Archives of Hand and Microsurgery最新文献_第6页

Surgical outcomes of split-thickness skin grafts versus free flaps of the lateral thoracic region for incurable chronic venous ulcers 裂厚皮肤移植与胸廓外侧游离皮瓣治疗无法治愈的慢性静脉溃疡的手术效果

Archives of Hand and Microsurgery Pub Date : 2022-11-23 DOI: 10.12790/ahm.22.0052

Hyung Joon Seo, S. Park, Youn Hwan Kim

{"title":"Surgical outcomes of split-thickness skin grafts versus free flaps of the lateral thoracic region for incurable chronic venous ulcers","authors":"Hyung Joon Seo, S. Park, Youn Hwan Kim","doi":"10.12790/ahm.22.0052","DOIUrl":"https://doi.org/10.12790/ahm.22.0052","url":null,"abstract":"Purpose: This study conducted a comparative analysis of the effectiveness of split-thickness skin grafts (STSGs) and free flaps of the lateral thoracic region performed for coverage after extensive debridement in patients with difficult-to-treat chronic venous ulcers (CVUs) with severe symptoms.Methods: This retrospective, single-center study included 20 patients (28 cases) with CVUs. Patients who received an STSG or free-flap procedure were included in the study. Data comparing these two groups were analyzed.Results: The STSG and free-flap groups showed no significant differences in patient demographics. There was no significant difference in wound size before and after debridement between the two groups (before, 52.25±58.03 cm2 vs. 37.69±32.83 cm2, p=0.407; after, 210.92±202.80 cm2 vs. 142.63±84.01 cm2, p=0.291). Wound disruption was not significantly different between the groups (p=0.231). However, a significant difference was found in recurrence between the STSG group (n=7, 58.3%) and the free-flap group (n=1, 6.3%) (p=0.004).Conclusion: Free-flap surgery may be a good option for difficult-to-treat, recurrent CVU. Because venous ulcers require extensive debridement, a lateral thoracic region free flap, which enables the harvest of large and various forms of flaps, could be the best choice for microsurgery.","PeriodicalId":137349,"journal":{"name":"Archives of Hand and Microsurgery","volume":"60 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":"121542835","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

Isografting of full-thickness skin to treat syndactyly in monozygotic twins with Apert syndrome: a case report 全层皮肤等移植治疗appert综合征同卵双胞胎并指畸形1例

Archives of Hand and Microsurgery Pub Date : 2022-11-22 DOI: 10.12790/ahm.22.0050

Ji-Young Kim, Sunkyu Park, Byung Jun Kim

引用次数: 0

Functional reconstruction of total defects of the dorsiflexor muscles with a chimeric anterolateral thigh free flap: a case report 融合性大腿前外侧游离皮瓣重建背屈肌全缺损1例

Archives of Hand and Microsurgery Pub Date : 2022-11-16 DOI: 10.12790/ahm.22.0040

Yang-Woo Kim, B. Moon, Sun Eung Kim, Hye Gwang Mun, W. Pae

引用次数: 0

Rupture of the extensor digitorum communis tendon in extensor zone V due to plant thorn injuries: a report of two cases 植物刺伤致指共伸肌腱V区断裂2例报告

Archives of Hand and Microsurgery Pub Date : 2022-11-16 DOI: 10.12790/ahm.22.0046

M. Jang, Y. Heo, W. Shin

引用次数: 0

Proximal bifurcation of the superficial palmar branch of the radial artery and anomalous superficial course of the distal radial artery 桡动脉掌浅支近端分叉及桡动脉远端异常浅行

Archives of Hand and Microsurgery Pub Date : 2022-11-07 DOI: 10.12790/ahm.22.0047

Young-Soo Choi, Hi-Jin You

引用次数: 0

Surgical treatment of multiple plexiform schwannomas arising from the superficial radial nerve: a case report 桡浅神经多发丛状神经鞘瘤的外科治疗1例

Archives of Hand and Microsurgery Pub Date : 2022-11-02 DOI: 10.12790/ahm.22.0031

T. Lee, Y. Lee, G. Ahn, J. Ahn

引用次数: 0

Carpal tunnel syndrome: correlation of the severity of the clinical picture and electrophysiological studies 腕管综合征:临床表现和电生理研究严重程度的相关性

Archives of Hand and Microsurgery Pub Date : 2022-11-01 DOI: 10.12790/ahm.22.0043

Ahmad K. Almigdad, Mazen Odat, Ghandi Almanasir, Noor A. Megdadi, Sulieman Sharadgeh

{"title":"Carpal tunnel syndrome: correlation of the severity of the clinical picture and electrophysiological studies","authors":"Ahmad K. Almigdad, Mazen Odat, Ghandi Almanasir, Noor A. Megdadi, Sulieman Sharadgeh","doi":"10.12790/ahm.22.0043","DOIUrl":"https://doi.org/10.12790/ahm.22.0043","url":null,"abstract":"Purpose: This study aimed to correlate the severity of carpal tunnel syndrome (CTS) in terms of the clinical picture with electrophysiological studies to determine whether the severity could be predicted through one measure based on correlations with another.Methods: This cross-sectional correlational study enrolled 96 patients (139 hands) whose nerve conduction studies (NCS) confirmed the diagnosis of CTS, and to whom the Boston Carpal Tunnel Questionnaire (BCTQ) was administered to determine the subjective and clinical CTS severity. The severity of both measures was correlated. Results: The patients’ mean age was 49.84±12.23 years. Most (67.7%) were female. The NCS severity grades were as follows: mild, 46%; moderate, 32.4; severe, 9.4%; and very severe, 12.2%. The sensory and motor NCS parameters were significantly correlated with the BCTQ severity. The patients’ overall mean scores for symptom severity had substantive predictive accuracy for the patients’ CTS severity measured with the NCS. Similarly, most of the functional severity score items had significant predictive accuracy for the patients’ NCS-based carpal tunnel severity score.Conclusion: The clinical severity of CTS was strongly correlated with the severity based on nerve conduction. This correlation was more notable for symptom severity scores than for functional status scores. Night pain and numbness demonstrated the strongest associations of all BCTQ items with the NCS. Although clinical severity (based on the BCTQ) predicts the nerve conduction severity, we still recommend performing NCS for patients with a clinical diagnosis of CTS as a confirmatory objective measure and for medico-legal reasons.","PeriodicalId":137349,"journal":{"name":"Archives of Hand and Microsurgery","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115100458","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

Functional reconstruction of the thumb by heterotopic thumb-to-thumb replantation and secondary opponensplasty in bilateral amputation in the upper extremities 双侧上肢截肢拇指异位再植及二次对手成形术重建拇指功能

Archives of Hand and Microsurgery Pub Date : 2022-10-28 DOI: 10.12790/ahm.22.0042

Dong Chul Lee, Jae Yong Lee, S. Koh, S. Roh, K. Lee, Jin Soo Kim

{"title":"Functional reconstruction of the thumb by heterotopic thumb-to-thumb replantation and secondary opponensplasty in bilateral amputation in the upper extremities","authors":"Dong Chul Lee, Jae Yong Lee, S. Koh, S. Roh, K. Lee, Jin Soo Kim","doi":"10.12790/ahm.22.0042","DOIUrl":"https://doi.org/10.12790/ahm.22.0042","url":null,"abstract":"In traumatic amputations in the upper extremities, replantation has been commonly attempted with high success rates. However, successful replantation implies both the maintenance of length and good functional outcomes of the restored hand. Since the thumb accounts for 40% to 50% of hand function, the utmost priority is on the salvage of the thumb. In cases when replantation is not feasible, various efforts have been made to replace the thumb, including pollicization of the index finger, toe transfer, lengthening of the thumb stump, and deepening of the first web space. Alternatively, heterotopic thumb-to-thumb replantation has been suggested as a rescue plan in rare circumstances of bilateral amputation in the upper extremities. However, even if heterotopic replantation is successful, there are situations in which a severe crushing injury to the thenar muscles of the recipient’s thumb causes opposition failure of the reconstructed thumb. We report a case of functional reconstruction of the thumb in a rare case of bilateral mangling amputations in the upper extremities, by a heterotopic thumb-to-thumb replantation combined with secondary opponensplasty to compensate for the opposition failure.","PeriodicalId":137349,"journal":{"name":"Archives of Hand and Microsurgery","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131402172","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

Microsurgical reconstruction for traumatic hand defects in pediatric patients 小儿外伤性手部缺损的显微外科重建

Archives of Hand and Microsurgery Pub Date : 2022-10-18 DOI: 10.12790/ahm.22.0021

S. Roh, Jae Yong Lee, S. Koh, Jin Soo Kim, Dong Chul Lee, K. Lee

{"title":"Microsurgical reconstruction for traumatic hand defects in pediatric patients","authors":"S. Roh, Jae Yong Lee, S. Koh, Jin Soo Kim, Dong Chul Lee, K. Lee","doi":"10.12790/ahm.22.0021","DOIUrl":"https://doi.org/10.12790/ahm.22.0021","url":null,"abstract":"Purpose: Microsurgery in pediatric patients remains challenging because of technical difficulties in small-vessel anastomosis and flap dissection. Few reports have focused exclusively on the microsurgical reconstruction of traumatic hand defects in children. Herein, we share our experience of posttraumatic hand reconstruction with free tissue transfer in pediatric patients and compare the treatment outcomes with adults.Methods: A single-institution retrospective review of trauma-induced microsurgical hand reconstruction cases was performed. Pediatric patients below 17 years old and adults who underwent microsurgical reconstruction of traumatic hand defects between 2011 and 2021 were included. Patient demographics, flap type, use of vein grafts, operative time, flap survival, and postoperative complications were documented. A subgroup analysis of patients younger than 8 years was also performed. Data of pediatric patients were statistically compared with those of adults who underwent free flap surgery using nearly identical surgical procedures by four senior surgeons at our medical center.Results: Forty-one flaps in 39 pediatric patients and 184 flaps in 184 adult patients were analyzed. Fasciocutaneous flaps were predominantly used in both groups. In pediatric patients, all flaps survived, while 170 adults (92.4%) survived. No statistically significant between-group differences in treatment outcomes were found. However, pediatric patients (22.0%) had significantly fewer secondary operations than adults (67.4%, p<0.001).Conclusion: Microsurgical reconstruction for trauma-induced hand defects in pediatric patients has a high success rate and low complication rate, just as with adults. Pediatric patients may be more resistant to partial necrotic flap changes, thereby requiring fewer secondary operations than adults.","PeriodicalId":137349,"journal":{"name":"Archives of Hand and Microsurgery","volume":"158 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132191100","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

Persistent retrograde venous-lymphatic reflux in side-to-end lymphaticovenous anastomosis in a lower extremity with lymphedema: a case report 下肢侧至端淋巴窝吻合伴淋巴水肿的持续性逆行静脉淋巴反流1例

Archives of Hand and Microsurgery Pub Date : 2022-09-01 DOI: 10.12790/ahm.22.0033

Kyong-Je Woo, Mi Kyung Lee, Jin-Woo Park

引用次数: 0