Bioengineered Nerve Conduits and Wraps
Peripheral nerve injuries are prevalent and their treatments present significant challenges. Among the various reconstructive options, nerve conduits and wraps are popular choices. Advances in bioengineering and regenerative medicine have led to the development of new biocompatible materials and implant designs that offer the potential for enhanced neural recovery. Cost, nerve injury type, and implant size must be considered when deciding on the ideal reconstructive option. (Source: Hand Clinics)
Source: Hand Clinics - April 24, 2024 Category: Orthopaedics Authors: Gordon C. Wong, Kevin C. Chung Source Type: research
Evaluating Outcomes Following Nerve Repair
Peripheral nerve injuries are common and remain a significant health challenge. Outcome measurements are used to evaluate injury, monitor recovery after nerve repair, and compare scientific advances. Clinical judgement is required to determine which available tools are most applicable, which requires a vast understanding of the available outcome measurements. In this article we discuss the highest yield tools available for clinical application. (Source: Hand Clinics)
Source: Hand Clinics - April 24, 2024 Category: Orthopaedics Authors: Alexander N. Khouri, Kevin C. Chung Source Type: research
Advances in Microsurgical Reconstruction in the Upper Extremity
HAND CLINICS (Source: Hand Clinics)
Source: Hand Clinics - March 28, 2024 Category: Orthopaedics Authors: Harvey Chim, Kevin C. Chung Source Type: research
Copyright
ELSEVIER (Source: Hand Clinics)
Source: Hand Clinics - March 28, 2024 Category: Orthopaedics Source Type: research
Contributors
KEVIN C. CHUNG, MD, MS (Source: Hand Clinics)
Source: Hand Clinics - March 28, 2024 Category: Orthopaedics Source Type: research
Contents
Harvey Chim and Kevin C. Chung (Source: Hand Clinics)
Source: Hand Clinics - March 28, 2024 Category: Orthopaedics Source Type: research
Forthcoming Issues
Peripheral Nerve Reconstruction (Source: Hand Clinics)
Source: Hand Clinics - March 28, 2024 Category: Orthopaedics Source Type: research
Innovations in Microsurgical Reconstruction in the Upper Extremity
Reconstruction of skin and soft tissue defects is essential for good outcomes in the hand and upper extremity after trauma, cancer resection, or other indications. At the apex of the reconstructive ladder is microsurgical reconstruction through free-tissue transfer, which closes defects that cannot be achieved through less-arduous techniques, such as pedicled flaps, local tissue rearrangement, or skin grafts. (Source: Hand Clinics)
Source: Hand Clinics - March 13, 2024 Category: Orthopaedics Authors: Harvey Chim, Kevin C. Chung Tags: Preface Source Type: research
Thin and Thinned Anterolateral Thigh Flaps for Upper Extremity Reconstruction
This article reviews the anatomy, preoperative planning, and operative technique, as well as presents 4 cases to illustrate the outcomes and benefits of thin and thinned ALT flaps. (Source: Hand Clinics)
Source: Hand Clinics - January 11, 2024 Category: Orthopaedics Authors: Cristin L. Coquillard, Jennifer Bai, Jason H. Ko Source Type: research
Microsurgical Treatment for Arteriovenous Malformations in the Hand
Vascular malformations in the extremities are a common site of occurrence; arteriovenous malformations (AVMs) are the least frequent of all vascular malformations, estimated at 5% to 20%. The first step in management is to perform a thorough clinical examination. Symptoms are assessed, and staging is performed using the Schobinger classification. Next, ultrasonography and contrast-enhanced computed tomography are used to confirm the diagnosis of AVM and to confirm the extent of the malformation. Surgery is the first-line treatment and reconstruction is performed. In cases where surgery is not feasible, embolization and scl...
Source: Hand Clinics - January 9, 2024 Category: Orthopaedics Authors: Mitsunaga Narushima, Makoto Shiraishi, Chihena Hansini Banda, Ryohei Ishiura Source Type: research
Managing the Intra-articular Distal Radius Malunion
Intra-articular malunion of the distal radius represents a difficult clinical problem. While not all patients require treatment, corrective osteotomy may significantly improve motion, grip strength, and patient-reported outcome measures. Meticulous planning and technical precision are required with the possible need for multiple surgical approaches and both volar and dorsal implants. Arthroscopic assistance may be used to visualize the joint and articular reduction. Custom 3-dimensional planning guides are helpful in addressing complex multiplanar deformities. Regardless, intervention may not change the natural history of ...
Source: Hand Clinics - November 17, 2023 Category: Orthopaedics Authors: Chelsea C. Boe, Stephen A. Kennedy Source Type: research
Metacarpal and Phalangeal Nonunions
This article provides an overview of nonunions of the metacarpals and phalanges in the hand, including incidence, risk factors, current treatment options, and postoperative care. (Source: Hand Clinics)
Source: Hand Clinics - November 17, 2023 Category: Orthopaedics Authors: Stefan Czerniecki, Mark Mishu, Ryan Schmucker Source Type: research
When Things Don ’t Heal as Planned
While a surgeon can reduce and stabilize a fracture perfectly, they cannot physically knit the bone back to its premorbid state. Bony healing is a complex process that is dependent on biologic, biomechanical, and environmental factors. With appropriate treatment, most fractures heal uneventfully with satisfactory function. Nonunions and symptomatic malunions are both rare. The low frequency with which we see these problems, however, makes them more difficult to treat. In this issue of Hand Clinics, we explore both nonunions and malunions in the upper extremity from the forearm to the fingertips. (Source: Hand Clinics)
Source: Hand Clinics - November 17, 2023 Category: Orthopaedics Authors: Erin A. Miller, Jerry I. Huang Tags: Preface Source Type: research
Malunions and Nonunions in the Forearm, Wrist, and Hand
HAND CLINICS (Source: Hand Clinics)
Source: Hand Clinics - November 17, 2023 Category: Orthopaedics Authors: Erin A. Miller, Jerry I. Huang Source Type: research
Copyright
ELSEVIER (Source: Hand Clinics)
Source: Hand Clinics - November 17, 2023 Category: Orthopaedics Source Type: research
