Snap Off Compression Pins for 4 Corner Fusion With Case Series.

Four-corner fusion is a reliable surgical option for symptomatic scapholunate advanced collapse and scaphoid nonunion advanced collapse. There are multiple current techniques with potential complications, including nonunion, hardware failure, impingement, and cartilage disruption. Despite these potential complications, 4-corner fusion can result in good functional outcomes and patient satisfaction.

Single-Stage Metacarpal Lengthening for Traumatic Metacarpal Malunion: A Case Report and Surgical Technique.

A novel technique that requires a single-stage operation utilizing an intramedullary device is presented for metacarpal lengthening in setting of traumatic malunions. The patient desired surgical correction due to malrotation with full fist formation and a 25-degree extensor lag. Following single-stage lengthening with osteotomy, bone graft, and intramedullary screw, length was restored and the patient had full passive range of motion.

Biomechanical Evaluation of Novel Tendon Coaptation Technique: A Potential Application for Tendon Transfers.

Purpose: The purpose of this study was to evaluate the biomechanical performance and time to completion of the Pulvertaft weave technique, the CoNextions tendon repair system only, and a combination of single Pulvertaft weave with the CoNextions repair.

Methods: A total of 22 cadaveric hands were dissected, and the extensor pollicis longus tendons were harvested and divided into the following three groups: (1) Pulvertaft weave, (2) Pulvertaft weave + CoNextions, and (3) CoNextions. Each sample underwent axial loading in a cyclical fashion, followed by ramp to failure.

Clinical Effectiveness of an Orthosis After Collagenase Clostridium Histolyticum Injection for Dupuytren Contracture.

Purpose: Dupuytren contracture is a fibroproliferative disorder forming fascial cords in the hand. Collagenase clostridium histolyticum (CCH) is an alternative treatment to surgery. Current recommendations include nighttime extension orthosis after CCH for 4 months.

Biomechanical Comparison of Surgical Steel Wiring and Suture Tape Tension Band Techniques for Arthrodesis of the Metacarpophalangeal and Proximal Interphalangeal Joint.

Purpose: The purpose of this study was to evaluate the biomechanical properties of SutureTape as an alternative technique for arthrodesis of the metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joint arthrodesis when compared with surgical steel wire.

Methods: A total of 32 fingers (index, long, ring, and small) from two matched pair cadaveric hands were used. K-wire and surgical steel wire were used for MCP and PIP joint arthrodesis of the control group (group I), whereas K-wire and SutureTape were used for the experimental group (group II).

Unique Transligamentous Variant of the Recurrent Motor Branch of the Median Nerve.

This case report presents a 72-year-old female with a unique anatomical variation of the median nerve recurrent motor branch that has not been described in the literature. During her open carpal tunnel release, the recurrent motor branch was found to divide from the median nerve within the carpal tunnel, pierce the proximal aspect of the transverse carpal ligament in a transligamentous fashion, and then immediately divide into one branch that pierced the thenar muscles and another branch that traveled superficial to the transverse carpal ligament before piercing the thenar muscles more distal. This variation in anatomy stresses the importance of thoughtful incision design and direct visualization of all structures during carpal tunnel release.

Carpal Joint Malalignment With Distal Radius Malunion and Factors in Correction After Distal Radius Osteotomy.

Purpose: There is a paucity of data regarding recommendations on when to correct for distal radius malunions and if the initial severity of the radiographic outcomes is correlated with the ability to correct to baseline. We evaluated the effects of distal radius corrective osteotomy on preoperative carpal joint malalignment resulting from distal radius malunions, correlated injury severity and osteotomy timing to radiographic outcomes, and developed a straightforward classification system for predicting radiocarpal and midcarpal maladaptive patterns.

Methods: A retrospective review included 26 patients (27 wrists) who reported initial closed treatment for a distal radius fracture and who subsequently underwent a corrective osteotomy for malunion.

Epidemiology of and Risk Factors for Table Saw Injuries of the Hands and Fingers.

Purpose: The purpose of this study was to evaluate circumstances surrounding power saw injuries. We hypothesized that power saw injuries are caused by either inexperienced or inappropriate usage of saws.

Methods: A retrospective review of patients at our level 1 trauma center from January 2011 to April 2022 was conducted.

Intramedullary Headless Screw Fixation for Phalanx Fractures: Technique and Review of Current Literature.

Fractures of the phalanges can often be managed nonoperatively, but displaced phalangeal fracture patterns, including malrotation, are more amenable to operative treatment. There are several described methods for surgical management of phalanx fractures, but there remains no consensus on a clearly superior method of fixation. Percutaneous Kirschner wires, interfragmentary screws, plate and screw constructs, intramedullary nails, and cannulated intramedullary headless screws are all utilized in the treatment of these fractures.

Infection and Nonunion After Fasciotomy for Compartment Syndrome Associated With Tibia Fractures: A Matched Cohort Comparison.

Objectives: The objective was to compare the rates of union and infection in patients treated with and without fasciotomy for acute compartment syndrome (ACS) in operatively managed tibia fractures.

Design: This was a retrospective review.

Setting: The study was conducted at both a Level 1 and Level II trauma center.

Retrograde headless intramedullary screw fixation for displaced fifth metacarpal neck and shaft fractures: short term results.

Background: This study aimed to evaluate the early clinical outcomes of retrograde headless intramedullary screw fixation for displaced fifth metacarpal neck and shaft fractures.

Methods: We retrospectively reviewed nine patients treated with retrograde intramedullary screw fixation of fifth metacarpal neck and shaft fractures between 2011 and 2013. Patient demographics and outcomes including hand dominance, age, sex, type of injury, injury and postoperative radiographs, return to work, time to fracture union radiographically, complications, visual analog score, disabilities of the arm, shoulder, and hand scores, postoperative metacarpophalangeal joint range of motion, and grip strength were recorded.

Postero-lateral disc prosthesis combined with a unilateral facet replacement device maintains quantity and quality of motion at a single lumbar level.

Background: Mechanically replacing one or more pain generating articulations in the functional spinal unit (FSU) may be a motion preservation alternative to arthrodesis at the affected level. Baseline biomechanical data elucidating the quantity and quality of motion in such arthroplasty constructs is non-existent.

Purpose: The purpose of the study was to quantify the motion-preserving effect of a posterior total disc replacement (PDR) combined with a unilateral facet replacement (FR) system at a single lumbar level (L4-L5).