The Journal of hand surgery
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Arthroscopic-assisted reduction and fixation of Bennett-type fractures of the thumb metacarpal allow for the confirmation of reduction as well as the assessment of the degree of chondral damage. With use of a 1.9-mm arthroscope and a traction tower, direct visualization and reduction is possible. ⋯ Postoperative rehabilitation follows the usual protocol used in both open and percutaneous techniques. However, the potential to obtain and confirm a more accurate articular reduction may reduce the incidence of late arthritis of the thumb carpometacarpal articulation.
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Case Reports
Simultaneous radius and ulna reconstruction with folded free vascularized fibula transfer: case report.
We report 1 case of successful treatment of radius and ulna nonunion by a folded vascularized fibular graft, in which 2 parallel fibular struts remained connected by the periosteum and peroneal vessels, and another case of infected nonunion of the ulna and radius with osseous and soft tissue defects treated by a free fibular osteoseptocutaneous flap with folded fibular graft in a 1-stage procedure.
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Extensor tendon injuries are common; however, relatively few studies have evaluated extensor tendon repair methods. The purpose of this study was to investigate the properties of the running-interlocking horizontal mattress repair method with regard to tendon shortening, stiffness, strength, and time needed to perform the repair, compared with the modified Bunnell method and the augmented Becker method. ⋯ The running-interlocking horizontal mattress repair is significantly stiffer and faster to perform than either the augmented Becker or the modified Bunnell repairs, and it results in less shortening than either of these methods. The running-interlocking horizontal mattress repair should be strong enough to withstand some early motion.
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Perilunate dislocations and transscaphoid perilunate fracture dislocations are associated with a high incidence of posttraumatic arthritis. According to the current literature, at medium-term follow-up, radiological signs of arthritis do not correlate with functional scores. The aim of this study was to evaluate patient hand function and the development of posttraumatic arthritis after perilunate dislocations (11 cases) and transscaphoid perilunate fracture dislocations (7 cases) at a minimum 10 years of follow-up. ⋯ Therapeutic IV.