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The Role of 3D technology in corrective osteotomy for forearm malunion. 三维技术在前臂畸形愈合截骨矫正中的作用。
The Journal of hand surgery, European volume Pub Date : 2025-06-01 Epub 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":"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":"771-780"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","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
Career experience of a hand surgeon with symbrachydactyly. 手外科医生的职业经验与联合指畸形。
The Journal of hand surgery, European volume Pub Date : 2025-05-30 DOI: 10.1177/17531934251345355
Tatsuki Kobayashi, Yusuke Matsuura, Seiji Ohtori
{"title":"Career experience of a hand surgeon with symbrachydactyly.","authors":"Tatsuki Kobayashi, Yusuke Matsuura, Seiji Ohtori","doi":"10.1177/17531934251345355","DOIUrl":"https://doi.org/10.1177/17531934251345355","url":null,"abstract":"","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251345355"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188692","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
Distal complications of Motec® total wrist arthroplasty: failure of osseointegration versus periprosthetic fracture. Motec®全腕关节置换术的远端并发症：骨整合失败与假体周围骨折。
The Journal of hand surgery, European volume Pub Date : 2025-05-30 DOI: 10.1177/17531934251345980
Ellie Courtney, Jithin Lobo, Thomas Cash, Ashley W Newton, Daniel J Brown
{"title":"Distal complications of Motec® total wrist arthroplasty: failure of osseointegration versus periprosthetic fracture.","authors":"Ellie Courtney, Jithin Lobo, Thomas Cash, Ashley W Newton, Daniel J Brown","doi":"10.1177/17531934251345980","DOIUrl":"10.1177/17531934251345980","url":null,"abstract":"<p><p>Failure of osseointegration and periprosthetic fractures are common complications of total wrist arthroplasty. A recent increase in the incidence of the latter is hypothesized to be a result of using larger implants to avoid the former. In this mixed-methods, case-control study of the Motec® arthroplasty, six cases of failure of osseointegration were compared with eight periprosthetic fractures and 14 controls without either problem. Compared with the controls, periprosthetic fractures occurred in younger patients with better bone health and a narrower medullary diameter of the middle finger metacarpal, in which a narrow medullary isthmus was widened to facilitate screw insertion. Failure of osseointegration occurred in older patients with wider metacarpal diameters. It can, however, also occur with over-reaming in younger patients and is more common with off-axis screw insertion. The results of this study suggest that periprosthetic fracture and failure of osseointegration may be opposite ends of a spectrum, with successful osseointegration in between. Both complications should be avoidable with careful surgical technique.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251345980"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188693","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
Patient reliability and surgical decision-making biases amongst hand surgeons. 手外科医生的病人可靠性和手术决策偏差。
The Journal of hand surgery, European volume Pub Date : 2025-05-29 DOI: 10.1177/17531934251345351
Madeline C Rocks, Riana Brown, Karen J Noh, Steven Z Glickel, S Steven Yang, Jacques H Hacquebord
{"title":"Patient reliability and surgical decision-making biases amongst hand surgeons.","authors":"Madeline C Rocks, Riana Brown, Karen J Noh, Steven Z Glickel, S Steven Yang, Jacques H Hacquebord","doi":"10.1177/17531934251345351","DOIUrl":"https://doi.org/10.1177/17531934251345351","url":null,"abstract":"<p><p>The perception of patient reliability may create surgical decision-making biases amongst hand surgeons. In this study, anonymous surveys were distributed to hand surgeons to understand how patient 'reliability' is defined and how it alters treatment decisions. Participants rated the importance of patient factors in assessing reliability, then completed fictional clinical vignettes detailing histories of patients undergoing elective surgery. Suspected substance usage and history of mental illness were rated as important factors in determining reliability, while gender and race were rated as not important. Physicians were significantly less likely to recommend surgery and exhibited less confidence in their recommendations when presented with a patient with a history of mental illness (<i>p</i> < 0.001) or suspected substance usage (<i>p</i> = 0.003). These findings suggest that while race and gender may not explicitly impact surgical decision-making, biases related to mental illness and substance use do affect treatment decisions and confidence levels. Recognizing these biases is critical for ensuring equitable care, and future efforts should explore strategies to mitigate their impact on surgical recommendations. <b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251345351"},"PeriodicalIF":0.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176407","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
Prevalence of residual limb pain and neuromas after upper extremity amputation: a systematic review and meta-analysis. 上肢截肢后残肢疼痛和神经瘤的患病率：一项系统回顾和荟萃分析。
The Journal of hand surgery, European volume Pub Date : 2025-05-29 DOI: 10.1177/17531934251345368
Emile B List, Vita Klieverik, Enrico Martin, David D Krijgh, J Henk Coert
{"title":"Prevalence of residual limb pain and neuromas after upper extremity amputation: a systematic review and meta-analysis.","authors":"Emile B List, Vita Klieverik, Enrico Martin, David D Krijgh, J Henk Coert","doi":"10.1177/17531934251345368","DOIUrl":"https://doi.org/10.1177/17531934251345368","url":null,"abstract":"<p><p>Residual limb pain (RLP) and symptomatic neuromas are common complications of upper extremity amputation. There is disagreement in the literature about their true prevalence. This systematic review and meta-analysis of the prevalence of RLP and symptomatic neuroma after upper extremity amputation identified relevant studies published between 2000 and 2022 in PubMed, Cochrane and Embase. Random-effects meta-analyses of proportions were performed to determine the prevalence of RLP and symptomatic neuromas. Subgroups were identified and analysed. For RLP, the pooled prevalence was 58% (95% CI: 46 to 68). For symptomatic neuromas, the pooled prevalence was 22% (95% CI: 11 to 40). Residual limb pain was reported less frequently in Europe than in the United States. Knowledge and awareness are important for appropriate treatment and prevention.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251345368"},"PeriodicalIF":0.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176408","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 risk of surgical site infection for hand trauma surgery performed outside main theatres: a systematic review and meta-analysis. 在主手术室外进行的手部创伤手术手术部位感染的风险：系统回顾和荟萃分析。
The Journal of hand surgery, European volume Pub Date : 2025-05-29 DOI: 10.1177/17531934251345358
Shiraz Qureshi Shafi, Wafa Audei, Abigail Victoria Shaw, Sue Fullilove, Jeremy Neil Rodrigues, Justin Conrad Rosen Wormald
{"title":"The risk of surgical site infection for hand trauma surgery performed outside main theatres: a systematic review and meta-analysis.","authors":"Shiraz Qureshi Shafi, Wafa Audei, Abigail Victoria Shaw, Sue Fullilove, Jeremy Neil Rodrigues, Justin Conrad Rosen Wormald","doi":"10.1177/17531934251345358","DOIUrl":"https://doi.org/10.1177/17531934251345358","url":null,"abstract":"<p><p>Increasing pressure on healthcare systems and limited emergency operating capacity has reduced the availability of main theatres for hand trauma surgery. This has led to an increase in hand trauma surgery performed outside the main theatre (OMT). Data on the risk of surgical site infection (SSI) in the OMT setting for hand trauma are limited. This systematic review and meta-analysis summarize the risk of SSI for hand trauma surgery in this setting. We included seven studies involving 1635 patients. The meta-analysis suggests an SSI risk of 2.8%, which is a lower estimate than the overall risk of SSI in hand trauma surgery. Hand trauma surgery performed OMT is not associated with an increased risk of SSI compared with existing summary estimates. This supports recent guidelines from the British Society for Surgery of the Hand, and Getting It Right First Time programme.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251345358"},"PeriodicalIF":0.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176409","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
Bone scintigraphy in trapeziometacarpal joint replacement. 骨显像在腕关节置换术中的应用。
The Journal of hand surgery, European volume Pub Date : 2025-05-29 DOI: 10.1177/17531934251345359
Tim Philips, Laurens Van Melkebeke, Joris Duerinckx
{"title":"Bone scintigraphy in trapeziometacarpal joint replacement.","authors":"Tim Philips, Laurens Van Melkebeke, Joris Duerinckx","doi":"10.1177/17531934251345359","DOIUrl":"10.1177/17531934251345359","url":null,"abstract":"<p><p>The normal evolution of bone scintigraphy tracer uptake after trapeziometacarpal total joint arthroplasty is unknown. We assessed the scintigraphic appearance of 111 uncemented implants after surgery and normalization of tracer uptake can be expected after 2 years.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251345359"},"PeriodicalIF":0.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176406","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
Epidemiology of acute flexor tendon injury and an analysis of outcomes - a study of 91,239 patients in England and Wales. 急性屈肌腱损伤的流行病学和结果分析——一项对英格兰和威尔士91239例患者的研究。
The Journal of hand surgery, European volume Pub Date : 2025-05-27 DOI: 10.1177/17531934251342419
Jamie A Mawhinney, Justin Cr Wormald, Michael Ng, Dominic Furniss, Jennifer Ce Lane
{"title":"Epidemiology of acute flexor tendon injury and an analysis of outcomes - a study of 91,239 patients in England and Wales.","authors":"Jamie A Mawhinney, Justin Cr Wormald, Michael Ng, Dominic Furniss, Jennifer Ce Lane","doi":"10.1177/17531934251342419","DOIUrl":"https://doi.org/10.1177/17531934251342419","url":null,"abstract":"<p><p>The purpose of this study was to investigate the epidemiology of flexor tendon injuries and operative complications post-repair on a national scale. Using Hospital Episode Statistics data we identified a total of 91,239 patients in England who underwent a flexor tendon repair in the 20-year period between 1 April 1998 and 31 March 2018. Individuals were more likely to be male (74.6%) and of lower socioeconomic status. Median age was 31 years and patients had few medical comorbidities. After primary repair, 3.1% of patients required a revision repair within 90 days and 2.8% tenolysis within two years. Complications other than rupture, adhesions and wound site infection were rare. This study has shown that flexor tendon repair is primarily a procedure of working-age men, with rupture and adhesions the most common complication. The complication rate is less than previously reported in the literature.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251342419"},"PeriodicalIF":0.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144153236","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
Time to return to work after dual-mobility trapeziometacarpal prosthesis. A retrospective study of 179 patients. 双活动梯形腕关节假体后重返工作岗位的时间。179例患者的回顾性研究。
The Journal of hand surgery, European volume Pub Date : 2025-05-27 DOI: 10.1177/17531934251345350
Alain Tchurukdichian, David Guillier, Aram Gazarian, Elise Boudousq
{"title":"Time to return to work after dual-mobility trapeziometacarpal prosthesis. A retrospective study of 179 patients.","authors":"Alain Tchurukdichian, David Guillier, Aram Gazarian, Elise Boudousq","doi":"10.1177/17531934251345350","DOIUrl":"10.1177/17531934251345350","url":null,"abstract":"<p><p>Treatment of trapeziometacarpal joint osteoarthritis with a dual-mobility prosthesis offered a quick convalescence and return to work (median 51 days) in patients ranging between 40 and 67 years of age. No significant difference was found between office workers and labourers.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251345350"},"PeriodicalIF":0.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144153237","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
Outcomes of index finger pollicization in children using a modification of the Kozin, Mennen and Al-Qattan techniques. 使用Kozin， Mennen和Al-Qattan技术改良的儿童食指偏斜的结果。
The Journal of hand surgery, European volume Pub Date : 2025-05-26 DOI: 10.1177/17531934251342724
Onyeka Agbanusi, Yi Yi Cho Thein, Andrea Jester
{"title":"Outcomes of index finger pollicization in children using a modification of the Kozin, Mennen and Al-Qattan techniques.","authors":"Onyeka Agbanusi, Yi Yi Cho Thein, Andrea Jester","doi":"10.1177/17531934251342724","DOIUrl":"https://doi.org/10.1177/17531934251342724","url":null,"abstract":"<p><p>Our technique of pollicization incorporates that described by Kozin with modifications by Mennen and Al-Qattan. We studied the outcome of this technique using three different outcome scores. In total, 16 index finger pollicizations were assessed by the Reach Out! score, the Percival score and the Thumb Grasp and Pinch Assessment score. The mean Reach Out! score was 16 and the mean Percival and Thumb Grasp and Pinch Assessment scores were 18 and 43 respectively. Patients with radial longitudinal deficiencies had worse outcomes on the Percival score. The Blauth classification of thumb hypoplasia had no significant effect on the outcome scores. The three scores correlated well with each other. The age at pollicization showed a significant correlation with the Thumb Grasp and Pinch Assessment and Percival scores. The outcomes of our technique were good and similar to other techniques.<b>Level of evidence:</b> IV.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251342724"},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144145264","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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