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Journal of Hand Surgery-European Volume最新文献

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Total wrist arthroplasty with the Freedom® prosthesis: a short-term follow-up. 使用 Freedom® 假体进行全腕关节置换术：短期随访。
IF 1.8 2区 医学
Journal of Hand Surgery-European Volume Pub Date : 2024-01-01 Epub Date: 2023-09-11 DOI: 10.1177/17531934231193119
Matthew Brown, Rupert Wharton, Rumina Begum, Ian Trail, Mike Hayton, Sumedh Talwalkar
{"title":"Total wrist arthroplasty with the Freedom® prosthesis: a short-term follow-up.","authors":"Matthew Brown, Rupert Wharton, Rumina Begum, Ian Trail, Mike Hayton, Sumedh Talwalkar","doi":"10.1177/17531934231193119","DOIUrl":"10.1177/17531934231193119","url":null,"abstract":"<p><p>We retrospectively reviewed our series of primary total wrist arthroplasty with the Freedom® prosthesis. The primary outcome measure was revision, and secondary measures included radiographic loosening, pain, complications, movement range, grip strength and patient-reported measures. We reviewed 12 implants in 11 patients (mean age 59 years, range 45-80) with a mean radiological and clinical follow-up of 2.7 and 3 years, respectively. One radial component failed to integrate and was revised at Day 84. Four carpal components demonstrated areas of lucency. There was a statistically significant reduction in pain, and total flexion-extension increased. Despite high patient satisfaction on a ten-point visual analogue scale score (mean 8.7 out of 10), the mean patient-rated wrist evaluation, Quick Disabilities of the Arm, Shoulder and Hand and Patient Evaluation Measure scores were 52, 55 and 53, respectively. The Freedom® implant reduced pain and preserved wrist movement in our patients; however, annual surveillance is recommended due to the high incidence of early carpal component lucency.<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":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10203831","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
Epidemiology of adult hand injuries presenting to a tertiary hand surgery unit: a review of 4216 cases. 三级手外科就诊的成人手部损伤流行病学：4216例病例回顾。
IF 1.8 2区 医学
Journal of Hand Surgery-European Volume Pub Date : 2024-01-01 Epub Date: 2023-09-01 DOI: 10.1177/17531934231195499
Hadyn K N Kankam, Hussein Ibrahim, Mei Sien Liew, Ellie Hauff, Sebastian Tullie, Sunil Parthiban, Darren L Chester
{"title":"Epidemiology of adult hand injuries presenting to a tertiary hand surgery unit: a review of 4216 cases.","authors":"Hadyn K N Kankam, Hussein Ibrahim, Mei Sien Liew, Ellie Hauff, Sebastian Tullie, Sunil Parthiban, Darren L Chester","doi":"10.1177/17531934231195499","DOIUrl":"10.1177/17531934231195499","url":null,"abstract":"<p><p>This study investigates the pattern of hand injuries presenting to a UK regional tertiary centre. All referrals to our Hand Surgery Unit in 2019 were reviewed. Subgroup analyses of sex, deprivation, occupational injuries and assault cases were carried out. Over the study period, 4216 cases were referred. Most were male (70%), with a median age of 36 years and from a deprived area (75.2%). Soft tissue injury was documented in 53.6% and bone injury (fracture/dislocation) in 52.4%. Surgical management was required in 2214 (52.5%) cases. Work-related injuries accounted for 16.7% of cases and were more likely to require surgery. Assault-related injuries accounted for 8% of cases, with a male preponderance. Our findings can help facilitate service provision and guide regional and national prevention policies.<b>Level of evidence:</b> III.</p>","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10138610","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
A systematic review and network meta-analysis of outcomes after total wrist arthroplasty in inflammatory and non-inflammatory arthritis. 对炎症性和非炎症性关节炎全腕关节置换术后疗效的系统回顾和网络荟萃分析。
IF 1.8 2区 医学
Journal of Hand Surgery-European Volume Pub Date : 2024-01-01 Epub Date: 2023-09-11 DOI: 10.1177/17531934231199317
Han Hong Chong, Mate Zabaglo, Aqua Asif, Khalis Boksh, Kunal Kulkarni
{"title":"A systematic review and network meta-analysis of outcomes after total wrist arthroplasty in inflammatory and non-inflammatory arthritis.","authors":"Han Hong Chong, Mate Zabaglo, Aqua Asif, Khalis Boksh, Kunal Kulkarni","doi":"10.1177/17531934231199317","DOIUrl":"10.1177/17531934231199317","url":null,"abstract":"<p><p>This systematic review analysed the available evidence on the clinical outcomes of total wrist arthroplasty (TWA) in patients with inflammatory and non-inflammatory arthritis. After screening, 12 studies met the inclusion criteria. They involved 359 patients with 378 TWA implants. The results showed that TWA significantly improved Disabilities of the Arm, Shoulder and Hand (DASH)/Quick-DASH scores and pain visual analogue scale scores in both arthritis groups compared with preoperative values. However, there was no statistically significant difference in the outcome scores between the two groups. Three studies reported Patient-Rated Wrist Evaluation (PRWE) scores, and TWA significantly improved PRWE scores in non-inflammatory arthritis but not in inflammatory arthritis, with no significant difference in postoperative outcome scores between the two groups. Although the included studies have limitations, the review suggests that TWA may be a successful treatment for wrist pain in individuals with either inflammatory or non-inflammatory arthritis. However, further high-quality trials are needed to confirm these findings.</p>","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10194401","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
Muscle redistribution technique for expressing motion intention in patients with wrist-level amputation. 用于表达腕部截肢患者运动意向的肌肉再分布技术。
IF 1.8 2区 医学
Journal of Hand Surgery-European Volume Pub Date : 2024-01-01 Epub Date: 2023-09-08 DOI: 10.1177/17531934231196438
Yong Yang, Qining Wang, Qipei Wei
{"title":"Muscle redistribution technique for expressing motion intention in patients with wrist-level amputation.","authors":"Yong Yang, Qining Wang, Qipei Wei","doi":"10.1177/17531934231196438","DOIUrl":"10.1177/17531934231196438","url":null,"abstract":"<p><p>This study reports the preliminary results of a technique for redistributing muscles at the wrist in the stump of hand amputees by suturing the tendons to the dermis. The technique has the potential to improve control of hand prostheses by detecting movement intentions.</p>","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10178288","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
Force loss and distribution of load in the hands of patients with cubital tunnel syndrome. 肘隧道综合征患者手部的力损失和负荷分布。
IF 1.8 2区 医学
Journal of Hand Surgery-European Volume Pub Date : 2024-01-01 Epub Date: 2023-09-11 DOI: 10.1177/17531934231198660
Angelina Garkisch, Kristina Rohmfeld, Dagmar-Christiane Fischer, Karl-Josef Prommersberger, Marion Mühldorfer-Fodor
{"title":"Force loss and distribution of load in the hands of patients with cubital tunnel syndrome.","authors":"Angelina Garkisch, Kristina Rohmfeld, Dagmar-Christiane Fischer, Karl-Josef Prommersberger, Marion Mühldorfer-Fodor","doi":"10.1177/17531934231198660","DOIUrl":"10.1177/17531934231198660","url":null,"abstract":"<p><p>Manugraphy with three different cylinder sizes was used to quantify the contribution of fingers, thumb and palm to grip force in patients with unilateral cubital tunnel syndrome. Forces in the affected and contralateral hands differed by up to 29%. Although grip force is usually maximal when gripping small handles, ulnar nerve palsy resulted in similar absolute grip forces using the 100-mm and 200-mm cylinders. The contact area between the affected hand and the cylinders was reduced by 5%-9%. We noted a high correlation between the contact area and grip force, visible atrophy and permanently impaired sensibility. The load distribution differed significantly between both hands for all cylinder sizes. When gripping large objects, the main functional impairment in cubital tunnel syndrome is weakness in positioning and stabilizing the thumb. Weak intrinsic finger muscles are responsible for loss of force when gripping small objects. <b>Level of evidence:</b> III.</p>","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10205967","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
Complication rates and modes of short and medium-term failure in Motec total wrist arthroplasty: an international cohort study. 莫泰克全腕关节置换术的并发症发生率和中短期失败模式：一项国际队列研究。
IF 1.8 2区 医学
Journal of Hand Surgery-European Volume Pub Date : 2024-01-01 Epub Date: 2023-09-08 DOI: 10.1177/17531934231195689
James A I Redfern, Nisarg Mehta, Simon Farnebo, Duncan McGuire, Michael Solomons, K Thomas Thorvaldson, Rami Estfan, Daniel J Brown
{"title":"Complication rates and modes of short and medium-term failure in Motec total wrist arthroplasty: an international cohort study.","authors":"James A I Redfern, Nisarg Mehta, Simon Farnebo, Duncan McGuire, Michael Solomons, K Thomas Thorvaldson, Rami Estfan, Daniel J Brown","doi":"10.1177/17531934231195689","DOIUrl":"10.1177/17531934231195689","url":null,"abstract":"<p><p>The aim of this study was to analyse the short- and medium-term complications of the Motec total wrist arthroplasty (TWA). Identifying exact modes of failure and their causes should allow surgeons to avoid or mitigate these risks in the future. Retrospective analysis of prospectively collected data from six hand surgeons at five international centres provided details of 171 Motec TWAs. The mean follow-up was 5.8 years (range 18 months to 12 years). There were 33 (19%) complications within our cohort, with a revision rate of 8.2% (14 revisions). There was no difference in complication rates between metal-on-metal and metal-on-polymer articulations. Failure of osseointegration was the most common complication. Problems with soft tissue balancing, implant impingement related osteolysis, bony impingement and metacarpal fracture were found to be other preventable causes of failure in this series. Elimination of these preventable complications will improve survival rates for this implant.<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":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10187068","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 incidence and severity of diabetic hand infection presentations during the COVID-19 pandemic. COVID-19 大流行期间糖尿病手部感染的发病率和严重程度。
IF 1.8 2区 医学
Journal of Hand Surgery-European Volume Pub Date : 2024-01-01 Epub Date: 2023-09-01 DOI: 10.1177/17531934231196026
Harjoat Riyat, Holly Morris, Elizabeth Gillott, L Chris Bainbridge, Nicholas Johnson
{"title":"The incidence and severity of diabetic hand infection presentations during the COVID-19 pandemic.","authors":"Harjoat Riyat, Holly Morris, Elizabeth Gillott, L Chris Bainbridge, Nicholas Johnson","doi":"10.1177/17531934231196026","DOIUrl":"10.1177/17531934231196026","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":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10222983","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
Learning curves in Motec total wrist arthroplasty: an international cohort study. 莫泰克全腕关节置换术的学习曲线：一项国际队列研究。
IF 1.8 2区 医学
Journal of Hand Surgery-European Volume Pub Date : 2024-01-01 Epub Date: 2023-09-08 DOI: 10.1177/17531934231195688
Daniel J Brown, James A I Redfern, Natan Silver, Rami Estfan, Simon Farnebo, Duncan McGuire, Michael Solomons, K Thomas Thorvaldson
{"title":"Learning curves in Motec total wrist arthroplasty: an international cohort study.","authors":"Daniel J Brown, James A I Redfern, Natan Silver, Rami Estfan, Simon Farnebo, Duncan McGuire, Michael Solomons, K Thomas Thorvaldson","doi":"10.1177/17531934231195688","DOIUrl":"10.1177/17531934231195688","url":null,"abstract":"<p><p>We examined the learning curve of Motec total wrist arthroplasty (TWA) of six experienced surgeons in their first 30 cases. Three times more complications/revisions were encountered in the first half of the study compared with the second half. Motec TWA surgery should be concentrated in a smaller number of centres performing higher volumes.</p>","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10178289","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
Spontaneous improvement of bilateral clinodactyly of the little finger with trapezoidal phalanx: a case report with a 15-year follow-up. 双侧小指挛缩伴梯形趾骨发育不良的自发改善：一份随访 15 年的病例报告。
IF 1.8 2区 医学
Journal of Hand Surgery-European Volume Pub Date : 2024-01-01 Epub Date: 2023-09-04 DOI: 10.1177/17531934231194674
Francesca Teodonno, Jacopo Maffeis, Stephane Guero
{"title":"Spontaneous improvement of bilateral clinodactyly of the little finger with trapezoidal phalanx: a case report with a 15-year follow-up.","authors":"Francesca Teodonno, Jacopo Maffeis, Stephane Guero","doi":"10.1177/17531934231194674","DOIUrl":"10.1177/17531934231194674","url":null,"abstract":"<p><p>Clinodactyly can be produced by a longitudinal epiphyseal bracket that generates either a 'delta' or 'trapezoidal' phalanx. We present a case with a 15-year follow-up of bilateral clinodactyly of the little finger, to emphasize a 'wait-and-see' approach as self-remodelling of his phalanges occurred during growth.</p>","PeriodicalId":54813,"journal":{"name":"Journal of Hand Surgery-European Volume","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10156318","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
Association between radioulnar impingement and salvage surgical procedures of the distal radioulnar joint: influence of confounding variables. 桡骨远端关节撞击与挽救手术之间的关系：混杂变量的影响。
IF 1.8 2区 医学
Journal of Hand Surgery-European Volume Pub Date : 2024-01-01 Epub Date: 2023-09-07 DOI: 10.1177/17531934231192848
Pedro Hernández-Cortés, Andrés Catena, Pedro Hernández-Peregrina, Diana Elizondo-Espósito, Miguel Pajares-López, Roberto S Rosales
{"title":"Association between radioulnar impingement and salvage surgical procedures of the distal radioulnar joint: influence of confounding variables.","authors":"Pedro Hernández-Cortés, Andrés Catena, Pedro Hernández-Peregrina, Diana Elizondo-Espósito, Miguel Pajares-López, Roberto S Rosales","doi":"10.1177/17531934231192848","DOIUrl":"10.1177/17531934231192848","url":null,"abstract":"<p><p>We conducted an ambispective cohort study to assess the association between symptomatic radioulnar impingement syndrome (SRUIS) and distal radioulnar joint (DRUJ) salvage surgery to examine the influence of confounders on the final effect. The outcome variable was the incidence of SRUIS and the exposure variable was the surgical procedure. Seventy-two patients with median age of 48 years (IQR 25-78) were examined using bivariate and logistic regression multivariate analyses, and confounders were analysed in 15 multivariate models. Overall, SRUIS occurred in 21 patients (29%). Bivariate analysis showed a significant association between SRUIS and type of surgical procedure, observed in 71% after Sauvé-Kapandji, 50% after Bowers and 15% after Darrach procedure. When adjusted for age, aetiology and previous surgery, the significant association disappeared. Confounding is an important factor when accounting for SRUIS after DRUJ salvage surgery. The risk of SRUIS did not depend on the procedure, but rather on patient's age, aetiology and previous surgery.<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":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10171846","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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