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The Journal of hand surgery, European volume最新文献

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Proximal row carpectomy or scaphoid excision and four-corner arthrodesis for treatment of scapholunate advanced collapse arthritis. 治疗肩胛骨晚期塌陷性关节炎的近端行carpectomy或肩胛骨切除术和四角关节固定术。
The Journal of hand surgery, European volume Pub Date : 2024-08-22 DOI: 10.1177/17531934241265838
James S Lin, Steven L Moran
{"title":"Proximal row carpectomy or scaphoid excision and four-corner arthrodesis for treatment of scapholunate advanced collapse arthritis.","authors":"James S Lin, Steven L Moran","doi":"10.1177/17531934241265838","DOIUrl":"https://doi.org/10.1177/17531934241265838","url":null,"abstract":"<p><p>Degenerative wrist conditions, such as scapholunate advanced collapse and scaphoid nonunion advanced collapse, often require salvage procedures to reduce pain and improve function. For early stages of disease, both proximal row carpectomy and scaphoid excision four-corner arthrodesis are viable motion-preserving options. There remains controversy on which technique is superior. Selection is a nuanced decision that requires consideration of patient characteristics and stage of disease. The traditional notion that proximal row carpectomy should be reserved for older individuals with low demands has been challenged; long-term studies in younger populations demonstrate similar patient-reported outcomes, pain relief and survivorship without conversion to total wrist arthrodesis between proximal row carpectomy and four-corner arthrodesis. The existing evidence suggests proximal row carpectomy has advantages of greater range of motion, fewer complications and lower costs. Advancements such as arthroscopic techniques for both procedures show potential, although mastery involves a steep learning curve.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142020042","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: 0
The Journal of hand surgery, European volume Pub Date : 2024-08-22 DOI: 10.1177/17531934241265294
Caroline Leclercq
{"title":"","authors":"Caroline Leclercq","doi":"10.1177/17531934241265294","DOIUrl":"https://doi.org/10.1177/17531934241265294","url":null,"abstract":"","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142020064","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: 0
Robot-assisted transosseous repair of triangular fibrocartilage complex: a cadaver study. 机器人辅助经骨修复三角纤维软骨复合体：一项尸体研究。
The Journal of hand surgery, European volume Pub Date : 2024-08-22 DOI: 10.1177/17531934241263732
Zhixin Wang, Jiawen Wang, Qiuya Li, Yaobin Yin, Qianqian Wang, Shanlin Chen
{"title":"Robot-assisted transosseous repair of triangular fibrocartilage complex: a cadaver study.","authors":"Zhixin Wang, Jiawen Wang, Qiuya Li, Yaobin Yin, Qianqian Wang, Shanlin Chen","doi":"10.1177/17531934241263732","DOIUrl":"https://doi.org/10.1177/17531934241263732","url":null,"abstract":"<p><p>The feasibility and accuracy of robot-assisted bone tunnel construction in the transosseous repair of the triangular fibrocartilaginous complex (TFCC) were compared with those of freehand arthroscopic repair. A total of 20 cadaveric specimens were randomized into robotic-assisted and arthroscopy-guided groups. Three bone tunnels were constructed in the ulnar foveal region in each specimen. The discrepancy between the planned and actual tunnel exits was determined in the robot-assisted group by merging images. The success rate of tunnel construction, time consumption and number of drilling attempts were compared between groups. The median planned/actual exit discrepancy was 0.8 mm in the robot-assisted group, with 90% of tunnel exits successfully placed in the footprint region, compared to 63.3% in the arthroscopy-guided group. The robot-assisted group spent less time and required fewer drilling attempts to construct bone tunnels. These results indicated that the robot-assisted technique can accurately construct multiple bone tunnels in the foveal region and reduce the difficulty of TFCC transosseous repair.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142020044","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: 0
Use of a remote assessment pathway for diagnosis of carpal tunnel syndrome. 使用远程评估路径诊断腕管综合征。
The Journal of hand surgery, European volume Pub Date : 2024-08-22 DOI: 10.1177/17531934241270347
Katie Macdonald, Hugh Pearson, Georgina H Frew, Philippa Rust
{"title":"Use of a remote assessment pathway for diagnosis of carpal tunnel syndrome.","authors":"Katie Macdonald, Hugh Pearson, Georgina H Frew, Philippa Rust","doi":"10.1177/17531934241270347","DOIUrl":"https://doi.org/10.1177/17531934241270347","url":null,"abstract":"<p><p>We undertook a retrospective cohort study of a remote carpal tunnel syndrome assessment pathway created in response to limitations caused by the COVID-19 pandemic. Between July 2020 and September 2021, 702 patients referred from primary care (general practice) were assessed in a nurse-led telephone clinic using the carpal tunnel questionnaire of Kamath and Stothard (2003). Depending on their questionnaire score, patients were referred either for nerve conduction studies or a consultant hand surgeon review for diagnosis and treatment planning. Questionnaire scores of 3 and above accurately predicted a likely diagnosis of carpal tunnel syndrome in 83% of patients, and a diagnosis was unlikely in 90% of those with a score below 3. The pathway resulted in an estimated cost savings of £24,436 (€28,862, US$30,945) in comparison with the pre-pandemic service. However, some limitations in the pathway may have impacted effective patient management and we suggest possible improvements.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142020049","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: 0
Extensor tendons: can we design a simpler classification zone system? 伸肌腱：我们能设计出更简单的分类区域系统吗？
The Journal of hand surgery, European volume Pub Date : 2024-08-22 DOI: 10.1177/17531934241274112
Jin Bo Tang, Donald Lalonde
{"title":"Extensor tendons: can we design a simpler classification zone system?","authors":"Jin Bo Tang, Donald Lalonde","doi":"10.1177/17531934241274112","DOIUrl":"https://doi.org/10.1177/17531934241274112","url":null,"abstract":"<p><p>We summarize the attention that has been drawn to and the thought process about the complexity of current classification zones of extensor tendons. A possible new, simpler classification was proposed by the lead author and discussed with the co-author. A simplified classification is presented with rationale, mainly based on the simplified treatment strategies used by the authors. We also discuss the possible drawbacks and call for investigations on this topic to make the current treatment strategies less complex. An updated system should be based on improved understandings of clinical treatment, including an increasing trend of using conservative treatment for closed injuries and strong surgical repair methods for open injuries of extensor tendons.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142020072","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: 0
Implementation of postoperative opioid prescribing guidelines after carpal tunnel release: a quality collaborative study. 腕管松解术后阿片类药物处方指南的实施：一项质量合作研究。
The Journal of hand surgery, European volume Pub Date : 2024-08-22 DOI: 10.1177/17531934241268965
Jessica I Billig, Sandra V Kotsis, Lingxuan Kong, Lu Wang, Kevin C Chung
{"title":"Implementation of postoperative opioid prescribing guidelines after carpal tunnel release: a quality collaborative study.","authors":"Jessica I Billig, Sandra V Kotsis, Lingxuan Kong, Lu Wang, Kevin C Chung","doi":"10.1177/17531934241268965","DOIUrl":"https://doi.org/10.1177/17531934241268965","url":null,"abstract":"<p><p>Opioid prescribing after carpal tunnel release (CTR) is not well understood. We assessed CTR opioid prescribing within a quality collaborative after the dissemination of guidelines. Post guidelines, the odds of receiving a prescription decreased by 67%. Quality collaboratives can change practice patterns.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142020073","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: 0
A safe zone of dorsal scaphoid approach: an anatomic study of proximal dorsal vessel foramina. 肩胛骨背侧入路的安全区：近端背侧血管孔的解剖学研究。
The Journal of hand surgery, European volume Pub Date : 2024-08-22 DOI: 10.1177/17531934241265086
Chaiyos Vinitpairot, Pongsapuk Sawaddirak, Surachai Sae-Jung, Surut Jianmongkol
{"title":"A safe zone of dorsal scaphoid approach: an anatomic study of proximal dorsal vessel foramina.","authors":"Chaiyos Vinitpairot, Pongsapuk Sawaddirak, Surachai Sae-Jung, Surut Jianmongkol","doi":"10.1177/17531934241265086","DOIUrl":"https://doi.org/10.1177/17531934241265086","url":null,"abstract":"<p><p>The dorsal approach to the scaphoid carries a risk of injuring its nutrient vessels. This cadaveric study identified a safe zone dorsally, which extends from the proximal pole to 11.3 mm distally along the scaphoid axis.<b>Level of evidence:</b> Level V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142020067","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: 0
Which would you choose again? Comparison of trapeziometacarpal implant versus resection arthroplasty in the same patient. 您会再次选择哪一种？在同一患者身上进行梯形掌骨植入术与切除关节成形术的比较。
The Journal of hand surgery, European volume Pub Date : 2024-08-22 DOI: 10.1177/17531934241265809
Viviane Nietlispach, Miriam Marks, Jenny Imhof, Tanja Pudic, Daniel B Herren
{"title":"Which would you choose again? Comparison of trapeziometacarpal implant versus resection arthroplasty in the same patient.","authors":"Viviane Nietlispach, Miriam Marks, Jenny Imhof, Tanja Pudic, Daniel B Herren","doi":"10.1177/17531934241265809","DOIUrl":"https://doi.org/10.1177/17531934241265809","url":null,"abstract":"<p><p>We invited 14 women who had undergone implant arthroplasty in one thumb and resection-suspension-interposition arthroplasty (RSIA) in the other to a follow-up visit at a median time of 2.2 and 6.2 years after implant and RSIA, respectively. In total, 12 patients were satisfied or very satisfied with the outcome after implant arthroplasty, while eight patients reported this level of satisfaction for RSIA. Of the patients, 10 would choose an implant again, one would choose RSIA and three patients were undecided. The brief Michigan Hand Outcomes Questionnaire score and key pinch and grip strengths were significantly higher at follow-up for the thumb with the implant arthroplasty. Two revision operations were done 1.5 years after RSIA. Patients were satisfied with both procedures, but if they had to choose again, they would prefer implant arthroplasty.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142020050","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: 0
The impact on time between injury and semi-acute surgery for hand fractures after virtual fracture clinic implementation. 虚拟骨折诊所实施后对手部骨折从受伤到半急性手术之间时间的影响。
The Journal of hand surgery, European volume Pub Date : 2024-08-21 DOI: 10.1177/17531934241268976
Dorien A Salentijn, Gijs J A Willinge, Marcel G W Dijkgraaf, Ruben N van Veen
{"title":"The impact on time between injury and semi-acute surgery for hand fractures after virtual fracture clinic implementation.","authors":"Dorien A Salentijn, Gijs J A Willinge, Marcel G W Dijkgraaf, Ruben N van Veen","doi":"10.1177/17531934241268976","DOIUrl":"https://doi.org/10.1177/17531934241268976","url":null,"abstract":"<p><p>The aim of this before-and-after study was to evaluate the implementation of a virtual fracture clinic (VFC) on the time between injury and surgery in patients presenting with a phalangeal or metacarpal fracture and in need of semi-acute surgical treatment. Between 1 January and 30 September 2018 (pre-VFC) and in the same period in 2022 (VFC), 101 and 113 patients were included, respectively. Before VCF implementation, the time between injury and surgery was 8.9 days (95% confidence interval [CI]: 8.1 to 9.6), while after VCF implementation it was 7.6 days (95% CI: 7.0 to 8.3). In 2018, 7% of operations were unacceptably delayed beyond 14 days from injury, which was reduced to 5% in 2022, despite patient-presentation delays of up to 10 days. VFC implementation was associated with a reduction in time until semi-acute surgery for phalangeal or metacarpal fractures and improved the quality of semi-acute surgery planning.<b>Level of evidence:</b> Level III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142020046","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: 0
Extending applications of WALANT for free flap harvest and transfer to repair the finger defects. 扩大 WALANT 在游离皮瓣采集和转移方面的应用，以修复手指缺损。
The Journal of hand surgery, European volume Pub Date : 2024-08-19 DOI: 10.1177/17531934241262939
Shu Guo Xing, Shou Wei Sun
{"title":"Extending applications of WALANT for free flap harvest and transfer to repair the finger defects.","authors":"Shu Guo Xing, Shou Wei Sun","doi":"10.1177/17531934241262939","DOIUrl":"https://doi.org/10.1177/17531934241262939","url":null,"abstract":"<p><p>The use of wide-awake local anaesthesia no tourniquet (WALANT) in free flap surgery has been limited and discouraged because of the concern that the adrenaline will cause vasoconstriction. We report our positive experience in free flap harvesting and transfer.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001643","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: 0
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