journal
https://read.qxmd.com/read/38152681/review-of-replantation-services-from-a-level-one-trauma-center-in-india
#1
REVIEW
Suvashis Dash, Raja Tiwari, Rakesh Dawar, Shivangi Saha, Maneesh Singhal
The aim of this article is to examine the elements that contribute to effective operation of a specialized replantation center and to provide readers with a general idea of the outcome of replantation services in India. A dedicated high-volume center coupled with a sound referral system is the backbone of replantation services in a country. A retrospective study was done on all patients who visited a level 1 trauma center in India from November 1, 2017, to December 31, 2018, for various amputations. The medical records and digital pictures of these patients were extracted from the records and analyzed...
December 2023: Journal of Hand and Microsurgery
https://read.qxmd.com/read/38152680/upper-extremity-wounds-treated-with-biodegradable-temporizing-matrix-versus-collagen-chondroitin-silicone-bilayer
#2
JOURNAL ARTICLE
Shannon S Wu, Michael Wells, Mona Ascha, James Gatherwright, Kyle J Chepla
Objective  This study aims to compare outcomes between Novosorb Biodegradable Temporizing Matrix (BTM) and Integra collagen-chondroitin silicone for upper-extremity wound reconstruction. Methods  This retrospective study analyzed adult patients who underwent wound reconstruction with either BTM or Integra at our institution between 2015 and 2020. Results  Forty-eight patients were included: 31 (64.6%) BTM and 17 (35.4%) Integra. Mean age was 44.0 (range: 18-68) years. Age, race, sex, smoking, comorbidities, and defect size were similar between groups...
December 2023: Journal of Hand and Microsurgery
https://read.qxmd.com/read/38152679/surgical-treatment-for-trigger-thumb-using-a-radial-approach
#3
JOURNAL ARTICLE
Arkaphat Kosiyatrakul, Suriya Luenam
The anatomy of the thumb flexor pulley system and surrounding structures differs from the fingers. The hand's positioning during trigger thumb release is troublesome. Iatrogenic radial digital nerve injuries of the thumb following opened or percutaneous A1 pulley release have been reported. We present the radial approach using a transverse incision for surgical release of the trigger thumb. This surgical approach aimed to restore a familiar surgical hand position, prevent radial digital nerve injury and bowstringing of the flexor pollicis longus, and decrease postoperative pain to facilitate recovery of hand function...
December 2023: Journal of Hand and Microsurgery
https://read.qxmd.com/read/38152678/nerve-grafting-for-isolated-injury-to-the-intrinsic-motor-branch-of-the-ulnar-nerve-due-to-a-stab-injury-a-case-report
#4
Takuya Yokoi, Takuya Uemura, Mitsuhiro Okada, Kosuke Saito, Ema Onode, Hiroaki Nakamura
Isolated injury to the deep motor branch of the ulnar nerve caused by stabbing is sporadic, with only one reported case in the English-language literature. We report one such case treated successfully using nerve grafting. A 33-year-old patient had sustained a stab wound to the right hypothenar eminence and showed a claw hand deformity. Needle electromyography study revealed denervation potentials with no voluntary motor unit action potentials (MUAPs) in the first dorsal interosseous (FDI) muscles. Nerve exploration revealed a neuroma-in-continuity in the intrinsic motor branch of the ulnar nerve...
December 2023: Journal of Hand and Microsurgery
https://read.qxmd.com/read/38152677/the-development-and-validation-of-data-elements-and-process-steps-for-an-electronic-health-record-for-hand-surgery-outreach-trips
#5
JOURNAL ARTICLE
Lauren M Shapiro, James Chang, Paige M Fox, Scott Kozin, Kevin C Chung, George S M Dyer, Duretti Fufa, Fraser Leversedge, Julie Katarincic, Robin Kamal
Background  The surgical burden in low- and middle-income countries (LMICs) as reported by the number of surgical cases per capita is great. To improve global health and help address this burden, there has been a rise in surgical outreach to LMICs. In high-income countries, an electronic health record (EHR) is used to document and communicate data critical to the quality of care and patient safety. Despite this, there is little guidance or precedence on the data elements or processes for utilizing an EHR on outreach trips...
December 2023: Journal of Hand and Microsurgery
https://read.qxmd.com/read/38152676/surgical-anatomy-and-exercises-using-the-chicken-thigh-sciatic-nerve-for-microsurgery-training
#6
JOURNAL ARTICLE
Alphonsus K S Chong, Lan Anh T Le, Amitabha Lahiri, Khadijah Yusoff, George W Yip, Feng Pan, Wendy Teo, Janice C Y Liao, Jin Xi Lim
Introduction  Vessel repair in a chicken thigh is commonly used in microsurgery training model. The sciatic nerve is closely associated with the vessels and has been used for training nerve coaptation, which has different technical considerations from vessel anastomosis. We describe in detail the relevant surgical anatomy and training exercises that can be used with this model. Methods  With 32 fresh store-bought chicken thighs, 16 were used to analyze the gross and histological features of the sciatic nerve, and 16 were intended to create and perform training models...
December 2023: Journal of Hand and Microsurgery
https://read.qxmd.com/read/38152675/development-of-a-framework-for-assessment-and-management-of-proximal-ulna-fracture-dislocations-of-the-elbow
#7
EDITORIAL
Joideep Phadnis, Terrence Jose Jerome, Andrew Stone
No abstract text is available yet for this article.
December 2023: Journal of Hand and Microsurgery
https://read.qxmd.com/read/38152674/variations-in-treatment-and-costs-for-distal-radius-fractures-in-patients-over-55-years-of-age-a-population-based-study
#8
JOURNAL ARTICLE
Lauren M Shapiro, Michelle Xiao, Thompson Zhuang, David S Ruch, Marc J Richard, Robin N Kamal
Objective  To evaluate the rate of surgery for symptomatic malunion after nonoperatively treated distal radius fractures in patients aged 55 and above, and to secondarily report differences in demographics, geographical variation, and utilization costs of patients requiring subsequent malunion correction. Methods  We identified patients aged 55 and above who underwent nonoperative treatment for a distal radius fracture between 2007 and 2016 using the IBM MarketScan database. In the nonoperative cohort, we identified patients who underwent malunion correction between 3 months and 1 year after distal radius fracture...
December 2023: Journal of Hand and Microsurgery
https://read.qxmd.com/read/38152673/pulmonary-complications-and-mortality-in-patients-with-sars-cov-2-undergoing-elective-and-emergent-hand-surgery
#9
JOURNAL ARTICLE
Alexander J Adams, Nicolas Dohse, Andrew Miller, Rick Tosti
Background  Patients acutely infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) may have increased risk for postsurgical pulmonary complications and mortality, particularly with general anesthesia. Surgery is often delayed to mitigate risk; however, excessive delays may result in morbidity. Optimal criteria for delaying surgery in patients with or without symptoms are unknown. This study aimed to evaluate any complications following hand surgery in patients testing positive for SARS-CoV-2...
December 2023: Journal of Hand and Microsurgery
https://read.qxmd.com/read/38152672/comparison-of-complications-after-revision-ulnar-nerve-surgery-performed-under-regional-versus-general-anesthesia
#10
JOURNAL ARTICLE
Lauren E Dittman, Courtney R Carlson Strother, Peter C Rhee
No abstract text is available yet for this article.
December 2023: Journal of Hand and Microsurgery
https://read.qxmd.com/read/38152671/intramedullary-k-wires-versus-alternate-techniques-for-metacarpal-shaft-and-neck-fractures-a-systematic-review-and-meta-analysis
#11
JOURNAL ARTICLE
Terence L Thomas, Amir R Kachooei, Asif M Ilyas
Intramedullary K-wire (IMKW) fixation is one of the mainstays for surgically treating metacarpal shaft and neck fractures. However, there remains a lack of literature comparing outcomes of the various available surgical repair techniques in all indicated metacarpals. Therefore, we conducted a systematic review and meta-analysis to investigate the clinical advantages and drawbacks of IMKW compared with alternate fracture repair techniques. A comprehensive systematic literature review was performed to identify studies that compared clinical outcomes of IMKW to alternate metacarpal fixation modalities...
December 2023: Journal of Hand and Microsurgery
https://read.qxmd.com/read/37701320/flexor-tendon-pulley-injuries-a-systematic-review-of-the-literature-and-current-treatment-options
#12
REVIEW
Stefano Artiaco, Francesco Bosco, Alessandro Lusso, Luigi Luca Cioffi, Bruno Battiston, Alessandro Massè
Closed injuries of the finger flexor pulley system are rare among the general population, and most of them occur during rock climbing. During the last few decades, scientific interest on this topic has increased. We conducted a systematic review of the literature according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. The research was limited from January 2000 to March 2022. PubMed and Scopus databases were investigated for full-text articles published in English, French, and Italian using the following MeSH terms: ([pulley rupture] OR [finger pulley lesion]) AND ([injur*] OR [ruptur*] OR [damage] OR [trauma*])...
September 2023: Journal of Hand and Microsurgery
https://read.qxmd.com/read/37701319/current-concepts-and-management-of-upper-limb-amputees
#13
EDITORIAL
Eliana B Saltzman, J Terrence Jose Jerome, R Glenn Gaston
No abstract text is available yet for this article.
September 2023: Journal of Hand and Microsurgery
https://read.qxmd.com/read/37701318/challenges-for-women-in-hand-surgery-our-perspective
#14
REVIEW
Julia A V Nuelle, Sonya P Agnew, Felicity G Fishman
Over recent decades, the prevalence of women in surgical subspecialties has increased. There has been a significant rise in the percentage of women entering integrated plastic surgery programs and an increase, albeit smaller, in women entering orthopedic surgery training programs. Although female membership in the American Society for Surgery of the Hand has steadily increased, women remain in the vast minority within this professional society and many others within the field of hand surgery. In addition to underrepresentation in positions of leadership, women face challenges such as imposter syndrome, bullying, unfavorable work structure for work-family balance, macro and micro-aggressions, and lack of mentors at a higher rate than their male colleagues...
September 2023: Journal of Hand and Microsurgery
https://read.qxmd.com/read/37701317/operative-trends-in-orthopaedic-hand-surgery-fellowships
#15
JOURNAL ARTICLE
James J Drinane, Stella Lee, Yannick A J Hoftiezer, Neal C Chen, Kyle R Eberlin
Objective  Since 1958, more than 50 postresidency fellowship programs in hand surgery have been introduced within the United States. Ongoing changes in health care and medical education necessitate the evaluation of these fellowships. The purpose of this study is to identify trends in operative experience over time regarding procedure volume, surgery type, and anatomic region. Materials and Methods  National Accreditation Council for Graduate Medical Education (ACGME) case logs of graduating orthopaedic hand surgery fellows were evaluated for years 2011 to 2019...
September 2023: Journal of Hand and Microsurgery
https://read.qxmd.com/read/37701316/history-and-metamorphosis-of-hand-surgery-india
#16
JOURNAL ARTICLE
George A Anderson
The advent of hand surgery in India reads like a fortuitous saga, a continuum of the hand deformity correction on leprosy patients pioneered by Dr. Paul Wilson Brand at the Christian Medical College (CMC) Vellore, Madras State (Tamil Nadu [TN]), in 1948. The "Hand Research Unit," established in 1951, became the largest repository for hand reconstructive surgeries and with its head-start drew in most hand dysfunctions in the country. Early industrialization and disorderly road traffic generated hand injuries that threatened workforce in India...
September 2023: Journal of Hand and Microsurgery
https://read.qxmd.com/read/37701315/international-residents-perspectives-on-education-and-challenges-in-microsurgery-training
#17
JOURNAL ARTICLE
Camelia Qian Ying Tang, Benedicta Seeli S, Clelia Rugiero, Rocío Belén Perez Heredia, Marie Kearns, Tony C T Huang, Mahmoud Mohamed Shaker, Johannes Glasbrenner, Turan Mehdizade, Nikhil Panse, Eric Santamaria, Charly Chen, J Terrence Jose Jerome
Objective  Microsurgery remains an integral component of the surgical skillset and is essential for a diversity of reconstructive procedures. The apprenticeship also requires overcoming a steep learning curve, among many challenges. The method of microsurgical training differs depending on the countries' regions and resources of their health care system. Methods  The Journal of Hand and Microsurgery leadership held an international webinar on June 19, 2021, consisting of a panel of residents from 10 countries and moderated by eminent panelists...
September 2023: Journal of Hand and Microsurgery
https://read.qxmd.com/read/37701314/preoperative-expectations-in-hand-surgery-patients
#18
JOURNAL ARTICLE
Patrick M J Sajak, Samir Kaveeshwar, Ali Aneizi, Alexander Hahn, Cameran I Burt, Dominic J Ventimiglia, Kali N Stevens, Ngozi M Akabudike, Raymond A Pensy, R Frank Henn Iii
Introduction  Studies have shown a link between patients' preoperative expectations and their postoperative satisfaction. However, limited studies exist concerning patient factors associated with higher preoperative expectations in the hand surgery population. This study analyzed preoperative expectation scores of patients undergoing hand surgery and aimed to determine associated patient characteristics. Materials and Methods  A total of 418 elective hand surgery patients aged 15 years and older enrolled in a prospectively collected orthopaedic registry from June 2015 to December 2018 were analyzed...
September 2023: Journal of Hand and Microsurgery
https://read.qxmd.com/read/37701313/hemodynamics-in-distally-based-sural-flaps-for-lower-leg-reconstruction-a-literature-review
#19
REVIEW
Tolga Türker, Eric Hines, David Haddad
Coverage of posttraumatic and chronic wounds at the distal leg is a difficult problem due to limited soft tissue available for local flaps. The sural flap is a versatile and effective method for reconstruction in this area since it does not need a significant amount of time or assistance to complete. Improving the survival of these flaps is critically dependent on understanding the basics of flap circulation and why recent modifications were introduced. This review will serve as a much-needed comprehensive analysis of these topics for surgeons looking to increase the reliability of their sural flaps...
September 2023: Journal of Hand and Microsurgery
https://read.qxmd.com/read/37701312/metallosis-following-titanium-implant-use-in-the-hand-a-case-report-and-review-of-current-literature
#20
Camelia Qian Ying Tang, Khoon Leong Chuah, Lam Chuan Teoh
Adverse reaction to metal debris (ARMD) consists of a spectrum of changes ranging from pure metallosis to aseptic lymphocytic vasculitis-associated lesion and granulomatous inflammation. Currently described ARMD cases are mainly limited to arthroplasty, typically total hip and knee arthroplasties in the lower limb and total wrist arthroplasty in the upper limb. Hypersensitivity to a metallic implant in fracture fixation is rare, and a severe form of metallosis has not been reported so far. In this paper, we present a case of ARMD occurring 10 years after the use of titanium implants for fracture fixation in the hand...
September 2023: Journal of Hand and Microsurgery
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