Editor's preview October 2024

Join host Jane McEachan as she discusses the FESSH Special issue with Professor Esther Vögelin & Professor Philip Honigmann. In hand surgery, we often discuss the delicate balance between surgical intervention and conservative treatment. It’s crucial to understand that each patient’s needs are unique. What works for one might not work for another. This upcoming FESSH Congress is themed "Restoration of the Balance" for a reason. We’re not just aiming to restore anatomy; we’re focused on restoring function tailored to individual patients. Let’s explore how 3D printing technology and nerve transfers are shifting the landscape of treatment options. The goal? Achieve results that truly reflect the balance of patient needs and surgical possibilities. As we prepare for this year’s congress, it’s a reminder: the best outcomes come from collaboration between surgeons, therapists, and the patients themselves.

Dr. Caroline Leclercq has dedicated over 35 years to understanding upper limb spasticity. Her recent paper reveals how hyperselective neurectomy can transform lives by addressing spastic components and improving patient outcomes. But it’s not just about the surgery—early intervention is key! By collaborating with rehabilitation centers, they ensure that patients receive the best care tailored to their needs. What’s the takeaway? Effective treatment requires a comprehensive understanding of each patient’s unique challenges.

In this episode of the Journal to Work podcast, our host Ms. Jane MacEachan and the outgoing Editor-in-Chief Mr. Wee Leon Lam discuss with Professor Ann Van Heest, Paediatric and Adult Hand Surgeon at the University of Minnesota, a study comparing skin graft and skin graft substitute techniques in paediatric hand surgery . The conversation covers the study's design, challenges in blinding participants, and the implications of the findings for future surgical practices.Keywords: hand surgery, skin graft, pediatric surgery, congenital hand differences, study design.

In this episode of "Journal to Work," host Ms. Jane McEachan engages in a detailed discussion with Professor Greg Bain about wrist instability, focusing on scapholunate instability. They explore the unique anatomy of the proximal carpal row, the mechanics of wrist movement, and the challenges of diagnosing and treating scapholunate ligament injuries. The conversation addresses the intricacies of surgical techniques, including arthroscopic repairs and the limitations of traditional ligament reconstructions. Professor Greg Bain shares insights from recent studies and emphasizes the importance of understanding wrist pathology and instability for effective treatment.

In this episode, we delve into the fascinating world of hand transplantation, exploring how a multidisciplinary approach is revolutionizing patient outcomes. Join us as we discuss the collaboration between surgeons, therapists, and psychologists, and how their combined expertise is transforming lives. Discover the challenges and triumphs of this complex medical field and gain insights into the future of transplantation. Tune in for an inspiring journey through innovation and teamwork in healthcare.

Join host Jane McEachan as she is discusses the FESSH special issue with Teemu Valtteri Karjalainen & Jorma Ryhänen.Teemu Valtteri Karjalainen is a distinguished Finnish hand surgeon and researcher specialising in upper limb surgery, evidence-based orthopaedics, and healthcare quality. He serves as the Head of the Department of Surgery at Hospital Nova in Central Finland, located in JyväskyläJorma Ryhänen, MD, PhD, is a leading Finnish hand surgeon and professor, currently serving as the Head of Hand Surgery at Helsinki University Hospital (HUS). He is also affiliated with the University of Helsinki and has previously held senior roles at Oulu University Hospital and the University of Oulu.

Join host Jane McEachan as she discusses Wrist replacements with fellow Hand surgeons Ole Reigstadt from the Martina Hansens Hospital in Oslo, Norway and Sumedh Talwalkar from Wrightington Hospital, UK. They discuss the following : Wrist replacement designs and innovations Wrist replacement vs Fusion The learning curve and the ideal wrist replacement Failure and complications The importance of follow-up and patient monitoring Revision techniques Future directions and Innovations

Gemma Batten and Harry Benjamin-Laing interview the Editor-in-Chief Mr. Wee Lam about the latest edition of the Journal of Hand Surgery(European Volume).

Join host Jane McEachan as she welcomes Nicolas Bigorre from the Centre de la Main in France and Carlos Heras-Palou from the Pulvertaft Centre in the UK. Together, they dive into the topic of Transthyretin Amyloidosis (ATTR) and its link to Carpal Tunnel Syndrome. Discover the latest insights from these experts on how this condition presents, its implications for patients, and what clinicians should be aware of in diagnosis and management. Paper discussed - Prevalence of transthyretin amyloidosis in patients undergoing carpal tunnel surgery: a prospective cohort study and risk factor analysis

The Editor-in-chief Mr. Wee Lam discusses the latest issue and some of the fascinating articles that readers should pay attention to. Hosted by Gemma Batten & Harry Benjamin-Laing