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The Role of 3D technology in corrective osteotomy for forearm malunion.
The Journal of hand surgery, European volume Pub Date : 2025-03-27 DOI: 10.1177/17531934251327286
Pieter Reyniers, Dries Verrewaere, Eline van Es, Joost Colaris, Andreas Schweizer, Frederik Verstreken
{"title":"The Role of 3D technology in corrective osteotomy for forearm malunion.","authors":"Pieter Reyniers, Dries Verrewaere, Eline van Es, Joost Colaris, Andreas Schweizer, Frederik Verstreken","doi":"10.1177/17531934251327286","DOIUrl":"https://doi.org/10.1177/17531934251327286","url":null,"abstract":"<p><p>Forearm malunion affects upper limb function, impairing rotation, grip strength, and dexterity. Traditional osteotomies, based on two-dimensional imaging and intraoperative adjustments, may fail to address the intricate three-dimensional aspects of forearm deformities. Advances in 3D technology, including imaging, virtual surgical planning and 3D-printed patient-specific guides, have transformed corrective osteotomy by enhancing precision and predictability. This paper discusses the limitations of traditional methods, the role of 3D imaging in detailed deformity analysis, the benefits of virtual planning and the use of 3D surgical guides to improve outcomes. The use of 3D technology in both paediatric and adult cases is illustrated in a supplementary series of case reports. Future improvements in artificial intelligence, robotics and augmented reality are expected to enhance 3D-guided osteotomies further, making them more accessible and cost-effective.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251327286"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143723021","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 use of mathematical modelling in hand surgery.
The Journal of hand surgery, European volume Pub Date : 2025-03-27 DOI: 10.1177/17531934251325771
Shai Luria, Michael Sandow, Gürsel Leblebicioğlu, Ergin Tönük, Koray Melih Yatağan, Şenol Bekmez, Nagehan Demirci, Yonatan Schwarcz
{"title":"The use of mathematical modelling in hand surgery.","authors":"Shai Luria, Michael Sandow, Gürsel Leblebicioğlu, Ergin Tönük, Koray Melih Yatağan, Şenol Bekmez, Nagehan Demirci, Yonatan Schwarcz","doi":"10.1177/17531934251325771","DOIUrl":"https://doi.org/10.1177/17531934251325771","url":null,"abstract":"<p><p>Consistent explanations of hand and wrist anatomy, how it relates to function and leads to dysfunction, remain elusive. Recent research using new capabilities in computer-aided and three-dimensional (3D) modelling with mathematical tools have advanced our understanding in areas where conventional understanding does not align with clinical observation. Translating the complex biomechanical and clinical realities into mathematical models of the hand and upper limb, however, poses significant challenges; yet when successful, these models can provide answers to questions difficult to address in two-dimensional analyses. Mathematical tools can also measure forces across joints, mark fracture planes in comminuted fractures, enabling the virtual reduction of fractures, and analyse the properties of denervated muscles. High mathematical quality data, when validated carefully, facilitate the creation of models that can be used to provide new general information in hand surgery as well as the potential to personalize patient care.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251325771"},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143723027","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
From surgical problem to surgical solution - lessons and reflections.
The Journal of hand surgery, European volume Pub Date : 2025-03-26 DOI: 10.1177/17531934251321362
Marc Garcia-Elias
{"title":"From surgical problem to surgical solution - lessons and reflections.","authors":"Marc Garcia-Elias","doi":"10.1177/17531934251321362","DOIUrl":"https://doi.org/10.1177/17531934251321362","url":null,"abstract":"<p><p>In this insightful and candid biographical article, Professor Marc Garcia-Elias recounted his journey from surgical problem to surgical solution. This was an invited article as part of the 2025 FESSH/JHSE Special Issue on 'Technology and Innovation'. Professor Garcia-Elias attributed his achievements to the influence of mentors, the importance of cadaveric dissections and long years of clinical experience.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251321362"},"PeriodicalIF":0.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733792","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
UK Hand and Upper Limb Transplant Service, functional outcomes of the first six patients: A case series.
The Journal of hand surgery, European volume Pub Date : 2025-03-22 DOI: 10.1177/17531934251325654
Joanna Burdon, Sarah Taplin, David A Leonard, Ibrahim Natalwala, Grainne Bourke, Simon P Kay
{"title":"UK Hand and Upper Limb Transplant Service, functional outcomes of the first six patients: A case series.","authors":"Joanna Burdon, Sarah Taplin, David A Leonard, Ibrahim Natalwala, Grainne Bourke, Simon P Kay","doi":"10.1177/17531934251325654","DOIUrl":"https://doi.org/10.1177/17531934251325654","url":null,"abstract":"<p><p>To date, three unilateral and seven bilateral hand and upper limb transplants have been performed by the UK Hand Transplant Programme. We report functional outcomes for our first six patients, who have been followed for between 4 and 10 years. All patients gained protective sensation to pain, pressure and temperature, and a recordable power grip. All patients saw an improvement in the Canadian Occupational Performance Measure performance and satisfaction scores, with five out of six patients improving the Disability of the Arm Shoulder and Hand scores. The Hand Transplant Score System graded all distal transplants as either a 'good' or 'excellent' with proximal transplants scoring 'fair' or 'good'. Hand transplant is an effective treatment in selected patients with continual improvements in function seen for up to 5 years.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251325654"},"PeriodicalIF":0.0,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677434","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
CORRIGENDUM to 'Scapholunate ligament reconstruction using a part of the extensor carpi radialis brevis tendon through a dorsal approach'.
The Journal of hand surgery, European volume Pub Date : 2025-03-14 DOI: 10.1177/17531934251322716
{"title":"CORRIGENDUM to 'Scapholunate ligament reconstruction using a part of the extensor carpi radialis brevis tendon through a dorsal approach'.","authors":"","doi":"10.1177/17531934251322716","DOIUrl":"https://doi.org/10.1177/17531934251322716","url":null,"abstract":"","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251322716"},"PeriodicalIF":0.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143627268","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
From concept to market: The development journey of a new implant in hand surgery. 从概念到市场：手外科新植入物的开发历程。
The Journal of hand surgery, European volume Pub Date : 2025-03-13 DOI: 10.1177/17531934251323855
Daniel B Herren
{"title":"From concept to market: The development journey of a new implant in hand surgery.","authors":"Daniel B Herren","doi":"10.1177/17531934251323855","DOIUrl":"https://doi.org/10.1177/17531934251323855","url":null,"abstract":"<p><p>This article explores the journey of developing a new implant for hand surgery, highlighting key stages from concept to market launch. It outlines the challenges posed by regulatory barriers, financial constraints and market limitations, whilst emphasizing perseverance, patient-centred design and impact-driven innovation. The development process involves ideation, prototyping, testing and collaboration with academic and industrial partners. Practical guidance is provided on securing funding, navigating intellectual property and addressing stringent legal requirements. Testing methodologies, including biomechanical and <i>in vivo</i> studies, are discussed to ensure safety and efficacy. The paper concludes with strategies for initial clinical applications, market rollout and long-term performance monitoring, inspiring innovators to persist despite obstacles.<b>Level of Evidence:</b> V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251323855"},"PeriodicalIF":0.0,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143627280","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
Virtual clinics in hand surgery.
The Journal of hand surgery, European volume Pub Date : 2025-03-12 DOI: 10.1177/17531934251325134
Paul Hc Stirling, David Ring, Jane E McEachan
{"title":"Virtual clinics in hand surgery.","authors":"Paul Hc Stirling, David Ring, Jane E McEachan","doi":"10.1177/17531934251325134","DOIUrl":"https://doi.org/10.1177/17531934251325134","url":null,"abstract":"<p><p>Advances in technology allow some aspects of clinical care to be conducted without the need for traditional face-to-face appointments. This article provides an overview of the advantages and disadvantages of these clinic models, as well as potential future applications.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251325134"},"PeriodicalIF":0.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143618122","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
Computerized adaptive testing with the I-HaND scale for monitoring patients with upper limb nerve pathology.
The Journal of hand surgery, European volume Pub Date : 2025-03-12 DOI: 10.1177/17531934251324381
Working Group Members Mary Rose Harvey, Ryckie G Wade, Jeremy Rodrigues, Christina Jerosch-Herold, Caroline Miller, Christopher McGhee, Grainne Bourke, Chiraag Karia, Alna Dony, Dominic Power, Mark Ashwood, Conrad Harrison
{"title":"Computerized adaptive testing with the I-HaND scale for monitoring patients with upper limb nerve pathology.","authors":"Working Group Members Mary Rose Harvey, Ryckie G Wade, Jeremy Rodrigues, Christina Jerosch-Herold, Caroline Miller, Christopher McGhee, Grainne Bourke, Chiraag Karia, Alna Dony, Dominic Power, Mark Ashwood, Conrad Harrison","doi":"10.1177/17531934251324381","DOIUrl":"10.1177/17531934251324381","url":null,"abstract":"<p><p>The Impact of Hand Nerve Disorders scale is a patient-reported outcome measure for upper limb nerve pathology. We aimed to assess its structural validity using item response theory and to develop computerized adaptive testing algorithms. We conducted a series of psychometric studies to assess constructs measured, applied an item response theory model to the data, then developed computerized adaptive testing algorithms. The results showed two distinct factors: 'Motor Function' and 'Pain'. We developed two separate computerized adaptive tests which reduced the number of questions from six ('Pain') and 16 ('Motor Function') to a median of three questions each at a high level of precision (standard error of measurement <0.3). For optimal measurement precision, the Impact of the Hand Nerve Disorders scale should be divided into two subscales and administered through computerized adaptive testing. In some circumstances (such as screening for specific issues) it may be preferable to administer all 32 items.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251324381"},"PeriodicalIF":0.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143618116","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
Reconstruction of the middle phalanx condyle using a small finger metacarpal base autograft.
The Journal of hand surgery, European volume Pub Date : 2025-03-12 DOI: 10.1177/17531934251325423
Shouwei Sun, Luyang Feng, Shuguo Xing
{"title":"Reconstruction of the middle phalanx condyle using a small finger metacarpal base autograft.","authors":"Shouwei Sun, Luyang Feng, Shuguo Xing","doi":"10.1177/17531934251325423","DOIUrl":"https://doi.org/10.1177/17531934251325423","url":null,"abstract":"<p><p>We reconstructed a middle phalanx condyle fracture defect using a small finger metacarpal base autograft regaining a painless, functional distal interphalangeal joint and restoring articular congruency.<b>Level of evidence:</b> V.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251325423"},"PeriodicalIF":0.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143618120","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
From surgical problem to surgical solution - lessons and reflections.
The Journal of hand surgery, European volume Pub Date : 2025-03-12 DOI: 10.1177/17531934251324354
Jayme Augusto Bertelli
{"title":"From surgical problem to surgical solution - lessons and reflections.","authors":"Jayme Augusto Bertelli","doi":"10.1177/17531934251324354","DOIUrl":"https://doi.org/10.1177/17531934251324354","url":null,"abstract":"<p><p>In this insightful and personal biographical article, Professor Bertelli recounts his journey from surgical problem to surgical solution with incredible detail. This was an invited article as part of the 2025 <i>FESSH/JHSE</i> Special Issue on 'Technology and Innovation'. He shares some of this thought process behind novel nerve transfer or examination techniques, built on solid anatomical foundations and careful patient observations. Professor Bertelli attributes his achievements to the influence of mentors, the importance of cadaveric dissections and long years of clinical experience.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251324354"},"PeriodicalIF":0.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143618118","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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