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JPM
Special Issues
Surgical Innovation and Advancement in Limb Extremities
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Surgical Innovation and Advancement in Limb Extremities

A special issue of Journal of Personalized Medicine (ISSN 2075-4426). This special issue belongs to the section "Clinical Medicine, Cell, and Organism Physiology".

Deadline for manuscript submissions: 30 June 2025 | Viewed by 4187

Special Issue Editors

Dr. Camillo Fulchignoni

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Guest Editor
Orthopedics & Hand Surgery Unit, Department of Orthopedics, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy
Interests: hand surgery; microsurgery; wrist surgery; orthoplastic
Special Issues, Collections and Topics in MDPI journals
Dr. Tommaso Greco

E-Mail Website
Guest Editor
Orthopedics & Traumatology Unit, Department of Orthopedics, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy
Interests: trauma surgery; fracture; infection; arthroplasty; osteoporosis; knee surgery; hip; sports injuries; bone loss
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

In the realm of surgical innovation, particularly concerning limb extremities, strides in medical science have reshaped the landscape of patient care. From ancient methodologies to modern advancements, the history of surgical interventions on limb extremities reflects a journey marked by continuous evolution and breakthroughs. As we stand on the precipice of the future, our understanding and capabilities in this domain are poised for further enhancement.

Our forthcoming Special Issue aims to capture the essence of this journey, showcasing the latest advancements and innovations in surgical techniques and practices concerning limb extremities. We invite contributions that delve into the intricacies of surgical innovation, encompassing topics such as prosthetic developments, minimally invasive procedures, regenerative medicine applications, and advancements in rehabilitation protocols.

Authors are encouraged to submit original research articles, comprehensive reviews (including systematic reviews), and insightful communications that offer fresh perspectives on the diagnosis, treatment, and rehabilitation of limb extremity conditions. Furthermore, we welcome contributions discussing expert consensus, guidelines, and emerging surgical paradigms poised to redefine patient care in this dynamic field.

Join us in charting the course towards enhanced patient outcomes and transformative surgical practices in limb extremity care.

Dr. Camillo Fulchignoni
Dr. Tommaso Greco
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 Personalized Medicine is an international peer-reviewed open access monthly 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
  • wrist surgery
  • ankle surgery
  • foot surgery
  • innovation
  • joint replacement
  • arthroscopy
  • flaps
  • microsurgery

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Published Papers (3 papers)

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Research

12 pages, 3314 KiB  
Article
The Use of the Great Toe Pulp Free Flap in Dystrophic Fingertips
by Alessandro Crosio, Mauro Magnani, Simona Odella, Matilde Cacianti, Francesco Maria Locatelli and Pierluigi Tos
J. Pers. Med. 2025, 15(2), 44; https://doi.org/10.3390/jpm15020044 - 23 Jan 2025
Viewed by 714
Abstract
Background: Lesions of the digital apices are common, and several treatment strategies can be considered for them. Among these, the free great toe pulp flap can be used. Methods: This is a retrospective report in which five patients undergoing hallux free [...] Read more.
Background: Lesions of the digital apices are common, and several treatment strategies can be considered for them. Among these, the free great toe pulp flap can be used. Methods: This is a retrospective report in which five patients undergoing hallux free flap surgery for loss of pulpal substance at the level of the hand were evaluated. They were re-evaluated by using both clinical testing to assess sensitivity and the use of questionnaires to estimate function. Results: None of the performed flaps failed. The mean follow-up was 36 months (range 16–66 months). With SW-MF, the mean value was 3.734 compared to 2.986 for the same contralateral finger. The S2-PD test attested a mean value of 6.8 mm (range 6–8 mm) in contrast to the contralateral finger, which showed a mean result of 3.2 mm (range 3–5 mm), while the D-2PD indicated lower values for both the operated finger, with a mean value of 6.4 mm (range 4–8 mm), and the healthy finger. Conclusions: When a dystrophic fingertip results from an inappropriate acute management, the GTP flap appears to be an excellent strategy to restore the specialized tissue of finger pulp and to bring supple tissue to the correct PIP flexion contracture or the small first web space contracture. It is mostly required for thumb and radial fingers’ reconstruction, especially in young patients or those who need high functional demands and/or present an extensive loss of substance that cannot be resolved with local flaps. Full article
(This article belongs to the Special Issue Surgical Innovation and Advancement in Limb Extremities)
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11 pages, 477 KiB  
Article
Is WALANT Really Necessary in Outpatient Surgery?
by Guido Bocchino, Silvia Pietramala, Giacomo Capece, Leopoldo Arioli, Alessio Greco, Stella La Rocca, Lorenzo Rocchi and Camillo Fulchignoni
J. Pers. Med. 2025, 15(1), 1; https://doi.org/10.3390/jpm15010001 - 24 Dec 2024
Viewed by 780
Abstract
Introduction: The Wide Awake Local Anesthesia No Tourniquet (WALANT) technique has revolutionized outpatient hand surgery, enabling procedures such as carpal tunnel release and trigger finger release without a tourniquet. Its benefits include patient cooperation during surgery, especially for tendon repairs. However, WALANT [...] Read more.
Introduction: The Wide Awake Local Anesthesia No Tourniquet (WALANT) technique has revolutionized outpatient hand surgery, enabling procedures such as carpal tunnel release and trigger finger release without a tourniquet. Its benefits include patient cooperation during surgery, especially for tendon repairs. However, WALANT has limitations, including a steep learning curve, longer operative preparation time, and risks such as digital ischemia and adrenaline-induced cardiac ischemia. This study evaluates the safety and effectiveness of local anesthesia with a tourniquet for short-duration outpatient hand surgeries. Materials and Methods: This case series included 300 patients undergoing carpal tunnel or trigger finger release between February 2023 and March 2024. Local anesthesia with lidocaine was administered, and a tourniquet was applied to the proximal arm. Demographic data, operative time, and pain levels during tourniquet use (measured by VAS) were recorded. Results: The average surgical time was 12 min. Most procedures involved carpal tunnel release. The average VAS pain score was 3.73, with older patients and longer surgeries reporting higher discomfort. Tourniquet release was required in only 1% of cases due to discomfort. Conclusions: For short outpatient hand surgeries, local anesthesia with a tourniquet is a safe, effective alternative to WALANT, challenging its routine use and highlighting the need for tailored anesthetic approaches. Full article
(This article belongs to the Special Issue Surgical Innovation and Advancement in Limb Extremities)
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14 pages, 2466 KiB  
Article
Results of Tendon Transfers in Radial Nerve Palsies: A New Evaluation Protocol
by Micaela Reina, Simonetta Odella, Mauro Magnani, Francesco Locatelli, Alice Clemente, Martina Macrì and Pierluigi Tos
J. Pers. Med. 2024, 14(7), 758; https://doi.org/10.3390/jpm14070758 - 16 Jul 2024
Cited by 1 | Viewed by 2182
Abstract
Radial nerve palsies present a challenging clinical scenario, often leading to substantial functional impairment. This study focuses on evaluating the outcomes of tendon transfer surgeries in patients with post-traumatic radial nerve injuries. The radial nerve, vital for upper limb movements, faces various etiologies, [...] Read more.
Radial nerve palsies present a challenging clinical scenario, often leading to substantial functional impairment. This study focuses on evaluating the outcomes of tendon transfer surgeries in patients with post-traumatic radial nerve injuries. The radial nerve, vital for upper limb movements, faces various etiologies, such as trauma, compression, or idiopathy. Patients with radial nerve palsy encounter difficulties in daily activities, emphasizing the need for effective management strategies. The research introduces a novel evaluation protocol, aiming to comprehensively assess tendon transfer outcomes. This protocol incorporates functional movements of wrist and finger joints, encompassing both objective and subjective parameters. The retrospective study includes eleven patients treated between 2010 and 2022, with a minimum follow-up of one year post-surgery. Tendon transfers demonstrated positive results. The evaluation protocol covers a wide range of parameters, including wrist and finger mobility, thumb function, grip strength, and patient satisfaction. The results indicate successful restoration of motor function, with an average grip strength of 70% compared to the healthy arm. The proposed evaluation protocol facilitates standardized and reproducible assessment, minimizing subjective errors in clinical evaluations. Despite the study’s limitations, such as a relatively small sample size, the findings underscore the effectiveness of tendon transfers in treating radial nerve palsies. The introduced evaluation scheme provides a comprehensive and reproducible approach to assess outcomes, contributing to the global standardization of tendon transfer assessments in radial nerve injuries. Full article
(This article belongs to the Special Issue Surgical Innovation and Advancement in Limb Extremities)
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