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Hand Surgery: Latest Advances and Prospects

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Dr. Camillo Fulchignoni

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Hand Surgery Unit, Department of Orthopaedics and Traumatology, Fondazione Policlinico Universitario A.Gemelli IRCCS, 00168 Rome, Italy
Interests: tendon surgery; hand surgery; orthopedic surgery; carpal tunnel surgery
Special Issues, Collections and Topics in MDPI journals

Prof. Dr. Lorenzo Rocchi

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Guest Editor

Department of Orthopaedics and Traumatology, Fondazione Policlinico A. Gemelli IRCCS-Università Cattolica del Sacro Cuore, 00136 Rome, Italy
Interests: hand trauma; thumb basal joint arthritis; carpal injuries; chronic wrist arthritis

Special Issue Information

Dear Colleagues,

Hand surgery is a dynamic and evolving field that plays a critical role in restoring functionality and improving the quality of life for patients with various musculoskeletal and nerve disorders. This Special Issue, titled “Hand Surgery: Latest Advances and Prospects”, aims to provide an in-depth overview of the latest advancements, techniques, and research shaping modern hand surgery. It will include a wide range of topics such as innovative surgical procedures, minimally invasive techniques, rehabilitation strategies, and the integration of emerging technologies such as robotic surgery and 3D printing. Moreover, the Special Issue will highlight future challenges and opportunities, addressing both clinical and technological developments that will drive the field forward. By exploring current trends and anticipating future innovations, this collection serves as a valuable resource for clinicians, researchers, and students striving to advance the practice and science of hand surgery.

Dr. Camillo Fulchignoni
Prof. Dr. Lorenzo Rocchi
Guest Editors

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11 pages, 416 KB

Open AccessArticle

Direct Flexor Tendon Repair More than 3 Months After Trauma: Clinical Outcomes of Four Consecutive Cases and Scoping Review on Time Limits

by Alessandro Crosio, Alice Clemente, Arturo Sebastiano Nozzolillo, Sara Dimartino, Simona Odella, Davide Ciclamini and Pierluigi Tos

J. Clin. Med. 2025, 14(16), 5796; https://doi.org/10.3390/jcm14165796 - 16 Aug 2025

Viewed by 687

Abstract

Background/Objective: Traumatic injuries to the flexor tendons of the hand are frequently treated by hand surgeons. Late repair is not classically considered to be feasible due to the high risk of failure and functional complications. The present study aims to present the functional results of primary flexor tendon repairs performed more than three months after trauma, along with evidence regarding the time limit for primary flexor tendon repair. Methods: The clinical outcomes of direct flexor tendon repairs in zones 1 and 2 of the long fingers or thumb are reported herein. A scoping review was undertaken using Medline and CINHAL to identify studies reporting the functional outcomes of flexor repair following trauma. Results: In this series, four patients were treated with direct M-Tang and epitendinous suture or pull-out reinsertion. Accessory procedures were required to perform a direct repair. The mean delay was 5.5 months, and the follow-up period was 24 months. The mean total active movement was 195°. Extension lags of 10° and 20° were registered at the proximal interphalangeal and distal interphalangeal joints, respectively. While a literature review showed that most cases treated with primary repair after three months resulted in functional complications, these procedures were performed around 40 years ago and no recent reports were found. Conclusions: In the small cohort of patients here reported it has been possible to repair flexor tendons in zones 1 and 2, and to reinsert a jersey finger, even three months after trauma. Accessory procedures were required. Accurate patient selection and counseling is mandatory before surgery to inform patients about alternatives. The literature review confirmed that no positive results have previously been reported in the literature on this topic. It is thought that modern materials and surgical techniques for flexor tendon repair should extend the edge for primary repair in selected patients, as compared to previous practices. Full article

(This article belongs to the Special Issue Hand Surgery: Latest Advances and Prospects)

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9 pages, 321 KB

Open AccessArticle

Dupuytren’s Disease Percutaneous Needle Aponeurotomy: Does Grip Strength Improve Post Procedure?

by Jessica Medland, Nicole Garcia, Ishith Seth and Warren M. Rozen

J. Clin. Med. 2025, 14(12), 4171; https://doi.org/10.3390/jcm14124171 - 12 Jun 2025

Viewed by 477

Abstract

Background/Objectives: Dupuytren’s disease (DD) presents significant challenges in hand function due to the progressive contracture of the palmar fascia. This study evaluates the impact of Percutaneous Needle Aponeurotomy (PNA) on grip strength before and after intervention. Methods: A prospective pilot study included patients with DD over 18 years of age who underwent PNA. Grip strength was measured at baseline, six weeks, and three months post-procedure using a Jamar Dynamometer. The median time to return to work or normal activities was recorded. Results: The study included a total of 29 participants. There was a recorded difference in one kilogram of baseline grip strength between the treatment and non-treatment hands. Patients reported improved hand function and recorded an average increase of 5.8 kg in grip strength at the three-month follow-up. Improvements were demonstrated in active extension, averaging 26 degrees at the metacarpophalangeal joint and 27 degrees at the proximal interphalangeal joint. Nine minor skin tears occurred, and there was no recorded recurrence. Conclusions: This study adds to the literature, confirming PNA is a safe and effective intervention for DD, offering rapid recovery and functional improvement. A larger study of a longer duration will help to establish whether grip strength gains are maintained following PNA. Full article

(This article belongs to the Special Issue Hand Surgery: Latest Advances and Prospects)

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