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  1. Article ; Online: Management of capitate avascular necrosis in an adult with a free medial femoral condyle flap.

    Shtarbanov, Petko / Ajam, Yazan / Berber, Onur / Nikkhah, Dariush

    Hand surgery & rehabilitation

    2023  Volume 42, Issue 5, Page(s) 455–458

    Abstract: The treatment of the extremely uncommon avascular necrosis of the capitate with a medial femoral condyle corticocancellous free flap has been described previously by one group reporting on outcomes in a paediatric patient. However, no literature to-date ... ...

    Abstract The treatment of the extremely uncommon avascular necrosis of the capitate with a medial femoral condyle corticocancellous free flap has been described previously by one group reporting on outcomes in a paediatric patient. However, no literature to-date has detailed results of this procedure in an adult. We illustrate the case of a 53-year-old man who sustained capitate avascular necrosis and tendon rupture of traumatic aetiology. He was managed by resection of the necrotic segment, followed by inset of the medial femoral condyle free flap with the novel applications of indocyanine green to ensure adequate perfusion and intramedullary cannulated screw fixation of the capitate. Tendon transfer was also performed in the same operative sitting. At 9 months postoperatively, the patient displayed full range of motion of the wrist without any pain, and the imaging demonstrated union. This microsurgical approach may be performed in adult patients with favourable postoperative outcomes.
    MeSH term(s) Male ; Humans ; Adult ; Child ; Middle Aged ; Free Tissue Flaps/blood supply ; Capitate Bone/surgery ; Upper Extremity ; Osteonecrosis/surgery ; Wrist Joint
    Language English
    Publishing date 2023-07-22
    Publishing country France
    Document type Case Reports
    ZDB-ID 2848776-X
    ISSN 2468-1210
    ISSN (online) 2468-1210
    DOI 10.1016/j.hansur.2023.07.007
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  2. Article: Distal periarterial sympathectomy surgery for chronic digital ischemia: A systematic review of the literature.

    Cereceda-Monteoliva, Nicholas / Smart, Yat Wing / Ojelade, Elizabeth / Schaller, Gavin / Berber, Onur

    Journal of orthopaedics

    2023  Volume 50, Page(s) 76–83

    Abstract: Objective: This study assesses the efficacy of distal periarterial sympathectomy in treating chronic digital ischemia by evaluating clinical outcomes of surgery.: Methods: A systematic literature review of distal sympathectomy for chronic digital ... ...

    Abstract Objective: This study assesses the efficacy of distal periarterial sympathectomy in treating chronic digital ischemia by evaluating clinical outcomes of surgery.
    Methods: A systematic literature review of distal sympathectomy for chronic digital ischemia was conducted. Data extracted included study design, patient statistics, aetiology, follow-up duration, sympathectomy level, and surgical outcomes.
    Results: 21 studies were analysed, containing a total of 337 patients, 324 hands, and 398 digits. Patient age ranged from 23.2 to 56.6 years. Causes of ischemia included Scleroderma, Raynaud's disease, atherosclerosis/Buerger's disease, systemic lupus erythematosus/discoid lupus, undifferentiated rheumatic disorder/mixed connective tissue disease, CREST syndrome, trauma and unknown diagnoses. Common digital artery sympathectomy was mostly performed. Follow-up spanned 12-120 months.
    Outcomes: Distal sympathectomy led to reduced pain in 94.7 % patients. Complete resolution of ulceration was seen in 73 % patients. Subsequent amputation was required in 28 % patients. Other complications were reported in 24.1 % patients.
    Conclusions: This study indicates that distal periarterial sympathectomy may effectively treat chronic digital ischemia, offering pain relief and resolution of digital ulceration. However, risks of complications and amputation persist. Further research is required to inform patient selection and establish the optimal technique and extent of distal sympathectomy surgery, before it can be considered a valid treatment option.
    Language English
    Publishing date 2023-12-06
    Publishing country India
    Document type Journal Article
    ZDB-ID 2240839-3
    ISSN 0972-978X
    ISSN 0972-978X
    DOI 10.1016/j.jor.2023.11.072
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  3. Article ; Online: Getting it right first time: a management protocol for acute and subacute fractures of the scaphoid.

    Berber, Onur / Heras-Palou, Carlos / Gidwani, Sam

    The Journal of hand surgery, European volume

    2020  Volume 45, Issue 6, Page(s) 643–645

    MeSH term(s) Fractures, Bone/diagnostic imaging ; Fractures, Bone/surgery ; Humans ; Musculoskeletal Diseases ; Scaphoid Bone/diagnostic imaging ; Scaphoid Bone/surgery
    Language English
    Publishing date 2020-03-11
    Publishing country England
    Document type Letter
    ZDB-ID 2272801-6
    ISSN 2043-6289 ; 1753-1934
    ISSN (online) 2043-6289
    ISSN 1753-1934
    DOI 10.1177/1753193420909491
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  4. Article ; Online: Fractures of the scaphoid.

    Berber, Onur / Ahmad, Imtiaz / Gidwani, Sam

    BMJ (Clinical research ed.)

    2020  Volume 369, Page(s) m1908

    MeSH term(s) Adult ; Fractures, Bone/classification ; Fractures, Bone/diagnostic imaging ; Fractures, Bone/epidemiology ; Fractures, Bone/therapy ; Fractures, Ununited/complications ; Humans ; Immobilization/methods ; Male ; Missed Diagnosis/ethics ; Missed Diagnosis/prevention & control ; Osteoarthritis/epidemiology ; Osteoarthritis/etiology ; Osteonecrosis/complications ; Pain/etiology ; Physical Examination/ethics ; Radiography/methods ; Scaphoid Bone/blood supply ; Scaphoid Bone/diagnostic imaging ; Scaphoid Bone/injuries ; Scaphoid Bone/pathology ; Wrist Injuries/complications ; Wrist Injuries/physiopathology
    Language English
    Publishing date 2020-05-27
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.m1908
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  5. Article: Systematic Review of Total Wrist Arthroplasty and Arthrodesis in Wrist Arthritis.

    Berber, Onur / Garagnani, Lorenzo / Gidwani, Sam

    Journal of wrist surgery

    2018  Volume 7, Issue 5, Page(s) 424–440

    Abstract: ... ...

    Abstract Background
    Language English
    Publishing date 2018-05-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2678060-4
    ISSN 2163-3924 ; 2163-3916
    ISSN (online) 2163-3924
    ISSN 2163-3916
    DOI 10.1055/s-0038-1646956
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  6. Article: A unique physeal injury of the distal phalanx.

    Berber, Onur / Singh, Bijayendra

    Case reports in plastic surgery & hand surgery

    2015  Volume 2, Issue 1, Page(s) 4–6

    Abstract: An unusual Salter-Harris Type 1 fracture variant of the distal phalanx of the index finger is described. The epiphysis was dislocated, sitting dorsally over the middle phalanx head with the articular surface facing dorsal. Reduction could only be ... ...

    Abstract An unusual Salter-Harris Type 1 fracture variant of the distal phalanx of the index finger is described. The epiphysis was dislocated, sitting dorsally over the middle phalanx head with the articular surface facing dorsal. Reduction could only be achieved through an open procedure. The reduction was stable without supplemental fixation.
    Language English
    Publishing date 2015-01-06
    Publishing country United States
    Document type Case Reports
    ISSN 2332-0885
    ISSN 2332-0885
    DOI 10.3109/23320885.2014.999780
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  7. Article: Ankle Home Stay Programme:- A review of ankle fracture management and costs at a busy district general hospital.

    Khakha, Raghbir / Berber, Onur / Patel, Amit / Kurar, Langhit / James, Laurence

    Annals of medicine and surgery (2012)

    2019  Volume 50, Page(s) 6–9

    Abstract: Introduction: Patients suffering ankle fractures provide a common economic and time burden to modern healthcare in the UK. They continue to be admitted to await operative intervention and may have to wait days before an operation occurs. Unnecessary bed ...

    Abstract Introduction: Patients suffering ankle fractures provide a common economic and time burden to modern healthcare in the UK. They continue to be admitted to await operative intervention and may have to wait days before an operation occurs. Unnecessary bed stay is one are that may be subject to cost savings if the safety of the patient is maintained.
    Patient and methods: We prospectively collected data on 23 patients over a four-month period identifying their admission status, length of stay, and time to operative intervention. We were able to cost analyse the patients journey from admission to discharge, postoperative intervention. We then instilled the Ankle Home Stay Programme, identifying patients safe to be discharged who were able to re-attend for their operation. Seventeen patients were enrolled in this and a subsequent cost-analysis was compared to the pre-intervention cohort.
    Results: Pre Ankle Home Stay Programme demonstrated cost per patient of admitted patients to be £2690 and £1347 for patients managed in the outpatient setting. Implementation of the pathway maintained this cost saving with those in the outpatient setting costing £1781 per patient and those admitted costing £2855.
    Conclusions: Patients can be safely managed in the outpatient setting, with regular clinic review before formal operative intervention as opposed to blanket admission to an acute inpatient bed. This is cost saving in a healthcare system with finite resources focussed on improving use of economic resources. It also maintains patient care with select admission criteria onto the pathway and regular review to ensure standards are maintained.
    Language English
    Publishing date 2019-12-03
    Publishing country England
    Document type Journal Article
    ZDB-ID 2745440-X
    ISSN 2049-0801
    ISSN 2049-0801
    DOI 10.1016/j.amsu.2019.07.020
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  8. Article ; Online: Revisiting specific force loss in human permeabilized single skeletal muscle fibers obtained from older individuals.

    Kalakoutis, Michaeljohn / Pollock, Ross D / Lazarus, Norman R / Atkinson, R Andrew / George, Marc / Berber, Onur / Woledge, Roger C / Ochala, Julien / Harridge, Stephen D R

    American journal of physiology. Cell physiology

    2023  Volume 325, Issue 1, Page(s) C172–C185

    Abstract: Specific force (SF) has been shown to be reduced in some but not all studies of human aging using chemically skinned single muscle fibers. This may be due, in part, not only to the health status/physical activity levels of different older cohorts, but ... ...

    Abstract Specific force (SF) has been shown to be reduced in some but not all studies of human aging using chemically skinned single muscle fibers. This may be due, in part, not only to the health status/physical activity levels of different older cohorts, but also from methodological differences in studying skinned fibers. The aim of the present study was to compare SF in fibers from older hip fracture patients (HFP), healthy master cyclists (MC), and healthy nontrained young adults (YA) using two different activating solutions. Quadriceps muscle samples and 316 fibers were obtained from HFPs (74.6 ± 4 years,
    MeSH term(s) Young Adult ; Humans ; Aged ; Muscle Fibers, Skeletal ; Muscle Contraction/physiology ; Myosin Heavy Chains ; Aging ; Quadriceps Muscle ; Muscle, Skeletal/physiology
    Chemical Substances Myosin Heavy Chains (EC 3.6.4.1)
    Language English
    Publishing date 2023-05-22
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 392098-7
    ISSN 1522-1563 ; 0363-6143
    ISSN (online) 1522-1563
    ISSN 0363-6143
    DOI 10.1152/ajpcell.00525.2022
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  9. Article ; Online: The high-risk polytrauma patient and inferior vena cava filter use.

    Berber, Onur / Vasireddy, Aswin / Nzeako, Obi / Tavakkolizadeh, Adel

    Injury

    2017  Volume 48, Issue 7, Page(s) 1400–1404

    Abstract: Objectives: The aim of this study was to assess the impact on practice of vena cava filter insertion guidelines (Eastern Association for the Surgery of Trauma: practice management guidelines).: Design: The study was performed at a level 1 trauma ... ...

    Abstract Objectives: The aim of this study was to assess the impact on practice of vena cava filter insertion guidelines (Eastern Association for the Surgery of Trauma: practice management guidelines).
    Design: The study was performed at a level 1 trauma centre with data from the 'Trauma Audit and Research Network' cross-referenced to hospital data.
    Results: A total of 1138 specific 'high-risk' major trauma patients were identified over a 6-year period. The mean age was 46 years (18-102) and the male to female ratio was 3.3:1. The average Injury Severity Score was 23.6 (4-75). The overall DVT rate was 2.6% and the PE rate was 1.8%. A retrievable IVC filter was inserted in 42 cases (3.8%). The filter retrieval rate was 23.8% at a mean of 68.5days (4-107). Only one complication was reported of a breakthrough PE despite filter. Applying the EAST guidelines to this cohort would have suggested filter insertion in 279 (24.6%) cases. The kappa concordance value between observed practice and the 'EAST filter group' was 0.103 (poor). The PE rate in the 'EAST filter group' was 2.2% vs 1.6% in the 'no filter group' (p=0.601, no statistical difference) and the observed odds ratio was 0.814 (95% CI 0.413, 1.602).
    Conclusion: The EAST guidelines are useful but may be overestimating the need for filter insertion.
    Language English
    Publishing date 2017-07
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 218778-4
    ISSN 1879-0267 ; 0020-1383
    ISSN (online) 1879-0267
    ISSN 0020-1383
    DOI 10.1016/j.injury.2017.04.038
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  10. Article ; Online: Efficacy of surgical helmet systems for protection against COVID-19: a double-blinded randomised control study.

    Schaller, Gavin / Nayar, Sandeep Krishan / Erotocritou, Marios / Overton, Alexander / Stelzhammer, Thomas / Berber, Onur

    International orthopaedics

    2020  Volume 45, Issue 1, Page(s) 39–42

    Abstract: Purpose: This study assesses whether sterile surgical helmet systems (SSHS) provide surgeons with additional protection from aerosol pathogens alongside their traditional role protecting against splash. There has been debate on whether to use such ... ...

    Abstract Purpose: This study assesses whether sterile surgical helmet systems (SSHS) provide surgeons with additional protection from aerosol pathogens alongside their traditional role protecting against splash. There has been debate on whether to use such systems in reopening elective orthopaedic surgery during the current COVID-19 pandemic environment.
    Methods: Thirty-five participants were enrolled in a double-blinded randomised controlled study investigating efficacy of the Stryker Flyte Surgical Helmet (Stryker Corporation, Kalamazoo, MI, USA) as protection against respiratory droplets. Wearing the SSHS in a fit testing hood, subjects were randomised to nebulised saccharin solution or placebo. Twenty were allocated to the saccharin group with 15 to placebo. Positive sweet taste represented a failure of the test. Taste tests were performed with the helmet fan turned on and off.
    Results: SSHS did not prevent saccharin taste (p < 0.0001). Within the saccharin cohort, 40% recorded a positive taste with the fan on and 100% with the fan off. There was a statistically significant difference in mean time-to-taste saccharin (p = 0.049) comparing fan on (123.5 s) vs. off (62.6 s).
    Conclusions: SSHS do not protect against aerosol particulate and therefore are not efficacious in protection against COVID-19. The fan system employed may even increase risk to the surgeon by drawing in particulates as well as delay recognition of intraoperative cues, such as exhaust from diathermy, that point to respirator mask leak.
    MeSH term(s) COVID-19 ; Head Protective Devices ; Humans ; Orthopedic Procedures ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-09-08
    Publishing country Germany
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 80384-4
    ISSN 1432-5195 ; 0341-2695
    ISSN (online) 1432-5195
    ISSN 0341-2695
    DOI 10.1007/s00264-020-04796-3
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