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The Journal of Bone & Joint Surgery British Volume
Vol. 49-B, Issue 3 | Pages 448 - 457
1 Aug 1967
McGregor IA

1. The modifications of standard Z-plasty technique that are necessary for its successful use in hand surgery are discussed with particular reference to the limiting factors imposed by the anatomical characteristics of the hand. 2. The use of the Z-plasty in Dupuytren's contracture and contracted scars is discussed


The Journal of Bone & Joint Surgery British Volume
Vol. 87-B, Issue 1 | Pages 137 - 137
1 Jan 2005
Fullilove S


The Journal of Bone & Joint Surgery British Volume
Vol. 87-B, Issue 2 | Pages 279 - 279
1 Feb 2005
Hayton M


The Journal of Bone & Joint Surgery British Volume
Vol. 91-B, Issue 9 | Pages 1264 - 1264
1 Sep 2009
Laurence M


The Journal of Bone & Joint Surgery British Volume
Vol. 50-B, Issue 1 | Pages 241 - 241
1 Feb 1968
Savill DL


The Journal of Bone & Joint Surgery British Volume
Vol. 84-B, Issue 4 | Pages 622 - 622
1 May 2002
Laurence M


The Journal of Bone & Joint Surgery British Volume
Vol. 84-B, Issue 1 | Pages 151 - 151
1 Jan 2002
Jones JWM Eckersley JRT


The Journal of Bone & Joint Surgery British Volume
Vol. 78-B, Issue 6 | Pages 1001 - 1001
1 Nov 1996


The Journal of Bone & Joint Surgery British Volume
Vol. 80-B, Issue 3 | Pages 560 - 560
1 May 1998
Craigen M


The Journal of Bone & Joint Surgery British Volume
Vol. 79-B, Issue 3 | Pages 513 - 513
1 May 1997


The Journal of Bone & Joint Surgery British Volume
Vol. 57-B, Issue 4 | Pages 539 - 539
1 Nov 1975
Ratliff AHC


The Journal of Bone & Joint Surgery British Volume
Vol. 55-B, Issue 1 | Pages 32 - 55
1 Feb 1973
Pulvertaft RG


The Journal of Bone & Joint Surgery British Volume
Vol. 79-B, Issue 6 | Pages 1044 - 1044
1 Nov 1997
Fulford P


The Journal of Bone & Joint Surgery British Volume
Vol. 53-B, Issue 2 | Pages 363 - 363
1 May 1971
Brooks D


The Journal of Bone & Joint Surgery British Volume
Vol. 38-B, Issue 1 | Pages 128 - 151
1 Feb 1956
Capener N

We surgeons are privileged in having a profession which also encompasses a craft; by it we should have understanding of the problems of craftsmanship in modern life. Ultimately it is at the core of human happiness. Craftsmanship is based upon creative ability, good design, the almost loving conflict of man and material, and the consequent unification of both in completion. Craftsmanship is only possible as a manifestation of individuality. Integrity and invulnerability are its outcome.

May it not be that in the atomic age (if there is one outside of destruction) there may be a return to the craftsman's life of the eighteenth century; not of necessity for the maintenance of economic life, because that will be done for him by the machine, but rather for the maintenance of health?




The Bone & Joint Journal
Vol. 99-B, Issue 1 | Pages 94 - 99
1 Jan 2017
Kim JM Zimmerman RM Jones CM Muhit AA Higgins JP Means Jr KR

Aims. Our purpose was to determine the quality of current randomised controlled trials (RCTs) in hand surgery using standardised metrics. Materials and Methods. Based on five-year mean impact factors, we selected the six journals that routinely publish studies of upper extremity surgery. Using a journal-specific search query, 62 RCTs met our inclusion criteria. Then three blinded reviewers used the Jadad and revised Coleman Methodology Score (RCMS) to assess the quality of the manuscripts. Results. Based on the Jadad scale, 28 studies were of high quality and 34 were of low quality. Methodological deficiencies in poorly scoring trials included the absence of rate of enrolment, no power analysis, no description of withdrawal or dropout, and a failure to use validated outcomes assessments with an independent investigator. Conclusion. A large number of RCTs in hand, wrist, and elbow surgery were of suboptimal quality when judged against the RCMS and Jadad scales. Even with a high level of evidence, study design and execution of RCTs should be critically assessed. Methodological deficiencies may introduce bias and lead to statistically underpowered studies. Cite this article: Bone Joint J 2017;99-B:94–9


The Bone & Joint Journal
Vol. 106-B, Issue 10 | Pages 1039 - 1043
1 Oct 2024
Luo TD Kayani B Magan A Haddad FS

The subject of noise in the operating theatre was recognized as early as 1972 and has been compared to noise levels on a busy highway. While noise-induced hearing loss in orthopaedic surgery specifically has been recognized as early as the 1990s, it remains poorly studied. As a result, there has been renewed focus in this occupational hazard. Noise level is typically measured in decibels (dB), whereas noise adjusted for human perception uses A-weighted sound levels and is expressed in dBA. Mean operating theatre noise levels range between 51 and 75 dBA, with peak levels between 80 and 119 dBA. The greatest sources of noise emanate from powered surgical instruments, which can exceed levels as high as 140 dBA. Newer technology, such as robotic-assisted systems, contribute a potential new source of noise. This article is a narrative review of the deleterious effects of prolonged noise exposure, including noise-induced hearing loss in the operating theatre team and the patient, intraoperative miscommunication, and increased cognitive load and stress, all of which impact the surgical team’s overall performance. Interventions to mitigate the effects of noise exposure include the use of quieter surgical equipment, the implementation of sound-absorbing personal protective equipment, or changes in communication protocols. Future research endeavours should use advanced research methods and embrace technological innovations to proactively mitigate the effects of operating theatre noise.

Cite this article: Bone Joint J 2024;106-B(10):1039–1043.


The Bone & Joint Journal
Vol. 104-B, Issue 10 | Pages 1142 - 1147
3 Oct 2022
van den Berg C van der Zwaard B Halperin J van der Heijden B

Aims

The aim of this retrospective study was to evaluate the rate of conversion to surgical release after a steroid injection in patients with a trigger finger, and to analyze which patient- and trigger finger-related factors affect the outcome of an injection.

Methods

The medical records of 500 patients (754 fingers) treated for one or more trigger fingers with a steroid injection or with surgical release, between 1 January 2016 and 1 April 2020 with a follow-up of 12 months, were analyzed. Conversion to surgical release was recorded as an unsuccessful treatment after an injection. The effect of patient- and trigger finger-related characteristics on the outcome of an injection was assessed using stepwise manual backward multivariate logistic regression analysis.