Journal of Plastic Surgery and Hand Surgery最新文献_第2页

Clinical outcomes of isolated ulnar shortening osteotomy for ulnar impaction syndrome with concomitant distal radioulnar joint instability. 单纯尺侧截骨短缩治疗尺侧嵌塞综合征伴远端尺桡关节不稳的临床效果。

IF 0.9 4区医学

Journal of Plastic Surgery and Hand Surgery Pub Date : 2026-03-24 DOI: 10.2340/jphs.v61.45517

Xing Gao, Aozhengzheng Dong, Jingxin Li, Changliang Ma, Wencui Li, Jianquan Liu, Zhiqin Deng, Zhe Zhao

{"title":"Clinical outcomes of isolated ulnar shortening osteotomy for ulnar impaction syndrome with concomitant distal radioulnar joint instability.","authors":"Xing Gao, Aozhengzheng Dong, Jingxin Li, Changliang Ma, Wencui Li, Jianquan Liu, Zhiqin Deng, Zhe Zhao","doi":"10.2340/jphs.v61.45517","DOIUrl":"https://doi.org/10.2340/jphs.v61.45517","url":null,"abstract":"Background: This study aimed to evaluate the clinical outcomes and changes in distal radioulnar joint (DRUJ) stability in patients with ulnar impaction syndrome (UIS) combined with DRUJ instability, treated with ulnar shortening osteotomy (USO) without concomitant triangular fibrocartilage complex (TFCC) repair.Materials and methods: Between November 2017 and December 2024, a total of 16 patients (7 males, 9 females; mean age, 40 ± 12 years) underwent USO combined with wrist arthroscopy, followed by structured rehabilitation and regular follow-up. Clinical outcomes were assessed using ulnar variance, the Ballottement test, visual analog scale (VAS) for pain, Disabilities of the Arm, Shoulder, and Hand (DASH) score, modified Mayo wrist score, Patient-Rated Wrist Evaluation (PRWE), grip strength, and wrist range of motion. Preoperatively, all patients had positive Ballottement tests, and TFCC injuries were confirmed by arthroscopy.Results: At the final follow-up (mean, 31 months), ulnar variance was significantly reduced, and VAS, DASH, modified Mayo wrist score, PRWE, and grip strength all showed marked improvement. DRUJ stability was restored in all patients, with the Ballottement test converting to negative.Conclusions: These findings suggest that isolated USO effectively treats UIS with concurrent DRUJ instability and achieves satisfactory clinical outcomes without the need for simultaneous TFCC repair.Type of study/level of evidence: Therapeutic, Level IV.","PeriodicalId":16847,"journal":{"name":"Journal of Plastic Surgery and Hand Surgery","volume":"61 ","pages":"44-50"},"PeriodicalIF":0.9,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147512802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ulnar nerve innervation patterns and muscle fiber type composition of intrinsic hand muscles in mice. 小鼠掌内肌尺神经支配模式及肌纤维类型组成。

IF 0.9 4区医学

Journal of Plastic Surgery and Hand Surgery Pub Date : 2026-03-16 DOI: 10.2340/jphs.v61.45556

Chuxiang Chen, Mingjie Zhou, Chenpei Xu, Tingzheng Jiang, Qianru He, Guillaume Prunieres, Philippe Liverneaux, Su Jiang

{"title":"Ulnar nerve innervation patterns and muscle fiber type composition of intrinsic hand muscles in mice.","authors":"Chuxiang Chen, Mingjie Zhou, Chenpei Xu, Tingzheng Jiang, Qianru He, Guillaume Prunieres, Philippe Liverneaux, Su Jiang","doi":"10.2340/jphs.v61.45556","DOIUrl":"https://doi.org/10.2340/jphs.v61.45556","url":null,"abstract":"The motor function of the hand is crucial in daily life, with fine motor abilities relying on intrinsic hand muscles. Ulnar nerve injury causes atrophy of the intrinsic hand muscles it innervates, severely impacting patients' daily activities. However, current understanding of the innervation patterns and muscle fiber composition of these muscles is limited, hindering the development of effective therapies for restoring hand function after such injuries. In this study, we investigated the anatomical basis of ulnar nerve innervation of the lumbrical and interosseous muscles in mice, a common neuromuscular research model. Our findings revealed that the ulnar nerve innervates the third and fourth lumbrical muscles and all interosseous muscles in mice. Six months after median nerve transection, motor endplate (MEP) areas in the ulnar-innervated fourth lumbrical muscle (152.200 ± 10.63 μm², n = 6) and dorsal interosseous muscles (e.g. third dorsal interosseous muscles: 171.100 ± 10.380 μm², n = 6) were preserved, whereas MEPs in the median-innervated first and second lumbricals were nearly abolished (e.g. LM1: 16.600 ± 1.126 μm², p < 0.001, n = 6). The third dorsal interosseous muscles predominantly consist of myosin heavy chain (MHC) -I (11.45% ± 1.92%, n = 6) and MHC-IIa (88.55% ± 1.92%, n = 6) fibers, whereas the lumbrical muscles mainly comprise MHC-IIa (31.67% ± 7.31%, n = 6) and MHC-IIb (64.44% ± 7.17%, n = 6) fibers. These results provide an essential anatomical and histological foundation for using mice to study the functional recovery of intrinsic hand muscles following ulnar nerve injury.","PeriodicalId":16847,"journal":{"name":"Journal of Plastic Surgery and Hand Surgery","volume":"61 ","pages":"35-43"},"PeriodicalIF":0.9,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147467906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of modified abdominoplasty for excess skin in post-bariatric surgery patients with residual obesity. 改良腹部成形术治疗减肥术后残余肥胖患者多余皮肤的疗效评价。

IF 0.9 4区医学

Journal of Plastic Surgery and Hand Surgery Pub Date : 2026-03-16 DOI: 10.2340/jphs.v61.45541

Jonas Ockell, Christina Biörserud, Monika Fagevik Olsén, Anna Elander

{"title":"Evaluation of modified abdominoplasty for excess skin in post-bariatric surgery patients with residual obesity.","authors":"Jonas Ockell, Christina Biörserud, Monika Fagevik Olsén, Anna Elander","doi":"10.2340/jphs.v61.45541","DOIUrl":"10.2340/jphs.v61.45541","url":null,"abstract":"Excess skin after massive weight loss is especially discomforting on the abdomen due to physical and psychosocial symptoms, and many patients with excess skin have a lowered Quality of Life (QoL). Abdominoplasty may improve symptoms as well as QoL and is offered to post-bariatric patients in Sweden with a post--operative body mass index (BMI) < 30 kg/m2. However, since > 50% never reach a BMI < 30, they are often left with an abdominal pannus that may hinder further weight loss. The reluctance to operate on patients with BMI > 30 is the increased risk of complications reported in several studies. Contradictorily, many studies have not found BMI > 30 to be an independent risk factor. Thus, the aim of this study was to prospectively evaluate a modified abdominoplasty technique on patients with a residual BMI 30-40, regarding complications and patient satisfaction. To contextualize, this was compared to a group of post-bariatric patients with a BMI < 30 that underwent standard abdominoplasties. A total of 110 patients underwent either a standard abdominoplasty (BMI < 30 group) or a modified abdominoplasty (BMI 30-40 group). Pre-, peri-, and post-operative data were analyzed. The complication rates were similar, apart from that the patients with BMI 30-40 had significantly more bleedings requiring re-interventions. There were no other significant differences in the complication panorama. The results from the questionnaires implied significant improvements in QoL and perception of excess skin, particularly in the BMI 30-40 group. In conclusion, this modified technique for abdominoplasty may be an acceptable compromise to a standard abdominoplasty for post-bariatric patients with residual obesity. Clinical trials registry: https://www.researchweb.org/is/sverige/project/203961.","PeriodicalId":16847,"journal":{"name":"Journal of Plastic Surgery and Hand Surgery","volume":"61 ","pages":"24-34"},"PeriodicalIF":0.9,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147463528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical outcomes in cutaneous squamous cell carcinoma of the head and neck: a retrospective analysis of risk factors, recurrence and metastasis. 头颈部皮肤鳞状细胞癌的临床结果：危险因素、复发和转移的回顾性分析

IF 0.9 4区医学

Journal of Plastic Surgery and Hand Surgery Pub Date : 2026-02-24 DOI: 10.2340/jphs.v61.45372

Veera Korhonen, Esko Veräjänkorva, Mari Koivisto, Susanna Pajula

{"title":"Clinical outcomes in cutaneous squamous cell carcinoma of the head and neck: a retrospective analysis of risk factors, recurrence and metastasis.","authors":"Veera Korhonen, Esko Veräjänkorva, Mari Koivisto, Susanna Pajula","doi":"10.2340/jphs.v61.45372","DOIUrl":"https://doi.org/10.2340/jphs.v61.45372","url":null,"abstract":"Introduction: Cutaneous squamous cell carcinoma (cSCC) is a common non-melanoma skin cancer primarily affecting the head and neck area, with possibility of local recurrence and metastasis. Surgical excision is the standard treatment. The objective of this study was to investigate the treatment outcomes of cSCC including local recurrence, late-onset metastasis and mortality as well as to identify the associated risk factors.Material and methods: A retrospective single-center analysis was conducted involving patients with cSCC of the head and neck treated by surgical excision at Turku University Hospital between 2000 and 2021 with a minimum 2-year follow-up from primary surgery.Results: A total of 195 patients, with a mean age of 79.1 years, were included. During follow-up, 17 (8.7%) recurrences were diagnosed, nine (4.6%) patients developed late-onset metastasis, and 100 (51.3%) patients died. The significant risk factors for recurrences included age ≥ 80 years (p = 0.006), poor tumor differentiation (p = 0.02) and tumor invasion depth (p = 0.02). Tumor depth also increased metastasis risk (p < 0.0001). Poor tumor differentiation (p = 0.004) and metastasis (p = 0.04) were associated with higher mortality. Greater histological deep margins decreased the risk of recurrence (p = 0.01) and metastasis (p = 0.02) and improved survival (p = 0.006). All-cause 3-year and 5-year mortality rates were 27.7 and 36.4%, respectively.Conclusion: Deeper growing, poorly differentiated cSCC tumors of the head and neck carry a higher risk of recurrence and metastasis. Pursuing greater deep excision margins could reduce these risks. Given the high age and all-cause mortality rates of cSCC patients, close surveillance should be individualized.","PeriodicalId":16847,"journal":{"name":"Journal of Plastic Surgery and Hand Surgery","volume":"61 ","pages":"17-23"},"PeriodicalIF":0.9,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147284297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical outcome comparison of suture button suspensionplasty versus trapeziectomy with ligament reconstruction and tendon interposition in patients with carpometacarpal joint arthritis: a systematic review of direct comparison studies. 缝合扣悬吊成形术与梯形切除术合并韧带重建和肌腱间置治疗腕掌关节关节炎的临床结果比较：直接比较研究的系统回顾。

IF 0.9 4区医学

Journal of Plastic Surgery and Hand Surgery Pub Date : 2026-02-11 DOI: 10.2340/jphs.v61.44912

Wildan Latief, Riky Setyawan, Winona Andrari Mardhitiyani

{"title":"Clinical outcome comparison of suture button suspensionplasty versus trapeziectomy with ligament reconstruction and tendon interposition in patients with carpometacarpal joint arthritis: a systematic review of direct comparison studies.","authors":"Wildan Latief, Riky Setyawan, Winona Andrari Mardhitiyani","doi":"10.2340/jphs.v61.44912","DOIUrl":"https://doi.org/10.2340/jphs.v61.44912","url":null,"abstract":"Introduction: Trapeziectomy nowadays is predominantly done with Ligament Reconstruction and Tendon Interposition (LRTI) or Suture Button Suspensionplasty (SBS). This article is intended to highlight comparison between SBS and trapeziectomy with LRTI through direct comparison evidence.Material and method: The LRTI technique involves the removal of the diseased trapezium bone and creating suspension through the use of flexor carpi radialis tendon, while SBS stabilize the metacarpal base by suspending the first metacarpal bone. The record screening process of this systematic and meta-analysis was in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines. QuickDASH, post-operative strength, visual analog scale were set as the primary outcomes, while the adverse event reported and miscellaneous findings worth mentioning per study were set as the secondary outcomes. Results: Of the 102 records screened, 1 Randomized Control Trial (RCTs) and 1 Cohorts, consisting of 188 cases were included in the analysis. Both modalities showed comparable, non-significant difference in efficacy (alleviating pain associated with basal joint arthritis, improving strength and function of the affected thumb, in the long term) at the endpoint of the follow-up. Both procedures also showcased excellent safety and long-term functional profile. However, SBS displayed an advantage in post-operative recovery aspect as well as the biomechanical aspect compared to LRTI. Conclusions: Both LRTI & SBS demonstrated non-inferiority to each other, hence clinical judgment might be more based on the preference and tolerability of the patient, as well as the experience of the center. Further prospective, comparative study might be needed to truly erect the superiority of one of the procedures to another.","PeriodicalId":16847,"journal":{"name":"Journal of Plastic Surgery and Hand Surgery","volume":"61 ","pages":"12-16"},"PeriodicalIF":0.9,"publicationDate":"2026-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146157484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Minor modification of soft palate surgical technique resulted in a considerable increase of residual cleft dimensions for unilateral cleft lip and palate. 对于单侧唇腭裂，软腭手术技术的微小修改导致了残余裂隙尺寸的显著增加。

IF 0.9 4区医学

Journal of Plastic Surgery and Hand Surgery Pub Date : 2026-02-04 DOI: 10.2340/jphs.v61.45063

Midia Najar Chalien, Hans Mark, Josef Rizell, Sara Rizell

{"title":"Minor modification of soft palate surgical technique resulted in a considerable increase of residual cleft dimensions for unilateral cleft lip and palate.","authors":"Midia Najar Chalien, Hans Mark, Josef Rizell, Sara Rizell","doi":"10.2340/jphs.v61.45063","DOIUrl":"10.2340/jphs.v61.45063","url":null,"abstract":"Introduction: A two-stage surgical approach, starting with the soft palate, has been practiced in the Gothenburg cleft team for unilateral cleft lip and palate (UCLP) since decades. To improve the velopharyngeal function, a modified soft palate closure (SPC) technique was introduced. Clinical observations did however indicate that the novel technique resulted in a deviant residual cleft shape, potentially contributing to future compromised dental arch form.Aim: This study aimed to compare residual cleft dimensions (area, width and length) between different SPC techniques and at various age, in individuals born with UCLP. Material and methods: The sample consisted of three groups of children with non-syndromic UCLP: 1. 27 individuals who had original SPC and hard palate closure (HPC) at 3 years (GBG3) 2. 37 individuals who had a modified SPC and HPC at 2 years (GBGmod) 3. 29 individuals who had original SPC and HPC at 2 years (GBG2). Residual cleft area, length and width were measured on digitised cast models using Blender software. Multiple linear regression analysis was used to compare the groups.Results: Larger residual cleft dimensions (area and length) were found for GBGmod compared to both GBG3 (p < 0.001, p = 0.009) and GBG2 (p = 0.009, p = 0.009). In addition, GBGmod had increased cleft width in comparison with GBG3 and GBG2 in quartile 1.Conclusion: The modified SPC technique resulted in larger residual clefts in comparison with the groups operated with the original SPC method. Timing differences between GBG3 and GBG2 are likely one explanation of cleft width variations anteriorly.","PeriodicalId":16847,"journal":{"name":"Journal of Plastic Surgery and Hand Surgery","volume":"61 ","pages":"6-11"},"PeriodicalIF":0.9,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146118943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Advances in epidermolysis bullosa hand deformity management: a 20-year journey of techniques and outcomes. 大疱性表皮松解症手部畸形治疗的进展：20年的技术和结果之旅。

IF 0.9 4区医学

Journal of Plastic Surgery and Hand Surgery Pub Date : 2026-01-26 DOI: 10.2340/jphs.v61.45064

Francesco Ciancio, Antonio Cuzzocrea, Caterina Alberti, Dario Melita, Paolo Marchica, Rosario Ranno, Giuseppe A G Lombardo

{"title":"Advances in epidermolysis bullosa hand deformity management: a 20-year journey of techniques and outcomes.","authors":"Francesco Ciancio, Antonio Cuzzocrea, Caterina Alberti, Dario Melita, Paolo Marchica, Rosario Ranno, Giuseppe A G Lombardo","doi":"10.2340/jphs.v61.45064","DOIUrl":"https://doi.org/10.2340/jphs.v61.45064","url":null,"abstract":"Introduction: Epidermolysis bullosa (EB) is a rare disease involving the skin with the formation of synechiae and cicatricial retractions, especially on the hands. The objective of this study is the evaluation of the surgical technique of debridement of the amorphous hand in patients suffering from EB.Material and methods: All patients were treated according to the ethical principles of the Helsinki declaration. Data collection was performed in terms of patient's hospitalization time, healing time (healing for more than 90% of the epidermis), possible recurrence and reoperation times, Visual Analogue Scale (VAS) for pain evaluation, and Disability of Arm-Shoulder-Hand (DASH) score in preoperative time and after 60 days from surgery. The clinical follow-up ranges from a minimum of 36 months up to 10 years.Results: Complete reepithelialization of the hands (<90% of the bloody surface) occurred in 19.2 days, with a range of 14-23 days. In our study, the improvement in the DASH score and pain evaluation with VAS scale were statistically significant (P < 0.05), and the goal of this treatment was the functional recovery of the hands with resumption of daily autonomy.Conclusion: The surgical technique shown is safe, simple, and repeatable with a rapid learning curve, and no complex instruments or large operating spaces are needed, which is why it should be easy to make it repeatable in other plastic or hand surgery centers. Our data regarding discomfort and the DASH scale give us encouraging premises to continue in this direction.","PeriodicalId":16847,"journal":{"name":"Journal of Plastic Surgery and Hand Surgery","volume":"61 ","pages":"1-5"},"PeriodicalIF":0.9,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146046613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Partial intracranial volumes in metopic synostosis - pre- and postoperative comparisons with healthy controls. 异位性结膜闭锁的部分颅内容积-术前和术后与健康对照的比较。

IF 0.9 4区医学

Journal of Plastic Surgery and Hand Surgery Pub Date : 2025-12-18 DOI: 10.2340/jphs.v60.44913

Hanna Lif, Rehan Chakari, Per Enblad, Daniel Nowinski

{"title":"Partial intracranial volumes in metopic synostosis - pre- and postoperative comparisons with healthy controls.","authors":"Hanna Lif, Rehan Chakari, Per Enblad, Daniel Nowinski","doi":"10.2340/jphs.v60.44913","DOIUrl":"https://doi.org/10.2340/jphs.v60.44913","url":null,"abstract":"Surgical intervention for metopic synostosis has been much debated but aims to correct trigonocephaly and hypotelorism while ensuring enough space for undisturbed brain growth. The aim of this study was to evaluate changes in partial intracranial volumes and the interfrontal angle following fronto-orbital advancement. Twenty-six non-syndromic metopic synostosis patients treated with fronto-orbital advancement at Uppsala University Hospital between 2012 and 2022 who had undergone computed tomography preoperatively and at age three were included, as well as 40 age- and sex-matched controls who had undergone computed tomography for post-traumatic evaluation. Demographic information, imaging, pre-, peri-, and postoperative data were collected. The frontal-, middle-, and posterior intracranial volume and their relative distribution were calculated in the softwares Craniosyn and ITK-SNAP 3.8.0. Preoperatively, patients had smaller interfrontal angles (p < 0.001), total intracranial volumes (p = 0.03), and frontal volumes (p = 0.02), compared with controls. At age three, the total intracranial volume (p = 0.96) and frontal volume (p = 0.51) did not differ significantly between patients and controls, whereas the interfrontal angle remained smaller in the synostosis group (p < 0.001). The relative intracranial volume distribution between frontal-, middle-, and posterior volumes did not match the distribution in healthy controls pre- or postoperatively, where the middle volume ratio was notably greater, and both the frontal- and posterior volume ratios were smaller in patients. Fronto-orbital advancement and subsequent growth improve the total- and partial intracranial volume in metopic synostosis to match the volumes of healthy controls at age three but does not restore the relative intracranial volume distribution.","PeriodicalId":16847,"journal":{"name":"Journal of Plastic Surgery and Hand Surgery","volume":"60 ","pages":"219-225"},"PeriodicalIF":0.9,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145774929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Vascularized bone grafting using the 1,2 intercompartmental supraretinacular artery for the treatment of Preiser's disease. 利用1,2间室间带韧带上动脉的带血管骨移植治疗Preiser病。

IF 0.9 4区医学

Journal of Plastic Surgery and Hand Surgery Pub Date : 2025-12-18 DOI: 10.2340/jphs.v60.45011

Yoshinori Takemura, Narihito Kodama, Kosei Ando, Takafumi Yayama, Shinji Imai

{"title":"Vascularized bone grafting using the 1,2 intercompartmental supraretinacular artery for the treatment of Preiser's disease.","authors":"Yoshinori Takemura, Narihito Kodama, Kosei Ando, Takafumi Yayama, Shinji Imai","doi":"10.2340/jphs.v60.45011","DOIUrl":"https://doi.org/10.2340/jphs.v60.45011","url":null,"abstract":"Introduction: Preiser's disease refers to a rare idiopathic avascular necrosis of the scaphoid that often leads to pole collapse and poor clinical outcomes when managed conservatively. Vascularized bone grafting (VBG) using the 1,2 intercompartmental supraretinacular artery (ICSRA) flap has been used to restore perfusion, but its treatment efficacy across different disease stages remains unclear.Methods: We retrospectively reviewed eight women (mean age 60.6 years) who were treated using 1,2 ICSRA VBG between 2006 and 2022. Disease stage was determined using the Herbert radiographic classification (one stage 1, four stage 2, and three stage 3 cases). Clinical parameters [grip strength, range of motion, Disabilities of the Arm, Shoulder, and Hand (DASH) scores, Mayo Wrist Scores] and radiographic progression were assessed after a mean follow-up of 3.6 years. Contralateral scaphoid morphology was evaluated to explore any potential anatomical predisposition.Results: On average, there were improvements in grip strength (9.5 to 16.6 kg), dorsal flexion (49° to 65°), DASH score (49.5 to 10.6), and Mayo score in all cases. Radiographically, the stage 1 case did not exhibit any progression, one stage 2 case progressed, and all stage 3 cases progressed despite symptomatic improvement. Three patients exhibited type 2 scaphoid morphology, but no correlation with outcomes was observed.Conclusion: VBG using the 1,2 ICSRA flap results in favorable clinical/radiographic outcomes in early Preiser's disease (stages 1-2), effectively preserving function and stability. In stage 3 disease, VBG may provide symptomatic relief but does not prevent progression. This warrants careful patient selection and consideration of alternative reconstructive options.","PeriodicalId":16847,"journal":{"name":"Journal of Plastic Surgery and Hand Surgery","volume":"60 ","pages":"226-230"},"PeriodicalIF":0.9,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145774868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Enhanced recovery after surgery protocol improves compliance and satisfaction in radical axillary bromhidrosis surgery. 增强术后恢复方案提高了根治性腋臭手术的依从性和满意度。

IF 0.9 4区医学

Journal of Plastic Surgery and Hand Surgery Pub Date : 2025-11-17 DOI: 10.2340/jphs.v60.44908

Chuqing Wang, Kaixi Tan, Wenwen Xi, Jianfei Zhang

{"title":"Enhanced recovery after surgery protocol improves compliance and satisfaction in radical axillary bromhidrosis surgery.","authors":"Chuqing Wang, Kaixi Tan, Wenwen Xi, Jianfei Zhang","doi":"10.2340/jphs.v60.44908","DOIUrl":"10.2340/jphs.v60.44908","url":null,"abstract":"Objective: This study aimed to investigate the effects of the Enhanced Recovery After Surgery (ERAS) protocol on treatment compliance, psychological distress, and patient satisfaction in individuals undergoing radical surgery for axillary bromhidrosis.Methods: In this randomized controlled trial, 150 patients scheduled for axillary bromhidrosis surgery were allocated to an ERAS group (n = 75) or a conventional care group (n = 75) using a computer-generated randomization sequence. The ERAS protocol included preoperative counseling, optimized fasting, intraoperative anxiety management, and structured postoperative rehabilitation. Outcomes were assessed via treatment compliance rates (defined as the sum of partial compliance [cooperation after prompting] and full compliance [voluntary cooperation]; non-compliance was resistance to treatment), Self-Rating Anxiety/Depression Scales (SAS/SDS), and a validated satisfaction survey. Statistical analysis was performed using SPSS 22.0.Results: The ERAS group exhibited significantly higher total compliance (93.34% vs. 75.00%, P < 0.001) and satisfaction rates (89.33% vs. 79.00%, P = 0.012) compared to the control group. Both groups showed reduced SAS and SDS scores post-intervention (P < 0.05), with greater reductions in the ERAS group (SAS: 51.23 ± 5.26 vs. 58.45 ± 4.28; SDS: 53.44 ± 4.06 vs. 60.37 ± 4.72; P < 0.01).Conclusion: Implementing the ERAS protocol improves patient compliance, alleviates perioperative psychological distress, and enhances satisfaction in axillary bromhidrosis surgery, supporting its integration into clinical practice.","PeriodicalId":16847,"journal":{"name":"Journal of Plastic Surgery and Hand Surgery","volume":"60 ","pages":"214-218"},"PeriodicalIF":0.9,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145541164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0