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Bone & Joint 360
Vol. 12, Issue 3 | Pages 23 - 27
1 Jun 2023

The June 2023 Wrist & Hand Roundup. 360. looks at: Residual flexion deformity after scaphoid nonunion surgery: a seven-year follow-up study; The effectiveness of cognitive behavioural therapy for patients with concurrent hand and psychological disorders; Bite injuries to the hand and forearm: analysis of hospital stay, treatment, and costs; Outcomes of acute perilunate injuries - a systematic review; Abnormal MRI signal intensity of the triangular fibrocartilage complex in asymptomatic wrists; Patient comprehension of operative instructions with a paper handout versus a video: a prospective, randomized controlled trial; Can common hand surgeries be undertaken in the office setting?; The effect of corticosteroid injections on postoperative infections in trigger finger release


Bone & Joint 360
Vol. 12, Issue 1 | Pages 26 - 29
1 Feb 2023

The February 2023 Wrist & Hand Roundup. 360. looks at: ‘Self-care’ protocol for minimally displaced distal radius fractures; Treatment strategies for acute Seymour fractures in children and adolescents: including crushed open fractures; Routinely collected outcomes of proximal row carpectomy; Moving minor hand surgeries in the office-based procedure room: a population-based trend analysis; A comparison between robotic-assisted scaphoid screw fixation and a freehand technique for acute scaphoid fracture: a randomized, controlled trial; Factors associated with conversion to surgical release after a steroid injection in patients with a trigger finger; Two modern total wrist arthroplasties: a randomized comparison; Triangular fibrocartilage complex suture repair reliable even in ulnar styloid nonunion


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?



Bone & Joint Open
Vol. 4, Issue 4 | Pages 219 - 225
1 Apr 2023
Wachtel N Meyer E Volkmer E Knie N Lukas B Giunta R Demmer W

Aims. Wrist arthroscopy is a standard procedure in hand surgery for diagnosis and treatment of wrist injuries. Even though not generally recommended for similar procedures, general administration of perioperative antibiotic prophylaxis (PAP) is still widely used in wrist arthroscopy. Methods. A clinical ambispective dual-centre study was performed to determine whether PAP reduces postoperative infection rates after soft tissue-only wrist arthroscopies. Retrospective and prospective data was collected at two hospitals with departments specialized in hand surgery. During the study period, 464 wrist arthroscopies were performed, of these 178 soft-tissue-only interventions met the study criteria and were included. Signs of postoperative infection and possible adverse drug effects (ADEs) of PAP were monitored. Additionally, risk factors for surgical site infection (SSIs), such as diabetes mellitus and BMI, were obtained. Results. The overall infection rate of SSI was zero. Neither in the PAP group (n = 69) nor in the control group (n = 109) were signs of postoperative infection observed. Observed symptoms of ADEs were three-times higher in the PAP group when compared to the control-group (16.3 vs 5.5%; p = 0.043). No major ADEs were observed, but one in ten patients in the PAP group reported mild to severe intestinal or hypersensitivity symptoms. Conclusion. We demonstrate that the number needed to treat (NNT) with PAP to prevent one postoperative infection in soft-tissue arthroscopies of the wrist is > 109. Conversely, symptoms of ADEs were reported by one out of ten patients given PAP. Considering the high NNT to prevent postoperative infection and the large number of ADEs caused by PAP, we recommend not to use PAP routinely in soft-tissue arthroscopies of the wrist. Subsequent large-scale studies should be conducted to substantiate these results. Cite this article: Bone Jt Open 2023;4(4):219–225