Giles W. Becker

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There is no consensus on the most effective operation for primary Dupuytren's contracture. This systematic review evaluates the reported rates of recurrence and complications, as well as the strength of evidence, for individual procedures. The PubMed and EMBASE databases were searched for papers in English containing 'Dupuytren' in the citation. The initial(More)
A 59-year-old patient had been treated by the general surgery department at her local hospital for a recurrent sebaceous cyst on the back of her neck. Cervical MRI showed a cystic structure, posterior to fused vertebral bodies, connected to the skin by a sinus passing through the middle of a split cord malformation. The lesion was excised via an anterior(More)
BACKGROUND Dupuytren's disease is a benign fibroproliferative disorder that causes the fingers to be drawn into the palm via formation of new tissue under the glabrous skin of the hand. This disorder causes functional limitations, but it can be treated through a variety of surgical techniques. As a chronic condition, it tends to recur. OBJECTIVES To(More)
Reconstruction of the fingertip distal to the flexor tendon insertion by replantation remains controversial and technically challenging, but the anatomy of the fingertip has been well described and provides help in surgical planning. The open-book surgical technique is described with potential complications and is illustrated with clinical cases.
BACKGROUND Hand and face transplantation has established itself as a clinical option for certain reconstructive problems. The purpose of this study was to carry out a rigorous statistical analysis of all hand and face transplantations to determine whether hand and/or face transplantation is the standard of care. METHODS Data from September of 1998 until(More)
In the past 2 decades, sonoelastography has been progressively used as a tool to help evaluate soft-tissue elasticity and add to information obtained with conventional gray-scale and Doppler ultrasonographic techniques. Recently introduced on clinical scanners, shear-wave elastography (SWE) is considered to be more objective, quantitative, and reproducible(More)
BACKGROUND Hand allotransplantation was initially criticized as unethical and unlikely to succeed. The results proved to be better than anticipated, now raising the issue of whether hand transplantation is the standard of care. The purpose of this article is to outline a reasonable methodology for determining whether a surgical procedure is the standard of(More)