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  1. Article ; Online: Transosseous Cannula Suture Suspensionplasty for Thumb Basal Joint Arthritis: A Novel Technique.

    Carozzo, Mattia / Pajardi, Giorgio / Basso, Morena A / Cirillo, Dario / Balato, Giovanni / Smeraglia, Francesco

    Techniques in hand & upper extremity surgery

    2023  Volume 27, Issue 3, Page(s) 140–147

    Abstract: The suture button (SB) suspension technique has become popular in the treatment of thumb basal joint arthritis, as it works as an internal mean for metacarpal stabilization, demonstrating good results with improvement in function and strength. The aim of ...

    Abstract The suture button (SB) suspension technique has become popular in the treatment of thumb basal joint arthritis, as it works as an internal mean for metacarpal stabilization, demonstrating good results with improvement in function and strength. The aim of our study is to describe a new transosseous suture suspensionplasty technique using a simple Ethibond #2 suture as a substitute for the suture button and to report the postoperative clinical outcomes. In this study, we included a total of 14 patients with 2 years follow-up. We evaluated patients with the use of the Disabilities of the Arm, Shoulder and Hand questionnaire, the Visual Analog Scale, the Kapandji test, and the key pinch strength. Patients treated with transosseous suture suspensionplasty demonstrated clinical improvement at an average follow-up of 24 months. No complications were noted immediately after the procedure or during the 2-year follow-up period.
    MeSH term(s) Humans ; Thumb/surgery ; Osteoarthritis/surgery ; Cannula ; Hand ; Carpometacarpal Joints/surgery ; Sutures
    Language English
    Publishing date 2023-09-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2075789-X
    ISSN 1531-6572 ; 1089-3393
    ISSN (online) 1531-6572
    ISSN 1089-3393
    DOI 10.1097/BTH.0000000000000426
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Chronic exertional compartment syndrome of the forearm: a systematic review.

    Smeraglia, Francesco / Tamborini, Federico / Garutti, Leonardo / Minini, Andrea / Basso, Morena A / Cherubino, Mario

    EFORT open reviews

    2021  Volume 6, Issue 2, Page(s) 101–106

    Abstract: The aim of this systematic review is to understand which surgical procedure provides better results in terms of pain relief and function in the treatment of chronic exertional compartment syndrome (CECS) of the forearm.We searched Medline (PubMed), Web ... ...

    Abstract The aim of this systematic review is to understand which surgical procedure provides better results in terms of pain relief and function in the treatment of chronic exertional compartment syndrome (CECS) of the forearm.We searched Medline (PubMed), Web of Science, Embase and Scopus databases on 8 July 2020. Twelve studies were included in this review.We assessed the quality of the studies using the Coleman Methodological Score.Data on demographic features, operative readings, diagnostic methods, follow-up periods, type and rates of complications, survivorship of the procedure, return to sport activity, and outcome measures were recorded.In conclusion, compared to the other techniques, endoscopic fasciotomy delivers similar success rates and lower incidence of complications. Cite this article:
    Language English
    Publishing date 2021-02-01
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2844421-8
    ISSN 2058-5241 ; 2058-5241 ; 2396-7544
    ISSN (online) 2058-5241
    ISSN 2058-5241 ; 2396-7544
    DOI 10.1302/2058-5241.6.200107
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Percutaneous Radiofrequency Ablation of the Posterior and Anterior Interosseous Nerves for Chronic Wrist Pain: A Novel Technique.

    Smeraglia, Francesco / Berritto, Daniela / Basso, Morena A / Mosillo, Giuseppe / Grassi, Roberto / Mariconda, Massimo

    Techniques in hand & upper extremity surgery

    2020  Volume 25, Issue 2, Page(s) 89–93

    Abstract: The treatment of chronic wrist pain, due to posttraumatic, degenerative, or inflammatory arthritis, is challenging to adequately manage. The ideal surgical procedure should preserve wrist mobility and provide long-lasting pain relief. In this regard, ... ...

    Abstract The treatment of chronic wrist pain, due to posttraumatic, degenerative, or inflammatory arthritis, is challenging to adequately manage. The ideal surgical procedure should preserve wrist mobility and provide long-lasting pain relief. In this regard, denervation aims to decrease wrist pain by interrupting sensory innervation, without impairing motor function, and avoids the need for postoperative immobilization to decrease the risk of stiffness. For these reasons, denervation is particularly attractive as a possible treatment for chronic wrist pain. Our aim was to describe our novel technique for partial percutaneous wrist denervation, performed by radiofrequency ablation of the posterior and anterior interosseous nerves, and to report on the prospective outcomes over a 1-year follow-up for 3 patients (4 wrists) treated as of March 2019. The technique is performed on an outpatient basis and does not require postprocedure wrist immobilization or restriction in activities of daily living or work. Findings at the 1-year follow-up indicate that partial denervation improved grip strength, provided pain relief, maintained wrist motion, and improved subjective report of disabilities of the arm, shoulder, and hand. One patient did not report a benefit of the procedures, with other patients being very satisfied. Our percutaneous procedure is an evolution of the traditional partial denervation technique, providing advantages of being less invasive, not requiring restriction of movement or activities in the postoperative phase, can be performed on an out-patient basis, and does not preclude the subsequent use of invasive surgical procedures, as needed.
    MeSH term(s) Activities of Daily Living ; Arthralgia/surgery ; Denervation ; Humans ; Prospective Studies ; Radiofrequency Ablation ; Wrist/surgery ; Wrist Joint/surgery
    Language English
    Publishing date 2020-06-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2075789-X
    ISSN 1531-6572 ; 1089-3393
    ISSN (online) 1531-6572
    ISSN 1089-3393
    DOI 10.1097/BTH.0000000000000304
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Partial trapeziectomy and pyrocarbon interpositional arthroplasty for trapeziometacarpal osteoarthritis: minimum 8-year follow-up.

    Smeraglia, Francesco / Barrera-Ochoa, Sergi / Mendez-Sanchez, Gerardo / Basso, Morena A / Balato, Giovanni / Mir-Bullo, Xavier

    The Journal of hand surgery, European volume

    2020  Volume 45, Issue 5, Page(s) 472–476

    Abstract: We undertook a retrospective study to evaluate minimal 8-year outcomes of 46 trapeziometacarpal joints (46 patients) treated with pyrocarbon implant arthroplasty after partial trapeziectomy for trapeziometacarpal joint osteoarthritis in two different ... ...

    Abstract We undertook a retrospective study to evaluate minimal 8-year outcomes of 46 trapeziometacarpal joints (46 patients) treated with pyrocarbon implant arthroplasty after partial trapeziectomy for trapeziometacarpal joint osteoarthritis in two different hand surgery units. The mean follow-up interval was 9.5 years (average 113 months with a range 97-144 months). The study showed that pyrocarbon interpositional arthroplasty provided pain relief and high patient satisfaction. All patients experienced a reduction in the DASH score, with an average change of 30 points. The visual analogue scale score, the Kapandji score, and key pinch also showed remarkable improvement. The PyroDisk implant exhibited good longevity, with good implant survival. A review of the literature revealed that the functional outcomes after implant surgery are not superior to more common techniques, such as trapeziectomy with or without ligamentoplasty. Therefore, this is a reliable surgery but may not have added benefits over simpler surgical treatments. This implant could have a role, perhaps in a select group of young patients, as a time-procuring procedure.
    MeSH term(s) Arthroplasty ; Carbon ; Carpometacarpal Joints/surgery ; Follow-Up Studies ; Humans ; Osteoarthritis/surgery ; Range of Motion, Articular ; Retrospective Studies ; Thumb/surgery ; Trapezium Bone/surgery
    Chemical Substances pyrolytic carbon ; Carbon (7440-44-0)
    Language English
    Publishing date 2020-02-27
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2272801-6
    ISSN 2043-6289 ; 1753-1934
    ISSN (online) 2043-6289
    ISSN 1753-1934
    DOI 10.1177/1753193420906805
    Database MEDical Literature Analysis and Retrieval System OnLINE

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