The hosts dive into the exciting future of hand surgery, tackling advancements in techniques like nerve repair and tendon healing. They humorously reflect on the evolving role of non-hand surgeons in carpal tunnel releases. Innovations like nerve stimulation technology and gene therapy for congenital conditions are highlighted as potential game-changers. The discussion also touches on the importance of collaboration in surgery and the positive impact of educational podcasts. Listeners are encouraged to share their thoughts as the hosts celebrate their journey.
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Quick takeaways
The future of hand surgery may see carpal tunnel releases performed by non-hand specialists, raising concerns about procedural quality and training needs.
Emerging technologies and innovations in nerve repair could revolutionize surgical techniques, emphasizing the balance between education and the adoption of new methods.
Deep dives
The Busy Season for Hand Surgeons
The end of the year marks a hectic period for hand surgeons, with many patients meeting their deductibles and scheduling procedures. As surgeons deal with a packed schedule, the challenges of balancing trauma care and planned surgeries arise, leading to frustration for both doctors and patients. The discussion highlights the difficulty of accommodating emergencies, as the schedules are tightly booked and there is little room for flexibility. The surgeons express a desire for quieter periods in January, indicating how the busy December pace affects their overall workload and mental health.
The Future of Carpal Tunnel Release
The prediction that carpal tunnel releases may eventually be performed by non-hand surgeons, such as physiatrists and neurologists, raises questions about the implications for hand surgery. The use of emerging technologies, including ultrasound-guided techniques, could simplify the procedure, making it more accessible. However, concerns about quality and the necessity for these procedures to be performed by trained hand surgeons highlight a potential rift in the approach to carpal tunnel treatment. The conversation pushes for a balance between expanding access to care and ensuring that surgeries are performed by qualified practitioners.
Evolving Approaches to Thumb CMC Joint Surgery
The prediction that implant arthroplasty could replace more traditional methods for treating thumb CMC joint issues by 2030 sparks debate among surgeons. While some believe that newer techniques could gain traction, there's skepticism regarding the widespread adoption of implants in the U.S. The discussion points out the historical hesitance towards implant surgeries, citing the mixed results from past attempts. Ultimately, it is suggested that significant evidence demonstrating clear advantages over traditional methods would be necessary to shift surgeon opinions on this topic.
Advancements in Nerve Surgery
The future of nerve surgery may see less reliance on sutures with the development of new devices and potential methods for sutureless repairs. Innovations could lead to more effective ways to manage scar tissue and reduce variability in surgical techniques. Emphasizing the need for training in traditional suturing methods, the conversation discusses the importance of maintaining education for upcoming surgeons while embracing new technologies. Drug delivery systems integrated into nerve repair devices could transform healing processes and outcomes, potentially altering the standard of care within the next couple of decades.
Chuck and Chris celebrate the last episode of 2024 with a 'Future of Hand Surgery' episode. We prognosticate who will be performing carpal tunnel releases, how we will treat the CMC joint, what wrist arthroscopy will include, how we will repair nerves and tendons, and so much more. Join us and share your thoughts by email!
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See www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.
See https://checkpointsurgical.com or www.nervemaster.com for information about the company and its products as well as good general information about nerve pathology.
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As always, thanks to @iampetermartin for the amazing introduction and conclusion music.
Complete podcast catalog at theupperhandpodcast.wustl.edu.
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