Archives of Hand and Microsurgery最新文献_第4页

Comparison of fasciocutaneous and fascial anterolateral thigh free flaps in foot reconstruction 筋膜皮瓣与股前外侧游离皮瓣在足部再造术中的比较

Archives of Hand and Microsurgery Pub Date : 2023-05-02 DOI: 10.12790/ahm.23.0004

S. Roh, Chang Park, S. Koh, Jin Soo Kim, Dong Chul Lee, K. Lee

{"title":"Comparison of fasciocutaneous and fascial anterolateral thigh free flaps in foot reconstruction","authors":"S. Roh, Chang Park, S. Koh, Jin Soo Kim, Dong Chul Lee, K. Lee","doi":"10.12790/ahm.23.0004","DOIUrl":"https://doi.org/10.12790/ahm.23.0004","url":null,"abstract":"Purpose: This study compared the surgical outcomes and quality of life of patients who underwent fasciocutaneous and fascial anterolateral thigh (ALT) free flaps for the reconstruction of traumatic soft tissue defects in the foot.Methods: A single-institution retrospective review of medical data from 2008 to 2021 was conducted on 20 patients who underwent a fasciocutaneous ALT free flap or fascial ALT free flap in the foot. Information was collected on patients’ baseline information, preoperative characteristics, and postoperative courses. Quality of life was measured through the Foot and Ankle Disability Index (FADI) score. A questionnaire survey was administered to evaluate aesthetic satisfaction and subjective improvement of dryness and sensory function at the surgical site.Results: The mean flap dimensions were 13.96×4.58 cm and 10.75×3.50 cm in the fasciocutaneous and fascial groups, respectively. The overall flap failure and complication rates were higher in the fasciocutaneous group (total necrosis in one case, partial flap loss in two cases, and vascular complications in three cases). While aesthetic satisfaction and functional outcomes (FADI Sports) showed better outcomes in the fascial group, subjective improvement of dryness and sensory recovery showed better results in the fasciocutaneous group.Conclusion: In comparison to fasciocutaneous flaps, fascial free flaps demonstrated lower rates of wound complications, higher aesthetic satisfaction, and better functional outcomes, but less improvement in dryness and sensory recovery at the flap site. Therefore, the choice of a flap for foot reconstruction should depend on the plastic surgeon’s discretion and a thorough discussion with the patient.","PeriodicalId":137349,"journal":{"name":"Archives of Hand and Microsurgery","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126330642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Management of metacarpal and phalangeal fractures 掌骨和指骨骨折的治疗

Archives of Hand and Microsurgery Pub Date : 2023-03-22 DOI: 10.12790/ahm.23.0005

Seungbum Chae, Il-Jung Park

引用次数: 1

Comparison of groin lymph node anatomy in patients with upper-extremity lymphedema and healthy subjects using contrast-enhanced computed tomography 对比增强计算机断层扫描对上肢淋巴水肿患者和健康人腹股沟淋巴结解剖结构的比较

Archives of Hand and Microsurgery Pub Date : 2023-02-15 DOI: 10.12790/ahm.22.0070

Tae-Yul Lee, Hyung-kyu Kim, Hi-Jin You, Deok-Woo Kim

{"title":"Comparison of groin lymph node anatomy in patients with upper-extremity lymphedema and healthy subjects using contrast-enhanced computed tomography","authors":"Tae-Yul Lee, Hyung-kyu Kim, Hi-Jin You, Deok-Woo Kim","doi":"10.12790/ahm.22.0070","DOIUrl":"https://doi.org/10.12790/ahm.22.0070","url":null,"abstract":"Purpose: Lymphedema is a chronic disease that affects patients’ quality of life. Vascularized groin lymph node transfer is a reliable treatment that requires detailed anatomic knowledge of the superficial inguinal lymph nodes (SILNs). This study compared the anatomy of SILNs between patients with upper-extremity lymphedema and individuals without lymphedema using pelvic computed tomography (CT).Methods: The CT scans of 17 patients (the patient group) with upper-extremity lymphedema and 34 individuals without lymphedema (the normal group) were studied. The reference point was marked 3 cm perpendicularly below one-third of the line from the pubic tubercle to the anterior superior iliac spine. The number, distance, and concentration of SILNs were measured relative to the reference point.Results: The SILNs in the normal group had a mean count of 6.47±1.19, a mean distance from the reference point of 21.10±9.66 mm, and a mean concentration of 84%. The patient group had a mean lymph node count of 7.68±1.63, a mean distance of 22.48±9.51 mm, and a mean concentration of 77%. The normal and patient groups had significantly different mean lymph node counts (p=0.01). The mean distance from the reference point (p=0.07) and the mean lymph node concentration (p=0.20) did not differ significantly between groups. Conclusion: Pelvic CT is a reliable method to evaluate the anatomy of SILNs in detail. A statistically significant difference was found in the number of lymph nodes between the lymphedema patient group and the normal group, but not in their distribution.","PeriodicalId":137349,"journal":{"name":"Archives of Hand and Microsurgery","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115863215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Arthroscopic synovectomy of the wrist 关节镜下腕部滑膜切除术

Archives of Hand and Microsurgery Pub Date : 2023-02-14 DOI: 10.12790/ahm.22.0073

Young-Keun Lee, Jong-Hong Kim

引用次数: 0

High-resolution ultrasonography is a more useful primary diagnostic tool than magnetic resonance imaging for subungual glomus tumors: a single-center retrospective study 一项单中心回顾性研究表明，高分辨率超声检查是比磁共振成像更有用的蹄下血管球瘤的初级诊断工具

Archives of Hand and Microsurgery Pub Date : 2023-02-13 DOI: 10.12790/ahm.22.0060

Yong Been Kim, In Cheul Choi, J. H. Park, J. Nam, K. Hwang, Jong Woong Park

{"title":"High-resolution ultrasonography is a more useful primary diagnostic tool than magnetic resonance imaging for subungual glomus tumors: a single-center retrospective study","authors":"Yong Been Kim, In Cheul Choi, J. H. Park, J. Nam, K. Hwang, Jong Woong Park","doi":"10.12790/ahm.22.0060","DOIUrl":"https://doi.org/10.12790/ahm.22.0060","url":null,"abstract":"Purpose: Ultrasonography (US) and magnetic resonance imaging (MRI), which has better resolution, have been suggested as appropriate diagnostic tools for digits; however, comparative studies of both modalities are scarce. This study compared the diagnostic performance of high-resolution US and MRI in characterizing subungual glomus tumors. Methods: We retrospectively analyzed the data of consecutive patients who were examined with high-resolution US and MRI before surgical exploration for subungual tumors from January 2017 to April 2020. The patients’ clinical data and radiological findings were collected. Historical reports for diagnostic confirmation and measurements of mass size were reviewed. We conducted the McNemar test and evaluated the degree of agreement between the size measurements made using both techniques.Results: Overall, 22 patients (age range, 19–72 years) underwent surgical exploration and had subungual glomus tumors. The mean duration from initial symptom presentation to diagnosis was 7 years (range, 5–30) years. Only nine patients (40.9%) presented with the symptomatic triad of pain, cold sensitivity, and tenderness. MRI detected lesions in 19 cases (86.4%); three cases (13.6%) were undetected. Contrastingly, US was able to detect all lesions. Nine patients (40.9%) had visibly rich blood flow in tumor tissues on Doppler US. MRI and US showed bone erosion in eight and 15 cases, respectively. Conclusion: The detection rate of high-resolution US for subungual glomus tumors was as high as that of MRI. US can be applied easily and quickly and can be more useful as a primary diagnostic tool.","PeriodicalId":137349,"journal":{"name":"Archives of Hand and Microsurgery","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133748862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A rare case of nerve compression caused by a connected lipoma of the wrist 一个罕见的病例神经压迫引起连接的脂肪瘤的手腕

Archives of Hand and Microsurgery Pub Date : 2023-02-07 DOI: 10.12790/ahm.22.0059

Do-Whan Kim, J. Yoon, Surak Eo, Y. Han, SooA Lim

引用次数: 0

Resection of one slip of the flexor digitorum superficialis resulting finger deformity in pediatric trigger finger: a case report 小儿扳机指的指浅屈肌滑移切除导致手指畸形1例

Archives of Hand and Microsurgery Pub Date : 2023-02-03 DOI: 10.12790/ahm.22.0058

Do-Whan Kim, J. Yoon, SooA Lim, Y. Han, Surak Eo

引用次数: 0

Modified Pulvertaft orthogonal passing-through suture technique: a preliminary study 改良粉状正交穿刺术的初步研究

Archives of Hand and Microsurgery Pub Date : 2023-01-16 DOI: 10.12790/ahm.22.0037

M. B. Kim, S. Jung, Dong Hoon Sung

{"title":"Modified Pulvertaft orthogonal passing-through suture technique: a preliminary study","authors":"M. B. Kim, S. Jung, Dong Hoon Sung","doi":"10.12790/ahm.22.0037","DOIUrl":"https://doi.org/10.12790/ahm.22.0037","url":null,"abstract":"Purpose: If the primary suture is difficult due to the large size of a tendon defect, reconstruction of the defective tendon is attempted through tendon transfer or tendon graft. The Pulvertaft technique is most commonly used, but it increases bulk and friction, and it could cause adhesion formation. In order to overcome these problems, we aimed to introduce a new technique.Methods: We retrospectively reviewed 22 patients who underwent tendon reconstruction using the modified Pulvertaft technique due to tendon defects from January 2016 to December 2021. An abbreviated version of the original DASH (Disabilities of Arm, Shoulder and Hand) outcome measure (QuickDASH) was measured 3 months after surgery. Until the final follow-up observation, tendon rerupture, infection, tendon-related complications (quadriga effect, motion limitation due to bulky size of the suture site), and contracture were measured. QuickDASH was compared according to the cause of the tendon defect and the type of operation using the Mann-Whitney test.Results: The mean QuickDASH score measured 3 months after surgery was 10.42±7.83. No statistically significant difference in the QuickDASH score was found between patients who underwent tendon transfer and those who underwent tendon grafts (p=0.988). Rerupture occurred in 1 case, and there were no cases of infection, tendon-related complications (quadriga effect, motion limitation due to bulky size of the suture site), or contracture.Conclusion: The orthogonal passing-through suture technique could be a new alternative to the tendon reconstruction technique.","PeriodicalId":137349,"journal":{"name":"Archives of Hand and Microsurgery","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127216748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cefepime-induced neurotoxicity after flap surgery: a rare case report 皮瓣术后头孢吡肟致神经毒性1例报道

Archives of Hand and Microsurgery Pub Date : 2023-01-16 DOI: 10.12790/ahm.22.0057

W. Song, Chan Yeong Lee, H. Ryu, J. Byeon, Hwanjun Choi

引用次数: 0

Immediate surgical treatment for massive extravasation of computed tomography contrast medium in the hand: a case report 即刻手术治疗手部计算机断层造影剂大量外渗1例报告

Archives of Hand and Microsurgery Pub Date : 2022-12-15 DOI: 10.12790/ahm.22.0051

Byungjoon Yoo, K. Oh, Junekyu Kim, K. Kim, H. Shin

{"title":"Immediate surgical treatment for massive extravasation of computed tomography contrast medium in the hand: a case report","authors":"Byungjoon Yoo, K. Oh, Junekyu Kim, K. Kim, H. Shin","doi":"10.12790/ahm.22.0051","DOIUrl":"https://doi.org/10.12790/ahm.22.0051","url":null,"abstract":"There are no treatment guidelines for the extravasation of contrast medium. A 71-year-old man underwent coronary artery computed tomography. When contrast medium (iohexol) was injected through the right cephalic vein, massive leakage into the surrounding tissues occurred. A physical examination showed severe swelling of the hand and a prolonged capillary refill time. X-rays showed a massive accumulation of contrast medium in the hand. We immediately performed surgical treatment, including four skin incisions on the hand, subcutaneous dissection, and squeezing, which led to the removal of 50 mL of liquid. The immediate postoperative radiographic findings showed dramatic fading of most of the contrast medium. Four days postoperatively, radiography showed complete dissolution of all contrast medium, and a physical examination revealed full recovery of skin color and capillary refill time. We successfully managed massive extravasation of contrast medium in the hand with immediate surgical treatment. An immediate surgical approach for massive extravasation should be considered to achieve favorable outcomes.","PeriodicalId":137349,"journal":{"name":"Archives of Hand and Microsurgery","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124709329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0