Research Articles
The Members of VHSA collaborate with doctors within St Vincent’s Hospital, Royal Children’s Hospital and Dandenong Hospital; researchers at the O’Brien Institute, Department of Biomechanical Engineering at Melbourne University and Monash Institute of Medical Engineering at Monash University. Research is a key activity for the clinical fellows who spend a year training in the subspecialty of hand surgery with VHSA.
Recent Publications
Retinaculum grafts in scapholunate ligament reconstruction. A Systematic Review.
Estermann L, York B, Tham CY, Onggo J, Tham S. J Wrist Surg Accepted 2024
Midcarpal arthrodesis with or without excision of triquetrum: A systematic review.
Tee R, Fine NF, Onggo J, Tham SK, Ek ET. J Wrist Surg Accepted 2024
Simplifying the decision-making process in the treatment of Kienböck’s Disease. Tee R, Butler S, Ek E, Tham S. Accepted J Wrist Surg 2024
Presence of anomalous flexor carpi radialis brevis (FCRB) in Madelung’s deformity. Cheung K, Wang KK, McCombe D. J Hand Surg Eur Vol. 2024 Jul; 49(7):917-919
Bilateral Dorsal Nail Curvature of the Thumb Distal Phalanx – A Case Report. Fernando AR, Wilks DJ, McCombe DB, Coombs CJ. J Hand Surg Asian Pac Vol. 2024 Apr: 29(2):156-159
The Oberg, Manske, and Tonkin Classification oof Congenital Upper Limb Anomalies: A Consensus Decision-Making Study for Difficult or Unclassifiable Cases. Wall LB, McCombe D, Goldfarb CA, Lam WL, ICHAD study group. J Hand Surg Am. 2024 Apr; 49(4):379.e1-379.e7.
A comparison of rib osteochondral graft to medial femoral trochlear osteocartilaginous graft for the salvage of the fragmented scaphoid proximal pole. A single centre experience with minimum 2-year follow-up. Butler S, Galbraith J, Ek ETH, Berger A, McCombe D, Tham S. J Wrist Surg Accepted 2023
Immunohistochemical investigation of mechanoreceptors within the injured scapholunate ligament. Miles O, Tham S, Morrison WA, Palmer J, McCombe D. J Hand Surg Am Accepted 2023
Scaphoid, lunate and capitate kinematics in the normal and ligament deficient wrist: A biplane X-ray fluoroscopy study. Zhang X, Tham S, Ek ET, McCombe D, Ackland DC. J Biomechanics. 2023 Sep:158:111685. doi: 10.1016/j.jbiomech.2023.111685. Epub 2023 Jun 19.
Distal Interphalangeal joint arthroplasty: A narrative review. Modi D, Slevin O, Bhalla H, McCombe D, Berger AC, Tham S. J Hand Surg AP 28(4):427-434, 2023.
Determining the Optimal Radiologic Wrist and Forearm Position to Visualise Screw Protrusion in Scaphoid Fixation. Yong M, Liu E, Tee R, Zhang X, Tham S. ANZ J Surg 93(6): 1652-1657, 2023.
Medial femoral condyle corticoperiosteal flap for failed total wrist fusion. Richard Tee, Jason Harvey, Stephen Tham, Eugene Ek. J Wrist Surg 12(4): 288-294, 2023.
Trapeziometarpal arthritis in the young patient. Tham S, McCombe D. J Hand Surg Eur 48(3): 199-207. 2023
Median Nerve Palsy in Pediatric Supracondylar Humerus Fractures Recovers Faster With Open Than Closed Reduction. Wilks DJ, Ye X, Biggins R, Wang KK, Wade RG, McCombe D. J Pediatr Orthop. 2023; 43(7):407-13.
An international survey on the adoption and practicality of the Oberg, Manske, Tonkin classification. Goldfarb CA, Wall LB, McCombe D, Huelsemann W, Lam WJ. J Hand Surg Eur Vol. 2023 Dec; 48(11):1233-36.
Modification du volume, du type de fibres cellulaires et de l’expression génique au sein du muscle strié flexor digitorum profondus après section tendineuse dans un modèle expérimental de rongeur. G. Bacle, E. Ek and S. Tham. Hand Surgery and Rehabilitation 2022 Vol. 41 Pages 743
A Biomechanical Assessment of a Novel, Low-Cost All- Suture Anchor in a Flexor Digitorum Profundus Model. Tanup Prasai, Lachlan Huntington, David Ackland, Stephen Tham. J Hand Surg (E). 47(6):654-661, 2022
Double screw osteosynthesis in an unstable scaphoid fracture model: A biomechanical comparison of two screw configurations. Carsten Surke, Lachlan S. Huntington, Xin Zhang, Eugene Ek, David Ackland, Stephen Tham. J Hand Surg (A) 47(11): 1118.e1-1118.e8, 2022.
Designing a Better Incision for Proximal Tibial Osteosarcoma Resection and Reconstruction – A reminder of the skin’s vascular anatomy.
Alexander W, McCombe D, Coombs C. ANZ J Surg. 2022; 92(1-2):13-16
Intramedullary Fixation of Double-Barrel Vascularised Fibula Grafts With Subsequent Lengthening for Reconstruction of the Distal Femur in Patients with Osteosarcoma.
Lenze U, O’Sullivan M, McCombe D, Coombs C, Donnan L. J Paediatr Orthop. 2022; 42(6):e674-e681
Satisfaction with hand appearance in children with index pollicization for thumb hypoplasia.
Sandvall B, Atkins S, McCombe D, Bellew M, Coombs CJ, Pennington AJ. J Plast Reconstr Aesthet Surg. 2022; 75(9): 3234-3241
Ulnar -sided wrist pain: A prospective analysis of diagnostic clinical tests. O Ou Yang, D McCombe, C Keating, P Maloney, A Berger, S Tham. ANZ J Surg 91(10):2159-2162, 2021
Biomechanical comparison of intramedullary screw fixation, dorsal plating and K-wire fixation for stable metacarpal shaft fractures. J Galbraith, LS Huntington, P Borbas, D Ackland, S Tham, E Ek. J Hand Surgery (E) 2021
Histomorphology of the subregions of the scapholunate interosseous ligament and its enthesis. Liew MY, Mortimer JW, Paxton JZ, Tham SK, Rust PA. J Wrist Surg 2021; 10(6): 467-475.
The scapholunate dilemma. S Tham, E Ek. Editorial. J Wrist Surg 2021; 10(6): 465-466.
Ligamentisation and remnant integration: Implications for scapholunate ligament reconstruction. Tim Lindsay, Harley Myers, Stephen Tham. J Wrist Surgery, 2021;10(6):476-483.
Functional recovery following trapeziectomy and ligament reconstruction and tendon interposition: A prospective longitudinal study. Janakiramanan N, Miles O, Collon S, Crammond B, McCombe D, Tham S. J Hand Surg (A) 2021; 46: 963-971. Editor’s Choice.
Reconstruction of the proximal scaphoid with a medial femoral trochlea osteochondral graft: minimum 2-year results.
Keating C, McCombe D, Powell C, Maloney P, Ek E, Tham S. JHS (A) 2020
Characteristics and assessment of children undergoing upper limb surgery for management of cerebral palsy.
Sabella D, Scheinberg A, Johnston B, McCombe D, Hasnat M. Aust J of Plastic Surgery: 2021; 4(1):35-47
Prenatal and Postnatal Diagnosis of Congenital Upper Limb Differences: The First 3 Years of the Australian Hand Difference Register.
O’Keefe D, Kennedy J, McCombe D, Coombs C, Hui L, Wilks D, Halliday J. J Paediatr Child Health. 2021; 58(1):122-128.
Conservative Treatment of Subcapital Phalangeal Fracture Malunions.
Sandvall BK, McCombe D, Coombs CJ. Aust Journal of Plastic Surgery: 2020; 3(1):47-49
Keeping up to date with classification of congenital upper limb differences: the Australian perspective.
McCombe D, Coombs C, Tolerton S. J. Hand Surg Eur Vol. 2020 Dec; 45(10):1111-1112
Histomorphology of the subregions of the scapholunate interosseous ligament and its enthesis.
Liew MY, Mortimer JW, Paxton JZ, Tham SK, Rust PA. J Wrist Surg 2020
Surgical repair of triangular fibrocartilage complex tears: A systematic review.
Edward Liu, Kary Suen, Stephen Tham, Eugene Ek. J Wrist Surg, 2020
3.5 to 18 years outcome data for costal osteochondral grafts for salvage of the proximal pole of the scaphoid. Charles Bain, Stephen Tham, Chris Powell, Anthony Berger, Aaron Withers, David McCombe. J Hand Surg (E), 2020
Ligamentisation and remnant integration: Implications for scapholunate ligament reconstruction.
Tim Lindsay, Harley Myers, Stephen Tham. J Wrist Surgery, 2020
Measurement of scaphoid bone microarchitecture: A computed tomography imaging study and implications for screw placement.
Lachlan Huntington, Avanthi Mandaleson, Freya Hik, Eugene Ek, David Ackland, Stephen Tham. J Hand Surg Am, 2020
Medial femoral trochlear graft for scaphoid waist non-union: A case report and review of the literature.
Bruno Crepaldi, Cameron Keating, Eugene Ek, Stephen Tham. J Wrist Surgery 2020; 9:186-189
Recommendations for management of neonatal brachial plexus palsy: Based on clinical review.
Eldridge B, Alexander N, McCombe D. J Hand Ther. 2020 Jul-Sep;33(3):281-287.
Ossification of the superficial radial nerve causing pain: an unusual case of progressive osseous heteroplasia.
Miles O, Cabalag M, McCombe D. ANZ J Surg. 2020 Mar 3.
Scaphocapitate fusion for the treatment of Lichtman stage III Kienböck’s disease. Results of a single centre study with literature review.
Collon S, Tham SKY, McCombe D, Bacle G. Hand Surg Rehabil. 2020 May;39(3):201-206.
An Update on the Management of Nerve Gaps
Alexander W, Coombs C. Australas J Plast Surg. 2020; 3(1):3–7.
Paediatric Facial Trauma and Scars
Alexander W. AusDoc Clinical Focus. 2020; 18-19 (Ausdoc.com.au)
The twist X-ray – A novel test for dynamic scapholunate instability.
S Sikora, SK Tham, J Harvey, T Goldring, A Rotstein, ET Ek. J Wrist Surgery 8(1):61-65,2019.
Eosinophilic Fasciitis – Beware of the rare form of hand contracture
O Ou Yang, A Berger. ANZ Journal of Surgery 2019
Fixation of the fractured lunate in Kienböck’s disease.
Justin Chou, Guillaume Bacle, Eugene TH Ek, Stephen KY Tham. J Hand Surg(A) 44(1): 67.e1-67.e8, 2019
Dual-energy contrast-enhanced CT to evaluate scaphoid osteonecrosis with surgical correlation.
Pianta M, McCombe D, Slavin J, Hendry S, Perera W. J Med Imaging Radiat Oncol. 2019 Feb;63(1):69-75.
Quantitative analysis of in-vivo thumb carpometacarpal joint kinematics using four-dimensional computed tomography.
Wang KK, Zhang X, McCombe D, Ackland DC, Ek ET, Tham SK. J Hand Surg Eur Vol. 2018 Dec;43(10):1088-1097.
A Blinded, Randomised Trial Comparing Bicolumnar Arthrodesis to Radioscapholunate Arthrodesis in SLAC II Arthritis: A Pilot Study.
S Chan, S Sikora, J Harvey, S Tham. JHS(E) 2018, 43(8):813-819.
Scaphoid fixation in a non-union model: A biomechanical study comparing 3 types of fixation.
Mandaleson A, Tham SK, Lewis C, Ackland DC, Ek ET. J Hand Surg(A) 43(3): 221-228, 2018
Scalp Coordinate System: A new tool to accurately describe cutaneous lesions on the scalp: A Pilot Study.
Alexander W, Miller G, Alexander P, Henderson M, Webb A. ANZ Journal of Surgery 2018
Acute Lumbar Paraspinal Compartment Syndrome- A Systematic Review
Alexander W, Low N, Pratt G. ANZ Journal of Surgery 2018
The Incidence and Significance of Raised Troponin Levels in Acute Burns
Alexander W, Schneider H-G, Smith C, Cleland H. Journal of Burn Care and Research. Journal of Burn Care and Research. 2018 Aug 17;39(5):729-735
Second toe wrap-around flap for reconstruction of a ring avulsion injury.
Murphy AD, Tham SK. J Hand Surg 42E (8), 857-858, 2017
Assessment of normal trapeziometacarpal joint alignment.
Rust PA, Ek E, Tham SK. J Hand Surg (E) 42E (6), 605-609, 2017
Radial column excision and four-corner fusion for the treatment of basal thumb arthritis and scapholunate advance collapse wrist or midcarpal arthritis.
Mandaleson A, Wagels M, Tham S. J Wrist Surg 2017; 06(04):294-300.
The use of vascularised bone capping to prevent and treat amputation stump spiking in the paediatric population.
Murphy AD, Atkins SE, Thomas DJ, McCombe D, Coombs CJ. Microsurgery. 2017 Sep;37(6):589-595.
Paediatric fingertip composite grafts: Do they all go black?
Murphy AD, Keating CP, Penington A, McCombe D, Coombs CJ. J Plast Reconstr Aesthet Surg. 2017 Feb;70(2):173-177.
Scaphocapitate fusion in advanced Kienbocks disease: Retrospective clinical study at 4.8 year follow-up.
Collon S, Berger A, Tham S, McCombe D. Hand 2016; 11(1_suppl), 33s-34s.
The “Trigger” Thumb Locked in Extension – An Unusual Presentation of a Common Paediatric Condition.
Johnstone BR, Currie LJ, Ek EW, Wilks DJ, McCombe DB, Coombs CJ. J Hand Surg Asian Pac Vol. 2016 Jun;21(2):234-8.
Re: Knight R, Pagkalos J, Timmons C et al. Caffeine consumption does not have an effect on digital microvascular perfusion assessed by laser Doppler imaging on healthy volunteers: a pilot study. J Hand Surg Eur. 2015, 40: 412-5.
Wilks DJ, McCombe DB, Coombs CJ. J Hand Surg Eur Vol. 2016 Feb;41(2):235.
Are overweight and obese patients who receive autologous free-flap breast reconstruction satisfied with their postoperative outcome? A single-centre study.
Sinha S, Ruskin O, D’Angelo A, McCombe D, Morrison WA, Webb A. J Plast Reconstr Aesthet Surg. 2016 Jan;69(1):30-6.
4D printing: A new evolution in CT-guided stereolithographic modelling. Principles and application.
Chae M, Hunter-Smith DJ, Spychal R, De Silva I, Tham S, Rozen WM. J Reconstr Microsurg. 2015 Jul; 31(6): 458-463.
Funding analysis of bilateral autologous free-flap breast reconstructions in Australia.
Sinha S, Ruskin O, McCombe D, Morrison W, Webb A. J Plast Reconstr Aesthet Surg. 2015 Aug;68(8):1120-6.
Accuracy and complications of CT-guided core needle biopsy of peripheral nerve sheath tumours.
Pianta M, Chock E, Schlicht S, McCombe D. Skeletal Radiol. 2015 Sep;44(9):1341-9.
Spinal accessory nerve transfer outperforms cervical root grafting for suprascapular nerve reconstruction in neonatal brachial plexus palsy.
Seruya M, Shen SH, Fuzzard S, Coombs CJ, McCombe DB, Johnstone BR. Plast Reconstr Surg. 2015 May;135(5):1431-8.
Case of knee pain in a child: Intra-neural ganglion of the tibial nerve.
Palit V, Paddle A, Rozen WM, Fairbank S, McCombe D. J Paediatr Child Health. 2015 Jul;51(7):727-30. doi: 10.1111/jpc.12851. Epub 2015 Mar 10.PMID: 25756932 No abstract available.
Book Chapters:
Berger A.Sir Sydney Sunderland. In: Crafting A Legacy: The Incredible Lives of Asian-Pacific Hand Surgery Pioneers. (Ed) Dawn Chia, Sandeep J Sebastin, and S Raja Sabapathy. World Scientific Publishing, Singapore 2023. In print.
McCombe D and Soldado F. Deformities of the Hand and Fingers. In: Green’s Operative Hand Surgery. 8th Ed (Ed) Wolfe SW, Pederson WC, Hotchkiss RN, Kozin S and Cohen M, Churchill Livingstone, New York. In press.
Kay SP and McCombe D. General Principles and Techniques. In: Oxford Textbook of Plastic and Reconstructive Surgery.(Ed) Kay SP, McCombe D and Wilks D, Oxford University Press, Oxford. In press.
McCombe D. and Morrison WA. Microsurgery. In: Oxford Textbook of Plastic and Reconstructive Surgery.(Ed) Kay SP, McCombe D and Wilks D, Oxford University Press, Oxford. In press.
McCombe D. Traumatic injury to the child’s hand. In: Oxford Textbook of Plastic and Reconstructive Surgery.(Ed) Kay SP, McCombe D and Wilks D, Oxford University Press, Oxford. In press.
Kay SP and McCombe D. Deformities of the Hand and Fingers. In: Green’s Operative Hand Surgery. 7th Ed (Ed) Wolfe SW, Pederson WC, Hotchkiss RN, Kozin S and Cohen M, Churchill Livingstone, New York 2016
McCombe D. Hand Injuries in Children. In: Disorders of the Hand (Ed) Trail IA and Fleming ANM Springer, London 2015