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| http://dx.doi.org/10.1055/s-0039-3400194 | DOI Listing |
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Scapho-metacarpal dual mobility prosthesis for TMC-1 joint salvage: technical insights.
Arch Orthop Trauma Surg
January 2025
BG Klinikum Unfallkrankenhaus Berlin, Department of Hand-, Replantation- and Microsurgery and Chair of Hand-, Replantation- and Microsurgery, Charité Universitätsmedizin Berlin, Berlin, Germany.
Introduction: Rhizarthrosis, or osteoarthritis of the trapeziometacarpal joint, predominantly affects women over 50, with up to 30% experiencing some degree of arthritis in this joint. Traditional surgical approaches, such as trapeziectomy with ligament reconstruction, can result in some patients in persistent pain or limited functionality. TMC ball-in-socket arthroplasty, with a cup placed in the distal scaphoid, offers a promising alternative to traditional arthrodesis or resection-suspension arthroplasty.
View Article and Find Full Text PDFCase Report: Treatment of a complex hand disfigurement injury by fully shaped reconstruction of a severed finger combined with ectopic banking.
Front Surg
December 2024
Senior Department of Orthopedics, The Fourth Medical Center of Chinese PLA General Hospital, Beijing, China.
One of the primary challenges in hand microsurgical reconstruction lies in addressing severe hand injuries, particularly those involving multiple finger amputations, as autologous replantation might not fully restore hand functionality. In such scenarios, fully shaped reconstruction of a severed finger combined with Ectopic banking could yield superior reconstructive outcomes and enhance the amputated limb's function. This case report presents a unique approach that combines ectopic replantation of an amputated finger with interphalangeal reconstruction methods to restore both the form and function of the hand.
View Article and Find Full Text PDFRadial cortex transverse distraction help to treat the Raynaud's phenomenon.
Sci Rep
December 2024
Department of Hand Surgery, Department of Orthopedics, Qilu Hospital of Shandong University, #107 Wenhua Xilu, Jinan, China.
Article Synopsis
- - Raynaud's phenomenon is a condition that causes spasms in blood vessels of the fingers, leading to reduced quality of life and often fails to respond to conventional treatments for over six months.
- - A study involving six patients who underwent a new procedure called radial cortex transverse distraction showed promising results, with significant improvements in pain, skin color, and healing of finger ulcers.
- - The follow-up indicated that this surgical method not only healed bone without complications but also effectively addressed symptoms of Raynaud's phenomenon, suggesting it could be a beneficial treatment option.
High-Pressure Injection Injuries of the Hand: A Report of Three Cases Presenting With Acute Compartment Syndrome.
Cureus
October 2024
Department of Plastic and Reconstructive Surgery and Burns Unit, Coimbra Local Health Unit, Coimbra, PRT.
Article Synopsis
- High-pressure injection injuries in the hand often result from industrial tools like paint guns or air compressors, typically affecting laborers' non-dominant hands and causing damage that’s often underestimated despite appearing as a small puncture wound.
- These injuries can cause severe complications such as neurovascular compromise and acute compartment syndrome due to the spread of injected materials that can be toxic and lead to further tissue damage or infections.
- A presentation of three cases highlights urgent surgery needs for patients who experienced severe pain and swelling after different injected substances, leading to procedures for decompression, irrigation, and tissue removal to prevent serious outcomes.
Salvage of Circumferential Multiplane Degloving Injury of Hand with Single Viable Finger - Case Report.
J Orthop Case Rep
November 2024
Department of Trauma and Orthopedics, Hand and Microsurgery Unit, Rashid Hospital, Dubai Health, Dubai, United Arab Emirates.
Introduction: Circumferential multiplanar degloving injuries of hand and wrist are devastating injuries which can severely compromise what is salvageable for achieving a functional hand, ending in amputations if not well managed.
Case Report: We described a complete multiplanar degloving injury of hand in a 27-year-old Asian male due to a compressing machine, which was successfully salvaged with a complete free latissimus dorsi flap cover with skin graft for coverage.
Conclusion: An unconventional one-stage surgical option for soft-tissue coverage using a complete latissimus dorsi free flap ending in a reasonably functional two-fingered hand.
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