Pub Date : 2022-05-02DOI: 10.1177/17531934221096786
Kathryn Dickson, Kerri Cooper, M. Gardiner
The world is getting hotter. The atmosphere and ocean are warming, amounts of snow and ice are falling, and the sea levels are rising. It is globally considered extremely likely that these changes are driven by human activity, primarily through the use of fossil fuel and resultant carbon dioxide emissions. Rising temperatures will have a negative impact on health through water and food insecurity, changing patterns of disease, population migration and extreme weather events. The link between hand surgery and climate change may appear tenuous, but healthcare activity contributes significantly to a population’s carbon emissions (NHS England and NHS Improvement, 2020). Adapting how we deliver hand surgery will positively impact climate change, at a moment where we all need to play our part. In this article we argue for the importance of delivering care that improves our patients’ lives while minimizing long-term damage to the world we share, and suggest our priorities for carbon neutral hand surgery.
{"title":"Perspectives on climate change: can hand surgery go carbon neutral?","authors":"Kathryn Dickson, Kerri Cooper, M. Gardiner","doi":"10.1177/17531934221096786","DOIUrl":"https://doi.org/10.1177/17531934221096786","url":null,"abstract":"The world is getting hotter. The atmosphere and ocean are warming, amounts of snow and ice are falling, and the sea levels are rising. It is globally considered extremely likely that these changes are driven by human activity, primarily through the use of fossil fuel and resultant carbon dioxide emissions. Rising temperatures will have a negative impact on health through water and food insecurity, changing patterns of disease, population migration and extreme weather events. The link between hand surgery and climate change may appear tenuous, but healthcare activity contributes significantly to a population’s carbon emissions (NHS England and NHS Improvement, 2020). Adapting how we deliver hand surgery will positively impact climate change, at a moment where we all need to play our part. In this article we argue for the importance of delivering care that improves our patients’ lives while minimizing long-term damage to the world we share, and suggest our priorities for carbon neutral hand surgery.","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46029994","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}
Pub Date : 2022-04-26DOI: 10.1177/17531934221095401
Akos Marton, Shahzaib Ahmed, G. Jarvis, C. Brassett, I. Grant, M. Gaunt
In this cadaveric study, we analysed digital images of dissected palms to define the location and length of superficial connections between the median and the ulnar nerves (Berrettini communicating branches). We found the connections present in 12 of 27 hands. We used a coordinate model to define their location relative to seven specified landmarks. The model revealed that the Berrettini communicating branches were positioned consistently, and we defined a high-risk zone in the palm that fully contained seven of the 12 connections, while others had minor projections outside the zone. We conclude that awareness of this high-risk zone in the palm can be of some help to reduce the risk of iatrogenic nerve injury, however, any operation in the palm must always be done with great care to visualize and protect any possible anatomically unusual structures.
{"title":"The Berrettini palmar neural communicating branch: a study of 27 cadaveric specimens and determination of a high-risk surgical zone","authors":"Akos Marton, Shahzaib Ahmed, G. Jarvis, C. Brassett, I. Grant, M. Gaunt","doi":"10.1177/17531934221095401","DOIUrl":"https://doi.org/10.1177/17531934221095401","url":null,"abstract":"In this cadaveric study, we analysed digital images of dissected palms to define the location and length of superficial connections between the median and the ulnar nerves (Berrettini communicating branches). We found the connections present in 12 of 27 hands. We used a coordinate model to define their location relative to seven specified landmarks. The model revealed that the Berrettini communicating branches were positioned consistently, and we defined a high-risk zone in the palm that fully contained seven of the 12 connections, while others had minor projections outside the zone. We conclude that awareness of this high-risk zone in the palm can be of some help to reduce the risk of iatrogenic nerve injury, however, any operation in the palm must always be done with great care to visualize and protect any possible anatomically unusual structures.","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48979848","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}
Pub Date : 2022-04-26DOI: 10.1177/17531934221095435
Takuya Tsumura, Taiichirou Matsumoto, Toshihide Imanaka, Katsuma Kishimoto, H. Ito
We investigated two palmar approaches for screw fixation of acute scaphoid waist fractures: the conventional percutaneous or transtrapezial approach. Thirty cases who underwent operation from 2013 to 2021 were reviewed (conventional group, 15; transtrapezial approach group, 15). Cross-sections were constructed along the long axis of the scaphoid on postoperative computed tomography to evaluate the screw position, relative to the centre point in the distal-third, midwaist and proximal-third of the bone. The screw could be inserted centrally in the proximal and distal regions using the transtrapezial approach. In the conventional approach, the screw was inserted radially in the distal region, but tended to be positioned centrally in the midwaist and proximal regions. As central placement of the screw in the proximal fragment offers a biomechanical advantage, both approaches can be options for some fracture patterns, while for others, the fracture pattern could influence which approach is better. Level of evidence: IV
{"title":"Comparison of conventional and transtrapezial palmar approaches for screw fixation of scaphoid waist fractures: a clinical study","authors":"Takuya Tsumura, Taiichirou Matsumoto, Toshihide Imanaka, Katsuma Kishimoto, H. Ito","doi":"10.1177/17531934221095435","DOIUrl":"https://doi.org/10.1177/17531934221095435","url":null,"abstract":"We investigated two palmar approaches for screw fixation of acute scaphoid waist fractures: the conventional percutaneous or transtrapezial approach. Thirty cases who underwent operation from 2013 to 2021 were reviewed (conventional group, 15; transtrapezial approach group, 15). Cross-sections were constructed along the long axis of the scaphoid on postoperative computed tomography to evaluate the screw position, relative to the centre point in the distal-third, midwaist and proximal-third of the bone. The screw could be inserted centrally in the proximal and distal regions using the transtrapezial approach. In the conventional approach, the screw was inserted radially in the distal region, but tended to be positioned centrally in the midwaist and proximal regions. As central placement of the screw in the proximal fragment offers a biomechanical advantage, both approaches can be options for some fracture patterns, while for others, the fracture pattern could influence which approach is better. Level of evidence: IV","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45687481","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}
Pub Date : 2022-04-26DOI: 10.1177/17531934221090462
T. Hems
this problem should look to move away from inconsistent, qualitative assessments of this phenomenon and look for methods to best quantify their individual patient’s laxity. Wewould ask Drs Teunis and Ring whether they use shear testing as an assessment of the DRUJ? If so, do they know how accurate or reliable their interpretation of that test is? And if they do not, we askwhat tests they do perform to assess a symptomatic DRUJ? As a minimum clinicians should at least look for a way to calibrate their bedside examination techniques to ensure they themselves remain as accurate as possible. We anticipated that experience alone may have offered such calibration, however this was not shown by our study, and confirms that in the absence of a verified reference point any clinical test is likely to be inaccurate.
{"title":"Re. Jordan R, Wade RG, McCauley G, Oxley S, Bains R, Bourke G. Functional deficits as a result of brachial plexus injury in anterior shoulder dislocation. J Hand Surg Eur. 2021, 46: 725–30.","authors":"T. Hems","doi":"10.1177/17531934221090462","DOIUrl":"https://doi.org/10.1177/17531934221090462","url":null,"abstract":"this problem should look to move away from inconsistent, qualitative assessments of this phenomenon and look for methods to best quantify their individual patient’s laxity. Wewould ask Drs Teunis and Ring whether they use shear testing as an assessment of the DRUJ? If so, do they know how accurate or reliable their interpretation of that test is? And if they do not, we askwhat tests they do perform to assess a symptomatic DRUJ? As a minimum clinicians should at least look for a way to calibrate their bedside examination techniques to ensure they themselves remain as accurate as possible. We anticipated that experience alone may have offered such calibration, however this was not shown by our study, and confirms that in the absence of a verified reference point any clinical test is likely to be inaccurate.","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43839522","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}
Pub Date : 2022-04-25DOI: 10.1177/17531934221095027
Lei Zheng, Qinglong Li, Jun Li
severe wrist pain. MRI again revealed widespread scaphoid oedema although CT scan demonstrated no fracture. His condition had become chronic and the severity of pain was such that he could not pursue his golfing career. The concern of bone stress within the scaphoid progressing to a potential fracture prompted the decision to consider a prophylactic internal fixation. This was performed percutaneously in a retrograde fashion using a headless titanium intraosseous compression screw, under regional anaesthetic (Figure 1(c)). His wrist was supported in a forearm splint for 2 weeks. He returned to golf after 3 weeks and played in his first tournament 4 weeks after surgery. He began weightlifting, as a part of his conditioning programme, 6 weeks after surgery with no pain or weakness. A repeat MRI scan and CT scan 1 year after surgery revealed no abnormalities. At final review 48 months after surgery, he had experienced no recurrence of pain and demonstrated symmetrical range of active movements with a grip strength of 56 kg (54 kg in the left) and had returned to his career as a professional golfer. Stress fractures mostly affect high-level athletes in their lower limbs and occur in situations where the normal damage–repair cycle in bone becomes unbalanced due to a change in load repetition. Radiographs are mostly normal in the early stages of abnormal bone stress, with changes developing only when a cortical break occurs. Abnormal radiographs should therefore be considered a late sign, occurring when prevention is no longer possible. Diagnosis of stress responses and impending stress fractures (prefracture) in bone by MRI scan are important to detect because successful prophylactic treatment carries minimal morbidity, results in early functional restoration and provides long-term protection from complications and relapse. Although most stress responses may heal within a few weeks with rest and load avoidance, recurrence is inevitable if the athletic overload resumes without amendment, resulting in fracture. Prophylactic internal fixation may be appropriate, particularly in a bone such as the scaphoid that has a potential to develop nonunion when it fractures. The different movement patterns of the dominant and non-dominant wrists in a golfer leads to predictable injury patterns (Hawkes et al., 2013). The relationship of scaphoid stress responses to flexion–extension athletic movement patterns suggests that the incidence of stress fractures will be higher in the dominant wrist of golfers (Kohyama et al., 2016). Sports with no side-preference may develop bilateral stress responses (Haflah et al., 2014). Apart from the case described in this study, we identified a total of 18 published cases of scaphoid stress fracture in 15 patients, all of which presented after fracture had occurred. This patient developed an abnormal scaphoid stress response that repeatedly recurred despite prolonged periods of rest and multiple technique amendments. This report dem
严重的手腕疼痛。MRI再次显示广泛的舟状骨水肿，尽管CT扫描未显示骨折。他的病情已经变成了慢性疾病，严重的疼痛使他无法继续他的高尔夫事业。考虑到舟状骨内的骨应力进展为潜在的骨折，我们决定考虑预防性内固定。在局部麻醉下，采用无头钛骨内加压螺钉逆行经皮穿刺(图1(c))。用前臂夹板支撑手腕2周。他在3周后重返高尔夫球场，并在手术后4周参加了他的第一次锦标赛。他开始举重，作为他的训练计划的一部分，手术后6周没有疼痛或虚弱。术后1年复查MRI和CT未见异常。在手术后48个月的最后一次检查中，他没有经历过疼痛复发，并且表现出对称的主动运动范围，握力为56公斤(左侧54公斤)，并且已经恢复了职业高尔夫球手的职业生涯。应力性骨折主要影响高水平运动员的下肢，发生在正常的骨骼损伤-修复周期由于负荷重复的变化而变得不平衡的情况下。在异常骨应力的早期阶段，x线片大多是正常的，只有在皮质断裂时才会发生变化。因此，异常的x线片应该被认为是晚期的征兆，发生在无法预防的时候。通过MRI扫描诊断骨的应激反应和即将发生的应力性骨折(骨折前)是很重要的，因为成功的预防性治疗具有最小的发病率，可以早期恢复功能，并提供长期的并发症和复发保护。虽然大多数应激反应可以在休息和避免负荷的情况下在几周内愈合，但如果运动负荷恢复而不进行修复，复发是不可避免的，导致骨折。预防性内固定可能是适当的，特别是在骨折时有可能发生骨不愈合的骨，如舟状骨。高尔夫球手的优势手腕和非优势手腕的不同运动模式导致可预测的损伤模式(Hawkes等人，2013)。舟状骨应力响应与屈伸运动模式的关系表明，高尔夫球手的优势腕关节应力性骨折的发生率更高(Kohyama et al.， 2016)。没有侧偏好的运动可能会产生双侧应激反应(Haflah et al.， 2014)。除了本研究中描述的病例外，我们共发现了15例舟状骨应力性骨折的18例已发表病例，所有病例均在骨折发生后出现。该患者出现异常舟状骨应激反应，尽管长时间休息和多次技术改良，但仍反复复发。本报告展示了一种外科技术的成功应用，该技术应用于控制其他骨骼的应激反应，而以前没有应用于舟状骨。
{"title":"Dual-energy computed tomography in high-pressure injection injuries caused by grease: an experimental study","authors":"Lei Zheng, Qinglong Li, Jun Li","doi":"10.1177/17531934221095027","DOIUrl":"https://doi.org/10.1177/17531934221095027","url":null,"abstract":"severe wrist pain. MRI again revealed widespread scaphoid oedema although CT scan demonstrated no fracture. His condition had become chronic and the severity of pain was such that he could not pursue his golfing career. The concern of bone stress within the scaphoid progressing to a potential fracture prompted the decision to consider a prophylactic internal fixation. This was performed percutaneously in a retrograde fashion using a headless titanium intraosseous compression screw, under regional anaesthetic (Figure 1(c)). His wrist was supported in a forearm splint for 2 weeks. He returned to golf after 3 weeks and played in his first tournament 4 weeks after surgery. He began weightlifting, as a part of his conditioning programme, 6 weeks after surgery with no pain or weakness. A repeat MRI scan and CT scan 1 year after surgery revealed no abnormalities. At final review 48 months after surgery, he had experienced no recurrence of pain and demonstrated symmetrical range of active movements with a grip strength of 56 kg (54 kg in the left) and had returned to his career as a professional golfer. Stress fractures mostly affect high-level athletes in their lower limbs and occur in situations where the normal damage–repair cycle in bone becomes unbalanced due to a change in load repetition. Radiographs are mostly normal in the early stages of abnormal bone stress, with changes developing only when a cortical break occurs. Abnormal radiographs should therefore be considered a late sign, occurring when prevention is no longer possible. Diagnosis of stress responses and impending stress fractures (prefracture) in bone by MRI scan are important to detect because successful prophylactic treatment carries minimal morbidity, results in early functional restoration and provides long-term protection from complications and relapse. Although most stress responses may heal within a few weeks with rest and load avoidance, recurrence is inevitable if the athletic overload resumes without amendment, resulting in fracture. Prophylactic internal fixation may be appropriate, particularly in a bone such as the scaphoid that has a potential to develop nonunion when it fractures. The different movement patterns of the dominant and non-dominant wrists in a golfer leads to predictable injury patterns (Hawkes et al., 2013). The relationship of scaphoid stress responses to flexion–extension athletic movement patterns suggests that the incidence of stress fractures will be higher in the dominant wrist of golfers (Kohyama et al., 2016). Sports with no side-preference may develop bilateral stress responses (Haflah et al., 2014). Apart from the case described in this study, we identified a total of 18 published cases of scaphoid stress fracture in 15 patients, all of which presented after fracture had occurred. This patient developed an abnormal scaphoid stress response that repeatedly recurred despite prolonged periods of rest and multiple technique amendments. This report dem","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41643775","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}
Pub Date : 2022-04-17DOI: 10.1177/17531934221092569
S. Luria
The article reviews key considerations and our preferred methods in treating upper extremity palsies, gunshot wounds and scaphoid nonunion. For these three difficult conditions, I highlight the importance of a team approach when treating upper extremity neuromuscular disease, flexibility and creativity when treating gunshot wounds, and my personal protocol for dealing with scaphoid fracture nonunions. Level of evidence: V
{"title":"Treatment of upper extremity palsies, gunshot wounds and scaphoid nonunion: my preferred approaches","authors":"S. Luria","doi":"10.1177/17531934221092569","DOIUrl":"https://doi.org/10.1177/17531934221092569","url":null,"abstract":"The article reviews key considerations and our preferred methods in treating upper extremity palsies, gunshot wounds and scaphoid nonunion. For these three difficult conditions, I highlight the importance of a team approach when treating upper extremity neuromuscular disease, flexibility and creativity when treating gunshot wounds, and my personal protocol for dealing with scaphoid fracture nonunions. Level of evidence: V","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47230116","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}
Pub Date : 2022-04-13DOI: 10.1177/17531934221091458
W. Lam
{"title":"Editorial","authors":"W. Lam","doi":"10.1177/17531934221091458","DOIUrl":"https://doi.org/10.1177/17531934221091458","url":null,"abstract":"","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45892467","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}
Pub Date : 2022-04-12DOI: 10.1177/17531934221093925
D. Herren, F. Verstreken, A. Lluch, Z. Naqui, B. V. D. van der Heijden
COVID-19 has affected us all. The following collection of short essays highlights various aspects of the pandemic and how it has impacted hand surgery and lessons learned, from the perspective of the Federation of European Societies for Surgery of the Hand (FESSH) Executive Committee members. A range of topics were individually chosen by each of the five committee members and presented.
{"title":"The impact of COVID-19 pandemic on hand surgery: a FESSH perspective","authors":"D. Herren, F. Verstreken, A. Lluch, Z. Naqui, B. V. D. van der Heijden","doi":"10.1177/17531934221093925","DOIUrl":"https://doi.org/10.1177/17531934221093925","url":null,"abstract":"COVID-19 has affected us all. The following collection of short essays highlights various aspects of the pandemic and how it has impacted hand surgery and lessons learned, from the perspective of the Federation of European Societies for Surgery of the Hand (FESSH) Executive Committee members. A range of topics were individually chosen by each of the five committee members and presented.","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49026421","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}
Pub Date : 2022-04-12DOI: 10.1177/17531934221089232
Zhi Xuan Low, Jieying Xu, D. Chia
was buddy taped to the fourth and splinted for 1 week followed by a fiberglass cast support for an additional 7 weeks. The K-wires and cast were removed at 8 weeks. The patient went on to have satisfactory aesthetic outcomes and was able to use the hand for daily activities with no limitations on 6-month follow-up. Pritsch et al. (2013) proposed a classification system to account for the various subtypes of Type A ulnar-sided polydactyly. The Type 2 group described in their publication most resembles the variant seen in our patient; however, the authors do not comment on their treatment approach. Metacarpal transposition has not been described in the management of postaxial polydactyly but is a proven salvage technique in severe hand trauma (Aliotta et al., 2018). We feel that this can be considered as a safe and effective option in selected types of complex variants of Type A ulnar-sided polydactyly.
{"title":"Outcomes of suture-button suspensionplasty for trapeziometacarpal joint arthritis","authors":"Zhi Xuan Low, Jieying Xu, D. Chia","doi":"10.1177/17531934221089232","DOIUrl":"https://doi.org/10.1177/17531934221089232","url":null,"abstract":"was buddy taped to the fourth and splinted for 1 week followed by a fiberglass cast support for an additional 7 weeks. The K-wires and cast were removed at 8 weeks. The patient went on to have satisfactory aesthetic outcomes and was able to use the hand for daily activities with no limitations on 6-month follow-up. Pritsch et al. (2013) proposed a classification system to account for the various subtypes of Type A ulnar-sided polydactyly. The Type 2 group described in their publication most resembles the variant seen in our patient; however, the authors do not comment on their treatment approach. Metacarpal transposition has not been described in the management of postaxial polydactyly but is a proven salvage technique in severe hand trauma (Aliotta et al., 2018). We feel that this can be considered as a safe and effective option in selected types of complex variants of Type A ulnar-sided polydactyly.","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43213417","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}
Pub Date : 2022-04-11DOI: 10.1177/17531934221089225
M. F. Andersen, M. Landgren, Linnea Bøgeskov Schmidt, Galal Hassani
We evaluated the incidence of postoperative complications following anterior locking plate fixation of distal radial fractures. We investigated whether there is an association with the patient’s age, severity of the fracture or surgeon’s experience. The medical records of all patients treated with anterior locking plate for a distal radial fracture between 2016 and 2018 were retrospectively reviewed. Radiographs were evaluated regarding Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association (AO/OTA) classification, Soong grade and dorsal screw prominence. Six-hundred and three distal radial fractures treated with anterior locking plate fixation in 599 patients were included. The overall postoperative complication incidence was 11%. Secondary surgery was performed in 9%. No statistical significance in the incidence of complications was found regarding age, AO/OTA type or surgeon experience. Level of evidence: IV
{"title":"Complications associated with anterior plate fixation of distal radial fractures: a retrospective study of 599 patients","authors":"M. F. Andersen, M. Landgren, Linnea Bøgeskov Schmidt, Galal Hassani","doi":"10.1177/17531934221089225","DOIUrl":"https://doi.org/10.1177/17531934221089225","url":null,"abstract":"We evaluated the incidence of postoperative complications following anterior locking plate fixation of distal radial fractures. We investigated whether there is an association with the patient’s age, severity of the fracture or surgeon’s experience. The medical records of all patients treated with anterior locking plate for a distal radial fracture between 2016 and 2018 were retrospectively reviewed. Radiographs were evaluated regarding Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association (AO/OTA) classification, Soong grade and dorsal screw prominence. Six-hundred and three distal radial fractures treated with anterior locking plate fixation in 599 patients were included. The overall postoperative complication incidence was 11%. Secondary surgery was performed in 9%. No statistical significance in the incidence of complications was found regarding age, AO/OTA type or surgeon experience. Level of evidence: IV","PeriodicalId":73762,"journal":{"name":"Journal of hand surgery (Edinburgh, Scotland)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43963005","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}
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