Orthopaedics
be treated successfully beyond three weeks from laceration.
Given the importance of the hand to daily life,
it is clear that injuries to this delicate anatomic structure pose an important issue to patients and getting back to full mobility fast becomes paramount. Hand injuries can significantly diminish an individual’s quality of life, impacting their ability to perform daily tasks, engage in leisure activities, and maintain independence. Basic activities such as dressing, eating, and writing can become challenging or impossible with a hand injury, leading to frustration, dependence on others, and a loss of confidence. Moreover, hand injuries often hinder
productivity in both personal and professional spheres. In the workplace, individuals may struggle to perform tasks efficiently, leading to decreased productivity and potential job loss. This reduction in productivity not only affects the individual but also has broader economic implications, contributing to decreased output and increased healthcare costs.
Better orthopaedics tools, better surgical outcomes The importance of restoring full mobility quickly after a hand injury cannot be overstated. Positive surgical outcomes need to be supported with prompt rehabilitation to facilitate faster recovery, allowing individuals to regain independence and resume their normal activities sooner. Swift restoration of hand function is crucial to getting people back to work and able to perform their daily activities independently and without pain. Moreover, getting back to full mobility
promptly can prevent secondary complications such as muscle atrophy and joint stiffness,
For surgeons, having to resort to on-the-fly solutions may lead to sub-optimal outcomes, with lasting consequences that can endure a lifetime and potentially even result in disability for patients.
which may arise from prolonged immobility. Specifically, from a patient perspective, it is critical to recover mobility as rapidly as possible, as having to return to surgery means setting back the clock on the recovery process and it may take up to two years before they are able to return to work and live a normal life. Orthopaedic surgery plays a key first
role in enabling this return to mobility and productivity, ensuring that everything is in place for rehabilitation and recovery to take place effectively and rapidly. However, far too many patients are unable to benefit from treatment
with tools specifically designed to support surgeons in this complex, critical area. Without the right tools surgeons turn to tools
they can make or repurpose “on the fly” within the OR, relying on anything they can get their hands on in the OR which can be anything from a piece of wire to a paediatric feeding tube. While based on solid anatomical and medical knowledge, these tools are not specifically designed or tested for the surgical purpose they are being used for and require quick-thinking by the surgeon.
While it is doubtlessly admirable that
surgeons are thinking on their feet and going above and beyond their surgical duties by also inventing the missing equipment, these solutions are time consuming, often inadequate and yield less reliable results than regulated medical devices. For example, Toby Orthopaedics has designed a solution for tendon repair procedures, offering surgeons flexibility without compromising efficacy. This tool facilitates repair without imposing a rigid methodology. The transparent retractor, much like a shoehorn, guides the tendon seamlessly back into its sheath and onto the repair site. This ensures a smooth passage but also grants surgeons clear visibility, reducing the risk of inadvertent damage. Complementing this is a versatile suture
retriever which has been designed for the atraumatic retrieval of sutures within the flexor tendon sheath. It doubles as a sheath dilator, extending the window for repairing tendon
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www.clinicalservicesjournal.com I October 2025
Chinnapong -
stock.adobe.com
HANK GREBE -
stock.adobe.com
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