Techniques in Hand and Upper Extremity Surgery Techniques in Hand and Upper Extremity Surgery RSS feedThis 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.

Volar Neurovascular Advancement Flap With an All Neural Branch–preserving Technique
We describe a concept of an all neural branch–preserving technique to harvest a volar flap. We demonstrate this technique on an anatomic specimen and 1 case with delicate surgical tips. We performed this technique in 16 patients, and the mean follow-up period was 28.4 months. The mean range of motion of the distal interphalangeal joint was 70.3 degrees, and that of the proximal interphalangeal joint was 101.9 degrees. The mean static 2-point discrimination of the volar pulp was 4.8 mm. This technique could be applied on the volar advancement flap with a better sensation recovery. (Source: Techniques in Hand and Upper Extremity Surgery)
Source: Techniques in Hand and Upper Extremity Surgery - May 27, 2021 Category: Surgery Tags: Techniques Source Type: research

The Surgical Lifeline: Intraoperative Consultation
No abstract available (Source: Techniques in Hand and Upper Extremity Surgery)
Source: Techniques in Hand and Upper Extremity Surgery - May 27, 2021 Category: Surgery Tags: Editorial Source Type: research

Letter to the Editor Regarding Errors in 2006 Review Titled “A Meta-Analysis of Success Rates for Digit Replantation”
No abstract available (Source: Techniques in Hand and Upper Extremity Surgery)
Source: Techniques in Hand and Upper Extremity Surgery - February 25, 2021 Category: Surgery Tags: Letter to the Editor Source Type: research

Percutaneous Tenodermodesis for Mallet Fingers: An Office-based Procedure
We present a percutaneous tenodermodesis using only a digital block and a 4.0 nylon suture. This office-based procedure provides joint reduction and prevents joint movement during the immobilization period. The suture can be removed after 8 weeks, allowing active mobilization of the DIP joint. We present the results of 8 patients with a mean follow-up of 3 months and mean initial extension lag of 32 degrees, resulting in a mean final extension lag of 2 degrees and excellent outcomes using the Crawford criteria. (Source: Techniques in Hand and Upper Extremity Surgery)
Source: Techniques in Hand and Upper Extremity Surgery - February 25, 2021 Category: Surgery Tags: Techniques Source Type: research

Masquelet Technique for Phalangeal Reconstruction and Osteomyelitis
Osteomyelitis of the finger presents a challenging problem. Although there are multiple treatments described in the literature, the infection often results in eventual amputation. The authors present a case of an open fracture of the index finger complicated by nonunion, infection, and osteomyelitis. This was successfully treated by the placement of an antibiotic cement spacer and subsequent reconstruction with iliac crest bone graft, after the 2-stage Masquelet technique, using intravenous and oral antibiotics. They show that this technique, although infrequently described in the hand and fingers, can be a successful opti...
Source: Techniques in Hand and Upper Extremity Surgery - February 25, 2021 Category: Surgery Tags: Techniques Source Type: research

Intramedullary Headless Screw Fixation for Metacarpal Fractures
We describe a technique of retrograde IM headless screw fixation for extra-articular metacarpal fractures. (Source: Techniques in Hand and Upper Extremity Surgery)
Source: Techniques in Hand and Upper Extremity Surgery - February 25, 2021 Category: Surgery Tags: Techniques Source Type: research

Surgical Technique for Harvesting ECRL and ECRB Concurrently as Upper Extremity Tendon Autograft
In this report, we describe an easily reproducible, quick, and low-morbidity technique using both the wrist extensors—extensor carpi radialis longus and extensor carpi radialis brevis, from near their distal attachments to their musculotendinous junctions proximally—as a source of tendon autograft for a variety of applications. (Source: Techniques in Hand and Upper Extremity Surgery)
Source: Techniques in Hand and Upper Extremity Surgery - February 25, 2021 Category: Surgery Tags: Techniques Source Type: research

The Use of Nitinol Compression Staple Fixation and Bone Graft for Scaphoid Waist Fractures and Nonunion: A Surgical Technique
We describe the technique for utilizing Nitinol compression staples and bone grafting in the treatment of scaphoid nonunion. (Source: Techniques in Hand and Upper Extremity Surgery)
Source: Techniques in Hand and Upper Extremity Surgery - February 25, 2021 Category: Surgery Tags: Techniques Source Type: research

Management of Paronychia in Patients With Apert Syndrome
This study aims to propose an effective and safe technique to manage paronychia when it occurs in patients with Apert complex syndactyly and to mitigate the length of delay to definitive polysyndactyly reconstruction. In the context of these patients’ need for multiple surgical interventions within the first few years of life, this strategy for preventing or mitigating paronychia can play an important role in streamlining their complex surgical management while avoiding multiple cancellations. (Source: Techniques in Hand and Upper Extremity Surgery)
Source: Techniques in Hand and Upper Extremity Surgery - February 25, 2021 Category: Surgery Tags: Techniques Source Type: research

Surgical Approach and Internal Fixation Techniques for Intra-Articular Distal Humerus Fracture With Coronal Shear Capitellar Fracture
We describe a surgical exposure that releases the lateral ulnar collateral ligament in addition to an olecranon osteotomy to allow complete visualization of the entire articular surface. In contrast to an isolated capitellar fracture, the column stability and the posterior cortex are frequently disrupted with distal humerus fractures. Depending on the comminution of the posterior cortex, a supplemental posterolateral plate or headless compression screws can provide fixation to the coronal fracture plane. The lateral ulnar collateral ligament is repaired at the conclusion of fracture stabilization through a bone tunnel or t...
Source: Techniques in Hand and Upper Extremity Surgery - February 25, 2021 Category: Surgery Tags: Techniques Source Type: research

Arthroscopic Tenovaginotomy and Ganglion Excision of the Flexor Carpi Radialis Fibro-Osseous Tendon Sheath
This report describes a technique of arthroscopic tenovaginotomy for stenosing tenosynovitis of the FCR tendon at the trapezial fibro-osseous sheath with or without excision of any associated ganglion through a not previously described new volar radial trapezial arthroscopic portal. (Source: Techniques in Hand and Upper Extremity Surgery)
Source: Techniques in Hand and Upper Extremity Surgery - February 25, 2021 Category: Surgery Tags: Techniques Source Type: research

An Incision-less Ultrasound-guided Carpal Tunnel Release Technique
This article will provide a step-by-step overview of the technique and includes a review of clinical outcomes published so far. (Source: Techniques in Hand and Upper Extremity Surgery)
Source: Techniques in Hand and Upper Extremity Surgery - February 25, 2021 Category: Surgery Tags: Techniques Source Type: research

Transulnar Styloid Foveal TFC Reconstruction: With a Palmaris Longus Tendon Graft
We describe an evolution of the senior author’s technique in the repair or reconstruction of foveal triangular fibrocartilage complex tears. This technique uses a transulnar styloid approach, which gives superior access to the fovea, without disruption of secondary stabilizers. A free palmaris longus graft is used to stabilize and augment the triangular fibrocartilage complex with an interosseous anchor through an ulnar tunnel. (Source: Techniques in Hand and Upper Extremity Surgery)
Source: Techniques in Hand and Upper Extremity Surgery - February 25, 2021 Category: Surgery Tags: Techniques Source Type: research

Corrective Metacarpal Osteotomy With Intramedullary Screw Fixation: Technique and Case Report
Metacarpal malunion with significant angulation leading to symptoms from bony prominence in the palm or dorsum and decreased grip strength occur rarely, but may lead to patients requiring surgical correction. Corrective osteotomy procedures with plate fixation are commonly performed for these patients. Localizing the correct site of osteotomy and the required amount of bone removal for precise correction is difficult even with adequate preoperative planning. After osteotomy, plate osteosynthesis is the most common fixation method to allow for early mobilization; however, plate osteosynthesis can lead to soft tissue irritat...
Source: Techniques in Hand and Upper Extremity Surgery - February 25, 2021 Category: Surgery Tags: Techniques Source Type: research

Comment on: Arterialized Posterior Interosseous Nerve Graft for Digital Neuroma
No abstract available (Source: Techniques in Hand and Upper Extremity Surgery)
Source: Techniques in Hand and Upper Extremity Surgery - February 25, 2021 Category: Surgery Tags: Commentary Source Type: research