Luiz Guilherme de Saboya Lenzi, João Baptista Gomes Dos Santos, Elsa Yoko Kobayashi, Renan Pelluzzi Cavalheiro, Helena Bonciani Nader, Flavio Faloppa
{"title":"Healing after Bruner and McCash incisions for limited fasciectomy in patients with Dupuytren's disease: a randomized clinical trial.","authors":"Luiz Guilherme de Saboya Lenzi, João Baptista Gomes Dos Santos, Elsa Yoko Kobayashi, Renan Pelluzzi Cavalheiro, Helena Bonciani Nader, Flavio Faloppa","doi":"10.1177/17531934251315572","DOIUrl":"https://doi.org/10.1177/17531934251315572","url":null,"abstract":"<p><p>We compared the healing quality of Bruner and McCash incisions for limited fasciectomy in a randomized clinical trial involving 12 women and 60 men with Dupuytren's disease. None had had previous surgery on the affected hand, and all were treated between May 2017 and November 2018. Patients were graded according to the Tubiana classification and randomized to Bruner or McCash groups. Scar assessment was performed 6 months postoperatively using four methods: visual analogue scale score, Vancouver Scar Scale score, and Patient and Observer Scar Assessment Scale. The mean age of the patients was 61 years, and 72% were Caucasian. The mean time since disease onset was 6 years. Compared with the McCash group, the Bruner group had more concerning postoperative complications including wound dehiscence, pain and hypertrophic scarring. The McCash incision technique had more satisfactory results in terms of fewer postoperative complications, better quality of healing and higher patient satisfaction.<b>Level of evidence:</b> I.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251315572"},"PeriodicalIF":0.0,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143375099","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}
Pieter Vandenabeele, Bert Vanmierlo, Arne Decramer, Jeroen Soete, Stijn Muermans, Jean Goubau, Joris Duerinckx
{"title":"Revision options for discontinued trapeziometacarpal arthroplasties: compatibility with currently available implants.","authors":"Pieter Vandenabeele, Bert Vanmierlo, Arne Decramer, Jeroen Soete, Stijn Muermans, Jean Goubau, Joris Duerinckx","doi":"10.1177/17531934251317410","DOIUrl":"https://doi.org/10.1177/17531934251317410","url":null,"abstract":"<p><p>Surgical revision options for failed trapeziometacarpal total joint replacement include implant replacement and trapeziectomy. However, discontinuation of older implants complicates revision with original components, particularly as removing a well-fixed metacarpal stem can be challenging. This study examined the feasibility of pairing discontinued stems (Arpe, Elektra and Ivory) with currently available necks (Maïa, Moovis and Touch). We analysed the metallurgical composition, insertion depth, contact surface area and mechanical stability for all possible combinations of these implants. Our findings show compatibility of both Ivory and Arpe stems with the Touch neck and of the Elektra stem with the Moovis neck. Under strict lateral loading, fixation was stable up to 826.87 N, surpassing <i>in vivo</i> forces. Microscopic evaluation after the biomechanical load-to-failure test showed negligible damage to the connecting surfaces. These results suggest that it is safe to pair discontinued stems with currently available necks in revision trapeziometacarpal total joint arthroplasty.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251317410"},"PeriodicalIF":0.0,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143375119","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}
{"title":"Harnessing the uninjured hemisphere for treatment of the stroke or brain-injured patient - evolution of the contralateral C7 transfer.","authors":"Wendong Xu","doi":"10.1177/17531934251314640","DOIUrl":"https://doi.org/10.1177/17531934251314640","url":null,"abstract":"<p><p>This article presents a comprehensive review of contralateral C7 (cC7) transfer surgery, tracing its evolution from treating brachial plexus injuries to its transfer to ipsilateral C7 transfer surgery in treating upper motor neurone injuries. The cC7 was initially postulated to restore function by replacing injured nerves at the peripheral level, but dynamic cortical reorganization has since been demonstrated post-surgery, which potentially allows harnessing of the cC7 procedure to expand the span of control of the uninjured hemisphere in conditions like hemiplegic stroke. By integrating principles of nerve regeneration and brain plasticity through phased rehabilitation programmes, published clinical results have demonstrated significant improvements in upper limb function, confirming the procedure's safety and efficacy, with donor site morbidity that is typically mild and transient. The cC7 procedure may play a major role in the future of restoring upper limb function in patients who have suffered upper motor neurone lesions.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"17531934251314640"},"PeriodicalIF":0.0,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143367058","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}
{"title":"Highlights of hand surgery randomized controlled trials : Randomized controlled trial highlights.","authors":"","doi":"10.1177/17531934241297612","DOIUrl":"10.1177/17531934241297612","url":null,"abstract":"","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"297-298"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635522","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}
{"title":"Re: Lamas C, Arenas J, Almenara M, Rojas R, Fa-Binefa M, Toro-Aguilera A. Is pronator quadratus muscle repair required after anterior plate fixation for distal radial fractures? A prospective randomized comparative study. J Hand Surg Eur. 2024, 49: 334-40.","authors":"Philippe Liverneaux","doi":"10.1177/17531934241271571","DOIUrl":"10.1177/17531934241271571","url":null,"abstract":"","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"273-274"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142020043","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}
Louise de Haas, Hanneke van Oorschot, Bastiaan van Hoorn, Ivar de Bruin, Niels Schep, Mark van Heijl
{"title":"Anatomical distribution and treatment of paediatric hand fractures: a multi-centre study of 749 patients in the Netherlands.","authors":"Louise de Haas, Hanneke van Oorschot, Bastiaan van Hoorn, Ivar de Bruin, Niels Schep, Mark van Heijl","doi":"10.1177/17531934241258862","DOIUrl":"10.1177/17531934241258862","url":null,"abstract":"<p><strong>Level of evidence: </strong>II.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"238-246"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433727","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}
Uwe Joosten, Lee M Jeys, Georg Becker, Christian Grüning, Thomas Kusmenkov, Robert Schober, Alexander Joist
{"title":"Long-term results of 292 CarpoFit®-joint replacements for trapeziometacarpal osteoarthritis: a prospective cohort study with a 10-year follow-up.","authors":"Uwe Joosten, Lee M Jeys, Georg Becker, Christian Grüning, Thomas Kusmenkov, Robert Schober, Alexander Joist","doi":"10.1177/17531934241265811","DOIUrl":"10.1177/17531934241265811","url":null,"abstract":"<p><p>We report a prospective consecutive series of CarpoFit® (Implantcast, Buxtehude, Germany) trapeziometacarpal prostheses used between 2006 and 2014 for 292 patients with stage I-III trapeziometacarpal arthritis who remained symptomatic after conservative treatment. Patients were assessed at 3 months, 6 months and 1 year postoperatively for thumb movement, pinch strength and by validated patient-derived outcome scores and radiographs. Follow-up at 5 and 10 years was by outcome scores alone. Complications and revisions were recorded. Of the patients, 91% were either satisfied or very satisfied with their treatment at 10 years. Pain relief and functional outcomes were significantly improved within 3 months. Results were sustained during the entire observation period. The implant survival was 95% after 10 years. Prosthetic arthroplasty is a reliable treatment option for trapeziometacarpal osteoarthritis and the CarpoFit® prosthesis has excellent long-term results for patient satisfaction, functional scores and implant survivorship.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"187-194"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142020075","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}
{"title":"Re: Tang JB. Primary versus secondary nerve compression neuropathy. J Hand Surg Eur. 2024, 49: 639-41.","authors":"Martti Vastamäki","doi":"10.1177/17531934241262214","DOIUrl":"10.1177/17531934241262214","url":null,"abstract":"","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"276-277"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635535","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}
Robert Miller, Alexandra Mackenzie, Ted Welman, Sue Bodger, Maxim D Horwitz
{"title":"Establishing the psychological impact of congenital upper limb differences on parents and families.","authors":"Robert Miller, Alexandra Mackenzie, Ted Welman, Sue Bodger, Maxim D Horwitz","doi":"10.1177/17531934241256793","DOIUrl":"10.1177/17531934241256793","url":null,"abstract":"<p><p>The aim of this prospective study was to report the psychological experiences of parents caring for children with a congenital upper limb difference and to compare these to population norms. Contributing factors were explored, including access to support and coping strategies. Finally, parents with a congenital upper limb difference themselves were compared to those without. Data recorded included demographics, a validated wellbeing and family impact measure, a unique measure of emotions experienced and exploratory questions. Wellbeing and family impact scores were significantly lower than populations norms. Mothers experienced significantly more negative emotions than fathers. There was no significant different between parents with and without a congenital upper limb difference. Of the parents, 68% felt there should be improved access to psychological support. This demonstrates that parents of children with congenital upper limb differences have unique psychological experiences and needs. They may benefit from specialist psychological support and further research is needed.<b>Level of evidence:</b> III.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"247-252"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141249292","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}
{"title":"Trans-trapezium carpometacarpal dislocation of the thumb.","authors":"Yongbin Gao, Ge Xiong, Shanlin Chen","doi":"10.1177/17531934241261628","DOIUrl":"10.1177/17531934241261628","url":null,"abstract":"<p><p>We report a case series of trans-trapezium carpometacarpal dislocation of the thumb and propose a classification to help with decision-making for this injury.</p>","PeriodicalId":94237,"journal":{"name":"The Journal of hand surgery, European volume","volume":" ","pages":"266-269"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796738","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}