Open Fractures of the Hand
Open fractures of the hand are a common and varied group of injuries. Although at increased risk for infection, open fractures of the hand are more resistant to infection than…
Optimal Positioning for Volar Plate Fixation of a Distal Radius Fracture
Distal radius fractures are currently among the most common fractures of the musculoskeletal system. With a population that is living longer, being more active, and the increasing incidence of osteoporosis,…
Scapholunate Advanced Collapse
Scapholunate advanced collapse (SLAC) is a predictable pattern of degenerative wrist arthritis that develops as a result of scapholunate dissociation. The purpose of this article is to review outcomes for…
Flexor Tendon Repair
Successful outcome after flexor tendon repair requires a delicate balance between tendon healing and limiting scar tissue formation. Recent studies have highlighted the importance of the number of core sutures…
Prosthetic Design in Total Wrist Arthroplasty
Total wrist arthroplasty (TWA) provides a motion-preserving alternative to total wrist arthrodesis for low-demand patients with debilitating pancarpal arthritis. The earlier generation total wrist implants had high complication and failure…
Surgical Treatment of Distal Biceps Ruptures
Distal biceps ruptures occur from eccentric loading of a flexed elbow. Patients treated nonoperatively have substantial loss of strength in elbow flexion and forearm supination. Surgical approaches include 1-incision and…
Patellar Instability
Shital N. Parikh, MD, FACS, Editor From an evolutionary standpoint, the patella appeared much later than the condyles, meniscus, and cruciate ligaments of the knee. Compared with lower animals, the…
Immobilization After Rotator Cuff Repair
Recurrent tears after rotator cuff repair are common. Postoperative rehabilitation after rotator cuff repair is a modifiable factor controlled by the surgeon that can affect re-tear rates. Some surgeons prefer…
Congenital Anomalies of the Hand—Principles of Management
Physicians who specialize in pediatric orthopedics and hand surgery frequently encounter congenital hand abnormalities, despite their relative rarity. The treating physician should be aware of the associated syndromes and malformations…
Application of Tranexamic Acid in Trauma and Orthopedic Surgery
Tranexamic acid has gained recent interest in orthopedics and trauma surgery because of its demonstrated benefit in several clinical trials. It is inexpensive and effective at reducing blood loss and…
