Important updates of finger fractures, entrapment neuropathies and wide-awake surgery of the upper extremity

Lalonde, Donald H.; Ayhan, Egemen; Ahmad, Amir Adham; Koehler, Steven M.

doi:10.1177/17531934211029543

Cited by 3 publications

(1 citation statement)

References 47 publications

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“…Additionally, the radiological findings showed that bones healed in both groups by approximately 5 weeks, with no significant difference. However, outcomes determined from X-ray images do not always correlate with clinical healing [19], necessitating the consideration of clinical signs like the absence of tenderness on the fracture line as well [20,21].…”

Section: Discussionmentioning

confidence: 99%

A comparative analysis of antegrade and retrograde Kirschner wire fixation for proximal phalanx base fractures

Koh,

Kim,

Kim

et al. 2024

Arch Hand Microsurg

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Purpose: We aimed to determine whether the clinical outcomes of antegrade and retrograde extra-articular Kirschner wire (K-wire) pinning differed in proximal phalanx base fractures.Methods: This retrospective study investigated 73 patients aged ≥18 years with extra-articular proximal phalanx base fractures that were treated by closed K-wire pinning between January 2014 and June 2023. Patients were analyzed according to whether the K-wire fixation was antegrade or retrograde. We analyzed demographics, injury characteristics, the number of K-wires applied, surgical duration, the interval before implant removal, and when physical therapy was started. Radiological outcomes included the amount of time required for radiographically confirmed bone union. Clinical outcomes consisted of complications, total active motion (TAM), and the Michigan Hand Outcomes Questionnaire (MHQ).Results: We treated 29 and 44 patients using antegrade and retrograde K-wire fixation, respectively. The overall complication rate was higher in the antegrade group than in the retrograde group (13.8% vs. 9.1%), although this difference was not statistically significant. Similarly, no significant between-group differences were detected in the length of time required for bone union and implant removal, TAM, and MHQ scores.Conclusion: Proximal phalanx base fractures were equally and effectively treated by antegrade and retrograde K-wire fixation. Therefore, the direction of K-wire fixation can be chosen based on surgeons’ preferences and experience.

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Section: Discussionmentioning

confidence: 99%

A comparative analysis of antegrade and retrograde Kirschner wire fixation for proximal phalanx base fractures

Koh,

Kim,

Kim

et al. 2024

Arch Hand Microsurg

View full text Add to dashboard Cite

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Lacertus syndrome: recent advances

Apard,

Martinel,

Batby

et al. 2024

Hand Surgery and Rehabilitation

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Ten Questions About Wide Awake Local Anaesthesia No Tourniquet (WALANT) Surgery

Lalonde

2022

J Hand Surg Asian-Pac Vol

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The aim of this review article is to provide many important tips and tricks for surgeons to start Wide Awake Local Anaesthesia No Tourniquet (WALANT) hand surgery in their practice. The massive cost reduction of this disruptive new approach will enable them to increase access to hand surgery for their patients who cannot afford unnecessary sedation or unnecessary sterility of the expensive main operating room environment. Evidence-based sterility will permit surgeons to move a lot of their surgery out of the main operating room to minor procedure rooms without a significant increase in infection rates. Important pointers on how to inject minimally painful local anaesthesia will have patients thinking the surgeon injector is a bit of a magician. WALANT enables surgeons to improve the outcomes of many hand surgery procedures. Level of Evidence: Level V (Therapeutic)

show abstract

Important updates of finger fractures, entrapment neuropathies and wide-awake surgery of the upper extremity

Cited by 3 publications

References 47 publications

A comparative analysis of antegrade and retrograde Kirschner wire fixation for proximal phalanx base fractures

A comparative analysis of antegrade and retrograde Kirschner wire fixation for proximal phalanx base fractures

Lacertus syndrome: recent advances

Ten Questions About Wide Awake Local Anaesthesia No Tourniquet (WALANT) Surgery

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