Archives of Hand and Microsurgery最新文献_第8页

Keystone flap for reconstruction of ulnar side defect of the hand: a case report 楔石皮瓣修复手部尺侧缺损1例

Archives of Hand and Microsurgery Pub Date : 2022-07-28 DOI: 10.12790/ahm.22.0004

In Chang Koh, J. H. Kim, Hoon Kim, S. Lim

引用次数: 0

Long-term results of wide local excision with concurrent venous free flap reconstruction in subungual melanoma 甲下黑色素瘤大面积局部切除并发静脉游离皮瓣重建的远期疗效

Archives of Hand and Microsurgery Pub Date : 2022-07-12 DOI: 10.12790/ahm.22.0005

Soo Jin Woo, I. Ma, S. Kwon, Seong Oh. Park, Byung Jun Kim, K. Hong

{"title":"Long-term results of wide local excision with concurrent venous free flap reconstruction in subungual melanoma","authors":"Soo Jin Woo, I. Ma, S. Kwon, Seong Oh. Park, Byung Jun Kim, K. Hong","doi":"10.12790/ahm.22.0005","DOIUrl":"https://doi.org/10.12790/ahm.22.0005","url":null,"abstract":"Purpose: Wide local excision (WLE) has been used as an alternative to amputation for preserving the length of the digit in subungual melanoma (SUM). For reconstruction, a free flap could be a more suitable option than a skin graft or a local flap. We investigated the clinical value of WLE with concurrent venous free flap reconstruction in SUM located on the finger and toe.Methods: Seventeen patients underwent WLE with a concurrent arterialized venous free flap between January 2011 and December 2015. Venous flaps were harvested from the forearm or foot dorsum and inset using a through- or against-valve type.Results: The mean tumor area was 1.3±0.9 cm2, and the mean resection margin was 5.6±2.3 mm. In histologic analyses, the mean tumor thickness was 1.2±1.1 mm. The mean duration of the follow-up period was 75.5 months. Three patients had local recurrence and one patient had distant metastasis. Reconstruction of the fingers and toes using a venous flap was effective and could be performed without major complications. Patients were satisfied with the functional and aesthetic results.Conclusion: WLE provides an acceptable local control rate and offers a safe and conservative alternative for the treatment of SUM of the fingers and toes. Concurrent venous free flaps could be a desirable option for aesthetic and functional reconstruction.","PeriodicalId":137349,"journal":{"name":"Archives of Hand and Microsurgery","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121632769","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

Reconstruction of soft tissue defects caused by spinal surgery using a dorsal intercostal artery perforator flap 背侧肋间动脉穿支皮瓣重建脊柱手术后软组织缺损

Archives of Hand and Microsurgery Pub Date : 2022-05-27 DOI: 10.12790/ahm.21.0144

Min-Seok Kim, Si-Gyun Roh, J. Shin, Nae-Ho Lee

{"title":"Reconstruction of soft tissue defects caused by spinal surgery using a dorsal intercostal artery perforator flap","authors":"Min-Seok Kim, Si-Gyun Roh, J. Shin, Nae-Ho Lee","doi":"10.12790/ahm.21.0144","DOIUrl":"https://doi.org/10.12790/ahm.21.0144","url":null,"abstract":"Purpose: The reconstruction of defects resulting from spinal surgery poses a challenge to plastic surgeons due to the curved contour and strong skin tension of the back. Implant and metal exposure can also increase the difficulty of covering such defects. This study presents our experiences of covering defects after spinal surgery using dorsal intercostal artery perforator (DICAP) flaps.Methods: From November 2018 to August 2021, 14 patients with spinal soft tissue defects underwent DICAP flap reconstructive surgery at our department. The mean age of the patients was 54.3 years (range, 35–70 years). Age, sex, etiology, the dimensions of the defect and the flap, the site of the defect, surgical technique, and postoperative complications were recorded.Results: All flaps survived, with no major complications such as total flap necrosis. Minor complications were observed in four cases. One patient developed an infection with erythematous changes and another developed partial flap necrosis. Two patients experienced wound dehiscence. These minor complications were all resolved with conservative treatment. No additional complications occurred during the follow-up period.Conclusion: The use of DICAP flaps was successful in all cases. DICAP flaps can adequately cover defects following spinal surgery and have a low complication rate. Thus, DICAP flaps are a good choice for covering defects resulting from spinal surgery.","PeriodicalId":137349,"journal":{"name":"Archives of Hand and Microsurgery","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127775418","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

Extramammary Paget’s disease involving the bilateral axillae followed by adhesive capsulitis of the shoulder: a case report 累及双侧腋窝的乳腺外佩吉特病并发肩关节粘连性囊炎1例

Archives of Hand and Microsurgery Pub Date : 2022-05-23 DOI: 10.12790/ahm.22.0007

S. Bae, Jung Hyun Hong, Ryuck Seong Kim, Soon Wook Kwon, Sang Hun Kim, Heeseung Park, K. Kim, T. Kang

引用次数: 0

Treatment of a rattlesnake bite on the finger using alternative antivenom management and reconstructive surgery: a case report 使用抗蛇毒血清治疗和重建手术治疗响尾蛇咬伤手指:1例报告

Archives of Hand and Microsurgery Pub Date : 2022-05-18 DOI: 10.12790/ahm.22.0008

Kyong Chan Park, C. Choi, S. Nam, E. Park

引用次数: 0

Nail sparing and sub-nail bed approach for the excision of subungual glomus tumors 保留甲床及甲下入路切除足下血管球瘤

Archives of Hand and Microsurgery Pub Date : 2022-04-29 DOI: 10.12790/ahm.22.0003

J. Nam, Yong Been Kim, Jae Joong Kim, In Cheul Choi, Jong Woong Park

{"title":"Nail sparing and sub-nail bed approach for the excision of subungual glomus tumors","authors":"J. Nam, Yong Been Kim, Jae Joong Kim, In Cheul Choi, Jong Woong Park","doi":"10.12790/ahm.22.0003","DOIUrl":"https://doi.org/10.12790/ahm.22.0003","url":null,"abstract":"Purpose: The excision of subungual glomus tumors on the distal phalanx may cause nail deformities. Herein, we report our nail-sparing and sub-nail bed approach for the excision of subungual glomus tumors, which enables subungual glomus tumor excision without removal of the nail plate and further allows access to the tumor mass by dissecting beneath the nail bed and germinal matrix to minimize postoperative pain and nail bed injury. Therefore, the present article describes this operative approach and reports surgical outcomes with respect to patient satisfaction, pain, and the final postoperative nail shape.Methods: Thirty-two cases of clinically diagnosed subungual glomus tumors treated with this approach were retrospectively evaluated. Mean pain scores were measured at 1 week postoperatively and at the last follow-up. Patients were asked for their subjective opinion regarding the final nail shape, and their responses were assessed as “satisfied” or “unsatisfied.” The objective results for the final nail shape were graded as “excellent,” “good,” or “poor” by two orthopedic hand surgeons.Results: The mean postoperative pain score (visual analog scale) at 1 week was 1.8. No patients reported pain at the last follow-up. Subjectively, 96.6% of patients were satisfied with the operation. Objectively, the postoperative nail shape was excellent in 9.3% of cases, good in 87.5%, and poor in 3.1%.Conclusion: This approach provides minimal postoperative pain, high patient satisfaction, and favorable cosmetic outcomes with respect to the nail shape by avoiding removal of the nail plate and incision of the nail bed and germinal matrix.","PeriodicalId":137349,"journal":{"name":"Archives of Hand and Microsurgery","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122458295","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 combined anterior and posterior approach for elbow ankylosis 前后联合入路治疗肘关节强直

Archives of Hand and Microsurgery Pub Date : 2022-04-05 DOI: 10.12790/ahm.22.0001

Yeun Soo Kim, Jihyeung Kim, Kee Soo Kang, K. J. Bae, G. Baek

{"title":"A combined anterior and posterior approach for elbow ankylosis","authors":"Yeun Soo Kim, Jihyeung Kim, Kee Soo Kang, K. J. Bae, G. Baek","doi":"10.12790/ahm.22.0001","DOIUrl":"https://doi.org/10.12790/ahm.22.0001","url":null,"abstract":"Purpose: An ankylosed elbow should be released with consideration of the nature of the stiffness and location of the pathologic structures, and care should be taken to avoid damage to the surrounding musculature and neurovascular structures. We report the clinical results of a combined anterior and posterior approach, which allowed safe access with good visibility, for severe elbow stiffness.Methods: We retrospectively reviewed patients who underwent surgical release for elbow ankylosis from August 2014 to May 2020. All operations were performed by the same surgeon at a single institution. The final outcomes were assessed by measuring the range of motion, calculating the Mayo Elbow Performance Score (MEPS), and reading radiologic images. Results: Eight patients with a mean age of 43 years (range, 21–65 years) were included in the study, and the mean follow-up period was 22 months. The average range of motion was 13° of flexion contracture (range, 0°–40°) and 123° of further flexion (range, 100°–140°) at the last follow-up. The average net improvement in the total arc compared to patients’ preoperative status was 68° (range, –10°–130°). The mean postoperative MEPS was 89 points (range, 70–100 points). The development of heterotopic ossification and recalcitrant rheumatoid arthritis caused relatively poor outcomes.Conclusion: The combined anterior and posterior approach allows safe access with good visibility for elbow ankylosis, while minimizing the risk of neurovascular injury and preserving the medial and lateral muscles.","PeriodicalId":137349,"journal":{"name":"Archives of Hand and Microsurgery","volume":"91 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126369118","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 erythrocyte sedimentation rate and C-reactive protein in patients with distal radius fractures according to the prophylactic antibiotic period: 1 day versus 1 week 桡骨远端骨折患者预防性使用抗生素1天和1周的红细胞沉降率和c反应蛋白比较

Archives of Hand and Microsurgery Pub Date : 2022-03-31 DOI: 10.12790/ahm.21.0153

Dae-Geun Kim, B. H. Kwack

{"title":"Comparison of erythrocyte sedimentation rate and C-reactive protein in patients with distal radius fractures according to the prophylactic antibiotic period: 1 day versus 1 week","authors":"Dae-Geun Kim, B. H. Kwack","doi":"10.12790/ahm.21.0153","DOIUrl":"https://doi.org/10.12790/ahm.21.0153","url":null,"abstract":"Purpose: Surgical site infection is a serious postoperative complication. Most surgical site infections after distal radius fracture (DRF) surgery are superficial and early-onset, and they can be prevented by prophylactic antibiotics. The erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) are representative inflammatory markers. The aim of this study was to compare serial serum ESR and CRP levels in DRF patients according to the period of prophylactic antibiotic use.Methods: A retrospective study was conducted on 46 patients with DRF treated with internal fixation. Twenty-two patients treated between September 2019 and March 2020 were in group A and 24 patients who underwent treatment from September 2020 to March 2021 comprised group B. The patients in group A were administered the first-generation cephalosporin for 1 week, as was customary. Group B received 1-day antibiotic prophylaxis. Surgery was performed by a single surgeon using volar locking plates. The surgical wounds and serum ESR and CRP levels were examined before surgery, 2 days after surgery, and 1 week after surgery and compared between the two groups.Results: The CRP level, but not the ESR, changed significantly over time within each group. However, no statistically significant difference was observed between the two groups, and there were no surgical site infections.Conclusion: The use of prophylactic antibiotics for 1 week had no significant effect on reducing ESR and CRP compared to 1-day prophylactic antibiotics in patients with DRFs.","PeriodicalId":137349,"journal":{"name":"Archives of Hand and Microsurgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129647049","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 outcomes of untreated congenital polysyndactyly of the foot in adult patients 成人先天性足多指畸形未经治疗的手术效果

Archives of Hand and Microsurgery Pub Date : 2022-03-30 DOI: 10.12790/ahm.21.0152

Soo Jin Woo, J. Choi, Julong Hu, S. Kwon, Byung Jun Kim

{"title":"Surgical outcomes of untreated congenital polysyndactyly of the foot in adult patients","authors":"Soo Jin Woo, J. Choi, Julong Hu, S. Kwon, Byung Jun Kim","doi":"10.12790/ahm.21.0152","DOIUrl":"https://doi.org/10.12790/ahm.21.0152","url":null,"abstract":"Purpose: Polydactyly of the foot is a common congenital anomaly. The goal of surgery for polydactyly is to increase similarity to the contralateral foot, with a well-aligned arcade of toes that allows patients to wear normal footwear and ambulate painlessly. Foot appearance is especially important in Asian countries where people remove their shoes indoors. This study reviewed the surgical results in patients who underwent surgery for correction of untreated foot polydactyly after the age of 18 years. Methods: We retrospectively analyzed the data of 11 patients who underwent surgery between 2006 and 2019. The forefoot width, angulation difference, and toe length ratios between the affected and unaffected feet were compared before and after the operation. In addition, the purpose of the surgery and postoperative cosmetic satisfaction were collected for each patient.Results: The median age at the time of the operation was 25 years (interquartile range, 22–32 years) and most patients presented with postaxial polydactyly. The primary reasons to undergo surgery were both functional and cosmetic. The forefoot width and angle difference ratios became significantly more similar to the contralateral side postoperatively (p<0.05). No significant difference was found in the toe length ratio. Postoperative Global Aesthetic Improvement Scale scores showed satisfactory results. Conclusion: The main reasons for surgery in adulthood included the diverse consequences of functional and cosmetic aspects of the anomaly. Surgery for patients with untreated polydactyly of the foot can yield satisfactory objective and subjective results regardless of the intervention timing.","PeriodicalId":137349,"journal":{"name":"Archives of Hand and Microsurgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126390349","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

Comparative finite element analysis of an osseointegration system in transradial amputation: a proposal of a new design for osseointegration 经桡骨截肢骨整合系统的比较有限元分析:一种骨整合新设计的建议

Archives of Hand and Microsurgery Pub Date : 2022-03-29 DOI: 10.12790/ahm.21.0148

Young Seok Lee, Heaseong Jeoung, Seung Gun Lee, Dong-Hong Kim, Chang-Hun Lee

{"title":"Comparative finite element analysis of an osseointegration system in transradial amputation: a proposal of a new design for osseointegration","authors":"Young Seok Lee, Heaseong Jeoung, Seung Gun Lee, Dong-Hong Kim, Chang-Hun Lee","doi":"10.12790/ahm.21.0148","DOIUrl":"https://doi.org/10.12790/ahm.21.0148","url":null,"abstract":"Purpose: Conventional osseointegration systems have been applied in patients requiring transhumeral or transfemoral amputation. However, the application of these systems to transradial amputation is limited by the small diameter of the radius and ulna. Our study compared the biomechanical stability of a novel osseointegration system with that of a conventional system used in transradial amputation through an analysis of finite element (FE) models.Methods: We established three-dimensional FE models of transradial amputations, which were osseointegrated with both the novel and conventional systems. External loads were applied to the FE models with compressive force and tensile force along the long axis, horizontal shear force, and vertical shear force. The maximum equivalent stress (MES) and the distribution of stress through the radius and ulna were evaluated.Results: The MES of the radius and ulna was higher in the conventional system when compressive, tensile, and vertical shear forces were applied. However, when a horizontal shear force was applied, the opposite result was found. The distribution of stress was more effective in the novel system.Conclusion: Three-dimensional FE modeling showed that the novel system enabled a lower stress level and a more even distribution of stress for osseointegration in transradial amputation.","PeriodicalId":137349,"journal":{"name":"Archives of Hand and Microsurgery","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124504230","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