CONCLUSION: Our study shows the feasibility and reliability of a navigation-guided, minimally invasive pedicle approach in the clinical setting. Therefore, reduced morbidity due to minimized approaches can be combined with higher accuracy of navigated pedicle screw/kyphoplasty cannula placement improving patient safety.
PMID: 32123950 [PubMed - as supplied by publisher] (Source: Hand Surgery)
CONCLUSION: Our modified anterior tibial artery free-style perforator-pedicled propeller flap provides a novel option for functional ankle and heel reconstruction.
LEVEL OF EVIDENCE: Level IV.
PMID: 32123981 [PubMed - as supplied by publisher] (Source: Hand Surgery)
CONCLUSION: Advantages of laparoscopic surgery with regard to low rates of IH can be translated to minimally invasive liver surgery. Even though there are low rates of IH, patients with poor performance status at the time of operation should be monitored closely. While patients' characteristics are hard to influence, it might be worth focusing on surgical factors such as the approach and the closure of the umbilical site to further minimize the rate of IH.
PMID: 32124059 [PubMed - as supplied by publisher] (Source: Hand Surgery)
CONCLUSION: Arthroscopic anatomical repair of ATFL for CLAI is precise, with less surgical trauma and reliable medium- and long-term effect.
PMID: 32124530 [PubMed - as supplied by publisher] (Source: Hand Surgery)
CONCLUSION: Mass shooting events are associated with high mortality. Survivors commonly sustain multiple, life-threatening ballistic injuries requiring emergent surgery and extensive hospital resources. Given the increasing frequency of mass shootings, all hospitals must have a coordinated plan to respond to a mass casualty event.
LEVEL OF EVIDENCE: Epidemiological Study, level V.
PMID: 32107352 [PubMed - in process] (Source: Hand Surgery)
Authors: Turner NA, Anderson DJ
Clostridioides difficile remains a leading cause of healthcare-associated infection. Efforts at C. difficile prevention have been hampered by an increasingly complex understanding of transmission patterns and a high degree of heterogeneity among existing studies. Effective prevention of C. difficile infection requires multimodal interventions, including contact precautions, hand hygiene with soap and water, effective environmental cleaning, use of sporicidal cleaning agents, and antimicrobial stewardship. Roles for probiotics, avoidance of proton pump inhibitors, and isolation of asymptomatic carriers remain poorly defined.
PMID: 32104163 [PubMed] (Source: Hand Surgery)
CONCLUSIONS: Nipple position in TRAM flap-reconstructed breasts changed over time compared with that in nonoperated breasts, especially along the vertical axis. The pattern of nipple position change in reconstructed breasts became similar to nonoperated breasts 3 years after surgery. In patients who had undergone adjuvant radiation therapy, nipple position remained consistent for 1 to 3 years.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
PMID: 32097296 [PubMed - in process] (Source: Hand Surgery)
CONCLUSION: Compared with the conventional approach, the wide-awake approach showed significantly better results in the thumb's range of motion and functional outcomes, especially in the early postoperative periods.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.
PMID: 32097314 [PubMed - in process] (Source: Hand Surgery)
CONCLUSIONS: Neuroma excision followed by nerve repair/reconstruction resulted in better outcomes compared with neuroma excision alone with or without implantation. Patient age and psychosocial factors influenced patient-reported outcomes.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Risk, III.
PMID: 32097316 [PubMed - in process] (Source: Hand Surgery)
This article focuses on surgery and rehabilitation of extensor tendon injuries from the proximal interphalangeal joint (boutonniere) to the wrist. Relative motion flexion and extension splinting and wide awake, local anesthesia, no tourniquet surgery have revolutionized the management of these lesions, with early protected movement, sooner return to regular activities, and improved rehabilitation. This article explains and illustrates these new advances in extensor tendon management.
PMID: 32097332 [PubMed - in process] (Source: Hand Surgery)