Archives of Hand and Microsurgery最新文献_第5页

Comparison of ulnar shortening osteotomy for idiopathic ulnar impaction syndrome using conventional or ulnar osteotomy plates and with or without interfragmentary screw fixation 尺侧短截骨治疗特发性尺侧嵌塞综合征的比较:采用常规或尺侧截骨钢板以及采用或不采用骨折段间螺钉固定

Archives of Hand and Microsurgery Pub Date : 2022-12-01 DOI: 10.12790/ahm.22.0054

Kyung Wook Kim, Ju ng-Hyun Kim, Jeong-Sang Kim, Bum Jin Shin, J. Kim

{"title":"Comparison of ulnar shortening osteotomy for idiopathic ulnar impaction syndrome using conventional or ulnar osteotomy plates and with or without interfragmentary screw fixation","authors":"Kyung Wook Kim, Ju ng-Hyun Kim, Jeong-Sang Kim, Bum Jin Shin, J. Kim","doi":"10.12790/ahm.22.0054","DOIUrl":"https://doi.org/10.12790/ahm.22.0054","url":null,"abstract":"Purpose This study investigated the impact of plate type on the clinical and radiological outcomes of ulnar shortening osteotomy (USO) by comparing conventional and ulnar osteotomy plates. The effect of interfragmentary screw fixation (ISF) during USO was also assessed.Methods Seventy-eight patients were divided into three groups according to the type of plate: 3.5-mm dynamic compression plate (DCP), 3.5-mm limited contact DCP, and 2.7-mm locking compression plate ulna osteotomy system (all from Depuy-Synthes). The patients were also divided into two groups according to whether ISF was performed. Clinical and radiological outcomes, including time to bone union, presence of delayed union, and refracture after hardware removal, were analyzed. Other factors that might affect bone union, such as smoking and underlying diseases, were also evaluated.Results No significant differences were found in clinical and radiological outcomes according to the type of plate. Eight of 51 patients (15.7%) in the without-ISF group showed delayed bone union. Forty-three patients in the without-ISF group underwent hardware removal, and refracture due to low-energy trauma after hardware removal was observed in five of those 43 patients (11.6%). Bone union time was significantly shorter in the with-ISF group (7.6±2.7 weeks vs. 9.8±6.6 weeks). Diabetes mellitus and ISF were associated with the delayed bone union.Conclusion The plate type had no influence on the clinical and radiological outcomes of USO in patients with idiopathic ulnar impaction syndrome. However, ISF during USO has several advantages, such as early bony union and prevention of refracture after hardware removal.","PeriodicalId":137349,"journal":{"name":"Archives of Hand and Microsurgery","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129658272","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

Posttraumatic single-stage ear reconstruction with a contralateral temporoparietal free flap: a case report 创伤后单期耳廓重建对侧颞顶游离皮瓣一例报告

Archives of Hand and Microsurgery Pub Date : 2022-12-01 DOI: 10.12790/ahm.22.0061

Y. Suh, N. Lee, Y. Kim, T. Roh, I. Yun

引用次数: 0

Rupture of the extensor carpi radialis longus and extensor carpi radialis brevis tendons following conservative treatment of a distal radius fracture: a case report 桡骨远端骨折保守治疗后桡骨长腕伸肌和桡骨短腕伸肌肌腱断裂1例

Archives of Hand and Microsurgery Pub Date : 2022-12-01 DOI: 10.12790/ahm.22.0053

S. Choi, Joonha Lee, Choong Ryul Lee, Yohan Lee, Jeoung Seok Yu

引用次数: 0

Circumferential resurfacing using the bilateral hypothenar free flaps in a patient with finger squamous cell carcinoma patient: a case report 应用双侧鱼际下游离皮瓣治疗手指鳞状细胞癌一例

Archives of Hand and Microsurgery Pub Date : 2022-12-01 DOI: 10.12790/ahm.22.0041

J. Oh, W. Choi, Seokchan Eun

引用次数: 0

Vascular malformation in the hand causing adduction contracture of the thumb: a case report 手部血管畸形引起拇指内收挛缩1例报告

Archives of Hand and Microsurgery Pub Date : 2022-12-01 DOI: 10.12790/ahm.22.0039

Hyun-woo Park, J. Park, Laurie Kim, Il-Jung Park, S. Oh, Ju-Yeong Kim, Soo-Hwan Kang

引用次数: 0

Association of inflammatory complications following resection and immediate reconstruction with soft tissue sarcoma recurrence 软组织肉瘤切除术和即刻重建后的炎症并发症与复发的关系

Archives of Hand and Microsurgery Pub Date : 2022-11-25 DOI: 10.12790/ahm.22.0064

Jisu Kim, G. Mun, S. Seo, K. Lee

{"title":"Association of inflammatory complications following resection and immediate reconstruction with soft tissue sarcoma recurrence","authors":"Jisu Kim, G. Mun, S. Seo, K. Lee","doi":"10.12790/ahm.22.0064","DOIUrl":"https://doi.org/10.12790/ahm.22.0064","url":null,"abstract":"Purpose: Wide excision and subsequent reconstruction of the defect are crucial pillars in the treatment of soft tissue sarcoma (STS); however, those procedures carry a relatively high risk of postoperative complications, which could raise oncologic concerns. The present study evaluated the association of postoperative complications after resection and immediate reconstruction with STS recurrence. Methods: We reviewed patients with primary STS who underwent wide resection and immediate reconstruction between 2011 and 2019. Patients were categorized into three groups based on their postoperative inflammatory complication status: no complications, noninflammatory complications, and inflammatory complications. Inflammatory complications were defined as those involving a sustained elevation of inflammatory markers in laboratory tests after postoperative 2 weeks. The cumulative incidence of oncologic events and their respective hazard ratios (HRs) were evaluated using multivariable Cox regression analyses. Results: In total, 94 patients with a median follow-up of 54.8 months were analyzed, including 17 with inflammatory complications, 17 with noninflammatory complications, and 60 with no complications. The three groups showed similar baseline characteristics except for older age and a lower rate of FNCLCC (Fédération Nationale des Centres de Lutte Contre Le Cancer) grade 3 in the inflammatory complications group. The inflammatory complications group showed significantly worse disease-free survival than the no complications group. This difference remained significant after adjustment for other variables in multivariate analyses (HR, 3.485; p=0.019). The development of noninflammatory complications was not associated with oncologic outcomes. Conclusion: Our findings suggest that the development of inflammatory complications following wide excision and immediate reconstruction may be associated with the recurrence of STS.","PeriodicalId":137349,"journal":{"name":"Archives of Hand and Microsurgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121013850","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

Reconstruction of a high-energy penetrating injury from the abdomen to the sacral area using a latissimus dorsi free flap with monofilament polypropylene mesh and pedicled flap rotation 应用单丝聚丙烯网背阔肌游离皮瓣及带蒂皮瓣旋转重建腹部至骶骨的高能穿透伤

Archives of Hand and Microsurgery Pub Date : 2022-11-24 DOI: 10.12790/ahm.22.0063

Kyung Min Yang, H. Hahn

引用次数: 0

Clinicopathologic features of epidermoid cysts in the upper and lower extremities, including a case of malignant transformation in the palmoplantar region 上肢和下肢表皮样囊肿的临床病理特征，包括掌跖区恶性转化一例

Archives of Hand and Microsurgery Pub Date : 2022-11-24 DOI: 10.12790/ahm.22.0049

Sungmi Jeon, Se Yeon Lee, Jinhyun Kim, U. Jin, S. Kwon, Y. Kwak, Byung Jun Kim

{"title":"Clinicopathologic features of epidermoid cysts in the upper and lower extremities, including a case of malignant transformation in the palmoplantar region","authors":"Sungmi Jeon, Se Yeon Lee, Jinhyun Kim, U. Jin, S. Kwon, Y. Kwak, Byung Jun Kim","doi":"10.12790/ahm.22.0049","DOIUrl":"https://doi.org/10.12790/ahm.22.0049","url":null,"abstract":"Purpose: Epidermoid cysts are common benign skin neoplasms derived from the pilosebaceous apparatus that usually develop in hair-bearing regions such as the head and neck. Epidermal cysts rarely occur in the extremities, especially in the palmoplantar region. Therefore, they can be easily misdiagnosed as warts or calluses. Here, we present our experience treating epidermal cysts in the extremities, including a very rare case of malignant transformation into squamous cell carcinoma. Methods: This retrospective study enrolled all patients who underwent excision of epidermoid cysts in the upper and lower extremities from March 2006 to April 2021.Results: Among 249 patients, there were 10 (seven male and three female patients) who had epidermal cysts in the extremities (4.0%). All four plantar cysts were located in weight-bearing areas. One palmar epidermal cyst occurred 33 years after the trauma. There was one case of a highly recurrent epidermal cyst on the heel that was eventually diagnosed as squamous cell carcinoma arising from the cyst lining on excisional biopsy. After wide excision with a margin of 2 cm, the resulting defect was reconstructed using a free thoracodorsal artery perforator flap. Conclusion: Epidermoid cysts in the extremities, especially the palmoplantar region, are rare. Detailed history taking, including underlying diseases and trauma history, is helpful for diagnosis. Complete excision is necessary to avoid relapse and to confirm the final diagnosis, especially in cases suspected of malignant transformation arising from epidermoid cysts.","PeriodicalId":137349,"journal":{"name":"Archives of Hand and Microsurgery","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122174620","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

Resurfacing defects from mycobacterial skin and soft tissue infections using thoracodorsal artery perforator free flaps 应用胸背动脉穿支游离皮瓣修复皮肤及软组织分枝杆菌感染缺损

Archives of Hand and Microsurgery Pub Date : 2022-11-24 DOI: 10.12790/ahm.22.0056

Hyun Wang, Young M. Lee, Youn Hwan Kim

{"title":"Resurfacing defects from mycobacterial skin and soft tissue infections using thoracodorsal artery perforator free flaps","authors":"Hyun Wang, Young M. Lee, Youn Hwan Kim","doi":"10.12790/ahm.22.0056","DOIUrl":"https://doi.org/10.12790/ahm.22.0056","url":null,"abstract":"Purpose: Skin and soft tissue infections (SSTIs) caused by mycobacteria are rare and difficult to diagnose and treat. Furthermore, systematic treatment protocols for mycobacterial SSTIs have not been established. This study introduces a strategy with radical resection and resurfacing using thoracodorsal artery perforator (TDAP) free flaps.Methods: From December 2013 to February 2022, 13 patients with mycobacterial SSTIs underwent radical resection and reconstruction using TDAP free flaps. Exact mapping of the lesion extent was performed preoperatively with magnetic resonance imaging. When the extent was limited to soft tissue, resection and reconstruction were performed in a single stage. However, in cases with bone or joint involvement, two-stage reconstruction was applied with radical resection and negative-pressure wound therapy followed by resurfacing with a flap. Complex defects formed after resection were filled with a musculocutaneous or chimeric flap. All patients were administered antimycobacterial medications.Results: Mycobacterial infection recurred in one patient; therefore, a total of 14 cases of reconstruction were performed. Reconstruction was performed with a TDAP free flap alone in 10 cases, with a chimeric flap in three cases, and with a musculocutaneous flap in one case. The flaps ranged in size from 7×5 cm2 to 25×12 cm2 (mean, 97.2 cm2). The mycobacterial species identified were Mycobacterium tuberculosis (n=8) and nontuberculous mycobacteria (n=5).Conclusion: For mycobacterial SSTIs, radical resection followed by resurfacing and reconstruction using TDAP free flaps can be an effective surgical treatment strategy.","PeriodicalId":137349,"journal":{"name":"Archives of Hand and Microsurgery","volume":"362 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134482180","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

Swan neck deformity: a review of its causes and treatment options 天鹅颈畸形:回顾其原因和治疗方案

Archives of Hand and Microsurgery Pub Date : 2022-11-23 DOI: 10.12790/ahm.22.0038

Cheungsoo Ha, Chae Kwang Lim, Jun-Ku Lee, Soo-Hong Han, Jong Woong Park

{"title":"Swan neck deformity: a review of its causes and treatment options","authors":"Cheungsoo Ha, Chae Kwang Lim, Jun-Ku Lee, Soo-Hong Han, Jong Woong Park","doi":"10.12790/ahm.22.0038","DOIUrl":"https://doi.org/10.12790/ahm.22.0038","url":null,"abstract":"Swan neck deformity is characterized by hyperextension of the proximal interphalangeal joint and limited extension of the distal interphalangeal joint, showing the shape of a swan’s neck. The deformity can occur either acutely or chronically. A common acute cause of this deformity is trauma, and a common chronic cause is a secondary deformity due to rheumatoid arthritis. The treatment of swan neck deformity tends to depend on the knowledge and experience of the physician because the number of cases that hand surgeons can experience is limited, and there are no clear guidelines on treatment options. This review introduces the known causes of swan neck deformity and its treatment options. For swan neck deformity, the cause of the deformity, the elapsed time, the stage of the deformity, the biomechanical relationship between adjacent joints, and the functional limitations and needs of the patients must be considered when determining the treatment method. Based on these considerations, an appropriate choice should be made between nonsurgical and surgical treatment. The patients should receive a full explanation before treatment that an optimal outcome is not always guaranteed. The treatment process requires full understanding and cooperation from the patient.","PeriodicalId":137349,"journal":{"name":"Archives of Hand and Microsurgery","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116789890","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