首页 > 最新文献

HAND最新文献

英文 中文
Management Options and Clinical Outcomes After Flexor Tendon Ruptures Following Volar Plating of Distal Radius Fractures. 桡骨远端骨折外侧钢板固定后屈肌腱断裂的处理方案和临床疗效。
IF 16.4 Q2 ORTHOPEDICS Pub Date : 2024-11-05 DOI: 10.1177/15589447241292654
Hannah C Langdell, Emmanuel O Emovon, Warren C Hammert

Background: The transition to volar locking plates for the treatment of distal radius fractures has improved patients' range of motion, reduced extensor tendon issues, and hastened return to activity compared to older fixation methods or nonoperative treatment. One drawback to volar plating is the potential for flexor tendon ruptures due to aberrant plate or screw placement. This study aims to describe the reconstruction options and patient outcomes after flexor tendon rupture due to volar plating.

Methods: This is a single-institution, retrospective review of patients who presented with flexor tendon rupture from 2014 to 2023 after a distal radius fracture previously managed with a volar plate. Patient demographics, operative details, range of motion, complications, and patient-reported outcomes were collected.

Results: Ten patients presented with flexor tendon ruptures after volar plating for distal radius fractures from 2014 to 2023. The most common rupture was flexor pollicis longus (FPL) in 7 patients, followed by index finger flexor digitorum profundus (FDP) in 2 patients, and small and ring finger FDP rupture in 1 patient. Flexor pollicis longus (FPL) was reconstructed with a palmaris longus (PL) graft in 4 patients, ring finger flexor digitorum superficialis transfer in 2 patients, and repaired primarily in 1 patient. All patients with FPL ruptures regained functional thumb interphalangeal flexion except for 1 patient who reruptured 4 weeks after surgery.

Conclusions: Flexor tendon ruptures can occur following volar plating of distal radius fractures, even years after fixation of the fracture. These are attritional ruptures and generally reconstructed with tendon grafting of transfer, providing functional flexion of the affected digit.

背景:在治疗桡骨远端骨折方面,与旧式固定方法或非手术治疗相比,采用桡骨外侧锁定钢板可改善患者的活动范围,减少伸肌腱问题,加快恢复活动能力。沃尔钢板术的一个缺点是,由于钢板或螺钉放置不当,可能导致屈肌腱断裂。本研究旨在描述外翻固定导致屈肌腱断裂后的重建方案和患者疗效:这是一项单一机构的回顾性研究,研究对象为2014年至2023年期间桡骨远端骨折后出现屈肌腱断裂的患者,这些患者之前曾使用沃尔钢板进行治疗。研究收集了患者的人口统计学资料、手术细节、活动范围、并发症和患者报告的结果:结果:从2014年到2023年,10名患者在桡骨远端骨折沃尔钢板术后出现屈肌腱断裂。最常见的断裂是7名患者的屈指肌腱断裂,其次是2名患者的食指屈指肌腱断裂,以及1名患者的小指和无名指屈指肌腱断裂。4 名患者用掌长肌 (PL) 移植重建了屈指肌 (FPL),2 名患者进行了无名指屈指肌浅层转移,1 名患者主要进行了修复。除1名患者在术后4周再次断裂外,所有FPL断裂患者均恢复了拇指指间屈曲功能:结论:桡骨远端骨折后,即使在骨折固定数年后,也可能发生屈肌腱断裂。这些断裂属于自然断裂,一般会通过肌腱移植转移进行重建,从而使患侧指骨实现功能性屈曲。
{"title":"Management Options and Clinical Outcomes After Flexor Tendon Ruptures Following Volar Plating of Distal Radius Fractures.","authors":"Hannah C Langdell, Emmanuel O Emovon, Warren C Hammert","doi":"10.1177/15589447241292654","DOIUrl":"10.1177/15589447241292654","url":null,"abstract":"<p><strong>Background: </strong>The transition to volar locking plates for the treatment of distal radius fractures has improved patients' range of motion, reduced extensor tendon issues, and hastened return to activity compared to older fixation methods or nonoperative treatment. One drawback to volar plating is the potential for flexor tendon ruptures due to aberrant plate or screw placement. This study aims to describe the reconstruction options and patient outcomes after flexor tendon rupture due to volar plating.</p><p><strong>Methods: </strong>This is a single-institution, retrospective review of patients who presented with flexor tendon rupture from 2014 to 2023 after a distal radius fracture previously managed with a volar plate. Patient demographics, operative details, range of motion, complications, and patient-reported outcomes were collected.</p><p><strong>Results: </strong>Ten patients presented with flexor tendon ruptures after volar plating for distal radius fractures from 2014 to 2023. The most common rupture was flexor pollicis longus (FPL) in 7 patients, followed by index finger flexor digitorum profundus (FDP) in 2 patients, and small and ring finger FDP rupture in 1 patient. Flexor pollicis longus (FPL) was reconstructed with a palmaris longus (PL) graft in 4 patients, ring finger flexor digitorum superficialis transfer in 2 patients, and repaired primarily in 1 patient. All patients with FPL ruptures regained functional thumb interphalangeal flexion except for 1 patient who reruptured 4 weeks after surgery.</p><p><strong>Conclusions: </strong>Flexor tendon ruptures can occur following volar plating of distal radius fractures, even years after fixation of the fracture. These are attritional ruptures and generally reconstructed with tendon grafting of transfer, providing functional flexion of the affected digit.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447241292654"},"PeriodicalIF":16.4,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Infections and Patient Satisfaction in WALANT Hand Surgery in a Hospital Procedure Room. 医院手术室中 WALANT 手部手术的感染情况和患者满意度。
IF 16.4 Q2 ORTHOPEDICS Pub Date : 2024-11-05 DOI: 10.1177/15589447241284814
Michaela J Derby, Kelly N McKnight, Robert E Van Demark

Background: Wide-awake hand surgery has allowed many hand procedures to be moved out of the operating room and into minor procedure rooms while increasing efficiency, maintaining safety, and reducing both patient and hospital costs. The goal of this study was to evaluate patient satisfaction and postoperative complications of wide-awake local anesthesia with no tourniquet procedures performed in a community-based hospital procedure room. Methods: A total of 786 patients underwent 948 elective hand procedures in a hospital procedure room. At the conclusion of their surgeries, the patients were surveyed regarding their satisfaction. Following surgery, patients were evaluated for postoperative complications including infections. The trend in postoperative infection rates across 8 age groups was analyzed using a Cochran-Armitage test in R. Results: The overall infection rate was 6.2% (n = 59). All infections were superficial. Carpal tunnel had the highest number of infections (n = 25), followed by trigger finger (n = 8), and the combination trigger finger with carpal tunnel (n = 7). All infections were managed with antibiotics and/or soaks. Three patients did require a return to the operating room for irrigation and debridement. Ninety-nine percent of patients said the procedure room experience was better or the same as going to the dentist, would recommend wide-awake anesthesia to a friend or family member, and would undergo the procedure again. Conclusion: Wide-awake procedures performed in a hospital procedure room have low infection rates with high patient satisfaction.

背景:宽醒觉手部手术使许多手部手术从手术室转移到了小手术室,同时提高了效率,保证了安全,降低了患者和医院的成本。本研究旨在评估在社区医院手术室进行无止血带宽醒局部麻醉手术的患者满意度和术后并发症。研究方法共有 786 名患者在医院手术室接受了 948 例手部择期手术。手术结束后,对患者进行了满意度调查。手术后,对患者术后并发症(包括感染)进行了评估。使用 R 软件中的 Cochran-Armitage 检验分析了 8 个年龄组的术后感染率趋势:总感染率为 6.2%(n = 59)。所有感染均为表皮感染。腕管感染人数最多(n = 25),其次是扳机指(n = 8),以及扳机指和腕管合并感染(n = 7)。所有感染均采用抗生素和/或浸泡治疗。有三名患者需要返回手术室进行冲洗和清创。99%的患者表示手术室的体验比去看牙医更好或相同,会向朋友或家人推荐宽醒麻醉,并愿意再次接受手术。结论在医院手术室进行的宽醒手术感染率低,患者满意度高。
{"title":"Infections and Patient Satisfaction in WALANT Hand Surgery in a Hospital Procedure Room.","authors":"Michaela J Derby, Kelly N McKnight, Robert E Van Demark","doi":"10.1177/15589447241284814","DOIUrl":"10.1177/15589447241284814","url":null,"abstract":"<p><p><b>Background:</b> Wide-awake hand surgery has allowed many hand procedures to be moved out of the operating room and into minor procedure rooms while increasing efficiency, maintaining safety, and reducing both patient and hospital costs. The goal of this study was to evaluate patient satisfaction and postoperative complications of wide-awake local anesthesia with no tourniquet procedures performed in a community-based hospital procedure room. <b>Methods:</b> A total of 786 patients underwent 948 elective hand procedures in a hospital procedure room. At the conclusion of their surgeries, the patients were surveyed regarding their satisfaction. Following surgery, patients were evaluated for postoperative complications including infections. The trend in postoperative infection rates across 8 age groups was analyzed using a Cochran-Armitage test in R. <b>Results:</b> The overall infection rate was 6.2% (<i>n</i> = 59). All infections were superficial. Carpal tunnel had the highest number of infections (<i>n</i> = 25), followed by trigger finger (<i>n</i> = 8), and the combination trigger finger with carpal tunnel (<i>n</i> = 7). All infections were managed with antibiotics and/or soaks. Three patients did require a return to the operating room for irrigation and debridement. Ninety-nine percent of patients said the procedure room experience was better or the same as going to the dentist, would recommend wide-awake anesthesia to a friend or family member, and would undergo the procedure again. <b>Conclusion:</b> Wide-awake procedures performed in a hospital procedure room have low infection rates with high patient satisfaction.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"15589447241284814"},"PeriodicalIF":16.4,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of Time to Fixation on Outcomes of Operative Treatment of Intra-articular Distal Radius Fractures. 固定时间对桡骨远端关节内骨折手术治疗结果的影响
IF 1.8 Q2 ORTHOPEDICS Pub Date : 2024-11-01 Epub Date: 2023-05-26 DOI: 10.1177/15589447231174642
A Jordan Grier, Kallie J Chen, Alexandra V Paul, Cynthia L Green, Marc J Richard, David S Ruch, Tyler S Pidgeon

Background: The incidence of operative treatment of distal radius fractures (DRFs) has increased recently, but the optimal timing for surgical fixation remains unclear. We hypothesized that: (1) an increase in time to fixation of intra-articular DRFs would increase the likelihood of postoperative complications; and (2) increased time from injury to fixation would lead to longer surgical time and worse range of motion (ROM) outcomes.

Methods: We retrospectively reviewed 299 fractures in 284 adult patients who underwent open reduction and internal fixation (ORIF) of a closed, intra-articular DRF at our institution over a 10.5-year period. Demographic information, time to surgery (TTS) from injury, surgical time, tourniquet time, complications, and final postoperative ROM were collected for logistic regression modeling to predict the risk of postoperative complication.

Results: Twenty-seven (9.0%) patients experienced postoperative complications. The median TTS (Q1-Q3) for all patients was 7.0 (4.0-12.0) days. Patients who experienced an early postoperative complication had significantly longer median TTS (10.0 days) than those who did not (7.0 days). Patients with longer TTS were more likely to experience a complication (odds ratio, 1.11; 95% confidence interval, 1.04-1.19; P = .006). Tourniquet time and final wrist ROM were not related to TTS. A logistic regression analysis found that early complication rate doubles at 7.0 days after injury (from 3.5% to 6.9%).

Conclusions: Patients with operative intra-articular distal radius fractures should ideally be fixed within 7 to 10 days of injury to minimize the risk of early postoperative complications. The tourniquet time and final ROM were not associated with time to surgery.

背景:近来,桡骨远端骨折(DRF)手术治疗的发生率有所上升,但手术固定的最佳时机仍不明确。我们假设(1) 增加关节内 DRF 的固定时间会增加术后并发症的可能性;(2) 增加从受伤到固定的时间会导致手术时间延长和活动范围 (ROM) 结果变差:我们回顾性研究了10.5年间在我院接受闭合性关节内DRF切开复位内固定术(ORIF)的284名成年患者的299处骨折。我们收集了患者的人口统计学信息、从受伤到手术的时间(TTS)、手术时间、止血带时间、并发症和最终术后ROM,并建立了逻辑回归模型来预测术后并发症的风险:结果:27 名患者(9.0%)出现了术后并发症。所有患者的中位 TTS(Q1-Q3)为 7.0(4.0-12.0)天。术后早期出现并发症的患者的 TTS 中位数(10.0 天)明显长于未出现并发症的患者(7.0 天)。TTS时间较长的患者更容易出现并发症(几率比为1.11;95%置信区间为1.04-1.19;P = .006)。止血带时间和最终腕关节ROM与TTS无关。逻辑回归分析发现,早期并发症发生率在伤后7.0天翻了一番(从3.5%增至6.9%):结论:关节内桡骨远端骨折患者最好在伤后7至10天内进行手术固定,以最大限度地降低术后早期并发症的风险。止血带时间和最终ROM与手术时间无关。
{"title":"Impact of Time to Fixation on Outcomes of Operative Treatment of Intra-articular Distal Radius Fractures.","authors":"A Jordan Grier, Kallie J Chen, Alexandra V Paul, Cynthia L Green, Marc J Richard, David S Ruch, Tyler S Pidgeon","doi":"10.1177/15589447231174642","DOIUrl":"10.1177/15589447231174642","url":null,"abstract":"<p><strong>Background: </strong>The incidence of operative treatment of distal radius fractures (DRFs) has increased recently, but the optimal timing for surgical fixation remains unclear. We hypothesized that: (1) an increase in time to fixation of intra-articular DRFs would increase the likelihood of postoperative complications; and (2) increased time from injury to fixation would lead to longer surgical time and worse range of motion (ROM) outcomes.</p><p><strong>Methods: </strong>We retrospectively reviewed 299 fractures in 284 adult patients who underwent open reduction and internal fixation (ORIF) of a closed, intra-articular DRF at our institution over a 10.5-year period. Demographic information, time to surgery (TTS) from injury, surgical time, tourniquet time, complications, and final postoperative ROM were collected for logistic regression modeling to predict the risk of postoperative complication.</p><p><strong>Results: </strong>Twenty-seven (9.0%) patients experienced postoperative complications. The median TTS (Q1-Q3) for all patients was 7.0 (4.0-12.0) days. Patients who experienced an early postoperative complication had significantly longer median TTS (10.0 days) than those who did not (7.0 days). Patients with longer TTS were more likely to experience a complication (odds ratio, 1.11; 95% confidence interval, 1.04-1.19; <i>P</i> = .006). Tourniquet time and final wrist ROM were not related to TTS. A logistic regression analysis found that early complication rate doubles at 7.0 days after injury (from 3.5% to 6.9%).</p><p><strong>Conclusions: </strong>Patients with operative intra-articular distal radius fractures should ideally be fixed within 7 to 10 days of injury to minimize the risk of early postoperative complications. The tourniquet time and final ROM were not associated with time to surgery.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"1269-1276"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11536765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9525455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Response to: Revisiting the Methodology and Implications of the Network Meta-analysis on Dupuytren Disease Treatments: A Letter to the Editor. 回应重新审视杜普伊特伦病治疗方法网络 Meta 分析的方法和意义:致编辑的一封信。
IF 1.8 Q2 ORTHOPEDICS Pub Date : 2024-11-01 Epub Date: 2023-12-15 DOI: 10.1177/15589447231218397
Silas Nann, Joshua Kovoor, James Fowler, James Kieu, Aashray Gupta, Joseph Hewitt, Christopher Ovenden, Suzanne Edwards, Stephen Bacchi, Jonathan Henry W Jacobsen, Richard Harries, Guy Maddern
{"title":"Response to: Revisiting the Methodology and Implications of the Network Meta-analysis on Dupuytren Disease Treatments: A Letter to the Editor.","authors":"Silas Nann, Joshua Kovoor, James Fowler, James Kieu, Aashray Gupta, Joseph Hewitt, Christopher Ovenden, Suzanne Edwards, Stephen Bacchi, Jonathan Henry W Jacobsen, Richard Harries, Guy Maddern","doi":"10.1177/15589447231218397","DOIUrl":"10.1177/15589447231218397","url":null,"abstract":"","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"1338-1339"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11536806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138803032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Revisiting the Methodology and Implications of the Network Meta-Analysis on Dupuytren Disease Treatments: A Letter to the Editor. 重新审视杜普伊特伦氏病治疗网络 Meta 分析的方法和意义:致编辑的一封信
IF 1.8 Q2 ORTHOPEDICS Pub Date : 2024-11-01 Epub Date: 2023-12-15 DOI: 10.1177/15589447231218398
Ishith Seth, Warren M Rozen
{"title":"Revisiting the Methodology and Implications of the Network Meta-Analysis on Dupuytren Disease Treatments: A Letter to the Editor.","authors":"Ishith Seth, Warren M Rozen","doi":"10.1177/15589447231218398","DOIUrl":"10.1177/15589447231218398","url":null,"abstract":"","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"1336-1337"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11536788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138803034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dupuytren Disease Surgical Treatment: A Randomized Clinical Trial Comparing Partial Fasciectomy by Bruner Approach Versus Zetaplasty. 杜普伊特伦病的手术治疗:比较布鲁纳法部分筋膜切除术与Zetaplasty术的随机临床试验。
IF 1.8 Q2 ORTHOPEDICS Pub Date : 2024-11-01 Epub Date: 2023-07-23 DOI: 10.1177/15589447231185581
Renan G Leão, Vinicius Y de Moraes, Luis R Nakachima, João C Belloti, João B G Santos

Background: Dupuytren is a fibroproliferative pathology leading to contracture of the palmar fascia. Several approaches have been described for the surgical treatment with partial fasciectomy with few comparisons in literature. Our purpose is to compare the functional outcomes between the partial fasciectomy performed by Bruner type incision and zetaplasty incision.

Methods: The method used was a randomized clinical trial including adult patients of both sexes with surgical indication for Dupuytren disease presented to a reference center. Patients were randomly and consecutively allocated in the groups 1:1. We recorded the Disabilities of the Arm, Shoulder, and Hand (DASH) score; range of motion for active and passive extension of the metacarpophalangeal (MP) and proximal interphalangeal (PIP) joints; visual analog scale for pain; and complications.

Results: In all, 62 patients were included, with 48 patients reaching the minimum follow-up of 6 months with 63 operated fingers. In the Bruner approach group, we obtained a correction of the active and passive extension of the MP of 28° and of the PIP of 23°. In the zetaplasty group, correction of MP was 30° for active and passive, and 18° for active extension and 16° for passive extension of the PIP. The reduction in the DASH score was 10 points in the Bruner group and 22 points in the zetaplasty group. There was no statistically significant effect of the type of treatment on preoperative and postoperative differences in any of the parameters evaluated.

Conclusions: There were no statistically significant differences between the 2 techniques for self-reported functional outcomes or objective measures of physical examination.

背景介绍杜普伊特伦是一种导致掌筋膜挛缩的纤维增生性病变。目前已有几种筋膜部分切除术的手术治疗方法,但很少有文献对其进行比较。我们的目的是比较Bruner型切口和zetaplasty切口进行部分筋膜切除术的功能效果:方法:采用随机临床试验的方法,包括到参考中心就诊的有手术指征的杜普伊特伦病成年男女患者。患者以 1:1 的比例随机连续分配到各组。我们记录了手臂、肩部和手部残疾(DASH)评分;掌指关节(MP)和近端指间关节(PIP)主动和被动伸展的活动范围;疼痛视觉模拟量表;以及并发症:共有62名患者接受了治疗,其中48名患者的手术手指达到63个,随访时间最短为6个月。在布鲁纳方法组中,我们获得了主动和被动伸展 MP 28°和 PIP 23°的矫正效果。在Zetaplasty组中,MP的主动和被动伸展矫正为30°,PIP的主动伸展矫正为18°,被动伸展矫正为16°。Bruner组的DASH评分降低了10分,zetaplasty组降低了22分。治疗类型对术前和术后任何评估参数的差异均无统计学意义:在自我报告的功能结果或客观的体格检查指标方面,两种技术之间没有明显的统计学差异。
{"title":"Dupuytren Disease Surgical Treatment: A Randomized Clinical Trial Comparing Partial Fasciectomy by Bruner Approach Versus Zetaplasty.","authors":"Renan G Leão, Vinicius Y de Moraes, Luis R Nakachima, João C Belloti, João B G Santos","doi":"10.1177/15589447231185581","DOIUrl":"10.1177/15589447231185581","url":null,"abstract":"<p><strong>Background: </strong>Dupuytren is a fibroproliferative pathology leading to contracture of the palmar fascia. Several approaches have been described for the surgical treatment with partial fasciectomy with few comparisons in literature. Our purpose is to compare the functional outcomes between the partial fasciectomy performed by Bruner type incision and zetaplasty incision.</p><p><strong>Methods: </strong>The method used was a randomized clinical trial including adult patients of both sexes with surgical indication for Dupuytren disease presented to a reference center. Patients were randomly and consecutively allocated in the groups 1:1. We recorded the Disabilities of the Arm, Shoulder, and Hand (DASH) score; range of motion for active and passive extension of the metacarpophalangeal (MP) and proximal interphalangeal (PIP) joints; visual analog scale for pain; and complications.</p><p><strong>Results: </strong>In all, 62 patients were included, with 48 patients reaching the minimum follow-up of 6 months with 63 operated fingers. In the Bruner approach group, we obtained a correction of the active and passive extension of the MP of 28° and of the PIP of 23°. In the zetaplasty group, correction of MP was 30° for active and passive, and 18° for active extension and 16° for passive extension of the PIP. The reduction in the DASH score was 10 points in the Bruner group and 22 points in the zetaplasty group. There was no statistically significant effect of the type of treatment on preoperative and postoperative differences in any of the parameters evaluated.</p><p><strong>Conclusions: </strong>There were no statistically significant differences between the 2 techniques for self-reported functional outcomes or objective measures of physical examination.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"1300-1307"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11536785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9860947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of Capitolunate Positioning on Outcomes in Scaphoid Excision and 4-Bone Fusion Patients. Capitolunate定位对肩胛骨切除术和4骨融合术患者疗效的影响
IF 1.8 Q2 ORTHOPEDICS Pub Date : 2024-11-01 Epub Date: 2023-07-23 DOI: 10.1177/15589447231187074
Cameron L Hallihan, Robert J Goitz, Robert A Kaufmann, John R Fowler

Background: Scaphoid excision and 4-bone fusion (4BF) is a surgical procedure to treat scapholunate advanced collapse. Some surgeons align the lunate over the capitates, whereas others leave the capitate in its uncovered native position. The capitolunate angle may affect long-term outcomes. This study examined whether postsurgical outcomes differed based on these differences in positioning.

Methods: A retrospective analysis was performed for patients that underwent a 4BF between 2006 and 2020. Wrist range of motion; pain (0-10); and Disabilities of the Arm, Shoulder, and Hand (DASH) scores were recorded. The width of the capitate, the width of the lunate contacting the capitate, and the capitolunate angle were measured. Pearson correlations and t tests were performed. For t tests of capitolunate uncovering, patients were divided into 2 groups: patients with 0% capitate uncovering and patients with >0% uncovering. For capitolunate angle, the 2 groups were patients with a capitolunate angle of ≤10° and patients with a capitolunate angle of >10°.

Results: There was a significant correlation between capitate coverage and wrist extension, but no correlation for flexion, pain, or DASH scores. Group 1 (0% uncovering) had increased wrist extension and decreased pain compared with group 2 (>0% uncovering). There were no significant correlations or differences in the analyses of capitolunate angle's impact on outcomes.

Conclusions: In patients undergoing 4BF, those who had the lunate aligned to completely cover the capitate head had improved wrist extension and pain compared with patients where the capitate head was left partially uncovered. Capitolunate angle was not predictive of postsurgical outcomes.

背景:肩胛骨切除和四骨融合术(4BF)是一种治疗肩胛骨晚期塌陷的手术方法。一些外科医生会将新月形骨对准肩胛骨,而另一些外科医生则会将肩胛骨保留在未覆盖的原位。肩胛骨角度可能会影响长期疗效。本研究探讨了手术后的疗效是否会因定位的不同而有所差异:对2006年至2020年间接受4BF手术的患者进行了回顾性分析。记录了腕关节的活动范围、疼痛(0-10 分)以及手臂、肩部和手部残疾(DASH)评分。此外,还测量了头骨宽度、月骨接触头骨的宽度以及头骨与月骨的夹角。进行了皮尔逊相关性和 t 检验。在对帽状腱膜揭露度进行 t 检验时,将患者分为两组:帽状腱膜揭露度为 0% 的患者和揭露度大于 0% 的患者。在帽状腱膜角度方面,分为帽状腱膜角度≤10°和帽状腱膜角度>10°两组:结果:头状角覆盖率与腕关节伸展有明显相关性,但与屈曲、疼痛或DASH评分无相关性。第一组(0% 覆盖率)与第二组(>0% 覆盖率)相比,腕关节伸展度增加,疼痛减轻。在分析帽状腱膜角度对疗效的影响时,没有发现明显的相关性或差异:结论:在接受4BF手术的患者中,与帽状头部分未被覆盖的患者相比,月骨对齐以完全覆盖帽状头的患者的腕关节伸展和疼痛均有所改善。帽状头角度并不能预测术后效果。
{"title":"Effect of Capitolunate Positioning on Outcomes in Scaphoid Excision and 4-Bone Fusion Patients.","authors":"Cameron L Hallihan, Robert J Goitz, Robert A Kaufmann, John R Fowler","doi":"10.1177/15589447231187074","DOIUrl":"10.1177/15589447231187074","url":null,"abstract":"<p><strong>Background: </strong>Scaphoid excision and 4-bone fusion (4BF) is a surgical procedure to treat scapholunate advanced collapse. Some surgeons align the lunate over the capitates, whereas others leave the capitate in its uncovered native position. The capitolunate angle may affect long-term outcomes. This study examined whether postsurgical outcomes differed based on these differences in positioning.</p><p><strong>Methods: </strong>A retrospective analysis was performed for patients that underwent a 4BF between 2006 and 2020. Wrist range of motion; pain (0-10); and Disabilities of the Arm, Shoulder, and Hand (DASH) scores were recorded. The width of the capitate, the width of the lunate contacting the capitate, and the capitolunate angle were measured. Pearson correlations and <i>t</i> tests were performed. For <i>t</i> tests of capitolunate uncovering, patients were divided into 2 groups: patients with 0% capitate uncovering and patients with >0% uncovering. For capitolunate angle, the 2 groups were patients with a capitolunate angle of ≤10° and patients with a capitolunate angle of >10°.</p><p><strong>Results: </strong>There was a significant correlation between capitate coverage and wrist extension, but no correlation for flexion, pain, or DASH scores. Group 1 (0% uncovering) had increased wrist extension and decreased pain compared with group 2 (>0% uncovering). There were no significant correlations or differences in the analyses of capitolunate angle's impact on outcomes.</p><p><strong>Conclusions: </strong>In patients undergoing 4BF, those who had the lunate aligned to completely cover the capitate head had improved wrist extension and pain compared with patients where the capitate head was left partially uncovered. Capitolunate angle was not predictive of postsurgical outcomes.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"1252-1259"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11536782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9860948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy and Safety of Different Trapezium Implants for Trapeziometacarpal Joint Osteoarthritis: A Systematic Review and Meta-Analysis. 不同梯形假体治疗梯形掌关节骨性关节炎的有效性和安全性:系统回顾与元分析》。
IF 1.8 Q2 ORTHOPEDICS Pub Date : 2024-11-01 Epub Date: 2023-07-02 DOI: 10.1177/15589447231183172
Ishith Seth, Gabriella Bulloch, Nimish Seth, Quentin Fogg, David J Hunter-Smith, Warren M Rozen

Background: The trapeziometacarpal joint (TMCJ) is the most common hand joint affected by osteoarthritis (OA), and trapezium implant arthroplasty is a potential treatment for recalcitrant OA. This meta-analysis aimed to investigate the efficacy and safety of various trapezium implants as an interventional option for TMCJ OA. Methods: Web of Science, PubMed, Scopus, Google Scholar, and Cochrane library databases were searched for relevant studies up to May 28, 2022. Preferred Reported Items for Systematic Review and Meta-Analysis guidelines were adhered to, and the protocol was registered in PROSPERO. The methodological quality was assessed by National Heart, Lung, and Blood Institute tools for observational studies and the Cochrane risk of bias tool. Subgroup analyses were performed on different replacement implants; the analysis was done using Open Meta-Analyst software and P values <.05 were considered statistically significant. Results: A total of 123 studies comprising 5752 patients were included. Total joint replacement (TJR) implants demonstrate greater significant improvements in visual analogue scale pain scores postoperatively. Interposition with partial trapezial resection implants were associated with highest grip strength and highest reduction in the Disabilities of the Arm, Shoulder, and Hand (DASH) score. Revision rates were highest in TJR (12.3%) and lowest in interposition with partial trapezial resection (6.2%). Conclusion: Total joint replacement and interposition with partial trapezial resection implants improve pain score, grip strength, and DASH scores more than other implant options. Future studies should focus on high-quality randomized clinical trials comparing different implants to accumulate higher quality evidence and more reliable conclusions.

背景:梯形掌关节(TMCJ)是受骨关节炎(OA)影响最常见的手部关节,梯形假体关节置换术是一种治疗顽固性 OA 的潜在方法。本荟萃分析旨在研究各种梯形假体作为TMCJ OA介入治疗方案的有效性和安全性。方法:检索科学网、PubMed、Scopus、谷歌学术和 Cochrane 图书馆数据库中截至 2022 年 5 月 28 日的相关研究。遵循《系统综述和元分析首选报告项目》指南,并在 PROSPERO 上注册了研究方案。方法学质量由美国国家心肺血液研究所的观察性研究工具和 Cochrane 偏倚风险工具进行评估。对不同的置换植入物进行了分组分析;分析采用 Open Meta-Analyst 软件和 P 值 结果:共纳入了 123 项研究,包括 5752 名患者。全关节置换(TJR)植入物在术后视觉模拟量表疼痛评分方面有更显著的改善。带部分斜方肌切除的内固定假体具有最高的握力和最高的手臂、肩部和手部残疾(DASH)评分降低率。TJR的翻修率最高(12.3%),而带部分斜方肌切除术的内插手术的翻修率最低(6.2%)。结论:与其他植入物相比,全关节置换术和带斜方肌部分切除术的内固定植入物能更有效地改善疼痛评分、握力和 DASH 评分。未来的研究应侧重于比较不同植入物的高质量随机临床试验,以积累更高质量的证据和更可靠的结论。
{"title":"Efficacy and Safety of Different Trapezium Implants for Trapeziometacarpal Joint Osteoarthritis: A Systematic Review and Meta-Analysis.","authors":"Ishith Seth, Gabriella Bulloch, Nimish Seth, Quentin Fogg, David J Hunter-Smith, Warren M Rozen","doi":"10.1177/15589447231183172","DOIUrl":"10.1177/15589447231183172","url":null,"abstract":"<p><p><b>Background:</b> The trapeziometacarpal joint (TMCJ) is the most common hand joint affected by osteoarthritis (OA), and trapezium implant arthroplasty is a potential treatment for recalcitrant OA. This meta-analysis aimed to investigate the efficacy and safety of various trapezium implants as an interventional option for TMCJ OA. <b>Methods:</b> Web of Science, PubMed, Scopus, Google Scholar, and Cochrane library databases were searched for relevant studies up to May 28, 2022. Preferred Reported Items for Systematic Review and Meta-Analysis guidelines were adhered to, and the protocol was registered in PROSPERO. The methodological quality was assessed by National Heart, Lung, and Blood Institute tools for observational studies and the Cochrane risk of bias tool. Subgroup analyses were performed on different replacement implants; the analysis was done using Open Meta-Analyst software and <i>P</i> values <.05 were considered statistically significant. <b>Results:</b> A total of 123 studies comprising 5752 patients were included. Total joint replacement (TJR) implants demonstrate greater significant improvements in visual analogue scale pain scores postoperatively. Interposition with partial trapezial resection implants were associated with highest grip strength and highest reduction in the Disabilities of the Arm, Shoulder, and Hand (DASH) score. Revision rates were highest in TJR (12.3%) and lowest in interposition with partial trapezial resection (6.2%). <b>Conclusion:</b> Total joint replacement and interposition with partial trapezial resection implants improve pain score, grip strength, and DASH scores more than other implant options. Future studies should focus on high-quality randomized clinical trials comparing different implants to accumulate higher quality evidence and more reliable conclusions.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"1242-1251"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9742992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of Surgery in the Management of Radiation-Induced Brachial Plexopathy. 手术在治疗辐射引起的臂丛神经病中的作用。
IF 1.8 Q2 ORTHOPEDICS Pub Date : 2024-11-01 Epub Date: 2023-09-16 DOI: 10.1177/15589447231196902
Mira Shoukry, Shelley S Noland

Radiation-induced brachial plexopathy (RIBP) is a rare long-term complication of radiation therapy often causing pain, motor deficit, and overall quality of life reduction for affected patients. While a standard treatment for RIBP is yet to be established, management consists mostly of symptom management through the use of medications and physical therapy. There is a lack of evidence regarding the efficacy of surgical treatment. Omentoplasties and other vascularized flaps are commonly discussed options for eliminating neuropathic pain associated with RIBP. However, these approaches show no meaningful improvement in motor function. While limited, current literature suggests that nerve transfers may be an option for relief of neuropathic pain as well as restoration of motor function. This review of literature explores the options available to those affected by RIBP with a focus on the role of surgery.

放疗诱发的臂丛神经病(RIBP)是一种罕见的长期放疗并发症,通常会导致患者疼痛、运动障碍和整体生活质量下降。虽然 RIBP 的标准治疗方法尚未确立,但主要是通过使用药物和物理治疗来控制症状。手术治疗的疗效尚缺乏证据。网膜成形术和其他血管瓣是常用的消除 RIBP 相关神经性疼痛的方法。但是,这些方法对运动功能没有明显改善。目前的文献表明,神经转移可能是缓解神经病理性疼痛和恢复运动功能的一种选择,尽管这种方法很有限。这篇文献综述探讨了受 RIBP 影响的患者可以选择的方法,重点关注手术的作用。
{"title":"The Role of Surgery in the Management of Radiation-Induced Brachial Plexopathy.","authors":"Mira Shoukry, Shelley S Noland","doi":"10.1177/15589447231196902","DOIUrl":"10.1177/15589447231196902","url":null,"abstract":"<p><p>Radiation-induced brachial plexopathy (RIBP) is a rare long-term complication of radiation therapy often causing pain, motor deficit, and overall quality of life reduction for affected patients. While a standard treatment for RIBP is yet to be established, management consists mostly of symptom management through the use of medications and physical therapy. There is a lack of evidence regarding the efficacy of surgical treatment. Omentoplasties and other vascularized flaps are commonly discussed options for eliminating neuropathic pain associated with RIBP. However, these approaches show no meaningful improvement in motor function. While limited, current literature suggests that nerve transfers may be an option for relief of neuropathic pain as well as restoration of motor function. This review of literature explores the options available to those affected by RIBP with a focus on the role of surgery.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"1189-1194"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11536705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10617913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Comparative Study of 2-Corner, 3-Corner, and 4-Corner Arthrodesis for Midcarpal Arthritis. 两角、三角和四角关节成形术治疗中腕关节炎的比较研究
IF 1.8 Q2 ORTHOPEDICS Pub Date : 2024-11-01 Epub Date: 2023-06-02 DOI: 10.1177/15589447231174046
Justine Ring, Tod A Clark, Jennifer L Giuffre

Background: Four-corner fusion (4CF) is a common treatment for midcarpal arthritis; however, alternatives including 2-corner fusion (2CF) and 3-corner fusion (3CF) have been described. Limited literature suggests 2CF and 3CF may improve range of motion but have higher complication rates. Our objective is to compare function and patient-reported outcomes following 4CF, 3CF, and 2CF at our institution.

Methods: Adult patients undergoing 4CF, 3CF, and 2CF from 2011 to 2021 who attended at least one follow-up were included. Four-corner fusion patients were compared with those who underwent either 3CF or 2CF using staple fixation. Outcomes include nonunion rate, reoperation rate, progression to wrist fusion, range of motion, and patient-reported pain, satisfaction, and Disabilities of the Arm, Shoulder, and Hand (DASH) scores.

Results: A total of 58 patients met inclusion criteria. There were 49 4CF and 9 2CF or 3CF patients. Nonunion rates, progression to wrist fusion, and repeat surgery for any indication were not significantly different among groups. Range of motion (flexion-extension, radial-ulnar deviation) and grip strength at postoperative visits were not significantly different. Significantly more 4CF patients required bone grafting. Pain, overall satisfaction, and DASH scores were similar.

Conclusions: Although prior studies suggest increased risk of nonunion and hardware migration after 2CF/3CF, we did not observe higher complication rates compared with 4CF. Range of motion, strength, and patient-reported outcomes were similar. While 4CF is traditionally the procedure of choice for midcarpal fusion, we found that when using a staple fixation technique, 2CF and 3CF have comparable clinical and patient-reported outcomes yet decrease the need for autologous bone grafting.

背景:四角融合术(4CF)是治疗中腕关节炎的常用方法,但也有包括二角融合术(2CF)和三角融合术(3CF)在内的替代方法。有限的文献表明,2CF 和 3CF 可改善活动范围,但并发症发生率较高。我们的目的是比较本院接受 4CF、3CF 和 2CF 术后的功能和患者报告的结果:方法:纳入2011年至2021年期间接受4CF、3CF和2CF手术且至少参加过一次随访的成年患者。将四角融合术患者与使用订书钉固定的 3CF 或 2CF 患者进行比较。结果包括不愈合率、再手术率、腕部融合进展、活动范围、患者报告的疼痛、满意度以及手臂、肩部和手部残疾(DASH)评分:共有 58 名患者符合纳入标准。结果:共有58名患者符合纳入标准,其中4CF患者49名,2CF或3CF患者9名。各组间的非愈合率、进展为腕关节融合术以及因任何指征而再次手术的情况无明显差异。术后访视时的活动范围(屈伸、桡尺偏移)和握力无明显差异。需要植骨的 4CF 患者明显较多。疼痛、总体满意度和DASH评分相似:尽管之前的研究表明 2CF/3CF 术后发生骨不连和硬件移位的风险会增加,但与 4CF 相比,我们并未观察到更高的并发症发生率。活动范围、力量和患者报告的结果相似。虽然 4CF 是传统的中腕骨融合术的首选,但我们发现,在使用钉书针固定技术时,2CF 和 3CF 的临床和患者报告结果相当,而且减少了对自体骨移植的需求。
{"title":"A Comparative Study of 2-Corner, 3-Corner, and 4-Corner Arthrodesis for Midcarpal Arthritis.","authors":"Justine Ring, Tod A Clark, Jennifer L Giuffre","doi":"10.1177/15589447231174046","DOIUrl":"10.1177/15589447231174046","url":null,"abstract":"<p><strong>Background: </strong>Four-corner fusion (4CF) is a common treatment for midcarpal arthritis; however, alternatives including 2-corner fusion (2CF) and 3-corner fusion (3CF) have been described. Limited literature suggests 2CF and 3CF may improve range of motion but have higher complication rates. Our objective is to compare function and patient-reported outcomes following 4CF, 3CF, and 2CF at our institution.</p><p><strong>Methods: </strong>Adult patients undergoing 4CF, 3CF, and 2CF from 2011 to 2021 who attended at least one follow-up were included. Four-corner fusion patients were compared with those who underwent either 3CF or 2CF using staple fixation. Outcomes include nonunion rate, reoperation rate, progression to wrist fusion, range of motion, and patient-reported pain, satisfaction, and Disabilities of the Arm, Shoulder, and Hand (DASH) scores.</p><p><strong>Results: </strong>A total of 58 patients met inclusion criteria. There were 49 4CF and 9 2CF or 3CF patients. Nonunion rates, progression to wrist fusion, and repeat surgery for any indication were not significantly different among groups. Range of motion (flexion-extension, radial-ulnar deviation) and grip strength at postoperative visits were not significantly different. Significantly more 4CF patients required bone grafting. Pain, overall satisfaction, and DASH scores were similar.</p><p><strong>Conclusions: </strong>Although prior studies suggest increased risk of nonunion and hardware migration after 2CF/3CF, we did not observe higher complication rates compared with 4CF. Range of motion, strength, and patient-reported outcomes were similar. While 4CF is traditionally the procedure of choice for midcarpal fusion, we found that when using a staple fixation technique, 2CF and 3CF have comparable clinical and patient-reported outcomes yet decrease the need for autologous bone grafting.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"1235-1241"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11536787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9568813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
HAND
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1