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Clinical Advances in Hand Surgery
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Clinical Advances in Hand Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: closed (24 March 2024) | Viewed by 4651

Special Issue Editors

Prof. Dr. Nimrod Rozen

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Guest Editor
1. Orthopedic Department, Emek Medical Center, Afula, Israel
2. Faculty of Medicine, Technion, Haifa, Israel
Interests: bone regeneration; trauma; fracture healing
Prof. Dr. Guy Rubin

E-Mail
Guest Editor
1. Orthopedic Department, Emek Medical Center, Afula, Israel
2. Faculty of Medicine, Technion, Haifa, Israel
Interests: hand; trauma; tendon

Special Issue Information

Dear Colleagues,

Hand surgery utilizes and incorporates diverse techniques from orthopedics, plastic surgery and microvascular surgery. Hand surgeons treat fractures of the hand and upper extremity, tendon repairs, tendon transfers, reconstruction following traumatic injuries and burn injuries to the hand. Correction of hand deformities and contractures and congenital defects are some of the most common procedures performed. Hand surgery also utilizes the microsurgical reconstruction of amputated digits and limbs, repair and reconstruction of soft tissue and bone and nerve reconstruction. Hand surgeons treat sport injuries with advanced techniques such as arthroscopy and ligament reconstructions.

Advances in hand surgery in the last decade include the use of nerve allografts and nerve transfers, improvement in fracture fixation and minimally invasive techniques such as arthroscopy and wide-awake hand surgery. Joint replacements have replaced joint fusions and allow for the preservation of motion.

The aim of this Special Issue is to address the new advances in the growing field of hand surgery.

Prof. Dr. Nimrod Rozen
Prof. Dr. Guy Rubin
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • tendon
  • nerve
  • fracture
  • microsurgery
  • arthroscopy

Published Papers (3 papers)

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Research

10 pages, 945 KiB  
Article
Failure Rate and Early Complications of Thumb Carpometacarpal Joint Replacement—A Multicenter Retrospective Study of Two Modern Implant Designs
by Uri Farkash, Mojahed Sakhnini, Daniel Dreyfuss, Daniel Tordjman, Gilad Rotem and Shai Luria
J. Clin. Med. 2024, 13(1), 121; https://doi.org/10.3390/jcm13010121 - 25 Dec 2023
Viewed by 2128
Abstract
Joint replacement arthroplasty for the treatment of thumb osteoarthritis is gaining popularity as recent studies have demonstrated better pinch and grip strength and faster rehabilitation. Our aim was to identify early complications in modern implant designs using a multicenter study. A total of [...] Read more.
Joint replacement arthroplasty for the treatment of thumb osteoarthritis is gaining popularity as recent studies have demonstrated better pinch and grip strength and faster rehabilitation. Our aim was to identify early complications in modern implant designs using a multicenter study. A total of 381 patients who underwent thumb carpometacarpal replacement surgery in six participating hospitals were enrolled. The complications included were fractures, dislocations, infections, tendon and nerve injuries, and complex regional pain syndrome. Major complications were defined as a failure to implant the prosthesis, revision surgery to remove the implant, and any other need for further surgical intervention. The secondary outcomes were any other complications treated non-surgically and the timing of the complications. Eleven procedures failed, and these patients were treated with trapeziectomies. Twelve other patients required repeat surgical interventions. Minor adverse events occurred in 25.4% of the cases, and transient irritation of the superficial radial nerve and De Quervain tendinopathy were the most prevalent complications. Although this cohort depicted the learning curves of multiple surgeons, our study demonstrated low short-term failure rates. An inability to achieve primary stability of the cup in the trapezium was the leading cause of failure. Dislocations and other major complications with modern implants were very few. Full article
(This article belongs to the Special Issue Clinical Advances in Hand Surgery)
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7 pages, 233 KiB  
Article
Outcome Differences between Conservatively Treated Acute Bony and Tendinous Mallet Fingers
by Guy Rubin, Alaa Ammuri, Uri Diego Mano, Ravit Shay, Sigal Better Svorai, Ruty Sagiv and Nimrod Rozen
J. Clin. Med. 2023, 12(20), 6557; https://doi.org/10.3390/jcm12206557 - 16 Oct 2023
Cited by 1 | Viewed by 816
Abstract
Introduction: Tendinous and bony mallets are very different injuries that present with extensor lag at the distal interphalangeal joint. This study aimed to evaluate the differences in outcomes between acute bony and tendinous mallet fingers treated conservatively with splints. Materials and Methods: We [...] Read more.
Introduction: Tendinous and bony mallets are very different injuries that present with extensor lag at the distal interphalangeal joint. This study aimed to evaluate the differences in outcomes between acute bony and tendinous mallet fingers treated conservatively with splints. Materials and Methods: We retrospectively collected data on patients with acute tendinous or bony mallets who received conservative treatment in our occupational therapy clinic. The patients were examined at an outpatient clinic, where data on pain, extension lag, and loss of flexion were recorded. Outcomes were classified according to the criteria described by Crawford. Results: Data were collected from 133 patients (43 with bony and 90 with tendinous mallets). We found that bony mallet patients were predominantly younger (mean, 36 vs. 46 years), and more likely to be female (60% vs. 34%), than tendinous mallet patients. We also found that tendinous mallet injuries predominantly affected the middle and ring fingers, while bony mallet injuries predominantly affected the ring and little fingers. The initial extensor lag was worse in tendinous than in bony mallets (median, 28° vs. 15°). In addition, patients with bony mallets had significantly better outcomes with regard to the extension lag (median 0° vs. 5° p = 0.003) and the Crawford Criteria Assessment (p = 0.004), compared with those with tendinous mallets. Discussion: Mallet injuries, both tendinous and bony, are common. They are often studied together and typically treated in the same manner using extension splints. However, evidence clearly shows that these are different injuries which present in the same manner. This study reinforces these findings and suggests that the outcome of conservative treatment is better for bony than for tendinous mallet fingers. Full article
(This article belongs to the Special Issue Clinical Advances in Hand Surgery)
9 pages, 652 KiB  
Article
Blood Vessel Injuries of the Fingers: A Clinical Comparison of One- and Two-Arterial Blood Supply
by Nadjib Dastagir, Doha Obed, Florian Bucher, Shiar Murad, Khaled Dastagir and Peter M. Vogt
J. Clin. Med. 2023, 12(18), 5889; https://doi.org/10.3390/jcm12185889 - 11 Sep 2023
Viewed by 1362
Abstract
Traumatic finger injuries are very common in emergency medicine. When patients present with finger injuries, there is often damage to the vascular nerve bundles, which requires subsequent reconstruction. It is unknown if repairing a unilaterally injured artery affects patients’ recovery in a well-perfused [...] Read more.
Traumatic finger injuries are very common in emergency medicine. When patients present with finger injuries, there is often damage to the vascular nerve bundles, which requires subsequent reconstruction. It is unknown if repairing a unilaterally injured artery affects patients’ recovery in a well-perfused finger. This retrospective cohort study compares the clinical outcomes of 11 patients with one-vessel supply (mean age 48.3 years; 7 males, 4 females) to 14 patients with two-vessel supply (mean age 44.5 years; 8 males, 6 females). The patient outcomes were assessed using patient questionnaires (Disabilities of Arm, Shoulder, and Hand (DASH), European Quality of Life 5 Dimensions 5 Level Version (EQ-5D-5L), and EuroQol visual analog scale (EQ-VAS)) and a clinical examination of hand function and imaging of circulatory efficiency. No significant changes were observed in the DASH, EQ-5D-5L, and EQ-VAS questionnaires. Clinical evaluation of hand function, measured by cold sensitivity, two-point discrimination, pain numerical analog scale, and grip strength also revealed no significant differences between cohorts. Blood flow measurements using thermal imaging revealed no effects on circulation in the affected digit. Collectively, the study finds reconstruction is not absolutely necessary when there is one intact digital artery as it is sufficient for healing and functional outcomes. We recommend finger artery reconstruction when both digital arteries are injured or if an immediate tension-free suture is possible. Full article
(This article belongs to the Special Issue Clinical Advances in Hand Surgery)
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