Hand Surgery & Rehabilitation最新文献

{"title":"Reply to Nathan Milliot, Jérome Jeudy, Nicolas Bigorre: metal hypersensitivity in trapeziometacarpal arthroplasty: a systematic pattern of progression","authors":"Marie Witters , Jean-Baptiste de Villeneuve Bargemon , Charlotte Jaloux","doi":"10.1016/j.hansur.2024.102024","DOIUrl":"10.1016/j.hansur.2024.102024","url":null,"abstract":"","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 1","pages":"Article 102024"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142804203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Free medial sural artery perforator flap for soft tissue defects in the hand: a cadaver study","authors":"Pierre-Louis Coulet ,&nbsp;Claire Muller ,&nbsp;François Dap ,&nbsp;Lionel Athlani","doi":"10.1016/j.hansur.2024.102070","DOIUrl":"10.1016/j.hansur.2024.102070","url":null,"abstract":"<div><div>We carried out a cadaver study using 10 fresh-frozen adult legs and hands to explore technical feasibility and reproducibility of the free Medial Sural Artery Perforator flap and its applicability for covering soft tissue defects in the hand. A mean of 2 cutaneous perforators (1–4) were found. Each flap had a pedicle composed of a main perforator that arose from the medial sural artery. Distance between the middle of the popliteal fossa and the emergence of the main perforator was 10 ± 1.9 cm. The pedicle length was 13 ± 1.6 cm. It included an artery (diameter: 2.5 ± 0.6 mm) and a vein (diameter: 3.2 ± 1.2 mm). Skin paddle thickness was 8.5 ± 1.9 mm. Using an 10 × 8 cm skin paddle, it was always possible to cover the entire palmar and dorsal sides of the hand. Our findings suggest that this free flap is a reliable and reproducible option for large cutaneous defects of the hand, offering an effective alternative to conventional flaps.</div></div><div><h3>Level of evidence</h3><div>IV.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 1","pages":"Article 102070"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient preferences for carpal tunnel release education: a comparison of education materials from popular healthcare websites and ChatGPT","authors":"Nicholas B. Pohl,&nbsp;Omar H. Tarawneh,&nbsp;Evan Johnson,&nbsp;Daren Aita,&nbsp;Madeline Tadley,&nbsp;Daniel J. Fletcher","doi":"10.1016/j.hansur.2024.102073","DOIUrl":"10.1016/j.hansur.2024.102073","url":null,"abstract":"<div><h3>Introduction</h3><div>ChatGPT has been increasingly utilized to create, simplify, and revise hand surgery patient education materials. While significant research has examined the quality and readability of ChatGPT-derived hand surgery patient education, the patient perspective has not previously been evaluated. This study compared patient reported clarity and readability grades as well as patient preferences for carpal tunnel surgery educational information from medical education websites and ChatGPT.</div></div><div><h3>Methods</h3><div>Patients without a history of carpal tunnel release surgery at two orthopaedic hand surgery outpatient clinics were asked to complete an anonymous survey which gathered demographic information and included a blinded educational passage on carpal tunnel release surgery from ChatGPT, WebMD, or Mayo Clinic. Patients graded the blinded passages regarding clarity, readability, length, likeliness to recommend to others, and overall satisfaction with the education material.</div></div><div><h3>Results</h3><div>There were no significant differences in clarity (p = 0.682),readability (p = 0.328), or likeliness to recommend to others (p = 0.106) between the different educational sources. When stratified by age, younger patients (under 55) were more likely to recommend Mayo Clinic over other resources (p = 0.002). When further stratified to include only those who reported previously using websites for healthcare information, patients tended to have a higher likelihood of recommending Mayo Clinic compared to other sources, but this was not a statistically significant difference.</div></div><div><h3>Conclusions</h3><div>There were no differences in clarity, readability, or preference ratings between patient education materials that were produced by ChatGPT, WebMD and Mayo Clinic. However, while ChatGPT-generated materials are comparable in quality based on patient ratings, younger patients may still favor well-established sources for medical education. This information regarding patient preferences provides valuable insights for hand surgeons when selecting suitable educational resources for their patients.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 1","pages":"Article 102073"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142904645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Flexor tendon repair in a socially deprived population: A retrospective cohort study","authors":"Alexandra M. Stein,&nbsp;Claire Bastard,&nbsp;Marie Protais,&nbsp;Mickael Artuso,&nbsp;Adeline Cambon,&nbsp;Alain Sautet","doi":"10.1016/j.hansur.2024.102077","DOIUrl":"10.1016/j.hansur.2024.102077","url":null,"abstract":"","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 1","pages":"Article 102077"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Torsion and necrosis of a supernumerary digit","authors":"Raphael Israeli ,&nbsp;Gil Gannot ,&nbsp;Amir Oron","doi":"10.1016/j.hansur.2025.102088","DOIUrl":"10.1016/j.hansur.2025.102088","url":null,"abstract":"","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 1","pages":"Article 102088"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment of long finger metacarpophalangeal arthritis using HAPY® pyrocarbon interposition implants: a study of 34 cases","authors":"Thomas Daoulas ,&nbsp;François Ducournau ,&nbsp;Hélène Agneray ,&nbsp;Ludovic Ardouin ,&nbsp;Etienne Gaisne ,&nbsp;Philippe Bellemère","doi":"10.1016/j.hansur.2024.102068","DOIUrl":"10.1016/j.hansur.2024.102068","url":null,"abstract":"<div><h3>Introduction</h3><div>Destruction of the metacarpophalangeal joint can result in disabling pain and stiffness. Several therapeutic options are available, including pyrocarbon interposition implants. The primary endpoint of this study was assessment of clinical and radiographic outcomes in 34 patients treated with HAPY® pyrocarbon interposition implants (Tornier, Grenoble, France) with a minimum follow-up of 3 years. The secondary endpoint was to assess complications and the need for revision surgery.</div></div><div><h3>Materials and methods</h3><div>Thirty-four patients (61 implants) who underwent metacarpophalangeal arthroplasty with the HAPY® implant were reviewed with a minimum follow-up of 3 years. The etiology was inflammatory (rheumatoid arthritis) in 18 cases (37 implants), primary osteoarthritis in 16 (21 implants), and post-traumatic in 3 (3 implants).</div><div>Preoperative data comprised age, gender, operated finger, etiology (inflammatory, primary or post-traumatic), digital chain mobility, pain assessment on visual analog scale, grip strength on a standardized handheld dynamometer, and functional scores including QuickDASH and the Patient-Rated Wrist/Hand Evaluation. Immediate postoperative radiographs (anteroposterior, lateral and oblique views) centered on the metacarpophalangeal joint were compared with those at last follow-up. Metacarpal and phalangeal implant subsidence were assessed.</div></div><div><h3>Results</h3><div>At a mean follow-up of 71.5 months, pain score was reduced by a mean 5.4 points: 6.4/10 versus 1/10 (p &lt; 0.001). The mean active range of motion in flexion-extension showed a significant improvement of 27°: 42.9 ° versus 70 ° (p &lt; 0.001). The QuickDASH and Patient-Rated Wrist/Hand Evaluation functional scores significantly improved by a mean 26.7 points (50.6 ± 20.1 versus 23.9 ± 25 (p &lt; 0.001)) and 32.8 points (53.58 ± 21.6 versus 20.77 ± 22.1 (p &lt; 0.001)), respectively. Comparison between pre- and post-operative grip strength did not show a significant difference. 94% of patients reported being satisfied with the procedure, while 6% were dissatisfied or very dissatisfied. One of the dissatisfied patients developed type 1 complex regional pain syndrome, while the other had persistent pain and stiffness.</div><div>Mean implant subsidence in the metacarpal was 0.48 mm ± 4.2 mm, and in the first phalanx 3.6 mm ± 9.6 mm. One patient (2.9%) experienced implant dislocation in the immediate postoperative period. No further implant dislocations were observed during follow-up.</div></div><div><h3>Discussion</h3><div>The HAPY® interpositional implant provided good clinical and radiographic outcomes for the management of long finger arthritis, offering functional results and improvement in range of motion, comparable to other series. The HAPY® interpositional implant has the advantage of being non-constrained and maximizing bone stock.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 1","pages":"Article 102068"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Isolated distal radioulnar joint septic arthritis, the intact triangular fibrocartilaginous complex serving as an anatomical barrier","authors":"Steven Cornelis ,&nbsp;Shevan Mufty ,&nbsp;Sebastian Peters","doi":"10.1016/j.hansur.2025.102079","DOIUrl":"10.1016/j.hansur.2025.102079","url":null,"abstract":"","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 1","pages":"Article 102079"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pyrocardan® implant interposition in the trapeziometacarpal joint: outcomes at a minimum 10 years’ follow-up","authors":"Grégoire Chiarella ,&nbsp;Ludovic Ardouin ,&nbsp;Flore-Anne Lecoq ,&nbsp;Clara Sos ,&nbsp;Philippe Bellemère","doi":"10.1016/j.hansur.2024.102074","DOIUrl":"10.1016/j.hansur.2024.102074","url":null,"abstract":"<div><h3>Objective</h3><div>We present long-term results for the Pyrocardan®, a pyrocarbon trapeziometacarpal interposition implant used for the treatment of osteoarthritis of the thumb.</div></div><div><h3>Methods</h3><div>Between March 2009 and May 2013, 199 arthroplasties were performed in a single hand center, in 184 patients by 6 hand surgeons.</div><div>107 implants were followed up for a mean 137 months (range, 120–168 months). 82 patients (89 implants) were lost to follow-up.</div></div><div><h3>Results</h3><div>Median age was 57 years, with 15 patients (14.2%) aged ≤50 years.</div><div>At last follow-up, functional scores were significantly improved compared to preoperative data: pain rating, 0.4/10 versus 7.2/10; Patient-Rated Wrist/Hand Evaluation, 4/100 versus 61/100; Quick Disabilities of the Arm, Shoulder and Hand, 9/100 versus 54/100.</div><div>Range of motion and strength were comparable to the contralateral side. Radiographic analysis showed that 82% of implants were correctly positioned. No implant dislocation was observed. There were 6 re-operations, 5 of which in the short term.</div><div>Overall implant survival was 94.3%, with 44.7% loss to follow-up.</div></div><div><h3>Conclusion</h3><div>Pyrocardan® interposition arthroplasty is a valid alternative for the treatment of osteoarthritis of the thumb.</div></div><div><h3>Level of evidence</h3><div>IV.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 1","pages":"Article 102074"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142908019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction of non-traumatic extensor tendon dislocation and ulnar drift at the metacarpophalangeal joint by the modified Dell technique","authors":"Aurelie Wolf,&nbsp;Michel Chammas,&nbsp;Benjamin Degeorge,&nbsp;Bertrand Coulet,&nbsp;Cyril Lazerges,&nbsp;Pierre-Emmanuel Chammas","doi":"10.1016/j.hansur.2024.101788","DOIUrl":"10.1016/j.hansur.2024.101788","url":null,"abstract":"<div><h3>Background</h3><div>Chronic ulnar extensor tendon dislocation at the metacarpophalangeal joint causes permanent extension deficit and ulnar drift. Several soft tissue procedures have been described for realignment of the extensor tendon in post-traumatic reducible instability or in combination with joint replacement in case of altered metacarpophalangeal joint in inflammatory conditions. However, no studies reported correction of both extension lag and ulnar deviation following isolated surgical treatment of ulnar extensor tendon dislocation at the metacarpophalangeal joint. The present study evaluated the clinical and functional results of isolated correction of chronic non-traumatic ulnar extensor tendon dislocation at metacarpophalangeal level using the modified Dell technique.</div></div><div><h3>Hypothesis</h3><div>The study hypothesis was that the modified Dell technique allows realignment of the extensor apparatus and correction of both metacarpophalangeal extension lag and ulnar drift.</div></div><div><h3>Patients and methods</h3><div>10 patients (24 fingers), operated on between June 2012 and May 2019, were evaluated at a mean follow-up of 36 months. The etiologies were rheumatoid arthritis in 17 cases, Jaccoud arthropathy due to systemic lupus erythematosus in 4, and degenerative in 3. A radial strip of distal-based extensor tendon, passed around the radial collateral ligament of the metacarpophalangeal joint downward from the surface, was sutured proximally to the remaining extensor tendon using the Pulvertaft technique.</div></div><div><h3>Results</h3><div>Extension deficit improved significantly, by a mean 26° (−9° postoperatively vs −35° preoperatively, p &lt; 0.001). MP joint ulnar drift also improved significantly, by a mean 15° (6° vs 21°, p &lt; 0.001). Four fingers had preoperative swan neck deformity that improved postoperatively. There were 2 cases of recurrent dislocation.</div></div><div><h3>Conclusion</h3><div>The modified Dell technique showed favorable results in treating chronic non-traumatic ulnar extensor tendon dislocation at metacarpophalangeal level in the long fingers, with realignment of the extensor system and correction of both metacarpophalangeal extension lag and ulnar drift.</div></div><div><h3>Level of evidence</h3><div>Level 4, single-center retrospective observational study.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 1","pages":"Article 101788"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142756063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional outcome of trapeziometacarpal prostheses in pan-trapezial osteoarthritis","authors":"Hubert Caignol ,&nbsp;Anaïs Delgove ,&nbsp;Marie-Laure Abi-Chahla ,&nbsp;Clotilde Strugarek ,&nbsp;Alison Delesque ,&nbsp;Hugo Pelet","doi":"10.1016/j.hansur.2024.102025","DOIUrl":"10.1016/j.hansur.2024.102025","url":null,"abstract":"<div><div>Trapeziometacarpal osteoarthritis is frequently associated with scaphotrapeziotrapezoid osteoarthritis. Long-term outcomes have not been reported for trapeziometacarpal protheses in patients with radiological pan-trapezial osteoarthritis that is symptomatic only in the trapeziometacarpal compartment. The primary objective of this retrospective multicenter multi-operator study was to evaluate the effectiveness of trapeziometacarpal arthroplasty for pain relief in patients with radiographic pan-trapezial osteoarthritis without symptomatic scaphotrapeziotrapezoid involvement. A total of 70 thumbs in 67 patients were evaluated by a single independent operator at a mean follow-up of 58 months. Scaphotrapeziotrapezoid osteoarthritis severity on Crosby score was stage II in 84% of patients and stage III in 16%. Mean pain score on visual analog scale decreased from 7.7 preoperatively to 1.3 at last follow-up. There were no reoperations at last follow up. These results suggest that, in patients with radiological pan-trapezial osteoarthritis without symptomatic involvement of the scaphotrapeziotrapezoid joint, a trapeziometacarpal prothesis yields good medium-term clinical outcomes.</div></div><div><h3>Level of evidence</h3><div>III.</div></div>","PeriodicalId":54301,"journal":{"name":"Hand Surgery & Rehabilitation","volume":"44 1","pages":"Article 102025"},"PeriodicalIF":0.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}