Jung-Pan Wang(王榮磻)

Download CV

  • Minimally invasive treatment for Hand Fracture

    • In the past it is almost impractical to treat proximal phalanx malunion and flexor tendon adhesion at the same time due to dorsal wound for plating and volar wound for tenolysis, and it would be a challenge if the malunion was previously treated by plating. Therefore, I choose stepwise tenolysis to ensure the full tendon gliding and antegrade intramedullary pinning to balance the strength of osteosynthesis and soft tissue stripping. (J Hand Surg Eur Vol 2019 Dec;44(10):1091-1092)


    • While performing more surgeries of the arthroscopic reduction and association of the scaphoid and lunate (ARASL), now I utilize the scapholunate screw fixation in treating most of my cases of the proximal scaphoid nonunion added with arthroscopic debridement and bone grafting. The arthroscopic bone grafting and scapholunate screw fixation can even be used in the management of proximal scaphoid nonunion after plate fixation. In addition, the scapholunate screw fixation could be accompanied with vascularized bone grafting in treating the proximal scaphoid fracture nonunion where the compromised vascularity was noted. (BMC Musculoskelet Disord. 2020 Dec 10;21(1):834.)
    • The third surgical technique is callus release and dynamic external fixation for delayed presentation of proximal interphalangeal joint fracture-dislocations. There were various treatments for the fracture dislocation of the proximal interphalangeal joint (PIPJ). In most cases with acute presentation of the PIPJ fracture dislocation, dynamic distraction external fixation (DDEF) is a favorable surgical option as it allows early active motion and is less invasive to the soft tissues. However, DDEF is hard to be implemented if the PIPJ fracture dislocation has progressed to delayed stage with partial healing callus at the fracture site. Since I was familiar with needle release in various surgical procedures, I thought it might be possible to release callus in percutaneous fashion. Therefore, I used the surgical technique combining DDEF and percutaneous callus release to treat delayed presentation of PIPJ fracture-dislocations, and satisfactory clinical and radiographic outcome were noted from my case series. (J Hand Surg Eur Vol. 2020 Feb;45(2):195-197.)

    Download

Back