Techniques in Hand and Upper Extremity Surgery 
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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: Editorial Source Type: research
Using 6 Degrees of Freedom to Systematically Reduce and Fix Distal Radius Fractures
We present a surgical technique of open reduction and internal fixation of a distal radius fracture through a volar approach where we address the distal segment’s instability in 6DOF in a stepwise format. (Source: Techniques in Hand and Upper Extremity Surgery)
Source: Techniques in Hand and Upper Extremity Surgery - November 23, 2020 Category: Surgery Tags: Techniques Source Type: research
Arthroscopic “S”-shaped Ligamentoplasty for Floating Lunate
The concurrence of tears of the scapholunate (SL) and lunotriquetral (LT) ligaments is not unusual and can also occur without an apparent perilunate dislocation. Badia and Khanchandani called this combined lesion a “floating lunate” because the ligamentous attachments on both sides of the lunate are absent and the lunate floats in a neutral position. There have been few published papers referring to the treatment of this kind of instability. In recent years, we have developed an arthroscopic ligamentoplasty for SL instability. However, this procedure is not indicated whether the LT ligament is also damaged. With this c...
Source: Techniques in Hand and Upper Extremity Surgery - November 23, 2020 Category: Surgery Tags: Techniques Source Type: research
Two-incision Approach for the Open Reduction Internal Fixation of Intra-articular Hamate Body Fractures Using a Cannulated Headless Compression Screw
In this report, a 2-incision approach to the hamate is presented that facilitates rigid internal fixation of coronal hamate body fractures with a cannulated headless compression screw and minimizes the possibility of iatrogenic injury to critical branches of the ulnar nerve. The authors summarize a series of 2 patients with displaced, intra-articular coronal hamate body fractures of differing severity treated successfully with the proposed approach. (Source: Techniques in Hand and Upper Extremity Surgery)
Source: Techniques in Hand and Upper Extremity Surgery - November 23, 2020 Category: Surgery Tags: Techniques Source Type: research
Scapholunate Ligament Reconstruction With a Novel Technique for Passing Split Extensor Carpi Radialis Brevis Tendon Graft Through Bone Tunnels
We report 2 patients with acute scapholunate dissociation with static instability and wide scapholunate gapping. They underwent scapholunate reconstruction using a split extensor carpi radialis brevis (ECRB) tendon graft via a dorsal approach. This technique is adapted from the modified Brunelli tenodesis, utilizing a portion of the ECRB instead of a flexor carpi radialis tendon graft to reconstruct the scapholunate interosseous ligaments and dorsoradiotriquetral ligaments. The novel aspects of this technique include the use of a trifold plastic sheet of biaxially oriented polypropylene to facilitate the smooth passage of ...
Source: Techniques in Hand and Upper Extremity Surgery - November 23, 2020 Category: Surgery Tags: Techniques Source Type: research
Arthroscopic Ligament-specific Repair for Triangular Fibrocartilage Complex Foveal Avulsion: A Novel Technique
We describe our arthroscopic technique for TFCC foveal repair (arthroscopic ligament-specific transosseous repair), in which we repair each of the dorsal and volar RUL to separate points on the fovea. With this “ligament-specific” repair we wish to restore the normal anatomy and physiology of the TFCC. (Source: Techniques in Hand and Upper Extremity Surgery)
Source: Techniques in Hand and Upper Extremity Surgery - November 23, 2020 Category: Surgery Tags: Techniques Source Type: research
Osteochondral Autograft Transplantation for Hand and Wrist Articular Problems
Management of hand and wrist avascular necrosis with osteochondral fragmentation or focal arthritis can be a challenging problem with a variety procedures described for its treatment. Osteochondral autograft transplantation systems have been utilized in various focal defects of the knee, ankle, elbow, and wrist. The same principle for the treatment of focal defects of the proximal scaphoid, proximal capitate as well as metacarpal head as an alternative treatment is described. The main indication for this treatment is to address focal or partial osteochondral defects where the size of the defect is smaller than the isthmus ...
Source: Techniques in Hand and Upper Extremity Surgery - November 23, 2020 Category: Surgery Tags: Techniques Source Type: research
Anatomic Restoration of the Biceps Brachii Insertion Through a Single Anterior Incision
We describe our technique of performing an anatomic distal biceps repair using a single anterior incision. The proposed benefits of this technique include the restoration of the anatomic footprint area, insertion site, and consequently the native cam effect of the bicipital tuberosity all through a single incision. From a patient’s perspective, the proposed benefit of this technique includes the restoration of supination strength using a single incision. (Source: Techniques in Hand and Upper Extremity Surgery)
Source: Techniques in Hand and Upper Extremity Surgery - November 23, 2020 Category: Surgery Tags: Techniques Source Type: research
Wrist Arthrodesis in Children With Cerebral Palsy
We report 11 clinical cases with the wrist arthrodesis with a plate of 3.5 with 2.7 mm by dorsal approach and technical resources to minimize the complications of tendon irritation and dorsal discomfort. We present an illustrative clinical case. It is a known procedure, its execution must be careful to avoid complications. (Source: Techniques in Hand and Upper Extremity Surgery)
Source: Techniques in Hand and Upper Extremity Surgery - November 23, 2020 Category: Surgery Tags: Techniques Source Type: research
A New Proximal Dorsal Approach for DIP Arthroplasty
We present a novel approach for DIP joint arthroplasty with division of the extensor tendon in zone 2 with only 2 weeks of postoperative immobilization. Optimizing the motion-preserving operative approaches is of value to our high-demand patients. Postoperative results do not differ from the postoperative range of motion published in the literature for both tendon-sparing and standard approaches. But our approach is technically easy and requires a significantly shorter time of immobilization. (Source: Techniques in Hand and Upper Extremity Surgery)
Source: Techniques in Hand and Upper Extremity Surgery - November 23, 2020 Category: Surgery Tags: Techniques Source Type: research
Success Through Failure
No abstract available (Source: Techniques in Hand and Upper Extremity Surgery)
Source: Techniques in Hand and Upper Extremity Surgery - November 23, 2020 Category: Surgery Tags: Editorial Source Type: research
Vascularized Ulnar Transposition and Radioulnoscapholunate Fusion With Volar Locking Plate in a Dorsal Position Following Resection of Giant Cell Tumor of the Distal Radius
We present a case of Campanacci Grade III giant cell tumor of the distal radius with pathologic fracture and cortical destruction which was treated with neoadjuvant denosumab. This facilitated en-bloc resection of the entire distal radius, including the articular surface, while minimizing tumor contamination. Reconstruction was accomplished using a vascularized ulnar transposition flap to facilitate radioulnoscapholunate fusion, which was fixated using a long-stem contralateral variable angle locking volar distal radius plate in a dorsal position. This case illustrates multidisciplinary management of a challenging reconstr...
Source: Techniques in Hand and Upper Extremity Surgery - August 27, 2020 Category: Surgery Tags: Techniques Source Type: research
Tensioning Ligament and Tendon Repairs to Bone Using a Modified Screw-post Technique
Purpose:
The purpose of this study was to demonstrate how to tension tendon and ligament repairs or reconstructions to bone by using an oblique screw-post. A controlled experiment simulating this repair technique is reported, followed by 5 case examples.
Methods:
A wood frame model was used to test 5 initial exposed screw lengths (4, 8, 12, 16, 20 mm) and 5 screw angles [90 (perpendicular to wood plane), 75, 60, 45, 30 degrees]. A spring-based force gauge was tied to the exposed 3.5 mm cortical screw with a washer using a #2 nonabsorbable braided suture, and the screw was fully advanced. System lengths were measur...
Source: Techniques in Hand and Upper Extremity Surgery - August 27, 2020 Category: Surgery Tags: Techniques Source Type: research
Delta Wiring Technique to Treat Bony Mallet Finger: No Need of Transfixation Pin
The objective of this study was to determine the result of the delta wiring technique in mallet fractures with fracture fragment involving more than one-third of the distal phalanx articular surface. The authors are reporting 5 cases of mallet fractures treated with delta wiring technique with good functional and radiologic outcomes. Radiologic outcomes were evaluated on the basis of postoperative and follow-up x-rays and functional outcomes were evaluated using Crawford’s criteria. Five patients (4 males, 1 female) with a mean age of 26.8 years (range, 20 to 33 y) were included. The mean time between the injury and su...
Source: Techniques in Hand and Upper Extremity Surgery - August 27, 2020 Category: Surgery Tags: Techniques Source Type: research
Syringe External Fixator: An Inexpensive Static-to-Dynamic Treatment for Comminuted Intra-Articular Phalangeal Fractures
Comminuted intra-articular phalanx fractures are complicated injuries often treated with external fixation. The ideal external fixation system should be affordable, readily available, adaptable, and easy to use. The use of dynamic external fixation has advanced the care of these injuries but can be difficult to implement. The authors present a case example of a patient with a comminuted intra-articular phalangeal fracture of the left small finger treated using a syringe as a static uniplanar fixator that was converted to a dynamic fixator during postoperative recovery. (Source: Techniques in Hand and Upper Extremity Surgery)
Source: Techniques in Hand and Upper Extremity Surgery - August 27, 2020 Category: Surgery Tags: Techniques Source Type: research
