{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T11:03:33Z","timestamp":1784113413622,"version":"3.55.0"},"reference-count":10,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Retained metallic foreign bodies (MFBs) of the upper extremity constitute a clinically consequential subset of penetrating soft tissue injuries. Conventional retrieval approaches may necessitate extensive tissue dissection, prolonged operative durations, and repeated intraoperative fluoroscopic imaging. Rare earth neodymium-iron-boron (NdFeB) magnets represent a minimally invasive adjunctive instrument for the retrieval of ferromagnetic MFBs; however, procedurally granular, anatomically stratified data from dedicated hand surgery practices remain limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A retrospective review of 15 consecutive patients who underwent neodymium magnet-assisted retrieval of upper extremity MFBs at a single institution between January 2022 and January 2024. N35-grade NdFeB disc magnets (10\u2009\u00d7\u20091.5\u2005mm; 1.17\u20131.20 Tesla) and a 36\u2005mm fishing magnet were employed. Two operative techniques were applied:\n                      <jats:italic>direct removal<\/jats:italic>\n                      , in which the magnet attracts the MFB through a mini-incision; and\n                      <jats:italic>vibration localization<\/jats:italic>\n                      , in which magnet-induced fragment movement enables precise pre-extraction localization. Primary outcomes were procedural success, operative duration, and fluoroscopy utilization.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      All 15 MFBs were successfully retrieved (100% procedural success). Mean operative duration was 3.13\u2009\u00b1\u20091.35\u2005min overall; the hand cohort (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200912) demonstrated a mean of 2.75\u2009\u00b1\u20091.14\u2005min under local anesthesia. Mean fluoroscopy utilization was 0.88 images per case (total: 13 images). Twelve patients (80%) underwent superficial mini-incisions without deep dissection.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this preliminary descriptive series, neodymium magnet-assisted retrieval achieved 100% procedural success with low fluoroscopy utilization, brief operative durations, and uncomplicated short-term wound healing in all patients. These findings should be interpreted as hypothesis-generating given the limited sample size and support the feasibility\u2014rather than the proven comparative superiority\u2014of this approach within a dedicated hand surgery practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2026.1854795","type":"journal-article","created":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T10:05:11Z","timestamp":1784109911000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Neodymium magnet-assisted retrieval of metallic foreign bodies in the upper extremity: a descriptive surgical technique series"],"prefix":"10.3389","volume":"13","author":[{"given":"Okyar","family":"Altas","sequence":"first","affiliation":[{"name":"Department of Hand Surgery, Ba\u015fak\u015fehir \u00c7am and Sakura City Hospital","place":["Istanbul, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kemal","family":"Zencirli","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Gazi Ya\u015fargil Education and Research Hospital","place":["Diyarbak\u0131r, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kagan","family":"Cevlik","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Ba\u015fak\u015fehir \u00c7am and Sakura City Hospital","place":["Istanbul, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dogan","family":"Kiral","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Ba\u015fak\u015fehir \u00c7am and Sakura City Hospital","place":["Istanbul, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alperen","family":"Korucu","sequence":"additional","affiliation":[{"name":"Korucu Clinic","place":["Istanbul, Turkey"]},{"name":"Halic University","place":["Istanbul, Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alperen","family":"Elibol","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Ba\u015fak\u015fehir \u00c7am and Sakura City Hospital","place":["Istanbul, T\u00fcrkiye"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,15]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"e317","DOI":"10.1016\/j.bjoms.2020.07.029","article-title":"A blacksmith\u2019s tale: use of a rare earth magnet to facilitate safe removal of a metallic fragment from the face","volume":"58","author":"Radia","year":"2020","journal-title":"Br J Oral Maxillofac Surg"},{"key":"B2","doi-asserted-by":"publisher","first-page":"e25168","DOI":"10.7759\/cureus.25168","article-title":"Minimally invasive magnetic removal of forehead foreign 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