Techniques in Hand and Upper Extremity Surgery This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Radical Wrist Denervation and Preliminary Results
Denervation is a well recognized procedure to treat degenerative or posttraumatic joint conditions, especially in cases where pain is a significant impediment to function even in the presence of stable and supple joint. However, this procedure currently is not as widely used for wrist surgeries as it merits. Denervation procedure obeys all-or-none phenomenon and we believe that even a few residual intact sensory fibers are able to transmit severe pain sensation and therefore every attempt should be made to target all the sensory supply to the wrist joint. In the present article a modified and radical technique using a sing...
Source: Techniques in Hand and Upper Extremity Surgery - August 25, 2016 Category: Surgery Tags: Techniques Source Type: research

Prevention of Thumb Web Space Contracture With Multiplanar External Fixation
Thumb web space contracture following hand trauma can be disabling with numerous reconstructive procedures existing to correct the resultant deformity. Following marked soft tissue injury to the hand we utilized the Stryker Hoffmann II Micro External Fixator System to link the first and second metacarpals by a multiplanar system using 1.6 or 2.0 mm self-drilling half-pins and 3 mm carbon fiber connecting rods. This facilitated placement of the thumb in maximal palmar abduction as well as allowed adjustment of thumb position throughout the postoperative period. This technique was performed on 5 patients. Two patients were t...
Source: Techniques in Hand and Upper Extremity Surgery - August 25, 2016 Category: Surgery Tags: Techniques Source Type: research

Socrates’ Dilemma: Challenges in Training the Millennial Generation of Hand and Upper-extremity Surgeons
No abstract available (Source: Techniques in Hand and Upper Extremity Surgery)
Source: Techniques in Hand and Upper Extremity Surgery - August 25, 2016 Category: Surgery Tags: Editorial Source Type: research

Suspension Arthroplasty for Old Fracture-Dislocations of the Fifth Carpometacarpal Joint
It is well known that treatment of the old fracture-dislocations of the fifth carpometacarpal (CMC) joint is challenging. For patients with persistent pain due to this condition, numerous surgical techniques have been proposed. Here, we present a novel surgical technique, CMC joint suspension arthroplasty, using a partial slip of the extensor carpi ulnaris tendon. This procedure follows principles similar to the procedure of trapeziectomy with suspension arthroplasty for treatment of thumb CMC joint arthritis. We believe this suspension arthroplasty has several advantages compared with other surgical procedures. First, mob...
Source: Techniques in Hand and Upper Extremity Surgery - May 21, 2016 Category: Surgery Tags: Techniques Source Type: research

Dorsal Buttress Plate Fixation of Ulnar Carpometacarpal Joint Fracture Dislocations
We propose a method for open reduction and internal fixation of early and unstable ulnar (fourth and/or fifth) carpometacarpal joint (CMCJ) fracture subluxations or dislocations using a dorsal buttress plate. In ulnar CMCJ fracture dislocations, the metacarpal has a tendency to displace dorsally and proximally when there is an axial load. Using the dorsal buttress plate method of fixation, a plate is fixed proximally to the hamate, aligned parallel and dorsal to the metacarpal to act as a buttress, to resist this movement. To preserve the fourth and the fifth CMCJ mobility, the distal end of the plate is not fixed to the m...
Source: Techniques in Hand and Upper Extremity Surgery - May 21, 2016 Category: Surgery Tags: Techniques Source Type: research