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An alternative method to reconstruct grade-3 hypoplastic thumb by hemi-metacarpal transfer.
Hand Surg Rehabil
February 2024
Hand and Microvascular Surgery Department, Shenzhen People's Hospital, Shenzhen, Guangdong Province, People's Republic of China.
We designed a new method using hemi-longitudinal second metacarpal bone to reconstruct grade-3 hypoplastic thumbs. Seven patients were treated in two stages. In the first stage, the second metacarpal was split longitudinally and transferred to reconstruct the first metacarpal.
View Article and Find Full Text PDFClinical and functional outcomes of surgical treatment of grade III ulnar collateral ligament injuries of thumb metacarpophalangeal joint.
Hand Surg Rehabil
April 2023
Department of Plastic and Reconstructive Surgery of Limbs and Hand Surgery, Grenoble Alpes University Hospital, 38043 Grenoble Cedex 09, France. Electronic address:
Objectives: The aim of this study was to compare the clinical and functional outcomes of three surgical techniques (subperiosteal suture, bone anchor and direct repair) for the management of severe acute ulnar collateral ligament injuries of the thumb metacarpophalangeal joint with a minimum of 1 year follow-up.
Material And Methods: Between 2015 and 2020, 230 collateral ligament injuries required surgical treatment in our department. After the inclusion and exclusion criteria were applied, 100 were included in the study.
Geographic barriers to achieving universal health coverage: evidence from rural Madagascar.
Health Policy Plan
November 2021
NGO PIVOT, BP23 Ranomafana, 312 Ifanadiana, Madagascar.
Poor geographic access can persist even when affordable and well-functioning health systems are in place, limiting efforts for universal health coverage (UHC). It is unclear how to balance support for health facilities and community health workers in UHC national strategies. The goal of this study was to evaluate how a health system strengthening (HSS) intervention aimed towards UHC affected the geographic access to primary care in a rural district of Madagascar.
View Article and Find Full Text PDFThe outcome of untreated flexor pollicis longus rupture in patients with rheumatoid arthritis.
Hand Surg Rehabil
December 2020
Royal United Hospital, Combe Park, Bath, Avon BA1 3NG, United Kingdom.
The aim of the study was to assess the natural history of untreated flexor pollicis longus (FPL) tendon rupture in patients with rheumatoid arthritis (RA). We reviewed a cohort of patients to assess the long-term effect of conservative management. We reviewed nine of 11 consecutive patients.
View Article and Find Full Text PDFThe use of the RegJoint™ implant for base of thumb osteoarthritis: Results with a minimum follow-up of 2 years.
Hand Surg Rehabil
February 2020
Department of Orthopedics, Southend University Hospital NHS Foundation Trust, Prittlewell Chase, SS0 0RY Westcliff-on-Sea, Essex, United Kingdom.
The RegJoint™ (Scaffdex Oy, Finland) implant is a bio-absorbable poly-L/D-lactide implant which acts as a temporary support in resected joint spaces. It can be used in base of thumb surgery as a spacer to prevent first metacarpal subsidence. However, high rates of adverse tissue reactions and bone osteolysis have been reported recently by one group.
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