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Innovation in Hand Surgery
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Innovation in Hand Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: 30 September 2025 | Viewed by 2627

Special Issue Editors

Dr. Rocco De Vitis

E-Mail Website
Guest Editor
Department of Orthopedics, Fondazione Policlinico Universitario Agostino Gemelli IRCSS, 00168 Rome, Italy
Interests: hand surgery; microsurgery; reconstructive surgery; plastic and reconstructive surgery; microvascular surgery
Dr. Marco Passiatore

E-Mail Website
Guest Editor
Department of Bone and Joint Surgery, University of Brescia, 25123 Brescia, Italy
Interests: hand surgery; surgical flaps; free tissue flaps; microvascular surgery; wound healing

Special Issue Information

Dear Colleagues,

We are pleased to present this Special Issue dedicated to "Innovation in Hand Surgery", which is a compilation of cutting-edge research and advancements in the field. As hand surgery continues to evolve, embracing new techniques and technologies, it is imperative to share these developments with the broader medical community.

This Special Issue encompasses a diverse range of topics, reflecting the multifaceted nature of hand surgery. Articles will explore the latest surgical techniques, including new reconstruction strategies, that promise improved outcomes for patients. Additionally, the Special Issue delves into the integration of advanced imaging technologies, such as computer-assisted practices, which are revolutionizing preoperative, intraoperative and post-operative clinical practice. Innovative approaches to rehabilitation, a crucial aspect of post-surgical care, will also be highlighted.

The contributions in this Special Issue underscore the importance of interdisciplinary collaboration and continuous innovation in enhancing patient care. We trust that the insights provided herein will inspire further advancements and foster a deeper understanding of the dynamic field of hand surgery.

Dr. Rocco De Vitis
Dr. Marco Passiatore
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • hand surgery
  • hand reconstruction
  • hand deformities
  • reconstructive surgery
  • peripheral nerve surgery
  • hand tumors
  • thumb arthritis
  • wrist arthritis
  • arthroscopy
  • prosthesis

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (3 papers)

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11 pages, 1999 KiB  
Article
Adipofascial Flap Reconstruction for Pulp Defects: A Retrospective Study of Functional and Aesthetic Outcomes
by Gabriele Delia, Fabiana Battaglia, Emanuele Cigna, Michele Maruccia and Francesco Stagno d’Alcontres
J. Clin. Med. 2025, 14(5), 1466; https://doi.org/10.3390/jcm14051466 - 21 Feb 2025
Viewed by 552
Abstract
Background: Injuries to the digital distal phalanx often result in functional impairments such as loss of grip and sensation, along with aesthetic challenges. Various reconstructive techniques, including the use of adipofascial flaps, have been explored to address these issues. The homodigital dorsal [...] Read more.
Background: Injuries to the digital distal phalanx often result in functional impairments such as loss of grip and sensation, along with aesthetic challenges. Various reconstructive techniques, including the use of adipofascial flaps, have been explored to address these issues. The homodigital dorsal adipofascial reverse flap (HDARF) has demonstrated promising results in restoring both functionality and aesthetics. However, a comparative evaluation between adipofascial flaps and other commonly used techniques, such as V-Y advancement flaps and cross-finger flaps, remains limited. Objective: This retrospective study evaluates the long-term functional and aesthetic outcomes of adipofascial flap reconstructions for pulp defects, focusing on sensory recovery and patient satisfaction. Methods: Between 2010 and 2022, 20 patients (14 men, 6 women) with digital pulp defects underwent reconstruction using adipofascial flaps in a single-stage procedure. Injuries included avulsion and crush injuries, distributed across various digits. Sensory recovery was assessed using the Semmes–Weinstein monofilament test and two-point discrimination. Joint mobility, cold intolerance, and aesthetic satisfaction were also evaluated. Results: All flaps were successfully reconstructed within 24 h of trauma. Sensory recovery was excellent, with Semmes–Weinstein scores ranging from 1.65 to 2.83, comparable to the uninjured hand. Two-point discrimination averaged 1–5 mm in most cases. Cold intolerance persisted in four patients, and mild nail dystrophy was noted in three cases, with one case of nail absence. Aesthetic satisfaction was high in 19 patients. Conclusions: The adipofascial flap effectively restores function and aesthetics in pulp defects, offering superior sensory recovery, high patient satisfaction, and minimal complications. Its regenerative potential and adaptability make it a valuable option for fingertip reconstruction, supporting its continued use in clinical practice. Full article
(This article belongs to the Special Issue Innovation in Hand Surgery)
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13 pages, 14655 KiB  
Article
Biomechanical Evaluation of a Novel V-Shaped A2 Pulley Reconstruction Technique Using a Free Palmaris Longus Tendon Graft Tenodesis
by Gabriel Halát, Hannah E. Halát, Lukas L. Negrin, Thomas Koch, Lena Hirtler, Christoph Fuchssteiner and Stefan Hajdu
J. Clin. Med. 2025, 14(4), 1092; https://doi.org/10.3390/jcm14041092 - 8 Feb 2025
Viewed by 512
Abstract
Background: The aim of this biomechanical investigation was to evaluate a V-shaped three-point graft tenodesis technique using a free palmaris longus (PL) tendon for reconstructing traumatic A2 pulley lesions and to compare its biomechanical performance with two previously described reconstruction techniques. Methods [...] Read more.
Background: The aim of this biomechanical investigation was to evaluate a V-shaped three-point graft tenodesis technique using a free palmaris longus (PL) tendon for reconstructing traumatic A2 pulley lesions and to compare its biomechanical performance with two previously described reconstruction techniques. Methods: After A2 pulley lesion simulation in 27 fingers (index, middle and ring finger) from nine human anatomical hand specimens, reconstructions were performed using the innovative V-shaped graft tenodesis technique, a double-loop encircling technique and a suture anchor graft fixation technique. Load at failure and the failure mechanisms were evaluated. Results: The V-shaped graft tenodesis technique was superior biomechanically (p = 0.004) considering load at failure (mean: 299 N). The only observed failure mechanism in this group was the extrusion of the central tenodesis screw. In contrast, reconstructions in the other two groups failed due to suture cut-out. Conclusions: Patients may benefit from the new technique’s high load tolerance during early mobilization. Furthermore, a reduction in complications may be anticipated due to an absence of sutures and the sparing of extensor structures. Full article
(This article belongs to the Special Issue Innovation in Hand Surgery)
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5 pages, 2100 KiB  
Technical Note
How a Gauze Sponge Roll Enhances Surgical Exposure in Thumb Carpometacarpal Arthroplasty: A Technical Note
by Matthias Holzbauer, Julian Alexander Mihalic, Tobias Gotterbarm and Stefan Mathias Froschauer
J. Clin. Med. 2024, 13(20), 6179; https://doi.org/10.3390/jcm13206179 - 17 Oct 2024
Cited by 1 | Viewed by 943
Abstract
Thumb carpometacarpal arthroplasty has become a widely used standard technique in the surgical treatment of thumb carpometacarpal osteoarthritis. One of the most critical steps during this procedure is proper surgical exposure of the trapezium and the base of the first metacarpal to allow [...] Read more.
Thumb carpometacarpal arthroplasty has become a widely used standard technique in the surgical treatment of thumb carpometacarpal osteoarthritis. One of the most critical steps during this procedure is proper surgical exposure of the trapezium and the base of the first metacarpal to allow for prosthesis implantation. This article introduces a surgical technique in which a roll constructed from gauze sponges tightly wrapped with medical tape facilitates several steps in thumb carpometacarpal arthroplasty. While performing a dorsoradial approach to the thumb carpometacarpal joint, this cost-effective tool is perfectly tailored to the joint’s unique anatomy. It aids in precise hand positioning and ensures optimal exposure of the trapezium and base of the first metacarpal, which is crucial for accurate cup and stem preparation as well as for unimpeded prosthesis implantation. Full article
(This article belongs to the Special Issue Innovation in Hand Surgery)
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