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9页

Factors affecting the functional results of open reduction and internal fixation for fracture-dislocations of the proximal interphalangeal joint. 影响近端指间关节骨折脱位切开复位内固定功能效果的因素。

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/S021881041550015X

Kentaro Watanabe, Yoshitake Kino, Hiroki Yajima

{"title":"Factors affecting the functional results of open reduction and internal fixation for fracture-dislocations of the proximal interphalangeal joint.","authors":"Kentaro Watanabe, Yoshitake Kino, Hiroki Yajima","doi":"10.1142/S021881041550015X","DOIUrl":"https://doi.org/10.1142/S021881041550015X","url":null,"abstract":"To clarify the factors affecting functional results of fracture-dislocations of the proximal interphalangeal (PIP) joint treated by open reduction and internal fixation (ORIF), 60 patients, including 38 patients with a dorsal fracture-dislocation and 22 with a pilon fracture, were analysed. The mean ratio of articular surface involvement was 48.5% and a depressed central fragment existed in 75.3% of the cases. ORIF was performed in 47 patients through a lateral approach using Kirschner wires and in 13 through a palmar approach using a plate or screws. The mean flexion, extension and range of motion (ROM) of the PIP joint was 89.5°, 11.5° and 78.0°, respectively. Stepwise regression analysis revealed that a delayed start of active motion exercise after surgery, elderly age and ulnar ray digit were factors affecting functional outcomes. Although ORIF allows accurate restoration of the articular surfaces, an early start of motion exercise is essential for good results.","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":"107-14"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S021881041550015X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32992730","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: 19

A retrospective review of troubled replantations. 麻烦的再植的回顾性回顾。

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/S0218810415500185

Dawn Sinn Yii Chia, Shian Chao Tay

{"title":"A retrospective review of troubled replantations.","authors":"Dawn Sinn Yii Chia, Shian Chao Tay","doi":"10.1142/S0218810415500185","DOIUrl":"https://doi.org/10.1142/S0218810415500185","url":null,"abstract":"Introduction: Replantation surgery is an established treatment for amputated digits, and published literature report a high success rate. However, a proportion of replantations do encounter postoperative problems with vascularity, but the incidence is unknown. Although there are studies that look at the factors affecting the success of replantations and the management of postoperative replantations, there is little literature available on this transitional period. We introduce the term \"troubled replantation\" to describe the replantation that manifests any form of vascular insufficiency after replantation surgery. Our study focuses on reviewing our centre's experience with the management and outcomes of troubled replantations.Materials and methods: Data was collected retrospectively from 389 digital replantations performed in our centre over an 11 year period. We included only single level digital replantations. We analysed the perioperative data, and the measures taken postoperatively to promote their survival.Results: There were a total of 137 troubled digits (35.2%). 53 digits responded to non-surgical measures such as dressing change and bedside bleeding procedures. 27 digits required re-exploration surgery, of which 16 survived. The majority of troubled replantations were due to arterial causes, and manifested signs within the first 48 h. 69 troubled digits (51%) survived. The remainder did not respond to any form of treatment including re-explorations and ultimately failed.Conclusion: One third of all replantations are troubled replantations, and half of these eventually fail despite any intervention. As troubled replantations can lead to postoperative failure, it is important to understand this clinical scenario in order to improve immediate postoperative care.","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":"127-32"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810415500185","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32992733","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: 12

Arthroscopic Management of Scaphoid Nonunions. 关节镜下治疗舟状骨不连。

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/S0218810415400031

Midum Jegal, Jeong Sang Kim, Jong Pil Kim

引用次数: 16

Ulna Nerve Decompression at the Elbow in Patients with Normal Nerve Conduction Tests. 神经传导试验正常患者肘部尺骨神经减压。

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/S0218810415500215

Gareth L Roberts, Angus D Maclean, Andrew J Logan

{"title":"Ulna Nerve Decompression at the Elbow in Patients with Normal Nerve Conduction Tests.","authors":"Gareth L Roberts, Angus D Maclean, Andrew J Logan","doi":"10.1142/S0218810415500215","DOIUrl":"https://doi.org/10.1142/S0218810415500215","url":null,"abstract":"Background: Ulna nerve compression at the elbow is the second most common neuropathy of the upper limb. It has been suggested that nerve conduction tests are required to correctly make the diagnosis. The aim of this study was to assess whether patients with normal nerve conduction testing benefitted from surgical release of the ulna nerve.Methods: 56 patients with symptoms of ulna nerve compression at the elbow were evaluated prospectively. All patients underwent electrophysiology testing followed by ulna nerve decompression irrespective of the results of the electrophysiology testing. Functional scores using the QuickDASH and PEM score were collected up to 12 months post-surgery.Results: No difference was found between the group with normal and the group with abnormal electrophysiology studies.Conclusions: We conclude that patients who clinically have ulna nerve compression still benefit from ulna nerve decompression despite normal nerve conduction tests.","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":"260-5"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810415500215","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33368173","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: 4

The Adipofascial Radial Artery Perforator Flap: A Versatile Reconstructive Option in Upper Limb Surgery. 脂肪筋膜桡动脉穿支瓣:上肢手术的多功能重建选择。

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/S0218810415500227

Deepak Samson, Dominic M Power

引用次数: 8

The use of BMP-2 and screw exchange in the treatment of scaphoid fracture non-union. BMP-2联合螺钉置换治疗舟状骨骨折不愈合。

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/S0218810415970023

Robert H Ablove, Samuel S Abrams

{"title":"The use of BMP-2 and screw exchange in the treatment of scaphoid fracture non-union.","authors":"Robert H Ablove, Samuel S Abrams","doi":"10.1142/S0218810415970023","DOIUrl":"https://doi.org/10.1142/S0218810415970023","url":null,"abstract":"Scaphoid non-union, particularly following internal fixation, is a vexing problem. A retrospective review was conducted analysing the outcome of 4 patients who failed initial open reduction and internal fixation of scaphoid fractures. Three fractures were located in the waist and the fourth in the proximal pole. All patients underwent screw exchange and Bone Morphogenic Protein (BMP)-2 sponge placement with no additional bone grafting. Patients were immobilised for 4 weeks and followed with serial radiographs in all cases and CT scans in 3 cases. All patients demonstrated evidence of bony union at an average of 53 days from surgery and ultimately returned to pain-free full activity. There were no complications. BMP-2 and screw exchange yielded a 100% union rate in patients with established scaphoid non-union. While this retrospective study represents a small number of patients and clearly requires further investigation, it presents a promising technique for managing a difficult clinical problem. ","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":"167-71"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810415970023","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32992692","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: 13

Surgical outcomes of fifth metacarpal neck fractures--a comparative analysis of dorsal plating versus tension band wiring. 第五掌骨颈骨折的手术效果——背钢板与张力带钢丝的比较分析。

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/S0218810415500148

Khai Phang Wong, Robyn Aik Siew Hay, Shian Chao Tay

{"title":"Surgical outcomes of fifth metacarpal neck fractures--a comparative analysis of dorsal plating versus tension band wiring.","authors":"Khai Phang Wong, Robyn Aik Siew Hay, Shian Chao Tay","doi":"10.1142/S0218810415500148","DOIUrl":"https://doi.org/10.1142/S0218810415500148","url":null,"abstract":"The purpose of our study is to retrospectively compare the use of tension band (TB) wiring and dorsal plating (DP) for the fixation of fifth metacarpal (MC) neck fractures. A retrospective study of patients who had surgical treatment of 5th MC fractures from 2009 to 2013 was performed. Data including patient demographics, mechanism of injury, pre and postoperative pain score, range of motion (ROM), duration of follow-up and whether implants were removed were documented. Three radiological parameters: angulation (in degrees), radial-ulnar displacement (in millimetres) and MC height ratio were measured. There were a total of 84 patients with isolated closed 5th MC neck fractures, of which 41 underwent DP and 43 underwent TB. Patients who underwent DP demonstrated better improvement in fracture angulation, radial-ulnar displacement, MC height ratio and final ROM compared to those who underwent TB. This study has shown that DP is a viable surgical treatment option for 5th MC neck fractures.","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":"99-105"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810415500148","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32992729","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: 18

The Classification of Swanson for Congenital Anomalies of Upper Limb Modified by the Japanese Society for Surgery of the Hand (JSSH). 日本手部外科学会(JSSH)修订的上肢先天性畸形Swanson分类。

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/S0218810415300041

Kousuke Iba, Emiko Horii, Toshihiko Ogino, Kenichi Kazuki, Katsuhiko Kashiwa

{"title":"The Classification of Swanson for Congenital Anomalies of Upper Limb Modified by the Japanese Society for Surgery of the Hand (JSSH).","authors":"Kousuke Iba, Emiko Horii, Toshihiko Ogino, Kenichi Kazuki, Katsuhiko Kashiwa","doi":"10.1142/S0218810415300041","DOIUrl":"https://doi.org/10.1142/S0218810415300041","url":null,"abstract":"The aim of this study is to introduce the classification of Swanson for congenital anomalies of upper limb modified by the Japanese Society for Surgery of the Hand (the JSSH modification) in English. The Swanson classification has been widely accepted by most hand surgeons. However, several authors have suggested that complex cases, particularly those involving the complex spectrum of cleft hand and symbrachydactyly, are difficult to classify into the classification schemes. In the JSSH modification, brachysyndactyly, so-called atypical cleft hand and transverse deficiency are included under the same concept of transverse deficiency. Cleft hand, central polydactyly, and syndactyly are included in the same category of abnormal induction of digital rays. We believe that the JSSH modification system is effective in providing hand surgeons with the clinical features and conditions for congenital anomalies. ","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":"237-50"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810415300041","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33406689","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

Irreducible metacarpal neck fracture caused by interposition of junctura tendinum. 结膜间位致不可还原性掌颈骨折。

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 : 2014-01-01 Epub Date: 2014-08-25 DOI: 10.1142/S0218810414720332

Duk Hee Lee, Jong Woong Park, Jung Il Lee

引用次数: 1

New technique for reducing fibrosis in recurrent cases of carpal tunnel syndrome. 减少腕管综合征复发病例纤维化的新技术。

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 : 2014-01-01 DOI: 10.1142/S0218810414500312

Wael A M Nassar, Ahmed Naeem Atiyya

{"title":"New technique for reducing fibrosis in recurrent cases of carpal tunnel syndrome.","authors":"Wael A M Nassar, Ahmed Naeem Atiyya","doi":"10.1142/S0218810414500312","DOIUrl":"https://doi.org/10.1142/S0218810414500312","url":null,"abstract":"Purpose: Synthetic bio-degradable materials have been used as an artificial barrier in prophylaxis of adhesions. We report on the use of lactid caprolacton film (Mesofol) in recurrent carpal tunnel syndrome. We hypothesise that its use will give favourable results regarding the functional outcome and the recurrence rate.Patients and methods: Fourteen patients were prospectively reviewed following neurolysis and application of Mesofol film. Average age was 48 years. Outcome assessment measures included; two-point discrimination, verbal rating scale, and Boston Questionnaire.Results: Follow-up period averaged 25.5 months. Post-operative two-point discrimination improved to an average of 4.57 mm. The post-operative average verbal rating scale was 1.5. The mean symptom severity score improved to 1.88 and the mean functional score improved to 1.69 post-operatively.Conclusion: In cases of recurrent carpal tunnel syndrome, the use of mesofol barrier yields good functional results at the short term follow-up. The technique is simple. No patients needed further surgeries.","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":"19 3","pages":"381-7"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1142/S0218810414500312","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32724582","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: 9