcomes after terminalization for acute fingertip injuries 急性指尖损伤终结术后的长期疗效
IF 1.8 2区 医学
Journal of Hand Surgery-European Volume Pub Date : 2024-04-20 DOI: 10.1177/17531934241247276
Mathew B. Smith, Paul H. C. Stirling, Jane E. McEachan
{"title":"Long-term outcomes after terminalization for acute fingertip injuries","authors":"Mathew B. Smith, Paul H. C. Stirling, Jane E. McEachan","doi":"10.1177/17531934241247276","DOIUrl":"https://doi.org/10.1177/17531934241247276","url":null,"abstract":"The primary aim of this study was to report outcomes after fingertip terminalization in 90 patients over a 19-year period. We report excellent functional outcomes and satisfaction, but a 33% incidence of neuropathic pain.","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140623817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does lidocaine reduce pain intensity during corticosteroid injection? A double-blind randomized controlled equivalence trial 利多卡因能减轻注射皮质类固醇时的疼痛强度吗？双盲随机对照等效试验
IF 1.8 2区 医学
Journal of Hand Surgery-European Volume Pub Date : 2024-04-20 DOI: 10.1177/17531934241245036
Teun Teunis, George E. Sayegh, Amir Fatehi, David Ring, Gregg Vagner, Lee Reichel
{"title":"Does lidocaine reduce pain intensity during corticosteroid injection? A double-blind randomized controlled equivalence trial","authors":"Teun Teunis, George E. Sayegh, Amir Fatehi, David Ring, Gregg Vagner, Lee Reichel","doi":"10.1177/17531934241245036","DOIUrl":"https://doi.org/10.1177/17531934241245036","url":null,"abstract":"Of the strategies considered to limit the discomfort of corticosteroid injection, one is to inject without lidocaine to reduce the total volume and avoid acidity. In a Bayesian trial, adults receiving corticosteroid injections were randomized to receive 0.5 mL of triamcinolone with or without 0.5 mL of lidocaine. Serial analysis was performed until a 95% probability of presence or absence of a 1.0-point difference in pain intensity on the 0–10 Numerical Rating Scale was reached. Injections with lidocaine were associated with a median of 2.4-point lower pain intensity during injection with a 95% probability of at least a 1-point reduction. The 95% probability was confirmed in 90% of the repeated analysis (36/40). Lidocaine is associated with lower immediate pain intensity during corticosteroid injection for hand and wrist conditions.Level of evidence: I","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140624009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Timing of surgery in peripheral nerve injury of the upper extremity 上肢周围神经损伤的手术时机
IF 1.8 2区 医学
Journal of Hand Surgery-European Volume Pub Date : 2024-04-20 DOI: 10.1177/17531934241240867
Nicola Felici, Alice Alban
{"title":"Timing of surgery in peripheral nerve injury of the upper extremity","authors":"Nicola Felici, Alice Alban","doi":"10.1177/17531934241240867","DOIUrl":"https://doi.org/10.1177/17531934241240867","url":null,"abstract":"Peripheral nerve injuries present a complex clinical challenge, requiring a nuanced approach in surgical management. The consequences of injury vary, with sometimes severe disability, and a risk of lifelong pain for the individual. For late management, the choice of surgical techniques available range from neurolysis and nerve grafting to tendon and nerve transfers. The choice of technique utilized demands an in-depth understanding of the anatomy, patient demographics and the time elapsed since injury for optimized outcomes. This paper focuses on injuries to the radial, median and ulnar nerves, outlining the authors’ approach to these injuries.Level of evidence: IV","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140624013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Current perspectives on peripheral nerve repair and management of the nerve gap 外周神经修复和神经间隙管理的当前视角
IF 1.8 2区 医学
Journal of Hand Surgery-European Volume Pub Date : 2024-04-11 DOI: 10.1177/17531934241242002
Liam A. McMorrow, Piotr Czarnecki, Adam J. Reid, Pierluigi Tos
{"title":"Current perspectives on peripheral nerve repair and management of the nerve gap","authors":"Liam A. McMorrow, Piotr Czarnecki, Adam J. Reid, Pierluigi Tos","doi":"10.1177/17531934241242002","DOIUrl":"https://doi.org/10.1177/17531934241242002","url":null,"abstract":"From the first surgical repair of a nerve in the 6th century, progress in the field of peripheral nerve surgery has marched on; at first slowly but today at great pace. Whether performing primary neurorrhaphy or managing multiple large nerve defects, the modern nerve surgeon has an extensive range of tools, techniques and choices available to them. Continuous innovation in surgical equipment and technique has enabled the maturation of autografting as a gold standard for reconstruction and welcomed the era of nerve transfer techniques all while bioengineers have continued to add to our armamentarium with implantable devices, such as conduits and acellular allografts. We provide the reader a concise and up-to-date summary of the techniques available to them, and the evidence base for their use when managing nerve transection including current use and applicability of nerve transfer procedures.","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140577173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patient-matched osseointegrated prostheses for thumb amputees: a cadaver and feasibility study. 拇指截肢者的患者匹配骨整合假体：尸体和可行性研究。
IF 1.8 2区 医学
Journal of Hand Surgery-European Volume Pub Date : 2024-04-01 Epub Date: 2023-08-22 DOI: 10.1177/17531934231193880
Chiara Bregoli, Mario Lando, Roberto Adani, Priscilla Di Sette, Michele Rampoldi, Kavin Morellato, Emanuele Gruppioni, Ausonio Tuissi
{"title":"Patient-matched osseointegrated prostheses for thumb amputees: a cadaver and feasibility study.","authors":"Chiara Bregoli, Mario Lando, Roberto Adani, Priscilla Di Sette, Michele Rampoldi, Kavin Morellato, Emanuele Gruppioni, Ausonio Tuissi","doi":"10.1177/17531934231193880","DOIUrl":"10.1177/17531934231193880","url":null,"abstract":"<p><p>Thumb amputations affect 50% of hand functionality. Common solutions consist of microsurgical treatments or silicone vacuum prosthesis. Not all patients are eligible for microsurgical treatment and the use of vacuum prosthesis is often discouraged because of their instability. On the contrary, osseointegrated prosthesis provide stable retention and osseoperception. This cadaveric study evaluated the process of a patient-matched osseointegrated prosthesis for the treatment of thumb amputees. Computed tomography (CT) medical images reconstruction provided information on metacarpal stump, used as input for the parametric screw design. Preoperative planning guided the surgeons in the surgery: postoperative placement confirmed the accuracy of the preoperative planning. Surgeons were directly involved in the implant design to meet their requirements and patient needs. Implants were inserted into cadaveric specimens in one-stage surgery. A similar process can be adopted and exploited for the treatment of different levels of thumb amputations and long finger amputations.</p>","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10414954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prosthetic arthroplasty of the proximal interphalangeal joint using a surface replacing implant (CapFlex-PIP): 3-year outcomes. 使用表面替代植入物（CapFlex-PIP）对近端指间关节进行人工关节置换术：3年疗效。
IF 1.8 2区 医学
Journal of Hand Surgery-European Volume Pub Date : 2024-04-01 Epub Date: 2023-09-04 DOI: 10.1177/17531934231194675
Stefan Meuser, Martin Richter, Nikolaus Kernich
{"title":"Prosthetic arthroplasty of the proximal interphalangeal joint using a surface replacing implant (CapFlex-PIP): 3-year outcomes.","authors":"Stefan Meuser, Martin Richter, Nikolaus Kernich","doi":"10.1177/17531934231194675","DOIUrl":"10.1177/17531934231194675","url":null,"abstract":"<p><p><b>Level of evidence:</b> IV.</p>","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10154777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The role of surgery in the management of radiation-induced brachial plexopathy: a systematic review. 手术在治疗辐射所致臂丛神经病中的作用：系统综述。
IF 1.8 2区 医学
Journal of Hand Surgery-European Volume Pub Date : 2024-04-01 Epub Date: 2023-09-08 DOI: 10.1177/17531934231197794
Ramin Shekouhi, Cameron Gerhold, Harvey Chim
{"title":"The role of surgery in the management of radiation-induced brachial plexopathy: a systematic review.","authors":"Ramin Shekouhi, Cameron Gerhold, Harvey Chim","doi":"10.1177/17531934231197794","DOIUrl":"10.1177/17531934231197794","url":null,"abstract":"<p><p>This systematic literature review of the clinical characteristics of radiation-induced brachial plexopathy and outcomes after intervention includes 30 trials with 611 patients. The mean radiation dose to the brachial plexus was 56 Gy, and the mean duration of radiation was 4 weeks. The mean time from radiation to the onset of symptoms was 35 months. The most commonly reported symptom was sensory loss (<i>n</i> = 323, 62%), followed by motor deficits (<i>n</i> = 294, 56%) and neuropathic pain (<i>n</i> = 284, 54%). In total, 65 (56%) patients had panplexus involvement and 51 (44%) patients had partial plexus involvement. The most common surgical procedure was neurolysis with flap coverage (<i>n</i> = 108, 6%), followed by neurolysis alone (<i>n</i> = 71, 30%). Of the 237 patients who underwent surgery, 125 (53%) reported an improvement in pain. Motor and sensory deficits were improved in 46 (19%) and 39 (16%) patients, respectively, suggesting that surgery is beneficial in relieving pain, but not as beneficial in restoring motor and sensory function.</p>","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10178293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is pronator quadratus muscle repair required after anterior plate fixation for distal radial fractures? A prospective randomized comparative study. 桡骨远端骨折前路钢板固定术后是否需要修复前庭大肌？前瞻性随机对比研究。
IF 1.8 2区 医学
Journal of Hand Surgery-European Volume Pub Date : 2024-03-01 Epub Date: 2023-09-08 DOI: 10.1177/17531934231192337
Claudia Lamas, Javier Arenas, Marta Almenara, Roger Rojas, Manel Fa-Binefa, Alvaro Toro-Aguilera
{"title":"Is pronator quadratus muscle repair required after anterior plate fixation for distal radial fractures? A prospective randomized comparative study.","authors":"Claudia Lamas, Javier Arenas, Marta Almenara, Roger Rojas, Manel Fa-Binefa, Alvaro Toro-Aguilera","doi":"10.1177/17531934231192337","DOIUrl":"10.1177/17531934231192337","url":null,"abstract":"<p><p>In this prospective, randomized comparative study in patients with distal radial fractures, we aimed to determine whether surgical repair of the superficial head after anterior locking plate fixation of the radius improves clinical or functional outcomes or both, and distal radioulnar joint stability. One hundred patients were randomized to undergo distal radial fixation with or without repair of the superficial head. Twenty-one patients were lost to follow-up, leaving a final sample of 79 patients. No differences were observed between the groups in functional scores or complication after operation. Surgical repair of the superficial head of the pronator quadratus muscle after osteosynthesis with an anterior locking plate for distal radial fractures does not appear to substantially contribute to preserving distal radioulnar joint stability or improving the consolidation process.<b>Level of evidence:</b> II.</p>","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10185556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Modes of failure following locking plate fixation of the distal radius: a thematic analysis of 517 fractures. 桡骨远端锁定钢板固定术后的失败模式：对 517 例骨折的专题分析。
IF 1.8 2区 医学
Journal of Hand Surgery-European Volume Pub Date : 2024-03-01 Epub Date: 2023-06-13 DOI: 10.1177/17531934231179382
Ashley Newton, Harriet Julian, Mona Theodoraki, James Redfern, Graham Cheung, Daniel Brown
{"title":"Modes of failure following locking plate fixation of the distal radius: a thematic analysis of 517 fractures.","authors":"Ashley Newton, Harriet Julian, Mona Theodoraki, James Redfern, Graham Cheung, Daniel Brown","doi":"10.1177/17531934231179382","DOIUrl":"10.1177/17531934231179382","url":null,"abstract":"<p><p>Anterior locking plate fixation of the distal radius is a common procedure with reliable results. Failure of fixation is sometimes seen. The aim of the present study was to identify the reasons for failure. In total, 517 cases met the study inclusion criteria. Of them, 23 cases had failure of fixation (4.4%). Failure analysis generated qualitative data. Subsequent thematic analysis identified the primary mode of failure and contributing factors. Primary modes were identified as failure to support all key fracture fragments (<i>n</i> = 20), wrong choice of implant (<i>n</i> = 1), failure of union (<i>n</i> = 1) and poor bone quality (<i>n</i> = 1). Contributing factors were errors in plate positioning, fracture reduction, implant selection and screw configuration, as well as fracture pattern complexity and poor bone quality. Most failed fixations had a primary mode and two or three contributing factors. Overall anterior plating is reliable with a low rate of surgical failure. Knowledge of failure modes will aid operative planning and prevent failure.<b>Level of evidence:</b> V.</p>","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9977446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Corrective osteotomy of the distal radius with palmar locking plate osteosynthesis without bone grafting and without cortical contact. 桡骨远端矫正截骨术与掌侧锁定钢板骨合成术，无需植骨，无皮质接触。
IF 1.8 2区 医学
Journal of Hand Surgery-European Volume Pub Date : 2024-03-01 Epub Date: 2023-06-13 DOI: 10.1177/17531934231179875
Johannes Fuchs, Dominik Lukas Spühler, Stephanie Luz, Vilijam Zdravkovic, Jörg Hainich
{"title":"Corrective osteotomy of the distal radius with palmar locking plate osteosynthesis without bone grafting and without cortical contact.","authors":"Johannes Fuchs, Dominik Lukas Spühler, Stephanie Luz, Vilijam Zdravkovic, Jörg Hainich","doi":"10.1177/17531934231179875","DOIUrl":"10.1177/17531934231179875","url":null,"abstract":"<p><p>The aim of this study was to assess bone healing and secondary fracture displacement after corrective osteotomy of the distal radius without any cortical contact using palmar locking plates without bone grafting. Between 2009 and 2021, 11 palmar corrective osteotomies of extra-articular malunited distal radius fractures and palmar plate fixations without the use of bone grafts and without cortical contact, were assessed. All patients showed complete osseous restoration and significant improvement in all radiographic parameters. Except for one patient, there were no secondary dislocations or loss of reduction in the postoperative follow-up. Bone grafts may not be mandatory for bone healing and prevention of secondary fracture displacement after palmar corrective osteotomy without cortical contact and fixation with palmar locking plate.<b>Level of evidence:</b> IV.</p>","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9622324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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