Archives of Hand and Microsurgery最新文献_第7页

Alteration of a radial forearm flap to adjust to the superficial radial artery: a case report 前臂桡侧皮瓣的改变以适应桡浅动脉:1例报告

Archives of Hand and Microsurgery Pub Date : 2022-09-01 DOI: 10.12790/ahm.22.0017

S. Jwa, Jaemin Choi, S. Park, Y. Suh

引用次数: 0

Comparative study on Kirschner-wire and screw fixation for intra-articular fractures of the proximal phalanx head 克氏针与螺钉固定治疗近端指骨头关节内骨折的比较研究

Archives of Hand and Microsurgery Pub Date : 2022-09-01 DOI: 10.12790/ahm.22.0025

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

{"title":"Comparative study on Kirschner-wire and screw fixation for intra-articular fractures of the proximal phalanx head","authors":"Jin Soo Kim, Jae Yong Lee, Dong Chul Lee, S. Roh, K. Lee, S. Koh","doi":"10.12790/ahm.22.0025","DOIUrl":"https://doi.org/10.12790/ahm.22.0025","url":null,"abstract":"Purpose: This study compared screw and Kirschner-wire (K-wire) fixation for intra-articular fractures of the proximal phalanx head regarding the success of union and functional outcomes.Methods: In this retrospective study, we enrolled patients with closed intra-articular fractures of the proximal phalangeal head treated between January 2011 and December 2021. Patients with open wounds, tendon or neurovascular injuries, comminuted fractures, or middle phalangeal fractures were excluded. Patients’ demographics, bone union, proximal interphalangeal (PIP) joint range of motion (ROM), grip power, and complications were collected and analyzed. The percentage of intra-articular surface involvement and the number of bone fragments were also analyzed in relation to the functional results.Results: Among 41 patients, 21 were managed with screw fixation, and the remaining 20 with K-wire fixation. The mean union rate was 100% in the screw fixation group and 95.0% in the K-wire fixation group, with no statistically significant difference (p=0.488). Other functional parameters (PIP joint ROM, time to bone union, and grip power) were not significantly different between the two groups. Regardless of the treatment modality, the PIP joint ROM showed significant negative associations with the involvement of more intra-articular surfaces (p<0.001) and the presence of a greater number of bone fragments (p=0.040).Conclusion: In intra-articular fractures of the proximal phalanx head, the treatment modality (screw or K-wire) did not affect the treatment outcome. Instead, the percentage of intra-articular surface involvement and the number of bone fragments showed significant negative associations with the PIP joint ROM after treatment.","PeriodicalId":137349,"journal":{"name":"Archives of Hand and Microsurgery","volume":"116 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123394431","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

Clinical analysis of the communicating artery between the dorsal and plantar aspects of the foot 足背与足底之间交通动脉的临床分析

Archives of Hand and Microsurgery Pub Date : 2022-08-29 DOI: 10.12790/ahm.21.0137

S. Kwak, Seung Ki Ahn, Jun Hyuk Kim, Sang Ho Park, Hwanjun Choi

{"title":"Clinical analysis of the communicating artery between the dorsal and plantar aspects of the foot","authors":"S. Kwak, Seung Ki Ahn, Jun Hyuk Kim, Sang Ho Park, Hwanjun Choi","doi":"10.12790/ahm.21.0137","DOIUrl":"https://doi.org/10.12790/ahm.21.0137","url":null,"abstract":"Purpose: One of the treatment methods for critical limb ischemia is percutaneous transluminal angioplasty (PTA). In severe cases, however, multiple vessels are blocked, including the main vessels of the lower extremities. This study aimed to determine whether wound healing and symptom relief occurred depending on whether the communicating artery was patent after PTA.Methods: In total, 120 patients (120 lower extremities) who underwent PTA from January 2016 to February 2018 were followed up for 6 months.Results: Out of 87 patients who had wounds, 34 had a patent communicating artery and 53 had a non-patent communicating artery. Out of 34 patients who had wounds but a patent communicating artery, 29 completely healed within 6 months. Among the 53 patients who had wounds and a non-patent communicating artery, 16 totally healed within 6 months, and 37 did not heal within 6 months. In the indirect revascularization group, 18 of 21 patients with complete wound healing within 6 months in the indirect revascularization group had a patent communicating artery.Conclusion: If only indirect revascularization is possible, it is important to ensure the patency of the communicating vessels that link the pedal and plantar arterial systems.","PeriodicalId":137349,"journal":{"name":"Archives of Hand and Microsurgery","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121178782","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

Effect of renal dysfunction in free flap transfer for chronic wounds of the lower extremities 肾功能不全对下肢慢性创伤游离皮瓣移植的影响

Archives of Hand and Microsurgery Pub Date : 2022-08-29 DOI: 10.12790/ahm.22.0015

H. Hahn, Y. Jeong, I. Lee, Min Ji Kim, Hyoseob Lim

{"title":"Effect of renal dysfunction in free flap transfer for chronic wounds of the lower extremities","authors":"H. Hahn, Y. Jeong, I. Lee, Min Ji Kim, Hyoseob Lim","doi":"10.12790/ahm.22.0015","DOIUrl":"https://doi.org/10.12790/ahm.22.0015","url":null,"abstract":"Purpose: Free flaps play an important role in the reconstruction of chronic wounds in the lower extremities. Nonetheless, the use of free flaps for chronic wound reconstruction tends to be challenging. A considerable number of patients with chronic wounds have noteworthy medical histories, such as chronic kidney disease or end-stage renal disease (ESRD). This study aimed to determine the relationship between the success rate and complications of free flap surgery according to the degree of kidney disease from normal renal function to ESRD.Methods: A retrospective study of all patients who underwent free tissue transfer procedures due to chronic wounds in the lower-extremity area over a 9-year period, between October 2011 and February 2020, was conducted. The primary outcome was flap failure, and major complications were set as the secondary outcome.Results: Sixty-seven consecutive free flaps were used for chronic wounds of the lower extremities at our institution. Flap failure occurred in six patients (9.0%), resulting in a total flap survival rate of 91.0%. Sixteen patients (23.9%) experienced major complications. Flap failure was correlated with the presence of ESRD and renal transplantation. Conclusion: There are several limiting factors for the reconstruction of chronic wounds in the lower extremity. In particular, ESRD and renal transplantation were significantly correlated with flap failure.","PeriodicalId":137349,"journal":{"name":"Archives of Hand and Microsurgery","volume":"355 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123271875","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

Saving a large volume of soft tissue by using an untailored composite graft after total degloving amputation of the hand: a case report 手部完全去手套截肢后使用非定制复合移植物节省大量软组织1例报告

Archives of Hand and Microsurgery Pub Date : 2022-08-26 DOI: 10.12790/ahm.22.0028

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

引用次数: 0

Thumb reconstruction with a double flap after thumb replantation failure using a reverse homodigital dorsoulnar flap and a cross-finger flap 拇指再植失败后双皮瓣重建，采用反向同指背侧皮瓣和交叉指皮瓣

Archives of Hand and Microsurgery Pub Date : 2022-08-26 DOI: 10.12790/ahm.22.0002

Min Jun Yong, Young Woong Mo, H. Shin

引用次数: 0

Operative treatment of hamate fractures with hamatometacarpal fracture dislocation using a self-designed dorsal buttress locking plate with trans-metacarpal pin insertion: short-term follow-up results 自行设计经掌骨钉插入背侧支撑锁定钢板治疗钩骨骨折伴钩骨掌骨骨折脱位的近期随访结果

Archives of Hand and Microsurgery Pub Date : 2022-08-26 DOI: 10.12790/ahm.22.0023

S. Kim, Hyung-Joon Lee, Ji-Kang Park, Dong-Min Chung

{"title":"Operative treatment of hamate fractures with hamatometacarpal fracture dislocation using a self-designed dorsal buttress locking plate with trans-metacarpal pin insertion: short-term follow-up results","authors":"S. Kim, Hyung-Joon Lee, Ji-Kang Park, Dong-Min Chung","doi":"10.12790/ahm.22.0023","DOIUrl":"https://doi.org/10.12790/ahm.22.0023","url":null,"abstract":"Purpose: Fracture and dislocation of the hamatometacarpal joint are rare; therefore, the diagnosis is frequently missed and the treatment is not clearly established. The authors performed operative treatment of hamate fractures with hamatometacarpal fracture dislocation using a self-designed dorsal buttress locking plate. Herein, we report the clinical and radiological results.Methods: From May 2016 to February 2022, we experienced 12 cases of hamatometacarpal fracture dislocation that underwent operative treatment with a self-designed dorsal buttress locking plate. All 12 patients were male, with an average age of 30.3 years and an average postoperative follow-up period of 6 months and 1 week. Open reduction and internal fixation were performed using a self-designed dorsal buttress locking plate with trans-metacarpal pin insertion according to the patient, and the results of the treatment were evaluated radiologically and clinically.Results: All cases showed bony union in radiological evaluations at the last follow-up. In functional evaluations using the modified Mayo wrist score, the results were excellent in 11 cases and good in 1 case. There were no complications such as fixation failure, nonunion, or infection.Conclusion: In cases of hamate fracture with hamatometacarpal fracture dislocation, the dorsal displaced fragment is very small, and it is often difficult to maintain reduction by direct fixation. In these fractures, operative treatment using a self-designed dorsal buttress locking plate with trans-metacarpal pin insertion can obtain good results.","PeriodicalId":137349,"journal":{"name":"Archives of Hand and Microsurgery","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131269671","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

Comparison of the hepatotoxicity of low-molecular-weight versus unfractionated heparin for anticoagulation therapy after digital replantation 低分子量肝素与未分级肝素用于指指再植术后抗凝治疗的肝毒性比较

Archives of Hand and Microsurgery Pub Date : 2022-08-26 DOI: 10.12790/ahm.22.0027

Jun Won Lee, Ji-Hwan Cha, Hi-Jin You, Deok-Woo Kim, Tae-Yul Lee

{"title":"Comparison of the hepatotoxicity of low-molecular-weight versus unfractionated heparin for anticoagulation therapy after digital replantation","authors":"Jun Won Lee, Ji-Hwan Cha, Hi-Jin You, Deok-Woo Kim, Tae-Yul Lee","doi":"10.12790/ahm.22.0027","DOIUrl":"https://doi.org/10.12790/ahm.22.0027","url":null,"abstract":"Purpose: Unfractionated heparin (UFH) is more commonly used as an anticoagulant after digital replantation than low-molecular-weight heparin (LMWH). We compared the success and complication rates of these two anticoagulants, since only a few studies have made this comparison directly. Methods: Forty-four patients who underwent digital replantation for complete or incomplete digital amputation in the past 7 years at a single institution were included. The patients were divided into LMWH and UFH groups according to the anticoagulant administered. The success rates for each group were obtained, and the postoperative serum aspartate aminotransferase (AST) and alanine transaminase (ALT) levels were analyzed to compare the complication rates.Results: All patients, except one, had successful recovery of circulation after replantation, and the success rate did not show a statistically significant difference between the two groups. The statistical analysis showed that the proportion of patients with abnormal serum AST or ALT levels in the LMWH group was significantly lower than that in the UFH group.Conclusion: Although there was no significant difference in the success rate between the two groups, the risk of hepatotoxicity was significantly lower in the LMWH group than in the UFH group. Considering the advantages of LMWH, its extensive use is highly recommended for anticoagulation therapy in patients after digital replantation.","PeriodicalId":137349,"journal":{"name":"Archives of Hand and Microsurgery","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121852834","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

Surgical considerations for syndactyly of the hand in harlequin ichthyosis: a 5-year experience of sequential surgical treatment in a single patient 丑角鱼鳞病手部并指畸形的手术治疗:一名患者5年序贯手术治疗经验

Archives of Hand and Microsurgery Pub Date : 2022-08-04 DOI: 10.12790/ahm.22.0019

Jaemin Choi, J. Hong

引用次数: 0

Postoperative edema management with external compression for successful treatment of shredder injuries of the hand: a report of two cases 术后水肿处理外压成功治疗手部碎纸机伤:附2例报告

Archives of Hand and Microsurgery Pub Date : 2022-08-04 DOI: 10.12790/ahm.22.0022

J. Ko, Uk Jang, J. Y. Lee

引用次数: 0