Personalized Management in Degenerative and Traumatic Hand Surgery

A special issue of Journal of Personalized Medicine (ISSN 2075-4426). This special issue belongs to the section "Clinical Medicine, Cell, and Organism Physiology".

Deadline for manuscript submissions: 30 April 2025 | Viewed by 611

Special Issue Editors


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Guest Editor
1. Department of Trauma Surgery and Sports Medicine, Garmisch-Partenkirchen Medical Centre, 82467 Garmisch-Partenkirchen, Germany
2. Department of Orthopedics and Traumatology, Paracelsus Medical University, 90471 Nuremberg, Germany
Interests: hand surgery; hand trauma surgery; small joint arthritis; degenerative changes of the hand; arthrodeses of the hand; geriatric trauma surgery

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Guest Editor
1. Department of Hand, Upper Extremity and Foot Surgery, Krankenhaus Waldfriede, 14163 Berlin, Germany
2. Center for Orthopaedics, Trauma Surgery and Rehabilitation Medicine, Ernst-Moritz-Arndt University, 17475 Greifswald, Germany
Interests: hand surgery; elbow surgery; rheumatoid diseases of the hand; degenerative changes of the hand; rheumatoid orthopedics

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Guest Editor
1. Department of Hand-, Replantation- and Microsurgery, BG Klinikum Unfallkrankenhaus Berlin, 12683 Berlin, Germany
2. Chair of Hand-, Replantation- and Microsurgery, Charité Universitätsmedizin Berlin, 12683 Berlin, Germany
Interests: peripheral nerve surgery; traumatic nerve injuries; orthoplastic hand surgery; arthroscopic hand surgery; 3D-planned corrective osteotomies; CMC1-replacement/prosthetics; wrist prosthetics

Special Issue Information

Dear Colleagues,

Personalized care for hand surgery patients, especially those with post-traumatic, degenerative, or rheumatic conditions like rheumatoid arthritis, is essential due to the complex nature of these diseases. These conditions cause degeneration in hand joints, leading to pain, stiffness, and loss of function. Each patient's experience varies, requiring tailored treatment plans that incorporate medical management, physical therapy, and advanced surgical interventions.

Innovative surgical techniques are crucial for hand surgery patients. Minimally invasive procedures, such as arthroscopy, reduce recovery time and improve outcomes. The use of PSI techniques, especially in rheumatoid arthritis patients, is necessary to enhance comfort and function. Personalized robotic-assisted surgeries offer enhanced precision, minimizing complications.

Personalized care involves thorough evaluations to determine the most appropriate surgical approach, whether it is joint replacement, tendon transfer, or others. This comprehensive approach, combined with patient education and shared decision making, ensures higher satisfaction and better adherence to postoperative care plans.

This Special Issue aims to promote personalized care, emphasizing innovative surgical therapy, of individual patients’ needs, outcomes, and risk factors in the treatment of hand surgery patients.

Dr. Michael Millrose
Dr. Martin Lautenbach
Prof. Dr. Leila Harhaus
Guest Editors

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Keywords

  • hand surgery
  • elbow surgery
  • rheumatoid diseases of the hand
  • degenerative changes of the hand
  • rheumatoid orthopedics
  • hand surgery
  • hand trauma surgery
  • small joint arthritis
  • arthrodesis of the hand
  • geriatric trauma surgery
  • robotic-assisted surgeries
  • personalized care
  • physical therapy

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Published Papers (1 paper)

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7 pages, 1453 KiB  
Case Report
Walking Ability After Microsurgical Reconstruction of Pediatric Popliteal Pterygium Syndrome—A Case Report
by Martin Aman, Mirjam Thielen, Ulrich Kneser and Leila Harhaus
J. Pers. Med. 2024, 14(11), 1097; https://doi.org/10.3390/jpm14111097 - 7 Nov 2024
Viewed by 419
Abstract
Background: Popliteal pterygium syndrome (PPS) is a rare congenital disorder characterized by orofacial, cutaneous, musculoskeletal, and genital anomalies. Surgical interventions are necessary to address the severe knee flexion contracture and equinovarus deformity, but there are no established treatment guidelines. Methods: We present the [...] Read more.
Background: Popliteal pterygium syndrome (PPS) is a rare congenital disorder characterized by orofacial, cutaneous, musculoskeletal, and genital anomalies. Surgical interventions are necessary to address the severe knee flexion contracture and equinovarus deformity, but there are no established treatment guidelines. Methods: We present the case of a one-year-old patient with PPS and discuss the challenges in managing the knee deformity. The surgical option chosen for the unilateral knee contracture of 80° consisted of skin management by a large Z-plasty, lengthening of popliteal vessels by grafts, lengthening of the tibial and peroneal nerves by autografts and allografts, capsular releases, and tendon releases to improve mobility and preserve foot sensibility. Results: With a three-year follow-up, the surgical interventions resulted in proper ability to walk freely. Wearing of a foot orthesis was necessary to balance the leg length differences and support the midfoot deformity. Furthermore, sensation of the foot could be restored in terms of touch sensibility and perfusion was always stable during growth. Discussion: The treatment of PPS requires a multidisciplinary approach, considering the rarity and complexity of the syndrome. Surgical interventions aim to release contractures, correct deformities, and preserve foot sensibility. Each treatment option has its advantages and disadvantages, highlighting the need for individualized care. Full article
(This article belongs to the Special Issue Personalized Management in Degenerative and Traumatic Hand Surgery)
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