Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand最新文献_第4页

Functional Outcomes Following Pilon Fractures of the Middle Phalanx Managed with the Ligamentotaxor External Fixator. 中指骨皮隆骨折用韧带外固定架治疗后的功能结果。

Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand Pub Date : 2015-01-01 DOI: 10.1142/S0218810415500252

Toby Colegate-Stone, Kebba Marenah, John Compson, Ramon Tahmassebi, Adel Tavakkolizadeh

{"title":"Functional Outcomes Following Pilon Fractures of the Middle Phalanx Managed with the Ligamentotaxor External Fixator.","authors":"Toby Colegate-Stone, Kebba Marenah, John Compson, Ramon Tahmassebi, Adel Tavakkolizadeh","doi":"10.1142/S0218810415500252","DOIUrl":"https://doi.org/10.1142/S0218810415500252","url":null,"abstract":"Background: The surgical aims in managing displaced intra-articular fractures of the base of the middle phalanx include early joint reduction, maintaining congruence and early mobilization. Achieving this can be a challenge. However dynamic external fixators offer a solution. The study aim was to evaluate the use and outcomes of the Ligamentotaxor external fixator in patients with such injuries.Methods: A total of 12 patients were managed with this device and outcomes were assessed. All patients reached clinical and radiological union.Results: An average range of movement to the proximal interphalangeal joint of 63° was noted along with an average end of care-cycle quick-DASH score of 9.1. Two patients developed pin-site infections.Conclusions: The outcomes seen support the use of the Ligamentotaxor in the management of middle phalanx intra-articular fractures. It is simple to apply, potentially avoids the secondary complications of open reduction and gives reproducible results. However judicious patient selection is advised.","PeriodicalId":80280,"journal":{"name":"Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand","volume":"20 2","pages":"285-9"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810415500252","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33369619","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}

引用次数: 14

Simultaneous Regional Fasciectomy, Skin Grafting, and Distraction Arthrolysis of the Proximal Interphalangeal Joint for Dupuytren's Contracture of the Little Finger. 同时区域性筋膜切除术、植皮及近端指间关节牵张松解术治疗小指挛缩。

Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand Pub Date : 2015-01-01 DOI: 10.1142/S0218810415720077

Motohisa Kawakatsu, Susumu Saito

引用次数: 1

Surgical correction of ulnar deviation deformity of the wrist in patients with birth brachial plexus palsy sequelae. 先天性臂丛神经麻痹后遗症患者腕部尺偏畸形的手术矫正。

Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand Pub Date : 2015-01-01 DOI: 10.1142/S0218810415970011

Praveen Bhardwaj, Harshil Parekh, Hari Venkatramani, S Raja Sabapathy

{"title":"Surgical correction of ulnar deviation deformity of the wrist in patients with birth brachial plexus palsy sequelae.","authors":"Praveen Bhardwaj, Harshil Parekh, Hari Venkatramani, S Raja Sabapathy","doi":"10.1142/S0218810415970011","DOIUrl":"https://doi.org/10.1142/S0218810415970011","url":null,"abstract":"Ulnar deviation deformity of the wrist in patients with birth brachial plexus palsy is an important cosmetic concern among the patients and their relatives; especially in the patients who have recovered the basic limb functions. Though there is ample literature available regarding the management of the shoulder deformity there is paucity of literature regarding management of wrist ulnar deviation deformity. We report our experience with correction of this deformity in five cases with isolated ulnar deviation deformity without forearm rotational deformity or weakness of the wrist muscles. All the patients underwent extensor carpi ulnaris (ECU) to extensor carpi radialis longus (ECRL) tendon transfer. At a minimum of 18 months follow-up all the patients and their families were satisfied with the cosmetic appearance of the limb. Correction of the deformity improves the appearance of the limb, improves self-confidence of the child, and allows them to integrate well into the society. Interestingly, the patients expressed improvement in their grip strength and overall hand function after this surgery. The notable functions which improved were easy reach of the hand-to-mouth for feeding and easy handling of the things requiring bimanual activities. Although the main aim of this operation was to correct the appearance of the hand it was found to be also functionally useful by the patients and hence we are encouraged to report it for wider use. The results were maintained during the follow-up period of as long as 47 months.","PeriodicalId":80280,"journal":{"name":"Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand","volume":"20 1","pages":"161-5"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810415970011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32992691","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}

引用次数: 1

Hemi-hamate arthroplasty versus transarticular Kirschner wire fixation for unstable dorsal fracture-dislocation of the proximal interphalangeal joint in the hand. 半钩骨关节置换术与经关节克氏针固定治疗手部近端指间关节不稳定背侧骨折脱位。

Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand Pub Date : 2015-01-01 DOI: 10.1142/S0218810415500161

R C Barksfield, B Bowden, A J Chojnowski

{"title":"Hemi-hamate arthroplasty versus transarticular Kirschner wire fixation for unstable dorsal fracture-dislocation of the proximal interphalangeal joint in the hand.","authors":"R C Barksfield, B Bowden, A J Chojnowski","doi":"10.1142/S0218810415500161","DOIUrl":"https://doi.org/10.1142/S0218810415500161","url":null,"abstract":"Following the introduction of the hemi-hamate arthroplasty (HHA) technique to our unit, we sought to evaluate the early clinical outcomes achieved with this method of fixation and compare these with simple trans-articular Kirschner wire (K-wire) fixation for dorsal fracture dislocations (DFD) of the proximal interphalangeal joint (PIPJ). Ninteen patients underwent fixation of these injuries with either K-wire fixation (12/19) or hemi-hamate bone grafting (7/19) between 2005 and 2011. At a mean follow-up of 14 weeks median arc of movement at the PIPJ was 65° (range 31° to 108°) following HHA and 56° (range 9° to 85°) (p = 0.82) following temporary transarticular K-wire fixation. Median fixed flexion deformity (FFD) was 20° and 15° for hemi-hamate bone grafting and K-wire fixation respectively. Based upon our findings, transarticular K-wire fixation produced equivalent outcomes to HHA for unstable DFD of the PIPJ in the hand.","PeriodicalId":80280,"journal":{"name":"Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand","volume":"20 1","pages":"115-9"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810415500161","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32992731","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}

引用次数: 10

Amniotic constriction bands: a case series and proposed new classification system. 羊膜收缩带:一个病例系列和提出的新的分类系统。

Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand Pub Date : 2015-01-01 DOI: 10.1142/S0218810415500173

Lucy E Homer, Anuj Mishra, Paul McArthur

{"title":"Amniotic constriction bands: a case series and proposed new classification system.","authors":"Lucy E Homer, Anuj Mishra, Paul McArthur","doi":"10.1142/S0218810415500173","DOIUrl":"https://doi.org/10.1142/S0218810415500173","url":null,"abstract":"Introduction: Amniotic constriction bands occur in approximately one in every 15,000 live births and is graded using the Patterson Classification system.Methods: A case series of all patients with amniotic constriction band that presented to Alder Hey Children's Hospital was compiled between the years 1993 and 2012, data was described and a classification system developed.Results: Thirty seven patients were identified. Of these 17 had amniotic constriction confined to the upper limbs and three of the lower limbs only. Seventeen had both upper and lower limb deformity. Twenty eight children underwent surgical intervention whilst nine to date have not.Conclusion: Constriction band of the upper limb was the most common with lower limb bands the least. There is no agreement on the nomenclature of this condition making amalgamation of the literature problematic. A more specific classification of upper limb bands has been suggested which includes anatomical location and depth of band.","PeriodicalId":80280,"journal":{"name":"Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand","volume":"20 1","pages":"121-6"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810415500173","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32992732","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}

引用次数: 3

Scaphoid Fracture--Overview and Conservative Treatment. 舟状骨骨折——综述和保守治疗。

Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand Pub Date : 2015-01-01 DOI: 10.1142/S0218810415400018

Kaoru Tada, Kazuo Ikeda, Shunro Okamoto, Ai Hachinota, Daiki Yamamoto, Hiroyuki Tsuchiya

引用次数: 8

Critical Angles of Deformity in Dupuytren's Contracture of the Little and Ring Fingers. 小指和无名指挛缩畸形的关键角度。

Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand Pub Date : 2015-01-01 DOI: 10.1142/S0218810415500264

Antony Raymond, Michael Parry, Rouin Amirfeyz

{"title":"Critical Angles of Deformity in Dupuytren's Contracture of the Little and Ring Fingers.","authors":"Antony Raymond, Michael Parry, Rouin Amirfeyz","doi":"10.1142/S0218810415500264","DOIUrl":"https://doi.org/10.1142/S0218810415500264","url":null,"abstract":"Background: We aimed to determine the degree of contracture in the ring and little fingers at which hand function became importantly impaired.Methods: Five activities of daily living were incorporated into a newly developed and validated Dupuytren's assessment tool (DAT). Sixty healthy participants were assessed with the DAT wearing a range of 12 dorsal blocking splints. Half wore them on their right little finger, the other half on their ring finger. These induced flexion deformities mimicking DC of the MCPJ, PIPJ and a combination of the two. The angles of flexion deformity at which important hand disability occurred were calculated using receiver operating characteristic curves.Results: Clinically important hand disability occurred for the little finger MCPJ, PIPJ and combined MCPJ and PIPJ angulation at 52.5, 67.5, and 75 degrees respectively. For the ring finger joint, the angulations were 52.5, 67.5 and 75 degrees respectively.Conclusions: This information will provide information for clinicians and patients as to when clinically important disability tends to occur in DC.","PeriodicalId":80280,"journal":{"name":"Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand","volume":"20 2","pages":"290-7"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810415500264","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33369620","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}

引用次数: 7

A rare case of multiple subungual glomus tumours in a neurofibromatosis type 1 patient. 一例罕见的1型神经纤维瘤病患者的多发性足趾骨下血管瘤。

Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand Pub Date : 2015-01-01 DOI: 10.1142/S0218810415720065

J Yuen, L Bavan, A Graham

引用次数: 0

Current management of hand enchondroma: a review. 手部内生纤维瘤的当前管理:综述。

Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand Pub Date : 2015-01-01 DOI: 10.1142/S0218810415300028

Chris Tang, Marcus Chan, Margaret Fok, Boris Fung

引用次数: 27

Limb Preservation in Recurrent Giant Cell Tumour of Distal End of Radius with Fibular Graft Fracture: Role of Ulnocarpal Arthrodesis. 桡骨远端复发巨细胞瘤伴腓骨移植物骨折的肢体保存:尺腕关节融合术的作用。

Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand Pub Date : 2015-01-01 DOI: 10.1142/S0218810415720107

Narinder Kumar

{"title":"Limb Preservation in Recurrent Giant Cell Tumour of Distal End of Radius with Fibular Graft Fracture: Role of Ulnocarpal Arthrodesis.","authors":"Narinder Kumar","doi":"10.1142/S0218810415720107","DOIUrl":"https://doi.org/10.1142/S0218810415720107","url":null,"abstract":"Giant cell tumors of distal radius are locally aggressive tumors with a high rate of recurrence. Though surgery remains the mainstay of treatment, reconstruction remains a challenge in cases of recurrence. Recurrences of GCT in autogenous fibular grafts have been rarely reported and pathological fractures through such grafts are even rarer. Ulnocarpal arthrodesis has never been described as a limb preservation procedure in such a recurrent lesion in distal radius with pathological fracture through a well incorporated fibular graft. A case of pathological fracture in a well incorporated autogenous non-vascularized fibular bone graft in recurrent GCT of distal radius and its successful management with ulnocarpal arthrodesis is reported. In such a scenario where other reconstructive options like allograft or prosthetic reconstructions are not likely to succeed, ulnocarpal arthrodesis may be considered as a salvage procedure. ","PeriodicalId":80280,"journal":{"name":"Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand","volume":"20 2","pages":"307-9"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810415720107","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33243123","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}

引用次数: 2