Evaluation of facial appearance in patients with repaired cleft lip and palate: comparing the assessment of laypeople and healthcare professionals.
Conclusion: Differences in perception exist between healthcare professionals and laypeople. The discrepancies between the professional groups could be attributed to different treatment modalities and protocols. PMID: 30815431 [PubMed] (Source: Hand Surgery)
Source: Hand Surgery - March 1, 2019 Category: Surgery Authors: Alhayek S, Alsalem M, Alotaibi Y, Omair A Tags: Maxillofac Plast Reconstr Surg Source Type: research

Re: Eo S, Doh G, Lim S, Hong K. Analysis of the risk factors that determine composite graft survival for fingertip amputation. J Hand Surg Eur. 2018, 43:1030-35.
PMID: 30784372 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 22, 2019 Category: Surgery Authors: Forbes K, Rayatt S Tags: J Hand Surg Eur Vol Source Type: research

The minimum length of follow-up in hand surgery reports.
PMID: 30784373 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 22, 2019 Category: Surgery Authors: Tang JB, Tonkin M, Boeckstyns M, Hooper G Tags: J Hand Surg Eur Vol Source Type: research

Hand surgery in Spain.
PMID: 30784374 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 22, 2019 Category: Surgery Authors: Rosales RS, Landin L, Corella F Tags: J Hand Surg Eur Vol Source Type: research

Primary or Secondary Subtalar Arthrodesis and Revision of Calcaneal Nonunion with Minimally Invasive Rigid Internal Nail Fixation for Treatment of Displaced Intra-Articular Calcaneal Fractures.
Abstract Primary or secondary subtalar joint arthrodesis after displaced intra-articular calcaneal fractures makes use of talocalcaneal large-diameter screw fixation after an eventual correction of geometric hindfoot deformity. Despite this procedure usually having a successful functional outcome, potential complications occur, including nonunion and malalignment, with an unknown rate of loss of correction or implant migration during the healing period. Angular stable fixation of the subtalar joint arthrodesis with an interlocking nail applied in a minimally invasive technique affords maintenance of the hindfoot p...
Source: Hand Surgery - February 22, 2019 Category: Surgery Authors: Fuentes-Viejo D, Cellarier G, Lauer P, Simon P, Mittlmeier T Tags: Clin Podiatr Med Surg Source Type: research

Reinnervation of Extrinsic Finger Flexors and Brachioradialis 22 and 36 Months Following Traumatic Pan-Brachial Plexopathy: A Case Report.
Abstract A 25-year-old man sustained a right-sided brachial plexus injury from a high-velocity motocross accident. Physical examination and electromyography were consistent with a pan-brachial plexopathy with no evidence of axonal continuity. The patient underwent a spinal accessory to suprascapular nerve transfer and an intercostal to musculocutaneous nerve transfer with interpositional sural nerve grafts. He recovered MRC 4/5 elbow flexion and MRC 2/5 shoulder abduction and external rotation. Twenty-two months post-injury the patient displayed a flicker of flexion of his flexor pollicis longus and flexor digitor...
Source: Hand Surgery - February 16, 2019 Category: Surgery Authors: Head LK, Wolff G, Boyd KU Tags: J Hand Surg Asian Pac Vol Source Type: research

Erratum - Cadaveric Dissection of the Axillary Nerve: An Investigation of Extra-Muscular and Intra-Muscular Branching Patterns.
PMID: 30760137 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 16, 2019 Category: Surgery Authors: Rastogi P, Stewart DA, Lawson RD, Tremblay DM, Smith BJ, Tonkin MA Tags: J Hand Surg Asian Pac Vol Source Type: research

Comparison of Five Years Clinical and Radiological Outcomes between Progressive and Non-Progressive Wrist Osteoarthritis after Volar Locking Plate Fixation of Distal Radius Fractures.
CONCLUSIONS: Good clinical results were maintained at 5 years after surgery, but progression of postoperative wrist osteoarthritis interfered with improvement of wrist flexion. Change in the radioscaphoid angle was the factor that was most highly correlated with progression of postoperative wrist osteoarthritis. PMID: 30760138 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 16, 2019 Category: Surgery Authors: Katayama T, Ono H, Omokawa S Tags: J Hand Surg Asian Pac Vol Source Type: research

Flap Related Complications Requiring Secondary Surgery in a Series of 851 Local Flaps Used for Fingertip Reconstruction.
CONCLUSIONS: Local flaps are reliable operations to cover fingertip defects. Each flap has potential pitfalls, which may be avoided if the surgeon is aware of them. PMID: 30760139 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 16, 2019 Category: Surgery Authors: Karjalainen T, Sebastin SJ, Chee KG, Peng YP, Chong AKS Tags: J Hand Surg Asian Pac Vol Source Type: research

Clinical Findings and Treatments of a Radially Deviated Type of Thumb Polydactyly.
CONCLUSIONS: Radially deviated thumb polydactyly is not simply radially deviated; the shape of the proximal phalanx of the ulnar thumb is important to determine the surgical procedure. However, our results indicated that the alignment is almost manageable, and the surgical outcome was comparable to that of patients with a proximal phalanx-type thumb polydactyly. PMID: 30760140 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 16, 2019 Category: Surgery Authors: Suzuki A, Kawabata H, Hayashi J, Tamura D Tags: J Hand Surg Asian Pac Vol Source Type: research

Cross-Shaped Bone Grafting and Locking Plate Fixation for Arthrodesis of the Trapeziometacarpal Joint: Surgical Technique and Early Mobilization.
CONCLUSIONS: These data suggested that our technique is a successful procedure for the trapeziometacarpal joint arthrodesis. Cross-shaped bone grafts have the advantages of restoring thumb length and providing internal stabilization, especially for rotational force. No complications arose at the bone harvest site of the iliac crest. The procedure seems to be technically demanding, particularly for adapting the bone graft to perfectly match the shape of the defect. PMID: 30760141 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 16, 2019 Category: Surgery Authors: Muramatsu K, Tominaga Y, Hashimoto T, Taguchi T Tags: J Hand Surg Asian Pac Vol Source Type: research

Predicting Amputation and Multiple Debridements in Tooth Knuckle Injuries.
CONCLUSIONS: Our models were able to predict what patients were at the greatest risk for amputation and multiple debridement. Reducing rates of osteomyelitis and delays in presentation may help reduce the incidence of amputation and reoperation in this injury. PMID: 30760142 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 16, 2019 Category: Surgery Authors: Smith HR, Conyard C, Loveridge J, Gunnarsson R Tags: J Hand Surg Asian Pac Vol Source Type: research

Chondrosarcoma of the Hand Bones: A Report of 6 Cases and Review of the Literature.
CONCLUSIONS: Although CS of the hand bones behaves as a locally aggressive lesion, it rarely metastasizes. Intralesional curettage with a cancellous bone autograft appears to be a good option in low-grade CS to preserve the function, keeping in mind the high rate of recurrence. Wide excision or amputation is recommended when severe joint deformity or soft tissue involvement interferes with hand function. PMID: 30760143 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 16, 2019 Category: Surgery Authors: García-Jiménez A, Chanes-Puiggrós C, Trullols-Tarragó L, Pulido-García MC Tags: J Hand Surg Asian Pac Vol Source Type: research

Comparative Biomechanical Characteristics of Modified Side-to-Side Repair and Modified Pulvertaft Weaving Repair - In vitro Study.
CONCLUSIONS: We found no statistical difference between 2 repairs in load at which they started failing (p = 0.16), and maximum load repairs could withstand (p = 0.35). Our study uniquely compares two techniques under standard conditions, and contrary to existing evidence found no difference. However, in our opinion the number of anchor points may have a greater impact than number of weaves on the strength. PMID: 30760144 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 16, 2019 Category: Surgery Authors: Kannan S, Ghosh AI, Dias JJ, Singh HP Tags: J Hand Surg Asian Pac Vol Source Type: research

Dermoid Inclusion Cyst Following Percutaneous Needle Fasciotomy: A Novel Complication.
We present the case of a fit and well 62-year-old male with Dupuytren's disease in the right hand who underwent percutaneous needle fasciotomy (PNF) for a moderate flexion contracture of the right little finger. 18 months later he developed a pain-free soft tissue swelling at the distal previous needling site. A fasciectomy procedure identified a cyst within the pre-tendinous cord, which was confirmed as a dermoid inclusion cyst on histological analysis. Dermoid inclusion cysts may occur in the hands at the site of penetrating trauma but we are unaware of any report of an inclusion cyst at the site of PNF surgery. We prese...
Source: Hand Surgery - February 16, 2019 Category: Surgery Authors: Reid J, Baker J, Davidson D Tags: J Hand Surg Asian Pac Vol Source Type: research

Giant Cell Tumor of the Tendon Sheath (GCTTS) with Multiple Bone Destruction of Different States: A Case Report.
Abstract Giant cell tumour of tendon sheath (GCTTS) is considered benign, but well known for its high recurrence rate. Bone involvement of GCTTS is not uncommon and closely related to local recurrence after surgery. Radiologic findings of bone involvement are pressure erosion, circumscribed cortical destruction and degenerative arthritis. The treatment involves complete resection of tumor including bone lesion. This case presents GCTTS of young male patient with multiple bone destructions of different state, treated by complete excision of the tumor and curettage of bone lesion. PMID: 30760146 [PubMed - in pr...
Source: Hand Surgery - February 16, 2019 Category: Surgery Authors: Kim JY, Kim JH Tags: J Hand Surg Asian Pac Vol Source Type: research

Acute Compartment Syndrome of the Forearm Secondary to Hematoma after Playing Golf.
We report a case of acute compartment syndrome of the forearm following a hematoma after playing golf. A 55-year-old man felt pain in his left forearm while playing golf that gradually worsened. He could not continue to play and visited the emergency department of our hospital. The radial side of his left forearm was markedly swollen on presentation, and he suffered severe pain that worsened with ulnar flexion of the wrist; no paralysis or hypesthesia was observed. A hematoma in the brachioradialis was seen on magnetic resonance imaging, and radial compartment pressure was 120 mmHg. A diagnosis of acute compartment syndrom...
Source: Hand Surgery - February 16, 2019 Category: Surgery Authors: Nakamura G, Abe M, Kumano H Tags: J Hand Surg Asian Pac Vol Source Type: research

Current Smoking Is Associated with Delayed Wound Healing But Not with Improvement of Contracture after the Open Palm Technique for Dupuytren's Disease.
CONCLUSIONS: Multiple contracted fingers and involvement of PIP joint contracture are associated with insufficient improvement of joint contracture. Current smoking is associated with delayed wound healing, but not with improvement of joint contracture, after the open palm technique for Dupuytren's disease in men. PMID: 30760148 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 16, 2019 Category: Surgery Authors: Sakai A, Zenke Y, Menuki K, Yamanaka Y, Tajima T, Uchida S Tags: J Hand Surg Asian Pac Vol Source Type: research

Repair of Chronic Concomitant Avulsion Fractures of the Extensor Carpi Radialis Longus and Brevis.
Abstract Combined simultaneous radial wrist extensor injuries, namely ipsilateral extensor carpi radialis longus (ECRL) and brevis (ECRB) avulsion fractures, are rare. While non-operative management with cast immobilization has been described, most recommend operative intervention in the acute setting. Surgical repair of chronic injuries, however, has received little attention in the literature. This case describes a 50-year-old male who sustained combined ipsilateral ECRL and ECRB avulsion fractures from the bases of the index and middle metacarpals. Five months after the initial trauma, he underwent surgical rep...
Source: Hand Surgery - February 16, 2019 Category: Surgery Authors: Beutel BG, Melamed E Tags: J Hand Surg Asian Pac Vol Source Type: research

Flexor Tendon Lacerations Secondary to Closed Proximal Phalangeal Fracture.
We report a case of complete laceration of both flexor tendons in the dominant ring finger of a young male caused by a closed volar fracture fragment of the proximal phalanx. Careful clinical examination, reasonable index of suspicion and ultrasound confirmation play a pivotal role in the diagnosis and surgical planning of this rare yet consequential injury. Good outcomes can be achieved from the surgical management and rehabilitation of both soft tissue and bony injuries when planning of surgical approaches and fixation techniques are facilitated by an accurate pre-operative diagnosis. PMID: 30760150 [PubMed - in pro...
Source: Hand Surgery - February 16, 2019 Category: Surgery Authors: Tolerton S, Nabarro M Tags: J Hand Surg Asian Pac Vol Source Type: research

Citation Analysis of Articles about Hand Surgery Published in Orthopaedic and Hand Surgery Journals.
CONCLUSIONS: Clinical studies related to hand surgery published in general orthopedic journals are most often of lower quality study design. Having a larger sample size or using a comparative study or randomized clinical trial design can improve the quality of study and may ultimately increase the impact factor of hand surgery journals. PMID: 30760151 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 16, 2019 Category: Surgery Authors: Fujihara Y, Fujihara N, Yamamoto M, Hirata H Tags: J Hand Surg Asian Pac Vol Source Type: research

Ulnar Variance in Scaphoid Fractures: Retrospective Analysis of 182 Cases.
Abstract BACKGROUND: Literature provides little and controversial evidence regarding the influence of ulnar variance (UV) on the incidence of scaphoid fractures. The aim of this retrospective study was to assess UV in a large number of patients with acute scaphoid fracture in comparison to a control group of the same population. METHODS: During a two year period, 182 patients with acute scaphoid fractures (fracture group) and 182 ethnicity-, gender- and age-matched patients with wrist contusions (control group) were treated in three non-university hospitals. Using standardized digital wrist radiographs, UV va...
Source: Hand Surgery - February 16, 2019 Category: Surgery Authors: Osinga R, Estermann L, Klein HJ, Schibli-Beer S, Jandali AR, Hug U Tags: J Hand Surg Asian Pac Vol Source Type: research

Is Antithrombotic Therapy Necessary Following Replantation of an Amputated Digit?
Abstract BACKGROUND: Antithrombotic therapy following replantation remains controversial, and the survival of replanted digits is affected by various other factors, such as the state of vascular damage and the surgeon's level of skill. The present study's aim is to obtain clinical evidence for postoperative antithrombotic therapy in replantation, with antithrombotic therapy being the only variable. METHODS: This was a single-center retrospective study of patients who underwent replantation of a completely amputated digit by the same surgeon. The subject sample included 17 patients/19 digits (group A) in whom ...
Source: Hand Surgery - February 16, 2019 Category: Surgery Authors: Matsusue T Tags: J Hand Surg Asian Pac Vol Source Type: research

Clinical Outcomes of Zone 2 Flexor Tendon Repairs Using the Modified Lim/Tsai Technique.
CONCLUSIONS: Based on this retrospective study of patients with zone 2 flexor tendon injuries, the clinical outcomes of modified and original Lim/Tsai techniques are comparable. As such, there is no clinical evidence favouring one over the other. PMID: 30760154 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 16, 2019 Category: Surgery Authors: Chang MK, Acharyya S, Lim ZY, Tay SC Tags: J Hand Surg Asian Pac Vol Source Type: research

Unstable Dorsal Fracture-Dislocations of the Proximal Interphalangeal Joint: Volar Plate Fixation with or without Bone Graft.
CONCLUSIONS: Our results demonstrate a good range of motion following treatment, however hardware removal and tenolysis was necessary in 36% of cases. PMID: 30760155 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 16, 2019 Category: Surgery Authors: Milner C, Samson D, Tan S Tags: J Hand Surg Asian Pac Vol Source Type: research

Hand Ischemia due to Steal Syndrome Associated with Multiple Arteriovenous Malformations in a Patient with Parkes-Weber Syndrome.
sa CA Abstract Parkes Weber Syndrome (PWS) is a congenital disorder characterized by the presence of arteriovenous malformations (AVMs) in upper or lower extremities. We herein present a 35 year-old male with PWS with complex AVMs in the right upper extremity; he had been previously treated with multiple sessions of vessel embolization, sclerotherapy and AVM resections. The patient presented to our clinic with two month history of progressive hand ischemia, digit necrosis and infection. Angiography was performed demonstrating numerous AVMs and filiform flow through the ulnar artery with poor opacification of arter...
Source: Hand Surgery - February 16, 2019 Category: Surgery Authors: Sánchez-Morales GE, Anaya-Ayala JE, Serrano-Cueva MA, Salas-Torrez E, Hinojosa CA Tags: J Hand Surg Asian Pac Vol Source Type: research

Two-Staged Reconstruction for Symptomatic Humeral Medial Epicondyle Nonunion in Children: A Case Report.
We report a pediatric case of distally displaced nonunion. At first, the palliative repair surgery was chosen due to irreduciblity of the epicondyle fragment at 10 years old. After 2 years and 3 months wait for maturation of ossification at the trochlea, the definitive surgery consisting of epicondylectomy and ligament reconstruction was performed. This is the first pediatric case of humeral medial epicondyle nonunion with an unossified trochlea which needed a two-staged surgery. We highlight the surgical plan aimed at anatomical ligament reconstruction focusing an isometric point of MCL. PMID: 30760157 [PubMed - in p...
Source: Hand Surgery - February 16, 2019 Category: Surgery Authors: Namba J, Miyamura S, Okamoto M, Yamamoto K Tags: J Hand Surg Asian Pac Vol Source Type: research

Sliding Position of the Flexor Tendons Relative to the Hook of Hamate in CT Scans.
CONCLUSIONS: Our study suggested that 40% of the base of the hook of the hamate does not contact with the flexor tendon, suggesting that flexor tendon injury is unlikely to occur in that region. PMID: 30760158 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 16, 2019 Category: Surgery Authors: Goto K, Naito K, Sugiyama Y, Nagura N, Kaneko A, Iwase Y, Kaneko K Tags: J Hand Surg Asian Pac Vol Source Type: research

Hand and Wrist Injuries Related to Motocross Injuries: 5 Year Series.
CONCLUSIONS: This study shows the impact and incidence of related hand and wrist injuries. Motocross is a globally fashionable sport. This study shows that the number of annual tournaments and racers have doubled in last 5 years. The number of hand and wrist related injuries and operative requirements have quadruples over the last five years. It is recognized as a high-risk sport despite the use of protective equipment and course adaptions. These injuries can have implications for nearby treating hospitals. PMID: 30760159 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 16, 2019 Category: Surgery Authors: Singh R, Chojnowski A, Hay S Tags: J Hand Surg Asian Pac Vol Source Type: research

Radial Dislocation of Extensor Tendon Over the Metacarpophalangeal Joint of the Thumb due to Cerebral Hemorrhage: A Case Report.
We report a rare case of radial dislocation of the extensor tendon over the metacarpophalangeal (MCP) joint of the thumb. Ulnar dislocation has been reported, but previous reports have not mentioned radial dislocation of the extensor tendon in the thumb. Radial dislocation of the extensor tendon of the thumb gradually progressed after cerebral hemorrhage and the patient could not extend MCP joint of the thumb. To resolve difficulty in extending the MCP joint, surgical centralization of the extensor tendon and partial resection of the flexor pollicis brevis (FPB) and abductor pollicis brevis (APB) insertions was performed. ...
Source: Hand Surgery - February 16, 2019 Category: Surgery Authors: Zukawa M, Osada R, Kimura T Tags: J Hand Surg Asian Pac Vol Source Type: research

The Presence of Scarring and Associated Morbidity in the Burn Model System National Database.
This study aims to describe the frequency of scar-related morbidity for up to 2 years after injury and to analyze the impact of burn scars on long-term functional, psychosocial, and reintegration outcomes. METHODS: Analysis was conducted on data collected between January 2006 and May 2014 from 960 patients (2440 anatomic burn sites) using the Burn Model System (BMS) database. Study population demographics were analyzed and odds ratios for the development of raised or thick scarring were determined. Regression analyses were used to evaluate the impact of hypertrophic scarring (HTS) on psychosocial outcomes, including t...
Source: Hand Surgery - February 8, 2019 Category: Surgery Authors: Goverman J, He W, Martello G, Whalen A, Bittner E, Schulz J, Gibran N, Herndon D, Suman O, Kowalske K, Meyer WJ, Ryan C, Schneider J Tags: Ann Plast Surg Source Type: research

Insufficient consensus regarding circle size and bone loss width using the ratio-"best fit circle"-method even with three-dimensional computed tomography.
Insufficient consensus regarding circle size and bone loss width using the ratio-"best fit circle"-method even with three-dimensional computed tomography. Knee Surg Sports Traumatol Arthrosc. 2019 Feb 06;: Authors: Lacheta L, Herbst E, Voss A, Braun S, Jungmann P, Millett PJ, Imhoff A, Martetschläger F Abstract PURPOSE: Glenoid bone integrity is crucial for shoulder stability. The purpose of this study was to investigate a non-invasive method for quantifying bone loss regarding reliability and accuracy to detect glenoid bone deficiency in standard two-dimensional (2D) and three-dimensio...
Source: Hand Surgery - February 6, 2019 Category: Surgery Authors: Lacheta L, Herbst E, Voss A, Braun S, Jungmann P, Millett PJ, Imhoff A, Martetschläger F Tags: Knee Surg Sports Traumatol Arthrosc Source Type: research

Long-term results of the reverse Total Evolutive Shoulder System (TESS).
r A Abstract INTRODUCTION: Latest trends in shoulder replacement aim at bone stock preservation. Long-term results of stemless anatomical total shoulder implants compare favourably with stemmed designs in terms of function and survivorship. The Total Evolutive Shoulder System (TESS) has been one of the first designs offering a stemless implant not only for anatomical but also for reverse total shoulder arthroplasty with optional short stem attachment in cases with poor bone quality. The aim of the present study was to evaluate long-term results of the reverse Total Evolutive Shoulder System (TESS). MATERIALS ...
Source: Hand Surgery - February 6, 2019 Category: Surgery Authors: Beck S, Patsalis T, Busch A, Dittrich F, Dudda M, Jäger M, Wegner A Tags: Arch Orthop Trauma Surg Source Type: research

Systematic review on outcome of free functioning muscle transfers for elbow flexion in brachial plexus injuries.
Abstract Elbow flexion is widely regarded as the most important function to restore in brachial plexus injuries. Free functioning muscle transfer surgery is indicated in patients with delayed presentation or failure of other primary procedures. Results of the transfer surgeries have been reported in the form of case series, but no further studies are available. This systematic review aims to provide a deeper understanding of this complex surgery and consists of 19 articles that include 364 patients. Data on injury characteristics, surgical techniques, complications as well as outcome measures were analysed. Our re...
Source: Hand Surgery - February 5, 2019 Category: Surgery Authors: Yi Lee TM, Sechachalam S, Satkunanantham M Tags: J Hand Surg Eur Vol Source Type: research

Compartment pressures in children with normal and fractured lower extremities.
Abstract PURPOSE: Needle manometry is a tool to confirm suspected acute compartment syndrome (ACS). There is scarce evidence of normal pressure values of the lower extremities in children. The aim of this study is to assess the normal compartment pressures in non-injured lower extremities of children. METHODS: This prospective study included children up to the age of 16 years with lower extremity fractures that needed reduction. Between June 2009 and August 2015, 20 children were included. We used needle manometry to measure the pressures in the superficial (SPC), deep posterior (DPC) and in the anterior...
Source: Hand Surgery - February 4, 2019 Category: Surgery Authors: Bussell HR, Aufdenblatten CA, Subotic U, Kalisch M, Staubli G, Weber DM, Tharakan SS Tags: Eur J Trauma Emerg Surg Source Type: research

The intra- and interobserver reliability of the Tile AO, the Young and Burgess, and FFP classifications in pelvic trauma.
CONCLUSIONS: All three classifications reach their maximum reliability with advanced expertise in the surgery of pelvic fractures. The novel FFP classification has proved to be at least equivalent when directly compared to the established systems. The FFP classification system showed substantial reliability in patients older than 60 years. PMID: 30715568 [PubMed - as supplied by publisher] (Source: Hand Surgery)
Source: Hand Surgery - February 4, 2019 Category: Surgery Authors: Berger-Groch J, Thiesen DM, Grossterlinden LG, Schaewel J, Fensky F, Hartel MJ Tags: Arch Orthop Trauma Surg Source Type: research

Impact of Body Composition on Surgical Outcome in Rectal Cancer Patients, a Retrospective Cohort Study.
Abstract BACKGROUND: Obesity is becoming a bigger health problem every year. Current research shows that the obesity-related metabolic problems are strongly associated with visceral fat and not subcutaneous fat. Visceral obesity (VO) is associated with a worse postoperative outcome in multiple fields of abdominal surgery. On the other hand, muscle mass is related to better postoperative outcome. In rectal cancer patients, we studied the influence of visceral obesity and muscle mass on postoperative complications. METHODS: The visceral fat area (VFA) and skeletal muscle area (SMA) were determined on preoperati...
Source: Hand Surgery - February 4, 2019 Category: Surgery Authors: Heus C, Bakker N, Verduin WM, Doodeman HJ, Houdijk APJ Tags: World J Surg Source Type: research

ASO Author Reflections: Subungual Melanomas of the Hand Present Diagnostic and Therapeutic Challenges.
Abstract PMID: 30719637 [PubMed - as supplied by publisher] (Source: Hand Surgery)
Source: Hand Surgery - February 4, 2019 Category: Surgery Authors: Chakera AH, Thompson JF Tags: Ann Surg Oncol Source Type: research

Outcomes of Primary Reverse Total Shoulder Arthroplasty in Patients Younger Than 65 Years Old.
CONCLUSIONS: An RTSA in patients 65 years old or younger improves ROM comparably with patients 70 years old or older. Younger patients have lower functional scores before and after surgery. An RTSA in younger patients improves pain and function but is associated with worse perceived outcomes. TYPE OF STUDY AND LEVEL OF EVIDENCE: Therapeutic III. PMID: 30712650 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 1, 2019 Category: Surgery Authors: Matthews CJ, Wright TW, Farmer KW, Struk AM, Vasilopoulos T, King JJ Tags: J Hand Surg Am Source Type: research

The naked capitellum: a surgeon's guide to intraoperative identification of posterolateral rotatory instability.
This study's purpose was to provide a reproducible way for surgeons to intraoperatively assess the elbow's lateral ulnar collateral ligament origin and determine whether there is posterolateral rotatory instability (PLRI) despite an intact common extensor origin (CEO). We hypothesized that we could re-create clinically relevant disruption of lateral supporting structures despite an intact CEO and illustrate progressive elbow PLRI. METHODS: The relationship of the lateral capsule to the capitellum articular surface was noted in 8 cadaveric upper extremities. The lateral capsule and extensor origin were sequentially sec...
Source: Hand Surgery - February 1, 2019 Category: Surgery Authors: Guss MS, Hess LK, Baratz ME Tags: J Shoulder Elbow Surg Source Type: research

Surgical revision of radial head fractures: a multicenter retrospective analysis of 466 cases.
CONCLUSIONS: The complications of radial head fractures are characteristic to their classification. Knowledge of these findings might guide surgeons in treating these injuries and may help counsel patients accordingly. PMID: 30713065 [PubMed - as supplied by publisher] (Source: Hand Surgery)
Source: Hand Surgery - February 1, 2019 Category: Surgery Authors: Hackl M, Wegmann K, Hollinger B, El-Zayat BF, Seybold D, Gühring T, Schnetzke M, Schmidt-Horlohé K, Greiner S, Lill H, Ellwein A, Glanzmann MC, Siebenlist S, Jäger M, Weber J, Müller LP Tags: J Shoulder Elbow Surg Source Type: research

Treatment of Traumatic Elbow Instability With an Internal Joint Stabilizer.
CONCLUSIONS: Use of an IJS allows for early, congruent, and stable ulnohumeral and radiocapitellar range of motion in instances of persistent elbow instability. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV. PMID: 30717829 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - February 1, 2019 Category: Surgery Authors: Sochol KM, Andelman SM, Koehler SM, Hausman MR Tags: J Hand Surg Am Source Type: research

Hand-assisted laparoscopic surgery versus endovascular repair in abdominal aortic aneurysm treatment.
CONCLUSIONS: This retrospective, single-center study shows that, within a population of similar clinical and anatomic characteristics, treatment of AAA with EVAR or HALS does not result in significant differences in early morbidity and mortality. EVAR presents significantly shorter hospital and intensive care unit length of stay, whereas HALS presents a lower aneurysm-related reintervention rate and lower perioperative cost. The strict patient selection in this trial, as is generally the case with AAA treatment, is likely the key to success for both of these techniques. PMID: 30718111 [PubMed - as supplied by publishe...
Source: Hand Surgery - February 1, 2019 Category: Surgery Authors: Berchiolli R, Tomei F, Marconi M, Mocellin DM, Morganti R, Mari M, Adami D, Ferrari M Tags: J Vasc Surg Source Type: research

Novel Technique for Toe-to-Hand Transplantation: The Fourth-toe as an Alternative Option for Toe-to-Hand Transplantation for Pediatric Patients.
Abstract The first toe-to-hand transplantation was done in 1898 by Nicoladoni. It was a staged procedure and the toe flap was based on a pedicle. With advancement of optical instruments and microsurgeons' skills in 1964 the first microvascular toe-to-hand transplantation on a rhesus monkey was done. The technique's development has not stopped, many authors have modified it to achieve better outcomes for both traumatic and congenital hand defects. The most commonly used toes for transplantation are first, second, and second to third toe block. Well described plantar and dorsal vascular systems for first web space v...
Source: Hand Surgery - February 1, 2019 Category: Surgery Authors: Ozols D, Zarins J, Petersons A Tags: Tech Hand Up Extrem Surg Source Type: research

Management of Iatrogenic Nerve Injuries.
Abstract Iatrogenic peripheral nerve injuries from orthopaedic surgery can occur via many scenarios, including direct injury to the nerve during surgery, indirect injury via retraction or compartment syndrome, and injury from nonsurgical treatments such as injections and splinting. Successful management of iatrogenic nerve injuries requires an accurate diagnosis and timely, appropriate treatment. All orthopaedic surgeons must understand the preclinical study of nerve injury and the evaluation and treatment options for iatrogenic nerve injuries. Although a sharply transected nerve can be repaired immediately in the...
Source: Hand Surgery - February 1, 2019 Category: Surgery Authors: Pulos N, Shin EH, Spinner RJ, Shin AY Tags: J Am Acad Orthop Surg Source Type: research

Hand-assisted Laparoscopic Splenectomy Advantages Over Complete Laparoscopic Splenectomy For Splenomegaly.
This study was aimed to evaluate the efficacy and advantage of HALS for splenomegaly. MATERIALS AND METHODS: Between January 2014 and November 2017, 91 patients with splenomegaly in 2 surgical centers were randomly assigned to either HALS (n=45) or LS (n=46). The patients' characteristics, intraoperative details, and the postoperative outcomes in both groups were compared. RESULTS: Baseline features (sex, age, main diameter, Child-Pugh grade) of both groups had no significant difference (P
Source: Hand Surgery - February 1, 2019 Category: Surgery Authors: Sun X, Liu Z, Selim MH, Huang Y Tags: Surg Laparosc Endosc Percutan Tech Source Type: research

Reply to the letter: "Reply to: Enhancement of Progenitor Cells by Two-Step Centrifugation of Emulsified Lipoaspirates".
Reply to the letter: "Reply to: Enhancement of Progenitor Cells by Two-Step Centrifugation of Emulsified Lipoaspirates". Plast Reconstr Surg. 2019 Feb 01;: Authors: Pallua N, Kim BS PMID: 30707156 [PubMed - as supplied by publisher] (Source: Hand Surgery)
Source: Hand Surgery - February 1, 2019 Category: Surgery Authors: Pallua N, Kim BS Tags: Plast Reconstr Surg Source Type: research

RESPONSE: A simple way to reduce surgical-site infections in body contouring surgery.
PMID: 30707159 [PubMed - as supplied by publisher] (Source: Hand Surgery)
Source: Hand Surgery - February 1, 2019 Category: Surgery Authors: Duscher D, Zaussinger M, Wenny R, Huemer GM Tags: Plast Reconstr Surg Source Type: research

Near-infrared fluorescence image-guidance in anastomotic colorectal cancer surgery and its relation to serum markers of anastomotic leakage: a clinical pilot study.
CONCLUSION: Both subjective and measured FI seem to be related to AL. In this study, no relation between FI and inflammatory serum markers could yet be found. PMID: 30710314 [PubMed - as supplied by publisher] (Source: Hand Surgery)
Source: Hand Surgery - February 1, 2019 Category: Surgery Authors: van den Bos J, Jongen ACHM, Melenhorst J, Breukink SO, Lenaerts K, Schols RM, Bouvy ND, Stassen LPS Tags: Surg Endosc Source Type: research

Comparison of Surgical Encounter Direct Costs for Three Methods of Cubital Tunnel Decompression.
CONCLUSIONS: Surgical costs differed significantly between in situ decompression, subcutaneous transposition, and submuscular transposition. Given historically similar outcomes reported for these techniques, cost differences should be considered in addition to clinical factors to inform surgical decision-making for cubital tunnel syndrome patients. PMID: 30688893 [PubMed - in process] (Source: Hand Surgery)
Source: Hand Surgery - January 30, 2019 Category: Surgery Authors: Kazmers NH, Lazaris EL, Allen CM, Presson AP, Tyser AR Tags: Plast Reconstr Surg Source Type: research