Background: Osteochondral grafts are indicated for reconstructing the finger middle phalanx base when there is greater than 50% involvement of the articular surface and significant comminution. This study aims to compare the cartilage thickness of the distal surface of the hamate to the finger middle phalanx base to assess its suitability as an osteochondral graft.
Methods: A 3-dimensional laser scanner and computer modelling techniques were utilized to determine the cartilage thickness of the distal surface of the hamate, and finger middle phalanx base using cadaver specimens. The mean, maximum, and coefficient of variation (CV%; a measure of uniformity of cartilage distribution), as well as cartilage distribution maps were determined.
Results: The mean cartilage thickness of the hamate was 0.73 ± 0.08 mm compared to the average mean thickness of the finger middle phalanx base of 0.40 ± 0.12 mm. The maximum cartilage thickness of the hamate was 1.27 ± 0.14 mm compared to the average maximum of the finger middle phalanx base of 0.67 ± 0.14 mm. The CV% of the hamate was 27.8 ± 4.2 compared to the average CV% for the finger middle phalanx base of 26.6 ± 8.1. The hamate and finger middle phalanx base have maximum areas that were most frequently at or spanning the median ridge; however, this was more consistently observed with the hamate.
Conclusion: The distal surface of the hamate is a suitable osteochondral graft with respect to cartilage thickness and distribution providing sufficient cartilage for reconstruction of the finger middle phalanx base.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6696865 | PMC |
| http://dx.doi.org/10.1177/2292550319826084 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
N-carboxyethyl-lysin influences atherosclerotic plaque stability through ZKSCAN3 acetylation-regulated macrophage autophagy via the RAGE/LKB1/AMPK1/SIRT1 pathway.
Cardiovasc Diabetol
January 2025
The Director's Office, Shaanxi Provincial People's Hospital, 256 Youyi Xi Rd, Xi'an, 710068, China.
Atherosclerosis, a chronic inflammatory condition characterized by plaque formation, often leads to instability, particularly under Type 2 diabetes mellitus (T2DM) conditions, which exacerbate cardiovascular risks. However, the molecular mechanisms underlying this process remain incompletely understood. In this study, we investigated the correlation between acute coronary syndrome (ACS) and serum levels of Nε-carboxyethyl-lysin (CEL), a prominent advanced glycation end product (AGE) elevated in T2DM, in a cohort of 225 patients with coronary artery disease.
View Article and Find Full Text PDFThe association of capillary refill time and return of spontaneous circulation during out-of-hospital cardiac arrest: an observational study.
Crit Care
January 2025
Emergency Medical Service Vienna, Vienna, Austria.
Introduction: Microcirculatory alterations are predictive of poor outcomes in patients with shock and after cardiac arrest in animal models. However, microcirculatory alterations during human cardiac arrest have not yet been studied.
Methods: We prospectively included adult patients receiving resuscitation after witnessed out-of-hospital cardiac arrest.
Coats-Like reaction post-vitreoretinal surgery for PDR managed with laser photocoagulation and adjunctive intravitreal steroids- a case report.
BMC Ophthalmol
January 2025
Dept. of Retina and Vitreous, Narayana Nethralaya, #121/C, 1st R Block, Chord Road, Rajaji Nagar, Bengaluru, 560010, India.
Purpose: To report a rare case of a Coats-like response developing after vitreoretinal surgery for proliferative diabetic retinopathy (PDR) and its successful management with retinal laser photocoagulation and adjunctive intravitreal steroids.
Case Description: A 52-year-old woman with a five-year history of type 2 diabetes mellitus and hypertension presented with decreased vision in the left eye (counting fingers at 1 m). Examination revealed high-risk PDR in both eyes, with a subtotal macula-off combined retinal detachment in the left eye.
Electro-tactile modulation of muscle activation and intermuscular coordination in the human upper extremity.
Sci Rep
January 2025
Department of Biomedical Engineering, University of Houston, 3517 Cullen Blvd, SERC Room 2011, Houston, TX, 77204-5060, USA.
Electro-tactile stimulation (ETS) can be a promising aid in augmenting sensation for those with sensory deficits. Although applications of ETS have been explored, the impact of ETS on the underlying strategies of neuromuscular coordination remains largely unexplored. We investigated how ETS, alone or in the presence of mechano-tactile environment change, modulated the electromyogram (EMG) of individual muscles during force control and how the stimulation modulated the attributes of intermuscular coordination, assessed by muscle synergy analysis, in human upper extremities.
View Article and Find Full Text PDFApplication of Orem's self-care model in postoperative rehabilitation of patients undergoing digit replantation.
Medicine (Baltimore)
January 2025
Department of Pain, Department of Hand Surgery, Wuhan Fourth Hospital, Wuhan, Hubei, China.
Digit replantation is often caused by sudden trauma, with 75% of amputated patients being low-income, low-education workers, and adding societal pressure. Orem's self-care model emphasizes self-care and may be an optimal nursing model for digit replantation, but its clinical application and research are limited. This study explores Orem's self-care model's impact on digit replantation.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!