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      <dc:rights>© 2026 Published by Elsevier Inc. All rights reserved.</dc:rights>
      <prism:publicationName>Hand Clinics</prism:publicationName>
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      <title>Pediatric Mangled Injury</title>
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      <description>Pediatric mangling injuries are approached differently in children younger than 12 years of age due to growth potential. Bony fixation and free tissue transfers can be technically challenging but result in superior sensory and motor outcomes compared to adults. We present a challenging case of pediatric upper extremity reconstruction following motor vehicle trauma with brachial plexus injury, vascular compromise, bony injury, and denervated muscles. Single gracilis functional free muscle transfer was performed to restore elbow flexion. Medical Research Council improved from 0 to 4 and he was able to achieve active range of motion from 30 to 110°.</description>
      <dc:title>Pediatric Mangled Injury</dc:title>
      <dc:creator>Hiba Saifuddin, Harvey Chim</dc:creator>
      <dc:identifier>10.1016/j.hcl.2026.06.005</dc:identifier>
      <dc:source>Hand Clinics (2026)</dc:source>
      <dc:date>2026-08-17</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-08-17</prism:publicationDate>
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      <title>From Devastation to Function</title>
      <link>https://www.hand.theclinics.com/article/S0749-0712(26)00045-4/fulltext?rss=yes</link>
      <description>This case report describes the successful multistage reconstruction of a severely mangled hand in a 15-year-old boy following a firecracker explosion. The injury resulted in multiple digit amputations, complex fractures, extensive soft tissue loss, and damage to critical anatomic structures, sparing only the little finger. Initial management focused on debridement, skeletal stabilization, and soft tissue coverage, followed by a carefully planned reconstructive pathway. Key surgical interventions included a medial plantar free flap for glabrous, sensate coverage of the thumb, a second toe transfer to restore opposition and prehension, and distraction osteogenesis of the first metacarpal to improve thumb length and fine pinch.</description>
      <dc:title>From Devastation to Function</dc:title>
      <dc:creator>Luigi Troisi, Francesco Zanchetta, Giorgio Eugenio Pajardi</dc:creator>
      <dc:identifier>10.1016/j.hcl.2026.06.006</dc:identifier>
      <dc:source>Hand Clinics (2026)</dc:source>
      <dc:date>2026-08-13</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-08-13</prism:publicationDate>
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      <title>Persistent Infected Nonunion of the Proximal Ulna after a Free Vascularized Fibular Graft</title>
      <link>https://www.hand.theclinics.com/article/S0749-0712(26)00048-X/fulltext?rss=yes</link>
      <description>This article presents our experience in managing a case of a persistent infected nonunion of the proximal ulna that failed to heal after a free vascularized fibular graft. Free vascularized bone grafting is one of the best treatments for infected nonunion, but multiple factors must be addressed to achieve bone union. It is crucial to target septic, biological, and mechanical factors systematically using a step-by-step approach, even when faced with a worst-case scenario after a challenging surgery such as a free vascularized fibular graft.</description>
      <dc:title>Persistent Infected Nonunion of the Proximal Ulna after a Free Vascularized Fibular Graft</dc:title>
      <dc:creator>Katsuhiro Tokutake, Michiro Yamamoto</dc:creator>
      <dc:identifier>10.1016/j.hcl.2026.06.009</dc:identifier>
      <dc:source>Hand Clinics (2026)</dc:source>
      <dc:date>2026-07-30</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-07-30</prism:publicationDate>
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   <item rdf:about="https://www.hand.theclinics.com/article/S0749-0712(26)00042-9/fulltext?rss=yes">
      <title>Reconstruction of Bilateral Upper Extremity High-Voltage Electrical Injuries</title>
      <link>https://www.hand.theclinics.com/article/S0749-0712(26)00042-9/fulltext?rss=yes</link>
      <description>High-voltage electrical injuries to the upper limb cause multiple areas of tissue loss and particularly involve the region of the fingers, wrist and elbow. The nature of the damage poses a challenge to the reconstructive surgeon in terms of ensuring the adequacy of debridement, timing, and type of soft tissue coverage for the various regions, as well as secondary reconstruction to restore function. We illustrate the possible solution by discussing the care pathway of a young boy who sustained electrical burn injuries to fingers and the volar aspect of the wrist with tissue loss in both upper limbs.</description>
      <dc:title>Reconstruction of Bilateral Upper Extremity High-Voltage Electrical Injuries</dc:title>
      <dc:creator>S. Raja Sabapathy, R. Raja Shanmugakrishnan, Shruthi Chandrasekar</dc:creator>
      <dc:identifier>10.1016/j.hcl.2026.06.003</dc:identifier>
      <dc:source>Hand Clinics (2026)</dc:source>
      <dc:date>2026-07-30</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-07-30</prism:publicationDate>
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      <title>Salvage of the Distal Radio-Ulnar Joint Following Failure of Fixation</title>
      <link>https://www.hand.theclinics.com/article/S0749-0712(26)00050-8/fulltext?rss=yes</link>
      <description>Distal radio-ulnar joint arthritis can result in significant impairment of upper limb function. This case report demonstrates a complex course of treatment in a patient with this pathology. Multiple procedures including fixation, matched ulnar resection, and ulnar excision with soft tissue stabilization failed. Ultimately, a Scheker prosthesis was able to achieve long-term functional recovery. This case highlights the challenges in managing distal ulna pathology, implant choices, and the impact of osteoporosis and smoking on bone quality and outcomes.</description>
      <dc:title>Salvage of the Distal Radio-Ulnar Joint Following Failure of Fixation</dc:title>
      <dc:creator>Sarah K.W. Huan, Kevin C. Chung</dc:creator>
      <dc:identifier>10.1016/j.hcl.2026.06.011</dc:identifier>
      <dc:source>Hand Clinics (2026)</dc:source>
      <dc:date>2026-07-28</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-07-28</prism:publicationDate>
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   <item rdf:about="https://www.hand.theclinics.com/article/S0749-0712(26)00049-1/fulltext?rss=yes">
      <title>Reconstruction of Severe Forearm Osteomyelitis</title>
      <link>https://www.hand.theclinics.com/article/S0749-0712(26)00049-1/fulltext?rss=yes</link>
      <description>This article reviews the surgical management of severe chronic forearm osteomyelitis using free vascularized fibular flaps (VFFs), with or without the one-bone forearm (OBF) technique. Based on a 22 patient retrospective series, outcomes show that VFF enables reliable reconstruction of extensive bone and soft tissue defects following radical debridement. In selected cases, OBF offers a salvage solution for both radius and ulna bone loss. The approach led to high infection control rates, bone healing, and functional recovery. Microsurgical reconstruction, particularly using VFF, remains the gold standard for complex forearm infections, restoring structural stability and enabling meaningful upper limb function.</description>
      <dc:title>Reconstruction of Severe Forearm Osteomyelitis</dc:title>
      <dc:creator>Bruno Battiston, Julien Teodori, Alessandro Crosio</dc:creator>
      <dc:identifier>10.1016/j.hcl.2026.06.010</dc:identifier>
      <dc:source>Hand Clinics (2026)</dc:source>
      <dc:date>2026-07-28</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-07-28</prism:publicationDate>
   </item>
   <item rdf:about="https://www.hand.theclinics.com/article/S0749-0712(26)00040-5/fulltext?rss=yes">
      <title>Bone Loss After Implant Removal</title>
      <link>https://www.hand.theclinics.com/article/S0749-0712(26)00040-5/fulltext?rss=yes</link>
      <description>This case illustrates the complex challenges of managing forearm trauma complicated by bone loss after implant removal. A long-standing radial shaft plate, integrated into cortical bone with overgrowth, had to be removed to treat a new peri-prosthetic fracture. Removal caused massive cortical loss, leaving poor bone stock for fixation. Dual plating was performed to bridge the defect and stabilize the distal radius fracture, but mechanical failure prompted a staged revision. A deliberately delayed second operation allowed time for biological preparation. Definitive reconstruction included corrective osteotomy, fixation with appropriate implants, and allograft augmentation, ultimately restoring alignment, stability, and function.</description>
      <dc:title>Bone Loss After Implant Removal</dc:title>
      <dc:creator>Soumen Das De</dc:creator>
      <dc:identifier>10.1016/j.hcl.2026.06.001</dc:identifier>
      <dc:source>Hand Clinics (2026)</dc:source>
      <dc:date>2026-07-28</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-07-28</prism:publicationDate>
   </item>
   <item rdf:about="https://www.hand.theclinics.com/article/S0749-0712(26)00051-X/fulltext?rss=yes">
      <title>Functional Reconstruction of the Hand After Gangrene Affecting All Extremities</title>
      <link>https://www.hand.theclinics.com/article/S0749-0712(26)00051-X/fulltext?rss=yes</link>
      <description>Digital gangrene following septic shock is a debilitating condition that leads to multiple shortened digits and marked functional loss. In symmetric peripheral gangrene (SPG), both hands and feet are affected, eliminating standard reconstructive options such as toe transfers. We present a patient with SPG secondary to septic shock, exacerbated by prolonged vasopressor use, resulting in gangrene of all 4 extremities. A staged reconstructive approach was performed for both hands, utilizing on-top plasties, ray amputation, and local flap rearrangement to restore basic hand function. The initial management, reconstructive reasoning, and challenges encountered are described.</description>
      <dc:title>Functional Reconstruction of the Hand After Gangrene Affecting All Extremities</dc:title>
      <dc:creator>Zhixue Lim, Dilys Hoh, Sandeep Jacob Sebastin</dc:creator>
      <dc:identifier>10.1016/j.hcl.2026.06.012</dc:identifier>
      <dc:source>Hand Clinics (2026)</dc:source>
      <dc:date>2026-07-26</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-07-26</prism:publicationDate>
   </item>
   <item rdf:about="https://www.hand.theclinics.com/article/S0749-0712(26)00046-6/fulltext?rss=yes">
      <title>Gunshot Injury to Hand</title>
      <link>https://www.hand.theclinics.com/article/S0749-0712(26)00046-6/fulltext?rss=yes</link>
      <description>The anatomic complexity of the hand and the proximity of its structures make gunshot injuries especially prone to severe, multi-tissue damage. These injuries often involve multiple structures, including bones, tendons, nerves, and skin, simultaneously, requiring individualized and frequently staged treatment. Various reconstructive strategies are available for each affected structure. In this article, we provide an overview of treatment choices and a representative case that illustrates the clinical reasoning behind selecting among these alternatives in the context of a complex hand gunshot injury, with a focus on restoring function as the primary goal of reconstruction.</description>
      <dc:title>Gunshot Injury to Hand</dc:title>
      <dc:creator>Jorge G. Boretto, Fernando Holc</dc:creator>
      <dc:identifier>10.1016/j.hcl.2026.06.007</dc:identifier>
      <dc:source>Hand Clinics (2026)</dc:source>
      <dc:date>2026-07-26</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-07-26</prism:publicationDate>
   </item>
   <item rdf:about="https://www.hand.theclinics.com/article/S0749-0712(26)00041-7/fulltext?rss=yes">
      <title>Addressing Multiple Hand Fractures</title>
      <link>https://www.hand.theclinics.com/article/S0749-0712(26)00041-7/fulltext?rss=yes</link>
      <description>Management of multiple hand fractures in a mangling injury requires an individualized approach that balances biomechanical stability with soft tissue preservation and surgical efficiency. While plate-and-screw constructs offer strength, less rigid methods like Kirschner wires may achieve comparable outcomes, particularly when soft tissues are intact. Evidence showed that rigid fixation does not consistently give better outcomes, and early mobilization remains key to preventing stiffness. A tailored strategy using both absolute and relative stability principles can optimize function while minimizing complications and improve surgical efficiency.</description>
      <dc:title>Addressing Multiple Hand Fractures</dc:title>
      <dc:creator>Jin Xi Lim, Alphonsus Khin Sze Chong</dc:creator>
      <dc:identifier>10.1016/j.hcl.2026.06.002</dc:identifier>
      <dc:source>Hand Clinics (2026)</dc:source>
      <dc:date>2026-07-24</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-07-24</prism:publicationDate>
   </item>
   <item rdf:about="https://www.hand.theclinics.com/article/S0749-0712(26)00047-8/fulltext?rss=yes">
      <title>Salvaging a Failing Toe to Hand Transfer</title>
      <link>https://www.hand.theclinics.com/article/S0749-0712(26)00047-8/fulltext?rss=yes</link>
      <description>Toe-to-hand transfers face various intra-operative and post-operative complications requiring immediate salvage interventions. We present a case of vascularized toe joint transfer complicated by severe vasospasm during papaverine shortage, successfully salvaged using retrograde anastomosis. This experience, combined with literature review, provides a comprehensive framework for managing failing toe transfers including vasospasm, poor donor vessel pressure, arterial thrombosis, and tissue necrosis. Understanding these salvage techniques is essential for any surgeon considering toe-to-hand reconstruction, as prompt recognition and intervention can convert potential failures into successful outcomes.</description>
      <dc:title>Salvaging a Failing Toe to Hand Transfer</dc:title>
      <dc:creator>Yu-Te Lin, Che-Hsiung Lee</dc:creator>
      <dc:identifier>10.1016/j.hcl.2026.06.008</dc:identifier>
      <dc:source>Hand Clinics (2026)</dc:source>
      <dc:date>2026-07-22</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-07-22</prism:publicationDate>
   </item>
   <item rdf:about="https://www.hand.theclinics.com/article/S0749-0712(26)00043-0/fulltext?rss=yes">
      <title>Creative Solution for Recurrent Failure of Flexor Tendon Repair</title>
      <link>https://www.hand.theclinics.com/article/S0749-0712(26)00043-0/fulltext?rss=yes</link>
      <description>Flexor tendon injuries present complex surgical and rehabilitative challenges, particularly in zone 2 of the hand. This article presents a case of recurrent flexor tendon failure in a young manual laborer, detailing initial repair, rupture, and secondary reconstruction. Despite multiple complications, including recurrent ruptures and repair failures, the case underscores the importance of individualized surgical planning, coordinated rehabilitation, and shared decision-making in achieving optimal functional recovery.</description>
      <dc:title>Creative Solution for Recurrent Failure of Flexor Tendon Repair</dc:title>
      <dc:creator>Gordon C. Wong, Kevin C. Chung</dc:creator>
      <dc:identifier>10.1016/j.hcl.2026.06.004</dc:identifier>
      <dc:source>Hand Clinics (2026)</dc:source>
      <dc:date>2026-07-22</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-07-22</prism:publicationDate>
   </item>
   <item rdf:about="https://www.hand.theclinics.com/article/S0749-0712(26)00022-3/fulltext?rss=yes">
      <title>Historical Perspective of the Surgical Innovations to Improve Prosthetic Control</title>
      <link>https://www.hand.theclinics.com/article/S0749-0712(26)00022-3/fulltext?rss=yes</link>
      <description>Over the course of history, humanity has continuously pursued ways to restore the upper extremity after amputation. Both technology and new techniques have helped bring surgeons closer to recreating the biological upper extremity than ever before. Surgical innovations such as vessel ligation, proximal osteotomies, muscle flap closures, and infection control have their basis in historical accounts of amputation care. The 21st century has seen advances in surgical pain control after amputation, improved myoelectric prosthetic control, and the potential for sensory feedback. The combination and interplay of technology and surgical innovation will continue to drive the field of prosthetics forward.</description>
      <dc:title>Historical Perspective of the Surgical Innovations to Improve Prosthetic Control</dc:title>
      <dc:creator>Matthew D. Ramsey, Kazimir Bagdady, Lindsay E. Janes, Gregory A. Dumanian, Jason H. Ko</dc:creator>
      <dc:identifier>10.1016/j.hcl.2026.03.008</dc:identifier>
      <dc:source>Hand Clinics 42, 3 (2026)</dc:source>
      <dc:date>2026-06-08</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-06-08</prism:publicationDate>
      <prism:volume>42</prism:volume>
      <prism:number>3</prism:number>
      <prism:issueIdentifier>S0749-0712(26)X2003-0</prism:issueIdentifier>
      <prism:startingPage>227</prism:startingPage>
      <prism:endingPage>235</prism:endingPage>
   </item>
   <item rdf:about="https://www.hand.theclinics.com/article/S0749-0712(26)00019-3/fulltext?rss=yes">
      <title>Movement is a Sensory Phenomenon</title>
      <link>https://www.hand.theclinics.com/article/S0749-0712(26)00019-3/fulltext?rss=yes</link>
      <description>Sensing is the crucial undercurrent of life, enabling not just grasping a loved one’s hand or tying laces, but expressing emotions or creating art. Having evolved since bacterial chemotaxis—a driving force of motility—it’s profoundly underrated in movement, often seen as mere byproduct. This article glimpses the evolution of sensing across species, its convergence with motor commands, and deep interdependence. In bionic reconstruction, sensory restoration lags motor advances; we highlight the challenge of translating binary machine signals into the homunculus’s stereognostic language, while spotlighting promising biological interfaces pivotal for embodiment of bionic hands.</description>
      <dc:title>Movement is a Sensory Phenomenon</dc:title>
      <dc:creator>Vlad Tereshenko, Oskar C. Aszmann</dc:creator>
      <dc:identifier>10.1016/j.hcl.2026.03.005</dc:identifier>
      <dc:source>Hand Clinics 42, 3 (2026)</dc:source>
      <dc:date>2026-06-08</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-06-08</prism:publicationDate>
      <prism:volume>42</prism:volume>
      <prism:number>3</prism:number>
      <prism:issueIdentifier>S0749-0712(26)X2003-0</prism:issueIdentifier>
      <prism:startingPage>269</prism:startingPage>
      <prism:endingPage>279</prism:endingPage>
   </item>
   <item rdf:about="https://www.hand.theclinics.com/article/S0749-0712(26)00016-8/fulltext?rss=yes">
      <title>Partial Hand Amputations and Prosthetics</title>
      <link>https://www.hand.theclinics.com/article/S0749-0712(26)00016-8/fulltext?rss=yes</link>
      <description>While partial hand amputations are life-altering events, advances in prosthetic technologies have allowed for great strides in optimizing function of the residual hand. The Starfish procedure has further enhanced the capabilities of myoelectric prosthetics by enabling independent digital manipulation. When coupled with thoughtful nerve and soft tissue management, patients can regain meaningful use in an otherwise devastating injury.</description>
      <dc:title>Partial Hand Amputations and Prosthetics</dc:title>
      <dc:creator>Andrew I. Abadeer, Bryan J. Loeffler</dc:creator>
      <dc:identifier>10.1016/j.hcl.2026.03.002</dc:identifier>
      <dc:source>Hand Clinics 42, 3 (2026)</dc:source>
      <dc:date>2026-06-08</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-06-08</prism:publicationDate>
      <prism:volume>42</prism:volume>
      <prism:number>3</prism:number>
      <prism:issueIdentifier>S0749-0712(26)X2003-0</prism:issueIdentifier>
      <prism:startingPage>249</prism:startingPage>
      <prism:endingPage>254</prism:endingPage>
   </item>
   <item rdf:about="https://www.hand.theclinics.com/article/S0749-0712(26)00027-2/fulltext?rss=yes">
      <title>Occupational Therapist Perspectives in Upper Limb Prosthetic Rehabilitation</title>
      <link>https://www.hand.theclinics.com/article/S0749-0712(26)00027-2/fulltext?rss=yes</link>
      <description>The unique preparation of occupational therapists enables them to strongly influence an individual with upper limb absence. Understanding the phases of prosthetic rehabilitation with patient-centered protocols is required to meet the functional needs of individuals fit with diverse prostheses, including presurgery and postsurgery, preprosthetic fitting, and prosthetic training interventions to facilitate optimal functional outcomes. These protocols support independence and are adapted dependent on the individual client factors and the prosthetic device used. A collaborative interprofessional dynamic that engages the team is crucial to prepare each patient to reach their maximum potential and to enjoy wellness, well-being, and quality of life.</description>
      <dc:title>Occupational Therapist Perspectives in Upper Limb Prosthetic Rehabilitation</dc:title>
      <dc:creator>Debra A. Latour, Diane J. Atkins</dc:creator>
      <dc:identifier>10.1016/j.hcl.2026.03.013</dc:identifier>
      <dc:source>Hand Clinics 42, 3 (2026)</dc:source>
      <dc:date>2026-06-04</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-06-04</prism:publicationDate>
      <prism:volume>42</prism:volume>
      <prism:number>3</prism:number>
      <prism:issueIdentifier>S0749-0712(26)X2003-0</prism:issueIdentifier>
      <prism:startingPage>337</prism:startingPage>
      <prism:endingPage>348</prism:endingPage>
   </item>
   <item rdf:about="https://www.hand.theclinics.com/article/S0749-0712(26)00024-7/fulltext?rss=yes">
      <title>Osseointegration of the Upper Extremity</title>
      <link>https://www.hand.theclinics.com/article/S0749-0712(26)00024-7/fulltext?rss=yes</link>
      <description>Socket-based prosthetics are associated with several problems in the context of upper extremity amputation. These negatively affect comfort and functionality and result in high prosthetic abandonment rates. The concept of osseointegration seeks to circumnavigate these issues by providing a stable interface and avoiding the need for a socket. In this article, we discuss the different osteointegration strategies for each upper extremity amputation level and briefly explore the reported clinical experience for each strategy. Finally, we discuss how progress in this field may help us get closer to the intuitive control of the native hand in the near future.</description>
      <dc:title>Osseointegration of the Upper Extremity</dc:title>
      <dc:creator>Sami Ramadan, Jason M. Souza</dc:creator>
      <dc:identifier>10.1016/j.hcl.2026.03.010</dc:identifier>
      <dc:source>Hand Clinics 42, 3 (2026)</dc:source>
      <dc:date>2026-06-04</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-06-04</prism:publicationDate>
      <prism:volume>42</prism:volume>
      <prism:number>3</prism:number>
      <prism:issueIdentifier>S0749-0712(26)X2003-0</prism:issueIdentifier>
      <prism:startingPage>299</prism:startingPage>
      <prism:endingPage>311</prism:endingPage>
   </item>
   <item rdf:about="https://www.hand.theclinics.com/article/S0749-0712(26)00023-5/fulltext?rss=yes">
      <title>Regenerative Peripheral Nerve Interface and the Future of Intuitive Control</title>
      <link>https://www.hand.theclinics.com/article/S0749-0712(26)00023-5/fulltext?rss=yes</link>
      <description>This article explores the regenerative peripheral nerve interface (RPNI) as an innovative solution for intuitive prosthetic control. Traditional control methods (myoelectric, brain–computer interfaces, and peripheral nerve interfaces) each have their own unique limitations. RPNI surgery involves implanting severed peripheral nerves into free skeletal muscle grafts to amplify action potentials and provide long-term signal stability. Preclinical studies in rats and nonhuman primates demonstrated the effectiveness of the RPNI in neural signal transduction, neuroma prevention, and long-term stability. Early human trials confirm its viability for volitional prosthetic control.</description>
      <dc:title>Regenerative Peripheral Nerve Interface and the Future of Intuitive Control</dc:title>
      <dc:creator>Melanie J. Wang, Theodore A. Kung, Paul S. Cederna, Stephen W.P. Kemp</dc:creator>
      <dc:identifier>10.1016/j.hcl.2026.03.009</dc:identifier>
      <dc:source>Hand Clinics 42, 3 (2026)</dc:source>
      <dc:date>2026-06-04</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-06-04</prism:publicationDate>
      <prism:volume>42</prism:volume>
      <prism:number>3</prism:number>
      <prism:issueIdentifier>S0749-0712(26)X2003-0</prism:issueIdentifier>
      <prism:startingPage>237</prism:startingPage>
      <prism:endingPage>248</prism:endingPage>
   </item>
   <item rdf:about="https://www.hand.theclinics.com/article/S0749-0712(26)00017-X/fulltext?rss=yes">
      <title>Optimizing the Transradial Amputation</title>
      <link>https://www.hand.theclinics.com/article/S0749-0712(26)00017-X/fulltext?rss=yes</link>
      <description>Meticulous bony and soft tissue handling is paramount in optimizing prosthesis wear and minimizing neuropathic and phantom limb pain in patients with transradial amputations. Resection of 7 to 8 cm of radius and ulna proximal to the wrist joint preserves the majority of native forearm rotation. A pedicled pronator quadratus is a useful target for targeted muscle reinnervation and can provide additional distal soft tissue padding over the bone ends. Targeted muscle reinnervation or regenerative peripheral nerve interface techniques that place neurorrhaphy sites deep and distal within the forearm are preferred to minimize painful compressive sites with prosthesis wear.</description>
      <dc:title>Optimizing the Transradial Amputation</dc:title>
      <dc:creator>Courtney Carlson Strother, Andrew I. Abadeer, R. Glenn Gaston</dc:creator>
      <dc:identifier>10.1016/j.hcl.2026.03.003</dc:identifier>
      <dc:source>Hand Clinics 42, 3 (2026)</dc:source>
      <dc:date>2026-06-04</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-06-04</prism:publicationDate>
      <prism:volume>42</prism:volume>
      <prism:number>3</prism:number>
      <prism:issueIdentifier>S0749-0712(26)X2003-0</prism:issueIdentifier>
      <prism:startingPage>255</prism:startingPage>
      <prism:endingPage>262</prism:endingPage>
   </item>
   <item rdf:about="https://www.hand.theclinics.com/article/S0749-0712(26)00028-4/fulltext?rss=yes">
      <title>Bionic Reconstruction of the Upper Extremity</title>
      <link>https://www.hand.theclinics.com/article/S0749-0712(26)00028-4/fulltext?rss=yes</link>
      <description>The inaugural Innovations in Amputation Surgery and Prosthetic Technologies (IASPT) symposium, hosted at Northwestern University in 2016, marked a pivotal moment in the evolution of bionic reconstruction. This meeting brought together many of the pioneers in the field and helped solidify a rapidly emerging discipline focused on integrating advanced amputation surgical techniques with cutting-edge prosthetic technologies—an endeavor to unite man and machine.</description>
      <dc:title>Bionic Reconstruction of the Upper Extremity</dc:title>
      <dc:creator>Jacques Henri Hacquebord, Omri Ayalon</dc:creator>
      <dc:identifier>10.1016/j.hcl.2026.05.001</dc:identifier>
      <dc:source>Hand Clinics 42, 3 (2026)</dc:source>
      <dc:date>2026-06-02</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-06-02</prism:publicationDate>
      <prism:volume>42</prism:volume>
      <prism:number>3</prism:number>
      <prism:issueIdentifier>S0749-0712(26)X2003-0</prism:issueIdentifier>
      <prism:section>Preface</prism:section>
      <prism:startingPage>xiii</prism:startingPage>
   </item>
   <item rdf:about="https://www.hand.theclinics.com/article/S0749-0712(26)00015-6/fulltext?rss=yes">
      <title>Introduction &amp; Successful Bionic Reconstruction Necessitates Authentic and Intentional Multidisciplinary Care</title>
      <link>https://www.hand.theclinics.com/article/S0749-0712(26)00015-6/fulltext?rss=yes</link>
      <description>The upper extremity is a structure of incredible complexity able to perform unique tasks that span from the most delicate and intricate to highly strenuous and forceful. Fully functional and aesthetic replacement of the upper extremity after loss remains a medical and technological aspiration. Meaningful advancements continue to be made in all areas of upper extremity limb loss, specifically in traditional surgical reconstruction and prosthetics. This has generated a new field of treatment that is most accurately titled Bionic Reconstruction. Essentially, successful bionic reconstruction allows for the human body to effectively communicate and work in concert with the man-made technology.</description>
      <dc:title>Introduction &amp; Successful Bionic Reconstruction Necessitates Authentic and Intentional Multidisciplinary Care</dc:title>
      <dc:creator>Jacques Henri Hacquebord, Omri Ayalon</dc:creator>
      <dc:identifier>10.1016/j.hcl.2026.03.001</dc:identifier>
      <dc:source>Hand Clinics 42, 3 (2026)</dc:source>
      <dc:date>2026-05-22</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-05-22</prism:publicationDate>
      <prism:volume>42</prism:volume>
      <prism:number>3</prism:number>
      <prism:issueIdentifier>S0749-0712(26)X2003-0</prism:issueIdentifier>
      <prism:startingPage>221</prism:startingPage>
      <prism:endingPage>225</prism:endingPage>
   </item>
   <item rdf:about="https://www.hand.theclinics.com/article/S0749-0712(26)00026-0/fulltext?rss=yes">
      <title>Mental Health</title>
      <link>https://www.hand.theclinics.com/article/S0749-0712(26)00026-0/fulltext?rss=yes</link>
      <description>This article aims to detail the mental health implications of upper extremity limb loss (UELL), and to underscore the importance of a timely, holistic approach, inclusive of the unique psychological needs of this population. In addition, the authors aim to delineate the importance of a multidisciplinary team inclusive of mental health professionals when performing bionic reconstruction for UELL.</description>
      <dc:title>Mental Health</dc:title>
      <dc:creator>Amanda Azer, Tara Lally, Alta Fried, Ajul Shah, Gina Radice-Vella</dc:creator>
      <dc:identifier>10.1016/j.hcl.2026.03.012</dc:identifier>
      <dc:source>Hand Clinics 42, 3 (2026)</dc:source>
      <dc:date>2026-05-13</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-05-13</prism:publicationDate>
      <prism:volume>42</prism:volume>
      <prism:number>3</prism:number>
      <prism:issueIdentifier>S0749-0712(26)X2003-0</prism:issueIdentifier>
      <prism:startingPage>327</prism:startingPage>
      <prism:endingPage>335</prism:endingPage>
   </item>
   <item rdf:about="https://www.hand.theclinics.com/article/S0749-0712(26)00018-1/fulltext?rss=yes">
      <title>Avoiding a Vanilla Transhumeral Amputation</title>
      <link>https://www.hand.theclinics.com/article/S0749-0712(26)00018-1/fulltext?rss=yes</link>
      <description>Upper-extremity amputation, particularly at or proximal to the elbow joint, is devastating. The complexities of upper-extremity function are challenging to replicate, even with modern prostheses. This leads to a relatively higher rate of prosthesis rejection in upper-extremity amputees as compared to lower-extremity amputees. However, the challenges of performing a functionally useful transhumeral amputation should dissuade even the least of us from seeking to optimize both residual limb and patient functional potential. A poorly done, or even standard, transhumeral amputation is destined to do just that—perform poorly.</description>
      <dc:title>Avoiding a Vanilla Transhumeral Amputation</dc:title>
      <dc:creator>Marissa Dearden, Benjamin K. Potter</dc:creator>
      <dc:identifier>10.1016/j.hcl.2026.03.004</dc:identifier>
      <dc:source>Hand Clinics 42, 3 (2026)</dc:source>
      <dc:date>2026-05-13</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-05-13</prism:publicationDate>
      <prism:volume>42</prism:volume>
      <prism:number>3</prism:number>
      <prism:issueIdentifier>S0749-0712(26)X2003-0</prism:issueIdentifier>
      <prism:startingPage>263</prism:startingPage>
      <prism:endingPage>268</prism:endingPage>
   </item>
   <item rdf:about="https://www.hand.theclinics.com/article/S0749-0712(26)00025-9/fulltext?rss=yes">
      <title>The Role of Amputation and Myoelectric Prosthetic Fitting in Traumatic Adult Brachial Plexus Injury</title>
      <link>https://www.hand.theclinics.com/article/S0749-0712(26)00025-9/fulltext?rss=yes</link>
      <description>Elective amputation with myoelectric prosthesis fitting is an emerging option for adults with complete traumatic brachial plexus injury who fail to regain functional grasp after nerve reconstruction. Recent advances in surgical signal creation and prosthetic technology enable select patients to achieve reliable prosthetic control, improved function, and enhanced quality of life. Careful multidisciplinary evaluation, intensive signal training, and tailored rehabilitation are essential for success. While neuropathic pain often persists, most patients report high prosthesis use and satisfaction. Ongoing research is needed to optimize prosthetic control, pain management, and long-term outcomes in this challenging population.</description>
      <dc:title>The Role of Amputation and Myoelectric Prosthetic Fitting in Traumatic Adult Brachial Plexus Injury</dc:title>
      <dc:creator>Ellen Y. Lee, Andrew W. Nelson, Alexander Y. Shin</dc:creator>
      <dc:identifier>10.1016/j.hcl.2026.03.011</dc:identifier>
      <dc:source>Hand Clinics 42, 3 (2026)</dc:source>
      <dc:date>2026-05-07</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-05-07</prism:publicationDate>
      <prism:volume>42</prism:volume>
      <prism:number>3</prism:number>
      <prism:issueIdentifier>S0749-0712(26)X2003-0</prism:issueIdentifier>
      <prism:startingPage>313</prism:startingPage>
      <prism:endingPage>325</prism:endingPage>
   </item>
   <item rdf:about="https://www.hand.theclinics.com/article/S0749-0712(26)00020-X/fulltext?rss=yes">
      <title>The Role of Traditional Limb Salvage and Finger Replantation in the Era of Bionic Reconstruction</title>
      <link>https://www.hand.theclinics.com/article/S0749-0712(26)00020-X/fulltext?rss=yes</link>
      <description>Replantation is generally recommended for thumb amputations, multiple-digit amputations, and single-digit amputations distal to the flexor digitorum superficialis insertion, because it offers superior functional outcomes compared with revision amputation. Replantation of distal forearm amputations is also considered beneficial, as it results in better postoperative function than prostheses and offers a high likelihood of successful return to work. Elective amputation with bionic reconstruction may be a viable alternative when hand function remains poor, particularly when combined with diminished sensibility following replantation of major upper limb amputations.</description>
      <dc:title>The Role of Traditional Limb Salvage and Finger Replantation in the Era of Bionic Reconstruction</dc:title>
      <dc:creator>Kenji Kawamura, Kevin C. Chung</dc:creator>
      <dc:identifier>10.1016/j.hcl.2026.03.006</dc:identifier>
      <dc:source>Hand Clinics 42, 3 (2026)</dc:source>
      <dc:date>2026-05-06</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-05-06</prism:publicationDate>
      <prism:volume>42</prism:volume>
      <prism:number>3</prism:number>
      <prism:issueIdentifier>S0749-0712(26)X2003-0</prism:issueIdentifier>
      <prism:startingPage>281</prism:startingPage>
      <prism:endingPage>288</prism:endingPage>
   </item>
   <item rdf:about="https://www.hand.theclinics.com/article/S0749-0712(26)00021-1/fulltext?rss=yes">
      <title>The Role of Hand Allotransplantion when Bionic Reconstruction is Possible</title>
      <link>https://www.hand.theclinics.com/article/S0749-0712(26)00021-1/fulltext?rss=yes</link>
      <description>Bionic prostheses and vascularized composite allotransplantation represent transformative strategies for upper extremity reconstruction. While both approaches aim to restore function and improve quality of life, they differ significantly in technique, risk profile, resource requirements, and long-term outcomes. This review synthesizes current evidence and expert perspectives on the role of hand allotransplantation in the modern era, particularly considering the expanding capabilities of advanced bionic reconstruction. We explore clinical indications, contraindications, functional and psychosocial outcomes, economic considerations, and ethical implications to support patient-centered decision-making in upper limb reconstruction.</description>
      <dc:title>The Role of Hand Allotransplantion when Bionic Reconstruction is Possible</dc:title>
      <dc:creator>Peter Qi, L. Scott Levin</dc:creator>
      <dc:identifier>10.1016/j.hcl.2026.03.007</dc:identifier>
      <dc:source>Hand Clinics 42, 3 (2026)</dc:source>
      <dc:date>2026-05-05</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-05-05</prism:publicationDate>
      <prism:volume>42</prism:volume>
      <prism:number>3</prism:number>
      <prism:issueIdentifier>S0749-0712(26)X2003-0</prism:issueIdentifier>
      <prism:startingPage>289</prism:startingPage>
      <prism:endingPage>298</prism:endingPage>
   </item>
   <item rdf:about="https://www.hand.theclinics.com/article/S0749-0712(26)00036-3/fulltext?rss=yes">
      <title>Forthcoming Issues</title>
      <link>https://www.hand.theclinics.com/article/S0749-0712(26)00036-3/fulltext?rss=yes</link>
      <description>Problem-Solving in Upper Limb Trauma Reconstruction</description>
      <dc:title>Forthcoming Issues</dc:title>
      <dc:identifier>10.1016/S0749-0712(26)00036-3</dc:identifier>
      <dc:source>Hand Clinics 42, 3 (2026)</dc:source>
      <dc:date>2026-08</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-08</prism:publicationDate>
      <prism:volume>42</prism:volume>
      <prism:number>3</prism:number>
      <prism:issueIdentifier>S0749-0712(26)X2003-0</prism:issueIdentifier>
      <prism:startingPage>xi</prism:startingPage>
   </item>
   <item rdf:about="https://www.hand.theclinics.com/article/S0749-0712(26)00035-1/fulltext?rss=yes">
      <title>Contents</title>
      <link>https://www.hand.theclinics.com/article/S0749-0712(26)00035-1/fulltext?rss=yes</link>
      <description>Jacques Henri Hacquebord and Omri Ayalon</description>
      <dc:title>Contents</dc:title>
      <dc:identifier>10.1016/S0749-0712(26)00035-1</dc:identifier>
      <dc:source>Hand Clinics 42, 3 (2026)</dc:source>
      <dc:date>2026-08</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-08</prism:publicationDate>
      <prism:volume>42</prism:volume>
      <prism:number>3</prism:number>
      <prism:issueIdentifier>S0749-0712(26)X2003-0</prism:issueIdentifier>
      <prism:startingPage>vii</prism:startingPage>
      <prism:endingPage>x</prism:endingPage>
   </item>
   <item rdf:about="https://www.hand.theclinics.com/article/S0749-0712(26)00034-X/fulltext?rss=yes">
      <title>Contributors</title>
      <link>https://www.hand.theclinics.com/article/S0749-0712(26)00034-X/fulltext?rss=yes</link>
      <description>KEVIN C. CHUNG, MD, MS</description>
      <dc:title>Contributors</dc:title>
      <dc:identifier>10.1016/S0749-0712(26)00034-X</dc:identifier>
      <dc:source>Hand Clinics 42, 3 (2026)</dc:source>
      <dc:date>2026-08</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-08</prism:publicationDate>
      <prism:volume>42</prism:volume>
      <prism:number>3</prism:number>
      <prism:issueIdentifier>S0749-0712(26)X2003-0</prism:issueIdentifier>
      <prism:startingPage>iii</prism:startingPage>
      <prism:endingPage>v</prism:endingPage>
   </item>
   <item rdf:about="https://www.hand.theclinics.com/article/S0749-0712(26)00033-8/fulltext?rss=yes">
      <title>Copyright</title>
      <link>https://www.hand.theclinics.com/article/S0749-0712(26)00033-8/fulltext?rss=yes</link>
      <description>ELSEVIER</description>
      <dc:title>Copyright</dc:title>
      <dc:identifier>10.1016/S0749-0712(26)00033-8</dc:identifier>
      <dc:source>Hand Clinics 42, 3 (2026)</dc:source>
      <dc:date>2026-08</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-08</prism:publicationDate>
      <prism:volume>42</prism:volume>
      <prism:number>3</prism:number>
      <prism:issueIdentifier>S0749-0712(26)X2003-0</prism:issueIdentifier>
      <prism:startingPage>ii</prism:startingPage>
   </item>
   <item rdf:about="https://www.hand.theclinics.com/article/S0749-0712(26)00032-6/fulltext?rss=yes">
      <title>Bionic Reconstruction of the Upper Extremity</title>
      <link>https://www.hand.theclinics.com/article/S0749-0712(26)00032-6/fulltext?rss=yes</link>
      <description>HAND CLINICS</description>
      <dc:title>Bionic Reconstruction of the Upper Extremity</dc:title>
      <dc:creator>Jacques Henri Hacquebord, OMRI AYALON</dc:creator>
      <dc:identifier>10.1016/S0749-0712(26)00032-6</dc:identifier>
      <dc:source>Hand Clinics 42, 3 (2026)</dc:source>
      <dc:date>2026-08</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-08</prism:publicationDate>
      <prism:volume>42</prism:volume>
      <prism:number>3</prism:number>
      <prism:issueIdentifier>S0749-0712(26)X2003-0</prism:issueIdentifier>
      <prism:startingPage>i</prism:startingPage>
   </item>
   <item rdf:about="https://www.hand.theclinics.com/article/S0749-0712(26)00029-6/fulltext?rss=yes">
      <title>Erratum</title>
      <link>https://www.hand.theclinics.com/article/S0749-0712(26)00029-6/fulltext?rss=yes</link>
      <description>On page 100 in the article by Andrew F. Emanuels, MD and Kitty Y. Wu, MD, MSc, FRCSC, “Wrist Anatomy: Open and Arthroscopic Surgical Approaches,” published in the May 2026 issue of Hand Clinics, Figure 6 and its caption should read as follows:</description>
      <dc:title>Erratum</dc:title>
      <dc:identifier>10.1016/j.hcl.2026.05.002</dc:identifier>
      <dc:source>Hand Clinics 42, 3 (2026)</dc:source>
      <dc:date>2026-08</dc:date>
      <prism:publicationName>Hand Clinics</prism:publicationName>
      <prism:publicationDate>2026-08</prism:publicationDate>
      <prism:volume>42</prism:volume>
      <prism:number>3</prism:number>
      <prism:issueIdentifier>S0749-0712(26)X2003-0</prism:issueIdentifier>
      <prism:startingPage>349</prism:startingPage>
   </item>
</rdf:RDF>
