Aim Metacarpal fractures are common hand injuries, frequently treated with closed reduction and internal fixation (CRIF) using Kirschner wires (K-wires). While exposed K-wires allow for simple hardware removal and early mobilization, their use is traditionally associated with a higher risk of pin tract infections. There is a lack of studies f...

By Andrea Cruciani, Silvia Pietramala, Alessio Greco, Alessandro El motassime, Camillo Fulchignoni, Lorenzo Rocchi

Aim Unintended scaphoid excision is a rare but serious complication that can occur during surgical procedures involving the trapezium, including but not limited to trapeziectomy. Although prosthetic replacement is increasingly favored in the treatment of rhizarthrosis, trapeziectomy (with or without ligamentoplasty) remains a widely used and effect...

By Camillo Fulchignoni, Silvia Pietramala, Chiara Muci, Alessandro El Motassime, Andrea Cruciani, Lorenzo Rocchi, Gianfranco Merendi

Aim To report our personal experience in hindfoot reconstruction using an anterolateral thigh (ALT) free flap following radical resection of a high-grade synovial sarcoma. Methods The patient underwent clinical and imaging assessments, and a biopsy of the lesion confirmed the diagnosis of synovial sarcoma (SS) of the hindfoot. A multidis...

By Chiara Comisi, Tommaso Greco, Camillo Fulchignoni, Antonio Mascio, Francesco Farine, Elisa Troiano, Nicola Mondanelli, Giulio Menichini, Elisabetta Pataia, Giulio Maccauro, Carlo Perisano

Aim The Epibloc elastic-dynamic fixation has been applied for many years at several hand surgery centres in Italy. This technique has been considered safe and reliable in the treatment of distal meta-epiphyseal fractures of the radius with dorsal displacement. The aim of this study was to evaluate an alternative use of this method in the treatment ...

By Lorenzo Rocchi, Rocco De Vitis, Gianfranco Merendi, Camillo Fulchignoni, Silvia Pietramala, Giuseppe Taccardo