Microsurgical reconstruction of congenital upper extremity deformities of malformations.

We present two rare microsurgical reconstructions. A case with phocomelia was treated with lengthening of soft tissues following vascularized fibula grafting with epiphysis, and a case with cleft hand was reconstructed with spare-part toe transfer.

Ulnar shortening: results for treatment of distal radioulnar joint pathology and conversion to DRUJ replacement arthroplasty.

Background: Ulnar shortening (US) is used for treatment of ulnar abutment, early osteoarthrosis (OA) and distal radioulnar joint (DRUJ) instability. However, it has never been strongly advocated as a mid-stage procedure to slow OA progression and reduce requirement of secondary DRUJ procedures. The study aim was to determine if a specific sigmoid notch type is likely to lead to DRUJ replacement after US.

Glove-gauze regimen for the management of hand burns.

We have been treating patients with partial- and/or full-thickness burns of the hand using an easy and inexpensive technique called the glove-gauze method. Nine patients with 11 burned hands were treated with the glove-gauze regimen and monitored weekly for wound healing and range of motion. Excellent results were achieved in all patients who complied will full follow-up.

Distal Interphalangeal Joint Arthrodesis Using Intramedullary and Interosseous Fixation.

Multiple fixation techniques have been developed for distal interphalangeal (DIP) joint arthrodesis. Delayed and nonunion rates varying from 0% to 20% have been reported. The senior author has refined a technique for DIP joint arthrodesis by using an intramedullary Kirschner wire and an interosseous wire for fusion of the DIP joint and interphalangeal (IP) joint of the thumb.