O G LIEN studies how various conditions like diabetes and different surgical techniques impact healing and recovery in patients. They examine the risks associated with surgeries for carpal tunnel syndrome, tendon repairs, and hip replacements, providing crucial insights that help doctors understand and mitigate complications. For instance, they look at how well bones can withstand stress after being drilled for surgical repairs and explore the best methods to stabilize thumbs after ligament surgery. Their work provides valuable information for both patients and surgeons, enhancing patient care.
Key findings
In a study of diabetic patients undergoing carpal tunnel and trigger finger surgeries, 36 out of 262 (13.7%) diabetic patients experienced wound complications, compared to only 9 out of 259 (3.5%) non-diabetic patients.
Research on biceps tendon repair showed that drilled bones could withstand around 9015.2 Newtons, which is weaker compared to 8253.25 Newtons for non-drilled bones.
Comparing two thumb immobilization techniques, the use of a pin during recovery led to significantly less strain on the UCL compared to using just a splint.
The study of the arcus venosus dorsalis pedis found the average diameter of the veins was 4.7 mm, with valves identified that could affect blood flow, important for surgical repairs of the hand.
In a hip replacement study, a new measurement technique kept leg-length discrepancies under 2 millimeters in 31 patients, ensuring better surgical outcomes.
Frequently asked questions
Does Dr. LIEN study diabetes-related complications?
Yes, they research how diabetes affects healing after surgeries, specifically looking at wound complications in diabetic patients.
What types of surgeries does Dr. LIEN focus on?
Dr. LIEN focuses on various orthopedic surgeries, including those for biceps tendon repairs, carpal tunnel syndrome, and hip replacements.
Is Dr. LIEN's work relevant for patients recovering from hand surgery?
Absolutely. Their research provides insights into optimal recovery techniques and reducing risks of complications after hand surgeries.
What impact does Dr. LIEN's research have on surgical techniques?
Their research helps develop better surgical practices and tools, improving patient outcomes and reducing issues like leg length discrepancies and healing complications.
How does Dr. LIEN help improve recovery after surgery?
By studying different surgical techniques and their effects on healing, Dr. LIEN provides critical information that helps doctors enhance recovery strategies for their patients.
Publications in plain English
Bone Morphology and Vascular Supply of Pedicled Distal Radius Bone Using Nano-Computed Tomography.
Plain English This study looked at the structure and blood supply of bone grafts taken from the wrist (distal radius) to see how well they could help heal a specific wrist bone injury (scaphoid nonunion). Researchers found that while the grafts had similar blood supply, the thickness of the outer bone layer was greater in one type of graft (from the volar carpal artery) compared to others, with an average thickness of about 0.79 mm. These differences in bone structure could affect how well the grafts work, but the exact impact isn't clear yet.
Who this helps: This benefits doctors and patients needing treatment for scaphoid injuries.
Optimizing the Use of Operating Rooms by Transitioning Common Hand Surgeries Into the Office Setting.
2023
The Journal of hand surgery
Starr BW, Davenport RO, Granzow D, Johnson SP, Lien JR
Plain English This study explored whether moving simple hand surgeries, done with local anesthesia, from surgical centers to office settings can save money and improve patient access to care. The research found that shifting these procedures resulted in an 82% cost savings per case and freed up 821 hours of operating room time, which could allow over 300 more patients to receive treatment. This matters because it not only lowers healthcare costs but also improves access to surgeries for patients who need them.
Who this helps: Patients needing hand surgeries and other orthopedic treatments.
Dynamic Thumb Circumduction Measured With a Wearable Motion Sensor: A Prospective Comparison of Patients With Basal Joint Arthritis to Controls.
2021
Journal of hand surgery global online
Serra López VM, Gandhi RA, Falk DP, Baxter JR, Lien JR +1 more
Plain English This study looked at how well people with thumb arthritis can move their thumbs compared to healthy individuals. It found that those with thumb arthritis had an average maximum thumb abduction of 53.9 degrees and extension of 50.0 degrees, while healthy controls achieved 70.8 degrees and 58.4 degrees, respectively. The results showed that as the severity of arthritis increased, thumb movement decreased significantly, which highlights the impact of thumb arthritis on everyday activities.
Who this helps: This information benefits patients with thumb arthritis and their doctors.
Wound Healing Complications in Diabetic Patients Undergoing Carpal Tunnel and Trigger Finger Releases: A Retrospective Cohort Study.
2021
The Journal of hand surgery
Gundlach BK, Robbins CB, Lawton JN, Lien JR
Plain English This study looked at how diabetes affects healing after surgeries for carpal tunnel syndrome and trigger finger. Researchers found that 36 out of 262 diabetic patients had wound complications, while only 9 out of 259 non-diabetic patients faced similar issues. The results show that diabetic patients, especially those with higher blood sugar levels (above 6.5%), are at a greater risk for wound healing problems after these surgeries.
Who this helps: This information benefits patients with diabetes who are considering these types of surgeries and their doctors, helping them understand the risks involved.
Greater Arc Perilunate Injury Through a Lunotriquetral Carpal Coalition: A Case Report.
2018
JBJS case connector
Elzinga KE, Lien JR
Plain English This study looked at a 31-year-old man who injured his wrist after falling, resulting in a complex wrist injury combining two issues: a scaphoid fracture and a previously unnoticed bone connection between two wrist bones (the lunotriquetral coalition). After surgery, he regained about 90% of his grip strength and could move his wrist significantly, which allowed him to return to work and his usual activities. The findings highlight the importance of checking for these specific injuries in patients with scaphoid fractures, especially if their wrist anatomy is unusual.
Who this helps: This helps patients with wrist injuries and the doctors treating them.
Biomechanics of the Proximal Radius Following Drilling of the Bicipital Tuberosity to Mimic Cortical Button Distal Biceps Repair Technique.
2018
Hand (New York, N.Y.)
Oak NR, Lien JR, Brunfeldt A, Lawton JN
Plain English This study looked at how drilling into a part of the upper arm bone (the proximal radius) affects its strength, particularly after a specific type of surgery to fix a tendon in the biceps. Researchers tested 16 models and found that the drilled bones were weaker under strain; they could hold up to 9015.2 Newtons compared to 8253.25 Newtons for the non-drilled bones. This matters because it highlights a potential risk of fractures in patients with this type of tendon repair after falls or injuries.
Who this helps: This helps doctors and patients who may undergo distal biceps repair surgery.
Plain English This study looked at injuries to the hand tendons in rock climbers, especially focusing on how common these injuries are compared to the general population. It found that while closed pulley ruptures are rare in most people, they happen more often in climbers because of the stress climbing puts on their hands. Most climbers recover well; those with single pulley injuries usually heal through therapy, while those with multiple ruptures often need surgery, but most are able to resume climbing afterward.
Who this helps: This helps rock climbers and their healthcare providers.
Ulnar collateral ligament strain of the thumb metacarpophalangeal joint: biomechanical comparison of two postoperative immobilization techniques.
2015
Hand (New York, N.Y.)
Lien JR, Brunfeldt A, Julka A, Hughes RE, Ozer K +1 more
Plain English This study looked at different ways to keep the thumb stable after surgery to repair a ligament called the ulnar collateral ligament (UCL). Researchers tested two methods: one used just a splint and the other added a pin to hold the joint in place. They found that using the pin led to less strain on the ligament during thumb movements, which could help prevent damage to the repair.
Who this helps: This benefits patients recovering from UCL surgery and their surgeons.
Arcus venosus dorsalis pedis: morphological considerations for use in superficial palmar arch reconstruction.
2014
The Journal of hand surgery
Lee JJ, Ruta DJ, Lien JR, Brunfeldt A, Lawton JN +1 more
Plain English This research studied a specific vein in the foot, called the arcus venosus dorsalis pedis (AVDP), to see if it could be used to repair the hand's blood supply after serious injuries. They examined 10 cadaver feet and found that the average sizes of the veins were 4.7 mm, 2.9 mm, and 2.1 mm in different parts. Importantly, they discovered that the middle part of the AVDP had valves that could affect blood flow, so surgeons need to be careful when using these veins for repairs.
Who this helps: This helps surgeons and doctors involved in hand surgery, especially when treating patients with severe hand injuries.
Sternocleidomastoid muscular flap: treatment of persistent cerebrospinal fluid leak after anterior cervical spine surgery.
2013
Journal of spinal disorders & techniques
Lien JR, Patel RD, Graziano GP
Plain English This study looked at two patients who experienced persistent leaks of cerebrospinal fluid after neck surgery, a common complication. Surgeons used a piece of muscle from the neck (the sternocleidomastoid muscle) to help repair the leak, and both patients ended up free of leaks afterward without needing more surgery. This matters because successful repairs can prevent further complications, making recovery safer and more effective.
Who this helps: Patients recovering from anterior cervical spine surgery.
Novel method for ensuring leg length in total hip arthroplasty.
2013
Orthopedics
Maratt JD, Weber AE, Knesek M, Lien JR, Urquhart AG
Plain English Surgeons replacing hip joints often accidentally make one leg slightly longer or shorter than the other, which causes pain and walking problems for patients. This paper describes a new measurement tool that surgeons can use during hip replacement surgery to ensure both legs end up exactly the same length.
The researchers tested their method on 31 hip replacement patients and found that the new technique kept leg-length differences to less than 2 millimeters on average—essentially perfect alignment that patients won't notice or feel.
NMR characterization of hydrocarbon gas in porous media.
1998
Magnetic resonance imaging
Hari P, Chang CT, Kulkarni R, Lien JR, Watson AT
Plain English This study looked at how methane gas behaves in different types of materials, specifically focusing on its properties when mixed with water and in porous rocks. The researchers found that the way methane relaxes is greatly influenced by its interaction with surfaces within those materials, and that how the gas spreads out plays a key role in these changes. This matters because understanding methane's behavior can improve how we manage it in natural gas extraction and environmental monitoring.
Who this helps: This helps engineers and scientists working in the fields of energy and environmental protection.
The effect of wait time on T2 distributions from NMR experiments.
1998
Magnetic resonance imaging
Lien JR, Chang CT, Kulkarni R, Watson AT
Plain English This study looked at how the time between measurements affects the data collected from nuclear magnetic resonance (NMR) experiments. Researchers found that the results changed significantly with different wait times; specifically, they could recover accurate data by applying a correction for the wait time. This is important because it helps ensure that the measurements are reliable, which is crucial for various applications in science and medicine.
Who this helps: This benefits researchers and medical professionals using NMR technology for diagnostics and analysis.