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.

Percutaneous Plate Osteosynthesis of Ulnar Shaft Fractures: A Surgical Technique and Case Series
Treatment of ulnar diaphyseal fractures can range broadly from nonoperative with immobilization to surgical intervention with a variety of implants or approaches. At a Level 1 trauma center, a series of ulnar shaft fractures have been treated using a percutaneous plating technique that is base beneath the extensor carpi ulnaris. This technique description illustrates relevant anatomy, important patient and injury characteristics, implant considerations, and potential outcomes and complications. The described treatment option provides an effective way of spanning comminuted fracture patterns without disrupting the surroundi...
Source: Techniques in Hand and Upper Extremity Surgery - August 27, 2020 Category: Surgery Tags: Techniques Source Type: research

A New Single Volar Approach for Both-Bone Fractures of the Forearm: The Mediolateral Windows Approach Extended
In this report, we describe the surgical anatomy, surgical approach, and complications regarding this approach. (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

APL Lasso Suspensionplasty for Trapeziectomy
Base of thumb arthritis is a common pathology, with late-stage disease often treated by trapeziectomy and a form of ligament reconstruction or suspension. No therapeutic option for suspension or ligament reconstruction has proven to be superior to others, with risks inherent to all. Here, the authors describe a novel technique utilizing an accessory slip of abductor pollicis longus looped around the second metacarpal base to suspend the metacarpal and prevent subsidence after trapeziectomy. This technique aims to mitigate some of the risks seen in other methods, while providing similar biomechanical strength. Early clinica...
Source: Techniques in Hand and Upper Extremity Surgery - August 27, 2020 Category: Surgery Tags: Techniques Source Type: research

The Color of Surgery
No abstract available (Source: Techniques in Hand and Upper Extremity Surgery)
Source: Techniques in Hand and Upper Extremity Surgery - August 27, 2020 Category: Surgery Tags: Editorial Source Type: research

The Triceps Traction Test: A Decision Tool for the Choice of Stabilizing Flap After In Situ Decompression of the Ulnar Nerve
Purpose: Recent evidence demonstrates that in situ decompression has comparable outcomes to other surgical techniques for cubital tunnel syndrome. However, this technique does not address the instability of the ulnar nerve, a common indication to transpose the ulnar nerve. Transposition of the ulnar nerve can potentially devascularize the ulnar nerve, stabilizing flaps block subluxation of the ulnar nerve and thereby negate the need for transposition. Flaps originating from the triceps and the flexor-pronator fascia could be used to stabilize the ulnar nerve. Herein, we present a novel intraoperative test, the “triceps...
Source: Techniques in Hand and Upper Extremity Surgery - May 22, 2020 Category: Surgery Tags: Techniques Source Type: research

Great Occipital Nerve as Donor Nerve for Neurotization With Suprascapular Nerve in Total Braqchial Plexus Injuries: Nerve Transfer Technique
Complete brachial plexus injuries continue to be a technical and strategic challenge in surgical reconstruction to restore function and sensitivity in a paralyzed and insensitive limb. The use of donor’s nerves to perform neurotizations is limited, and, in reconstructions for preganglionic lesions, these techniques have gained prominence, even leaving comorbidities in the donor sites. The purpose of this paper is to present the great suboccipital nerve as a new donor nerve bases on our anatomic research with the transfer technique from the great occipital nerve to the suprascapular nerve. (Source: Techniques in Hand and ...
Source: Techniques in Hand and Upper Extremity Surgery - May 22, 2020 Category: Surgery Tags: Techniques Source Type: research

Skin Expansion Due to the Dupuytren Cord Allows to Design Local Flaps to Facilitate Skin Closure in Severe Cases: The 3-flap: Surgical Technique and Clinical Evaluation
In the serious forms of Dupuytren disease, passive extension during surgery often results in unmasking a loss of skin substance that makes primary closure impossible. Our objective in this study was to describe and assess the therapeutic possibilities of a 3 local flaps surgical approach in serious forms of Dupuytren disease, using the lateral skin expansion because of the cord. A cadaveric study was carried out on 12 adult nonembalmed, fresh frozen hands. For each specimen, a loss of skin substance was simulated on the palmar side of the fifth finger at the level of the proximal digital flexion crease. Coverage involved a...
Source: Techniques in Hand and Upper Extremity Surgery - May 22, 2020 Category: Surgery Tags: Techniques Source Type: research

The Thenar Crease Skin Graft: A Novel Addition to “Camouflage” Grafts of the Hand
We present a novel technique of harvesting full-thickness skin grafts from the thenar crease and report the outcome of our cases. We provide further insights to adapt the technique to a variety of clinical scenarios—degloving injuries and shaving injuries of the finger including subcomplete pulp skin loss. Graft size is up to 75 mm by 10 mm, with tension-free donor site closure. We further report the operative experience, functional and esthetic outcome. The technique is fast, versatile, and provides large surface areas of good quality glabrous skin in a single-stage procedure. It will sit well in the armamentarium o...
Source: Techniques in Hand and Upper Extremity Surgery - May 22, 2020 Category: Surgery Tags: Techniques Source Type: research

Modified Hemihamate Arthroplasty With Oblique Osteotomy of the Middle Phalanx Base to Reconstruct Proper Contour of the Articular Surface
Treatments of unstable dorsal fracture dislocations of the proximal interphalangeal (PIP) joint are very challenging. The authors performed modified hemihamate arthroplasty for these injuries in 13 patients (13 fingers). Our surgical technique was unique in the point that we put volarly oblique osteotomy in the coronal plane at the recipient site to create an adequate reconstruction of the volar lip of the articular surface of the middle phalanx. Affected fingers are index in 2, middle in 4, ring in 3, and little in 3, and the mean duration of follow-up was 14 months. Hemihamate arthroplasty was indicated if>30% to 50% of ...
Source: Techniques in Hand and Upper Extremity Surgery - May 22, 2020 Category: Surgery Tags: Techniques Source Type: research

Single-stage Radialization and Pollicization for Radial Longitudinal Deficiency With Thumb Hypoplasia
In this study, we propose single-stage radialization and pollicization for the radial longitudinal deficiency with thumb hypoplasia. The advantages of this technique are to reduce the number of surgical operations, the amount of anesthesia required, and to reduce the cost of multiple follow-ups for patients and family. This technique is noteworthy for the following reasons: (1) use of dorsal vertical midline incision benefit radialization proximal extension for ulnar osteotomy and has less interference with pollicization incision; (2) ulnar shortening osteotomy should be done in case of difficulty in reposition carpus over...
Source: Techniques in Hand and Upper Extremity Surgery - May 22, 2020 Category: Surgery Tags: Techniques Source Type: research

Suture Suspension Arthroplasty With Trapeziectomy for Thumb Carpometacarpal Arthritis Using a Wide-awake Approach
Despite the introduction of various techniques for ligament reconstruction in the treatment of thumb carpometacarpal (CMC) arthritis, complications, including proximal migration, dorsal subluxation of the first metacarpal base, hyperextension of the thumb metacarpophalangeal joint, and impingement between the first and second metacarpal bases, have been reported. Even suture button suspensionplasty with Arthrex Mini TightRope may be unable to correct the adduction contracture deformity and does not effectively tether the trapeziometacarpal toward the base of the index metacarpal, thus potentially leaving patients with pers...
Source: Techniques in Hand and Upper Extremity Surgery - May 22, 2020 Category: Surgery Tags: Techniques Source Type: research

Small Finger Abduction Test to Evaluate the Flexor Carpi Ulnaris Tendon
We describe a simple and effective method to assess the integrity of the flexor carpi ulnaris muscle and tendon. This method is called the Small Finger Abduction Test. The study also evaluates the efficacy and practicality of the test. (Source: Techniques in Hand and Upper Extremity Surgery)
Source: Techniques in Hand and Upper Extremity Surgery - May 22, 2020 Category: Surgery Tags: Techniques Source Type: research

Chronic Reducible Scapholunate Ligament Dissociation: A Simple Surgical Technique for a Complex Injury
Conclusions: Chronic reducible SL dissociation can be treated affectively with SL chonderectomy, temporary SL stabilization, and ECRL tenodesis to scaphoid to restore radiologic anatomy without compromising strength or work status. Level of Evidence: Therapeutic type IV. (Source: Techniques in Hand and Upper Extremity Surgery)
Source: Techniques in Hand and Upper Extremity Surgery - May 22, 2020 Category: Surgery Tags: Techniques Source Type: research

Paradigm Shift
No abstract available (Source: Techniques in Hand and Upper Extremity Surgery)
Source: Techniques in Hand and Upper Extremity Surgery - May 22, 2020 Category: Surgery Tags: Editorial Source Type: research

Index Finger Metacarpophalangeal Joint Arthrodesis With a Dorsal Locking Plate
We present our technique of performing index finger MCP arthrodesis using a dorsal locking plate. The proposed benefits of this technique include the ability to position the MCP joint in the desired degree of flexion, generation of parallel fusion surfaces with even compression across the arthrodesis site, and stable fixation. (Source: Techniques in Hand and Upper Extremity Surgery)
Source: Techniques in Hand and Upper Extremity Surgery - February 22, 2020 Category: Surgery Tags: Technique Source Type: research