Medicine (Baltimore) 2017 Apr;96(14):e6532

aSándor Péterfy Street Hospital and Casualty Centre bSurgical Department of Heim Pál Children's Hospital, Budapest cDepartment of Pediatrics, Surgical Unit, University of Pécs, Pécs, Hungary.

Rationale: Short double elastic nailing is a minimal invasive, modified ESIN (elastic stable intramedullary nailing) technique for severely displaced distal radial fracture in children. The aim of this technical report is to introduce our new method and evaluate the final results of the procedure.

Patient Concerns: We reviewed retrospectively 24 patients who underwent short double elastic nailing due to distal radial fractures between November 2012 and December 2015. Read More

Orthop Traumatol Surg Res 2017 Sep 19;103(5):765-770. Epub 2017 Mar 19.

Department of Pediatric Surgery, University Hospital of Split, Spinčićeva 1, 21000 Split, Croatia.

Background: The aim of this study was to analyze outcomes of treatment and complications in children treated with flexible intramedullary nailing (FIN) due to humeral fracture.

Hypothesis: The FIN for treatment of humeral fractures in children would allow an early functional and cast-free follow-up with a quick pain reduction and low complication rate.

Patients And Methods: From May 2002 until May 2016 case records of all children who underwent fixation with titanium intramedullary nails because of humeral fracture were retrospectively reviewed. Read More

Injury 2017 Feb 23;48(2):557-559. Epub 2016 Dec 23.

Yonsei University College of Medicine, Republic of Korea. Electronic address:

Implant breakage is a serious complication after cephalomedullary nailing for unstable intertrochanteric fracture. Failure usually occurs at the lag screw hole in the nail body. On the other hand, lag screw failure is extremely rare and occurs around the nail-lag screw junction. Read More

Injury 2016 Dec;47 Suppl 7:S31-S35

Department of Trauma, Orthopedic and Reconstructive Surgery, Munich Municipal Hospital Group, Harlaching Clinic, Munich, Germany.

Introduction: Distal radius fracture are common injuries but no gold standard for their therapy exists. The aim of this study was to evaluate the quality of fracture care in distal radius fractures using an intramedullary implant (Targon DR interlocking nail). The nail had been developed to minimize the surgical exposure, increase fixation strength, to prevent tendon irritations and to allow for a fast return to activity. Read More

Ulus Travma Acil Cerrahi Derg 2016 Sep;22(5):483

Department of Orthopaedics and Traumatology, Selçuk University Faculty of Medicine, Konya-Turkey.

Background: Supracondylar humerus fracture is the most common fracture of the elbow in children. Closed reduction and percutaneous pinning is considered to be the optimal treatment strategy; however, in some instances, open reduction may be necessary. The aim of this retrospective study was to compare clinical and functional results of triceps-splitting posterior versus lateral approach in pediatric supracondylar humerus fracture surgery. Read More

Acta Orthop Traumatol Turc 2016 Oct 15;50(5):494-500. Epub 2016 Oct 15.

Zhoupu Hospital, Shanghai, China. Electronic address:

Objectives: The aim of this study was to evaluate clinical results of a new design titanium elastic nail (TEN) for displaced midshaft clavicular fractures.

Patients And Methods: Between February 2012 and December 2013, a total 36 patients with displaced midshaft clavicular fractures were treated with intramedullary nailing stabilization with our new design TEN. Blood loss, mean times of operation, postoperative complications, hospital stays and time to bone union was recorded. Read More

Eur J Orthop Surg Traumatol 2016 Dec 26;26(8):831-836. Epub 2016 Jul 26.

Department of Trauma, Hand and Reconstructive Surgery, Klinikum Augsburg, Stenglinstr.2, 86156, Augsburg, Germany.

Introduction: The objective of this study was to assess the clinical outcome of displaced proximal humerus fracture treated with a new locking blade nail.

Materials And Methods: This prospective study included a series of 92 patients with acute fracture of the proximal humerus treated in one hospital level I trauma centre with locking blade nail between December 2010 and December 2013. According to the Neer classification, all fractures were two- to four-part fractures. Read More

New Solut 2016 Aug 12;26(2):208-19. Epub 2016 Jun 12.

International Labour Organization, Geneva, Switzerland

A participatory training program, Work Improvement in Small Construction Sites, was developed to provide practical support measures to the small construction sector. Managers and workers from selected small sites were interviewed about their occupational safety and health risks. The Work Improvement in Small Construction Sites training program comprised a 45-item action checklist, photos, and illustrations showing local examples and group work methods. Read More

Chest 2016 May;149(5):e147-50

Division of Pulmonary/Critical Care Medicine, Department of Medicine, Elmhurst Hospital Center, Icahn School of Medicine at Mount Sinai, New York, NY.

An 80-year-old man presented because of superficial head trauma sustained after falling from bed. On review of systems, he reported worsening dyspnea on exertion, nonproductive cough, and weight loss over the preceding 2 to 3 months. There was no report of chest pain or leg swelling. Read More

Acta Biomater 2016 05 31;36:350-60. Epub 2016 Mar 31.

Helmholtz Virtual Institute for Magnesium-based Bio-degradable Materials, Germany; Heisenberg-Group for Molecular Skeletal Biology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; Department of Trauma, Hand and Reconstructive Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; Department of Anatomy and Cell Biology, Indiana University School of Medicine, Indianapolis, USA. Electronic address:

Unlabelled: Intramedullary stabilization is frequently used to treat long bone fractures. Implants usually remain unless complications arise. Since implant removal can become technically very challenging with the potential to cause further tissue damage, biodegradable materials are emerging as alternative options. Read More

Eur J Orthop Surg Traumatol 2016 Jul 17;26(5):453-9. Epub 2016 Mar 17.

Pediatric Surgery Department, University Hospital Estaing, 1 Place Lucie et Raymond Aubrac, 63003, Clermont-Ferrand, France.

Purpose: The objectives of this study were to retrospectively investigate the clinical and radiological outcome of humeral shaft fractures treated by ESIN in children <16 years old and to evaluate the functional outcome of these injuries using the short version of the Disabilities of the Arm, Shoulder and Hand Outcome questionnaire (Quick DASH(®)).

Methods: We retrospectively evaluated children with fractures of the humeral shaft, surgically treated by ESIN. All the patients were regularly followed clinically and radiographically for at least 1 year after their index surgery. Read More

Orthopedics 2016 Jan-Feb;39(1):e98-103. Epub 2015 Dec 30.

This study investigated the outcomes of extra-articular distal radius fractures and simple intra-articular radial styloid fractures stabilized with a novel threaded cannulated device. This was a retrospective study of 24 distal radius fractures treated with the T-Pin device (Union Surgical LLC, Philadelphia, Pennsylvania), with a minimum of 1 year of postoperative follow-up. Outcome data included wrist range of motion, grip strength, and pinch strength. Read More

J Hand Surg Am 2016 Feb 22;41(2):196-202. Epub 2015 Dec 22.

Department of Surgery, Central Hospital of Central Finland, Jyväskylä, Finland.

Purpose: To evaluate the outcomes of extension block pinning used to treat unstable dorsal fracture dislocations of the proximal interphalangeal (PIP) joint. The factors affecting the functional outcome were analyzed.

Methods: A series of 53 patients with 55 dorsal fracture dislocations of the PIP joint treated with closed reduction and extension block pinning were retrospectively reviewed. Read More

J Plast Surg Hand Surg 2016 5;50(2):111-4. Epub 2015 Nov 5.

a Department of Orthopedic Surgery , Nara Medical University , Kashihara , Nara , Japan.

Purpose: The purpose of this prospective cohort study was to evaluate patient-based outcomes and complications following excision of mucous cysts, joint debridement, and closure with one of three types of local flaps.

Methods: From 2000-2011, 35 consecutive patients with 37 digital mucous cysts were treated surgically. The surgical procedure included excision of the cyst together with the attenuated skin, joint debridement on the affected side including capsulectomy, and removal of osteophytes. Read More

AORN J 2015 Jun;101(6):709-12

This systematic review revealed that there remains no evidence to indicate whether removing nail polish and finger rings affects the rate of SSIs after surgery. Given that there are no new studies on this topic, there is insufficient evidence to determine whether wearing finger rings or nail polish affects the number of bacteria on the skin after surgical hand scrubbing. Read More

J Bone Joint Surg Am 2015 Apr;97(8):613-9

Department of Surgery, Diakonessenhuis Utrecht, P.O. Box 80250, 3508 TG Utrecht, the Netherlands. E-mail address for E.J.M.M. Verleisdonk:

Background: Over the past decades, the operative treatment of displaced midshaft clavicular fractures has increased. The aim of this study was to compare short and midterm results of open reduction and plate fixation with those of intramedullary nailing for displaced midshaft clavicular fractures.

Methods: A multicenter, randomized controlled trial was performed in four different hospitals. Read More

Clin Orthop Relat Res 2015 May 11;473(5):1747-54. Epub 2014 Dec 11.

Department of Orthopedic Surgery, Ewha Womans University School of Medicine, Ewha Womans University Medical Center, 1071, Anyangcheonro, Yangcheongu, Seoul, 158-710, South Korea,

Background: Severe angulation or shortening can be a surgical indication for fifth metacarpal neck fracture. In a previous meta-analysis, antegrade intramedullary pinning was shown to produce better hand function outcomes than percutaneous transverse pinning or miniplate fixation for treatment of fifth metacarpal neck fractures. However, the outcomes of retrograde intramedullary pinning, to our knowledge, have not been compared with those of antegrade intramedullary pinning. Read More

J Mycol Med 2014 Dec 20;24(4):296-302. Epub 2014 Nov 20.

Laboratoire de mycologie et polyclinique de dermatologie, hôpital Saint-Louis Paris, 1, avenue Claude-Vellefaux, 75475 Paris cedex 10, France. Electronic address:

A positive mycological examination is required before discussion of treatment of onychomycosis. Onychomycosis is most commonly due to dermatophytes in association with tinea pedis and/or tinea manuum. It is a catched infection. Read More

Arch Plast Surg 2014 Nov 3;41(6):768-72. Epub 2014 Nov 3.

Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital, Gwangmyeong, Korea.

Background: To compare clinical and radiographic outcomes between intramedullary nail fixation and percutaneous K-wire fixation for fractures in the distal third portion of the metacarpal bone.

Methods: A single-institutional retrospective review identified 41 consecutive cases of metacarpal fractures between September 2009 and August 2013. Each of the cases met the inclusion criteria for closed, extra-articular fractures of the distal third of the metacarpal bone. Read More

J Orthop Surg (Hong Kong) 2014 Aug;22(2):195-8

Queens Hospital, Burton on Trent, United Kingdom.

PURPOSE. To report the outcomes of Polarus nail fixation for displaced proximal humeral fractures. METHODS. Read More

Cochrane Database Syst Rev 2014 Aug 4(8):CD003325. Epub 2014 Aug 4.

c/o Cochrane Wounds Group, University of York, Heslington, York, UK, YO10 5DD.

Background: Surgical wound infections may be caused by the transfer of bacteria from the hands of surgical teams to patients during operations. Surgical scrubbing prior to surgery reduces the number of bacteria on the skin, but wearing rings and nail polish on the fingers may reduce the efficacy of scrubbing, as bacteria may remain in microscopic imperfections of nail polish and on the skin beneath rings.

Objectives: To assess the effect of the presence or absence of rings and nail polish on the hands of the surgical scrub team on postoperative wound infection rates. Read More

Occup Med (Lond) 2014 Sep 1;64(6):468-9. Epub 2014 Jul 1.

Wrightington Hospital, Lancashire WN6 9EP, UK.

Chronic paronychia is a common occupational disease. It is multifactorial and affects a number of different groups of workers. However, the condition is not described as affecting hairdressers although hairdressing is associated with a range of other occupation-related hand conditions. Read More

Clin Orthop Relat Res 2014 Jul;472(7):2049-60

The Miami Hand and Upper Extremity Institute, 8905 SW 87th Avenue, Suite 101, Miami, FL, 33176, USA,

Background: Nonsurgical and surgical treatments such as immobilization, transarticular pinning, and hinged or nonhinged external fixation have been used to treat unstable elbows. These methods all have drawbacks. We thought that a bent Steinmann pin introduced through the axis of ulnohumeral rotation and attached to the ulna could provide an improved method of treatment and that this could result in the development of a proper internal joint fixator that may have widespread application. Read More

J Hand Surg Am 2014 Jun 29;39(6):1063-7. Epub 2014 Apr 29.

Department of Orthopedic Surgery, Sapporo Medical University School of Medicine, Sapporo, Hokkaido, Japan.

Purpose: To describe the technique of total dorsal capsulectomy alone for mucous cysts of the distal interphalangeal (DIP) joint and evaluate its outcomes and complications.

Methods: Nineteen patients (18 women and 1 man) with 19 mucous cysts were treated by a total dorsal capsulectomy without cyst excision or osteophyte removal. The average age at surgery was 63 years. Read More

J Shoulder Elbow Surg 2014 Oct 13;23(10):1462-7. Epub 2014 Apr 13.

Department of Paediatric and Adolescent Surgery, Medical University of Graz, Graz, Austria.

Background: Significantly displaced juvenile proximal humeral fractures (Neer-Horowitz type 3 and 4) usually require reduction and fixation. The most commonly used fixation methods are Kirschner wire (K-wire) pinning or retrograde elastic stable intramedullary nailing (ESIN). However, results comparing the long-term outcome of both methods are absent in the literature. Read More

Clin Orthop Relat Res 2014 Jul;472(7):2044-8

Orthopaedic Hand and Upper Extremity Service, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA.

Background: Elbows that are unstable after injury or reconstructive surgery often are stabilized using external fixation or cross-pinning of the joint supplemented by cast immobilization. The superiority of one approach or the other remains a matter of debate.

Questions/purposes: We compared patients treated with external fixation or cross-pinning in terms of (1) adverse events, (2) Broberg and Morrey scores, and (3) ROM. Read More

Indian J Dermatol 2014 Jan;59(1):15-20

Director Professor and Head, MAMC, VMMC and Safdurjung Hospital, Delhi, India.

Chronic paronychia is an inflammatory disorder of the nail folds of a toe or finger presenting as redness, tenderness, and swelling. It is recalcitrant dermatoses seen commonly in housewives and housemaids. It is a multifactorial inflammatory reaction of the proximal nail fold to irritants and allergens. Read More

Emerg Med Australas 2013 Dec 8;25(6):603-7. Epub 2013 Nov 8.

Orthopaedics, Princess Alexandra Hospital, Brisbane, Queensland, Australia.

Objectives: The aims of this research were to characterise the injury patterns associated with nail guns, highlight their potential complications and review treatment options.

Methods: A retrospective case series was conducted of all patients with a nail gun injury to the upper or lower limb who presented to the Princess Alexandra Hospital from 1 January 2007 to 30 July 2012.

Results: Young men in the work environment were at most risk of sustaining a nail gun injury to their non-dominant hand. Read More

J Plast Surg Hand Surg 2014 Jun 21;48(3):201-4. Epub 2013 Nov 21.

Department of Orthopaedic Surgery, Kyungpook National University Hospital , Daegu , Korea.

Subungual glomus tumours can cause excruciating pain and nail deformity. Conventional surgical excision requires nail removal and, therefore, nail deformity often occurs. Because nail preservation prevents further damage to the nail bed, it is beneficial for patients from the perspectives of pain and cosmesis. Read More

J Hand Surg Am 2013 Nov;38(11):2173-9

Department of Orthopaedic Surgery, Anadolu Medical Center, Kocaeli, Turkey; Department of Orthopaedic Surgery, Academic Hospital, Istanbul, Turkey. Electronic address:

Purpose: We report our experience, treatment protocol, and 2-year follow-up results of 24 fingertip replantations treated using the artery-only technique without vein or nerve repair.

Methods: We performed a retrospective review of 24 patients who had undergone fingertip replantation at the same center between 2005 and 2011. All patients in this study had complete fingertip amputation at or distal to the distal interphalangeal joint of the fingers or interphalangeal joint of the thumb. Read More

J Wrist Surg 2012 Nov;1(2):179-84

The Miami Hand and Upper Extremity Institute, Miami, Florida.

Total wrist arthrodesis is commonly performed using fixation plates, which can produce soft tissue irritation, often require removal, and limit the ability to position the hand in space. The Skeletal Dynamics IMPLATE is an intramedullary total wrist fusion device designed to provide stable fixation while avoiding the problems associated with plates. Radial and metacarpal locked intramedullary nails are inserted and joined by a connector. Read More

J Pediatr Orthop B 2014 Mar;23(2):144-9

aDepartment of Pediatric Surgery, University Hospital, Clermont Ferrand, France bDepartment of Pediatric Orthopaedic, Regina Margherita Children's Hospital, Turin, Italy cCIC Inserm 501 CRCTCR, University Hospital Estaing, Clermont Ferrand, France.

This study aims to assess the functional outcome of children treated with elastic stable intramedullary nailing (ESIN) for displaced proximal humerus fractures using the short version of the disabilities of the arm, shoulder, and hand outcome questionnaire (Quick DASH). Fifty-eight consecutive children with displaced proximal humerus fractures were treated with ESIN. Fifty-two children (89. Read More

Z Orthop Unfall 2013 Oct 15;151(5):525-31. Epub 2013 Oct 15.

Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Bonn.

Aim: The goal in treatment of metacarpal fractures is to restore the normal function of the hand. Although a majority of these fractures can be treated non-operatively, surgery is recommended for displaced fractures and in case of a patient wish for primary stability for practise. A poor clinical outcome is described for metacarpal shortening of more than 5 millimeters and for rotational deformity. Read More

Clin Dermatol 2013 Sep-Oct;31(5):516-25

Department of Dermatology, Inselspital, University of Bern, Switzerland; Dermaticum Freiburg, Kaiser-Joseph-Strasse 262, 79098 Freiburg, Germany; Center of Dermatology "Epidermis," CUF Institute, Porto, Portugal; Department of Dermatology, Academic Hospital, University of Gent, Belgium. Electronic address:

Nail surgery is a special branch of hand and dermatologic surgery. It is not widely performed, and many physicians do not feel at ease to perform it. The objective of this contribution is to give a short overview of the most important surgical procedures in clinical practice. Read More

Ann Plast Surg 2013 Oct;71(4):346-54

From the *Division of Plastic Surgery; and †Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN.

Background: Optimal surgical management of subungual malignant melanoma (SMM) has been debated.

Methods: Our tumor registry was reviewed for surgically treated cases of SMM from 1914 to 2010. Resection levels were compared with outcome. Read More

Tech Hand Up Extrem Surg 2013 Sep;17(3):158-61

Department of Orthopaedic Surgery, Saitama Red Cross Hospital, Saitama-ken, Japan.

Distal radius fractures often accompany ulnar styloid fractures. As basal ulnar styloid fractures sometimes result in symptomatic nonunion causing distal radioulnar joint instability, surgical intervention should be considered as a method of treatment. However, conventional methods of internal fixation for ulnar styloid involving tension band wiring and pinning often causes irritation of hardware, and required further surgery. Read More

Eur J Trauma Emerg Surg 2013 Aug 17;39(4):345-52. Epub 2013 Apr 17.

Department of Pediatric Surgery, Municipal Hospital, Moltkestraße 90, 76133, Karlsruhe, Germany.

Purpose: Implant removal in children is still a standard procedure. Implants may disturb function, and some theoretical long-term risks like growth disturbance, foreign body reaction, chronic infection and corrosion are used as arguments for removal. Implant migration or interference with any other orthopaedic treatment over the later course of life is also a matter of debate. Read More

J Plast Surg Hand Surg 2013 Sep 10;47(4):286-8. Epub 2013 Jun 10.

Department of Orthopedics, Regional Hospital Viborg, Denmark.

To evaluate the results after fixation of distal radius fractures using Micronail internal fixation, a prospective cohort study was performed, including displaced fractures of the distal radius (AO type A 2.2, A3.1, and A3. Read More

BMC Res Notes 2013 Apr 15;6:147. Epub 2013 Apr 15.

Background: Squamous cell carcinoma in situ of the digit presents a complex management problem, which is usually treated with surgery or radiation or topical agents. The outcome of the surgical treatment can be an undesirable cosmetic result and loss of function. We report a unique Electronic Brachytherapy technique to treat the digit, which uses a 50 Kv miniaturized X-ray source with specialized applicators. Read More

Chir Main 2012 Dec 30;31(6):358-63. Epub 2012 Oct 30.

Service de chirurgie osseuse, centre hospitalier universitaire d'Angers, 4, rue Larrey, 49933 Angers cedex 9, France.

Digital tourniquet is a quick, simple and reliable method to ensure a bloodless operative field distal to the MP joint. However, a forgotten tourniquet is an exceptional but serious complication related to digital ischemia. Few cases were reported in literature without a long-term outcome. Read More

Comput Aided Surg 2013 26;18(1-2):41-6. Epub 2012 Nov 26.

Department of Trauma, Hand and Reconstructive Surgery, Friedrich-Schiller-University Jena, Jena, Germany.

Intramedullary nail removal can be demanding, especially in cases of implant breakage or bony overgrowth at the end-cap, if the exact insertion depth of the nail is neglected in the index surgery. In the presented case, two challenging nail removals were necessary. The first was performed in a re-nailing procedure due to a pseudarthrosis with implant breakage, and the second was performed during hardware removal after fracture healing in a situation where there was deep intramedullary placement of the exchange nail. Read More

Eur J Pediatr Surg 2012 Aug 30;22(4):305-10. Epub 2012 May 30.

Department of Pediatric Surgery and Pediatric Urology, University Children's Hospital, Tübingen, Germany.

Introduction: Elastic stable intramedullary nailing (ESIN) is the first-choice surgical technique for stabilizing various pediatric diaphyseal and selected metaphyseal fractures of the long bones. This technique has increasingly been applied in fractures of the small bones. Here, we report experiences with ESIN in displaced fractures of the metacarpals in children. Read More

Eur J Pediatr Surg 2012 Aug 30;22(4):283-8. Epub 2012 May 30.

Department of Pediatric Hand Surgery, University Children's Hospital Zurich, Zurich, Switzerland.

Introduction: Failure to detect and treat partial or complete avulsions of the nail bed may lead to severe nail deformity that predisposes to repeat injuries and is cosmetically inacceptable. Treatment of these injuries with split-thickness nail bed grafts (STNBGs) is controversial and no pediatric series has been published.

Methods: A retrospective, single center case series of nine fingers with complex nail bed injuries that were reconstructed primarily with STNBGs was performed. Read More

Cochrane Database Syst Rev 2012 May 16(5):CD003325. Epub 2012 May 16.

School of Health and Social Welfare, Open University, Milton Keynes, UK.

Background: Surgical wound infections may be caused by the transfer of bacteria from the hands of surgical teams to patients during operations. Surgical scrubbing prior to surgery reduces the number of bacteria on the skin, but wearing rings and nail polish on the fingers may reduce the efficacy of scrubbing, as bacteria may remain in microscopic imperfections of nail polish and on the skin beneath rings.

Objectives: To assess the effect of the presence or absence of rings and nail polish on the hands of the surgical scrub team on postoperative wound infection rates. Read More

J Eur Acad Dermatol Venereol 2013 Feb 7;27(2):e231-4. Epub 2012 May 7.

Department of Dermatology, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan.

Background: Lichen planus (LP) is a common skin disorder of unknown aetiology that affects the skin, mucous membranes and nails. Although metal allergies have been implicated in the development of oral LP (OLP), the contribution of these allergies to nail LP (NLP) has yet to be studied in detail.

Objective: To elucidate the link between metal allergy and NLP. Read More

Ann R Coll Surg Engl 2012 Mar;94(2):112-5

Whipps Cross University Hospital, London, UK.

Introduction: Rolando fractures are often difficult to manage because of their inherent instability. We describe a simple technique for the treatment of this fracture using the principle of ligamentotaxis, with a static, two-pin external fixator spanning the trapeziometacarpal joint, and present the results of a single-surgeon case series.

Methods: Eight consecutive patients (mean age: 32. Read More

Clin Orthop Surg 2012 Mar 20;4(1):1-17. Epub 2012 Feb 20.

Department of Hand Surgery and Peripheral Nerve Surgery, University of Sydney, Royal North Shore Hospital, St. Leonards, Australia.

Within the Oberg, Manske, Tonkin (OMT) classification, thumb duplications are a failure of formation and/or differentiation affecting the radial-ulnar axis of the hand plate. The Wassel description of seven types of thumb duplication provides a good structure from which an approach to management is based. The aim of surgical reconstruction is to obtain a stable, mobile thumb of adequate size and appropriate shape. Read More

Hand Surg 2012 ;17(1):151-4

Department of Orthopaedics, High Wycombe General Hospital, UK.

There is no consensus regarding the optimal mode of managing the acute traumatic subungual haematoma in the hand. In this context the medical literature was searched systematically and the results analysed. The final dataset consisted of four articles. Read More

Handchir Mikrochir Plast Chir 2012 Jan 7;44(1):11-6. Epub 2011 Nov 7.

Stadtspital Triemli, Allgemein-, Hand- und Unfallchirurgie, Zürich, Schweiz.

Background: In our clinic dorsal distal phalanx fractures involving more than 30% of the articulare line in the lateral view are treated operatively using the Kirschner wire technique. Recently conservative treatment of these fractures is more and more recommended. Therefore we investigated in a retrospective study our patients with special regards to complications. Read More

Indian J Orthop 2011 Sep;45(5):410-6

Consultant Orthopaedic Surgeon, Anupam Hospital, Rudrapur, Uttarakhand, India.

Background: Lack of availability of interlocked nails made plate osteosynthesis the first choice of treatment of forearm fractures inspite of more surgical exposure, periosteal stripping and big skin incision subsequent scar along with higher risk of refracture on implant removal. We hereby report the first 12 cases with 19 forearm bone fractures internally fixed by indegenous interlocked nail.

Materials And Methods: Existing square nails were modified to have a broad proximal end of 5. Read More