Abstract：
:Wrapping microsurgical sutures with a vein conduit is a well-described procedure for microsurgical nerve repair. While this has rarely been described in the context of vascular repair, this technique could increase the permeability of the sutured vessels. As part of a University Diploma in Microsurgery, 9 junior surgeons performed a comparative study of 18 microsurgical repairs on rats with and without vein sleeve. The vessels used were an external jugular vein sleeve on the end-to-end anastomosis of the common carotid artery and comparing it to this same anastomosis without a sleeve. The data analyzed were rat weight, suture time with carotid clamping time, number of stitches used, complications as well as vascular leakage and permeability of the repair at 0 and 5minutes evaluated with a patency test. The average rat body weight was 255g. Mean suture time was 52minutes in group A (sleeved repairs) and 41minutes in group B (standard repairs). The number of stitches placed was 5.1 points on average in group A and 5.6 points in group B. The time to perform the repair and the number of stitches was not statistically different between groups. The patency test was positive in 100% of cases in group A and in 78% of cases in group B. There was a significant difference between the permeability rate of the repairs, with better results in group A (p=0.03). There were two anastomotic leaks after declamping in the sleeve group and five in the standard suture group, thus 2.5 times more leaks in the group without a sleeve (p<0.01). The addition of a vein sleeve around an end-to-end arterial suture repair seems to improve its permeability and therefore its reliability.
journal_name
Hand Surg Rehabiljournal_title
Hand surgery & rehabilitationauthors
Lancien U,Delaveau A,Pouedras M,Fortier E,Bin K,Ghersallah S,Jeudy J,Saint-Cast Y,Fournier HDdoi
10.1016/j.hansur.2020.04.009subject
Has Abstractpub_date
2020-10-01 00:00:00pages
437-441issue
5eissn
2468-1229issn
2468-1210pii
S2468-1229(20)30103-1journal_volume
39pub_type
杂志文章abstract：:The goal of this study was to develop a minimally-invasive, ultrasound-guided percutaneous flexor tendon sheath lavage technique on cadaver model. Two catheters were inserted using ultrasound guidance at the proximal and distal ends of the tendon sheath in 20 fingers from cadaveric forearms. Percutaneous injection of ...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2018.12.001
更新日期：2019-04-01 00:00:00
abstract：:The purpose of the study was to evaluate the reliability of the dorsal tangential view (DTV) of the wrist using direct visualization of the extensor compartments in vivo. Twelve patients with extensor tendon complications [nine patients with extensor synovitis, two patients with isolated extensor pollicis longus (EPL)...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2017.11.002
更新日期：2018-02-01 00:00:00
abstract：:The rate of failure or recurrence after ulnar nerve release at the elbow is up to 25%. Various biomaterials have been developed to protect nerves from postoperative adhesions. The aim of this study was to review a case series of 40 surgical revision procedures of the ulnar nerve at the elbow, protected by a collagen m...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2020.11.003
更新日期：2020-12-10 00:00:00
abstract：:The use of a "bank finger" by its very nature is almost exclusively reserved for the management of traumatic hand injuries. Here, we described one case of thumb reconstruction using the patient's index finger as a "bank finger" after the excision of a grade II malignant fibrous histiocytoma. ...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2015.12.006
更新日期：2016-04-01 00:00:00
abstract：:Total trapeziometacarpal (TMC) joint replacement is increasingly being performed for the treatment of basal joint arthritis. However, complications such as instability or loosening are also frequent with TMC ball-and-socket joint replacement. Management of these complications lacks consensus. The purpose of this study...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2015.09.002
更新日期：2016-02-01 00:00:00
abstract：:We report the results of treatment by division and proximal relocation of 44 painful, scar-tethered cutaneous nerves of the upper limb in 22 patients. In all patients, neuropathic pain had developed either following surgery or trauma, but without apparent direct nerve injury. The mean duration of pain symptoms prior t...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2017.03.001
更新日期：2017-06-01 00:00:00
abstract：:About 10 years after volar locking plates were introduced to treat acute distal radius fractures, several papers have reported short-term complications. The aim of this paper was to report our complication rate over a 2-year period and to compare it to the literature. We found similar complication rates despite differ...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章,评审
doi：10.1016/j.hansur.2016.03.003
更新日期：2016-12-01 00:00:00
abstract：:Osteoarthritis of the first carpometacarpal joint (CMCJ1) is a common, painful condition with positive radiological findings in up to 32% of people over 50 years of age and up to 91% of people over 80 years of age. Currently, there is insufficient evidence to recommend one surgical treatment option over the others. We...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2017.10.235
更新日期：2018-02-01 00:00:00
abstract：:Malunions of the distal radius are associated most of the time with disturbances of the distal radioulnar (DRU) joint. While a corrective osteotomy of the distal radius is a well-known procedure in younger patients, manual workers and active patients, is it justified in independent elderly patients above 70 years of a...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章,评审
doi：10.1016/j.hansur.2016.03.013
更新日期：2016-12-01 00:00:00
abstract：:The aim of the study was to assess the natural history of untreated flexor pollicis longus (FPL) tendon rupture in patients with rheumatoid arthritis (RA). We reviewed a cohort of patients to assess the long-term effect of conservative management. We reviewed nine of 11 consecutive patients. We assessed objective outc...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2020.08.002
更新日期：2020-12-01 00:00:00
abstract：:Although the simultaneous occurrence of arthritis of the wrist and the base of the thumb is rare, it is nonetheless imperative to carry out a preoperative clinical and radiological assessment of the wrist when managing trapeziometacarpal osteoarthritis. The presence of pre-arthritic lesions or established wrist arthri...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2020.08.013
更新日期：2021-01-19 00:00:00
abstract：:Surgical denervation of the thumb carpometacarpal (CMC) joint is a theoretical surgical option for thumb CMC arthritis. Some authors have described the nerve branches of thumb CMC joint. We present the innervation of the thumb CMC joint (thenar - recurrent - branch of median nerve, palmar branch of median nerve, super...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2020.09.011
更新日期：2021-01-16 00:00:00
abstract：:Every doctor can be confronted, during his career, with patients presenting symptoms they created themselves. Because it is easily accessible, the hand is a favored target organ for these self-inflicted injuries. The diagnosis of factitious disorder of the hand is very difficult, rarely suggested and widely under-esti...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2017.10.237
更新日期：2018-04-01 00:00:00
abstract：:Severe contracture of the little finger due to Dupuytren's disease continues to be a therapeutic problem. Fifth finger amputation, which is sometimes the only solution, has a major negative impact on function and appearance, and exposes the patient to adjacent digital hook aggravation. Middle phalangectomy with finger...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2018.12.003
更新日期：2019-04-01 00:00:00
abstract：:Pyogenic flexor tenosynovitis (PFT) is a functional emergency in hand surgery; however, its diagnosis can be difficult to make. It should always be considered when a patient presents with an inflamed finger. The goal of this study was to investigate the usefulness of ultrasound in the diagnosis of early PFT. Seventy-t...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2017.12.004
更新日期：2018-04-01 00:00:00
abstract：:Exertional compartment syndrome of the forearm is a rare pathology, occurring almost exclusively in motorcycle racers. The results of endoscopic techniques are similar to those of open fasciotomies, but they are less invasive and leave smaller scars. The aim of our study was to present a new endoscopic technique for s...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2020.01.011
更新日期：2020-05-01 00:00:00
abstract：:A case of an isolated volar dislocation of the second and third carpometacarpal (CMC) joints in an 18-year-old man is described. He presented following a game of rugby unable to move his hand or wrist. He was managed by manipulation and K-Wire fixation. Hand function was excellent following wire removal and mobilizati...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2018.06.004
更新日期：2018-10-01 00:00:00
abstract：:Surgical management of contaminated hand wounds may seem anecdotal, but such injuries actually account for an appreciable amount of the activity in emergency hand centers, and recommendations put forward by scientific societies differ. Dealing effectively with this public health issue calls for clarifying the usefulne...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2016.06.001
更新日期：2016-09-01 00:00:00
abstract：:This article aims to provide hand surgeons with current knowledge on the developmental biology of the upper limb. It will review positioning, limb bud emergence and formation of the apical ectodermal ridge. The development of the limb bud is analyzed in its three axes: proximal-distal, anteroposterior and dorsoventral...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章,评审
doi：10.1016/j.hansur.2018.03.007
更新日期：2018-10-01 00:00:00
abstract：:Dorsal fracture-dislocations of the proximal interphalangeal (PIP) joint of the long fingers are in most cases unstable. They require surgery, whose primary aim is to restore and maintain articular congruency. While numerous techniques exist to treat these injuries, none have been shown to be superior to any of the ot...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2018.01.005
更新日期：2018-06-01 00:00:00
abstract：:We sought to investigate the reliability, validity, responsiveness, and interpretability of the German version of the Unité Rhumatologique des Affections de la Main (URAM) scale in patients with Dupuytren's disease. Patients with Dupuytren's disease were evaluated before receiving an injection of collagenase Clostridi...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2020.05.008
更新日期：2020-12-01 00:00:00
abstract：:The authors describe their experience using silicone infusion tubing in place of Hunter rods for two-stage zone 2 flexor tendon reconstruction in a resource-limited surgical environment. This case report features a 47-year-old, right-handed man who had no active PIP and DIP joint flexion in four fingers of the right h...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2017.06.004
更新日期：2017-10-01 00:00:00
abstract：:This is a review of the various approaches that can be used for open reduction and internal fixation (ORIF) of distal radius fractures. The main dissection steps are exposed and the specific indications for each approach are described. The anterior approach is discussed extensively as it is now the gold standard for O...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章,评审
doi：10.1016/j.hansur.2016.03.007
更新日期：2016-12-01 00:00:00
abstract：:Several techniques have been described for fusion of the distal interphalangeal joint. The intramedullary Lync® implant (Novastep™) may be superior to other options as it is available in straight or bent configurations, does not need to be removed and does not require fingertip incisions. The objective of our prospect...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2019.01.004
更新日期：2019-04-01 00:00:00
abstract：:The goal of this study was to evaluate the outcome of our surgical approach aimed at preventing complications following surgery for De Quervain tendinopathy. Our stepwise surgical procedure is described in detail. We reviewed 56 cases operated by a senior surgeon over 5years, and re-evaluated them with a minimum 15mon...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2016.03.002
更新日期：2016-06-01 00:00:00
abstract：:One year follow-up results after hypothenar fat pad flap surgery for recurrent and end stage carpal tunnel syndrome (CTS) are reported. Before surgery, the patients' complaints with a recurrent CTS were mainly pain and return of pathological symptoms (tingling, nocturnal pain, etc.) whereas the patients with end stage...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2016.08.003
更新日期：2016-10-01 00:00:00
abstract：:The aim of this study was to characterize the change in health-related quality of life following carpal tunnel decompression. Pre- and postoperative Euroqol 5 Dimensions scores were collected prospectively over three years. Outcomes were available for 435 of 563 patients (77%); mean age was 62 years. Comorbid status w...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2020.12.003
更新日期：2020-12-16 00:00:00
abstract：:Most extra-articular fractures of the proximal phalanges (P1) of the triphalangeal fingers can be treated conservatively with good results. Prerequisites for successful fracture treatment are intact soft tissue without any lesions of the extensor hood and stable initial fracture reduction. The key to functional conser...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2018.01.003
更新日期：2018-04-01 00:00:00
abstract：:This case series determines the clinical outcomes of relative motion extensor splints (RMES) in extensor mechanism repairs. Nine patients who underwent extensor tendon repair, juncturae tendinum or sagittal band repair were included. A forearm-based volar blocking wrist splint was applied after surgery. The RMES was c...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2020.10.009
更新日期：2021-02-01 00:00:00
abstract：:We sought to report on the use of wide-awake local anesthesia and no tourniquet (WALANT) for internal fixation of metacarpal fractures. We retrospectively examined 10 patients with metacarpal fractures that required either closed reduction and internal fixation (CRIF) or open reduction and internal fixation (ORIF). WA...
journal_title：Hand surgery & rehabilitation
pub_type： 杂志文章
doi：10.1016/j.hansur.2020.01.003
更新日期：2020-05-01 00:00:00
