Mid-term Clinical Outcome of Microvascular Gracilis Muscle Flaps for Defects of the Hand.

Purpose: Gracilis muscle flaps are useful to cover defects of the hand. However, there are currently no studies describing outcome measurements after covering soft tissue defects using free flaps in the hand.

Aim: To analyze mid-term results of gracilis muscle flap coverage for defects on the hand, with regard to functional and esthetic integrity.

Semi-occlusive dressing therapy versus surgical treatment in fingertip amputation injuries: a clinical study.

Objectives: Treatment of fingertip amputations is subject of controversial debates. Recently, semi-occlusive dressings have increased in popularity in these injuries.

Aims: To compare clinical outcomes of conservative semi-occlusive dressing therapy versus surgical treatment of fingertip amputations.

Bite injuries to the hand and forearm: analysis of hospital stay, treatment and costs.

We retrospectively reviewed the charts of patients treated for bite injuries in our clinic from 2014 to 2019. The time from the bite event to surgery, duration of hospital stay, duration of antibiotic treatment, complications, incapacity for work and costs were analysed. Cat bites were compared with the other bite injuries and were found to be more problematic.

Comparing treatment of proximal phalangeal fractures with intramedullary screws versus plating.

Purpose: Phalangeal fractures are the most common injuries in humans and account for approximately 10% of all fractures. With plate fixation, anatomic reduction is achievable in most cases, but extension lag is seen in up to 67%. Intramedullary headless screw offers treatment of unstable proximal phalangeal fractures using a minimally invasive procedure with very few complications.

Dorsal Bone-Ligament-Bone Reconstruction of Chronic Lunotriquetral Instability: Biomechanical Testing.

Purpose: Lunotriquetral (LT) instability is uncommon and few biomechanical analyses of the condition exist. For chronic LT instabilities, arthrodesis has long been the treatment of choice but has a high risk for nonunion. The aim of this study was to evaluate an alternative treatment option using a bone-ligament-bone graft in a cadaver model and compare it with a conventional arthrodesis.

Radio-luno-triquetral bone-ligament transfer as an additional stabilizer in scapholunate-instability.

Introduction: Reconstruction of the scapho-lunate (SL) ligament is still challenging. Many different techniques, such as capsulodesis, tendon graft and bone-ligament-bone graft have been described to stabilize reducible SL dissociation. If primary ligament repair alone is not possible, an additional stabilizer is needed to achieve scapho-lunate stability.

A Retrospective Case Series Reporting the Outcomes of Avance Nerve Allografts in the Treatment of Peripheral Nerve Injuries.

Background: Acellular nerve allografts are a viable treatment modality for bridging nerve gaps. Several small studies have demonstrated results equal to those of autologous grafts; however, there is information lacking with regard to outcomes for wider indications. The authors evaluated the outcomes of patients treated with a nerve allograft in a variety of clinical situations.

Non-vascularized partial joint transfer for Finger Proximal Interphalangeal joint reconstruction: a series of 9 patients.

Introduction: Finger proximal interphalangeal joint (PIP) reconstruction after the destruction of parts of the joint remains challenging. Surgical techniques include implant arthroplasty, arthrodesis, free vascularized joint transfer, and non-vascularized bone and joint transfer. This study analyzes our experience after non-vascularized transfer in terms of range of motion, postoperative rehabilitation, and patient satisfaction.

Osteosynthesis of fifth metacarpal neck fractures with a photodynamic polymer bone stabilization system.

Metacarpal neck fractures with severe displacement are commonly treated surgically with intramedullary Kirschner wires. We present the results of treatment of fifth metacarpal neck fractures using a light curable intramedullary photodynamic polymer (IlluminOss™, IlluminOss Medical Inc., East Providence, RI, USA).

Mid-term outcome (11-90 months) of the extensor retinaculum flap procedure for extensor carpi ulnaris tendon instability.

Introduction: The aim of our study was the assessment of the mid-term outcome of patients treated with a pediculated extensor retinaculum flap for extensor carpi ulnaris (ECU) tendon subluxation including postoperative tendon stability control.

Materials And Methods: Twelve patients treated with an extensor retinaculum flap for symptomatic ECU tendon instability were retrospectively evaluated. Follow-up examinations included functional and radiologic assessment.

Laser doppler imaging as additional monitoring after digital replanting: A prospective study.

Background: Despite various exisiting monitoring methods, there is still a need for new technologies to improve the quality of post-operative evaluation of digital replantation. The purpose of the study is using a laser Doppler imaging device (Easy-LDI) as an additional tool to assess perfusion. In this method, the changes in the frequency of the laser ligth provide information regarding perfusion of the monitored tissue.

Acquired Constriction Ring: A Case of Rubber Band Syndrome.

Rubber band syndrome is a rare entity seen in younger children mainly in communities where rubber bands are worn around the wrist for decorative purposes. When the band is worn for a long duration, it burrows through the skin and soft tissues resulting in distal edema, loss of function, and even damage to the neurovascular structures. These symptoms are difficult to relate to this rare but typical condition.

A prospective randomized trial comparing nonoperative treatment with volar locking plate fixation for displaced and unstable distal radial fractures in patients sixty-five years of age and older.

Background: Despite the recent trend toward the internal fixation of distal radial fractures in older patients, the currently available literature lacks adequate randomized trials examining whether open reduction and internal fixation (ORIF) with a volar locking plate is superior to nonoperative (cast) treatment. The purpose of the present randomized clinical trial was to compare the outcomes of two methods that were used for the treatment of displaced and unstable distal radial fractures in patients sixty-five years of age or older: (1) ORIF with use of a volar locking plate and (2) closed reduction and plaster immobilization (casting).

Methods: A prospective randomized study was performed.

Dorsal screw penetration following implant removal after volar locked plating of distal radius fracture.

Complications while removing implants are quite common. In rare cases screw shanks must be left in situ. We present a case of a 38-year-old patient who was treated using a palmar locking plate for a distal radius fracture.