Journal of Plastic Surgery and Hand Surgery最新文献

{"title":"Functional results after extensor indicis proprius to extensor pollicis longus tendon transfer for ruptures associated with distal radius fractures.","authors":"Ingrid Andreasson, Christos Ni Sarigiannis, Michael Ullman, Anders Björkman","doi":"10.2340/jphs.v61.46150","DOIUrl":"10.2340/jphs.v61.46150","url":null,"abstract":"<p><p>Rupture of the extensor pollicis longus (EPL) tendon is a recognised complication after distal radius fracture (DRF) that leads to loss of active thumb extension. Transfer of the extensor indicis proprius (EIP) tendon to the EPL is one of the most common reconstructive procedures, but prospective outcome data are limited. This study evaluated functional and patient-reported outcomes after EIP-to-EPL tendon transfer exclusively in patients with EPL rupture secondary to DRF. Thirty consecutive patients (26 women, 4 men; median age 65 years, range 17-80) underwent EIP-to-EPL tendon transfer between 2021 and 2025 for EPL rupture secondary to DRF. Thumb motion, grip and pinch strength and QuickDASH scores were recorded at 3 and 6 months postoperatively. All motion parameters improved between 3 and 6 months. At 6 months, lift-off height recovered to approximately two-thirds, total thumb flexion to > 80% and radial/palmar abduction to about 90% of the contralateral side. Grip and pinch strength reached 79-85% of the uninjured hand. Mean QuickDASH score improved from 29 to 21 points (p = 0.015). In conclusion, EIP-to-EPL tendon transfer restores satisfactory thumb motion, strength and patient-rated function following EPL rupture associated with DRF. Functional recovery at 6 months is comparable to that of patients with uncomplicated DRFs. Clinical Trials registry no. NCT05264675.</p>","PeriodicalId":16847,"journal":{"name":"Journal of Plastic Surgery and Hand Surgery","volume":"61 ","pages":"140-145"},"PeriodicalIF":0.9,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148031820","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}

{"title":"Public healthcare costs of complications of cosmetic surgery in Sweden - a regional study.","authors":"Sebastian Holm, Reza Tabrisi, Emma Wall, Carolina Nilsson, Rodi Ali, Johann Zdolsek","doi":"10.2340/jphs.v61.46115","DOIUrl":"10.2340/jphs.v61.46115","url":null,"abstract":"<p><strong>Background: </strong>Cosmetic surgery has increased during recent decades, both domestically and through cosmetic tourism. Patients who develop postoperative complications frequently seek care in the public healthcare system. The extent to which these complications generate healthcare workload and costs within Swedish public hospitals remains poorly described.</p><p><strong>Methods: </strong>This retrospective cohort study includes patients presenting with acute complications after cosmetic surgery to the three hospitals in Region Örebro County, Sweden, between 2018 and 2024. Patients were identified through medical records and administrative systems. Cosmetic procedures performed locally, elsewhere in Sweden, or abroad were included. The primary outcome was direct hospital cost per patient estimated using diagnosis-related group weights. Secondary outcomes included emergency department attendance, hospital admission, length of stay (LOS), diagnostic investigations, surgical interventions and outpatient follow-up. Statistical comparisons between groups were performed using chi-square tests, independent sample t-tests and non-parametric tests where appropriate.</p><p><strong>Results: </strong>A total of 53 patients were included. The majority were female (88.7%) with a mean age of 42.1 years. The most common procedures associated with complications were abdominoplasty, breast augmentation and reduction mammoplasty. Infection with or without abscess was the most frequent complication. Patients operated in Sweden had a higher rate of hospital admission compared with patients operated abroad (48.0% vs 13.6%, p = 0.01), while LOS was similar between groups. In contrast, patients operated abroad required more outpatient physician follow-up. The mean estimated healthcare cost per patient was 45,956 SEK, Swedish crowns (€3890). Patients operated in Sweden generated higher average costs compared with patients operated abroad (58,460 SEK vs 28,688 SEK). The total estimated cost for managing complications in the cohort was approximately 2.3 million SEK.</p><p><strong>Conclusions: </strong>Complications after cosmetic surgery generate a measurable workload and cost for the public healthcare system. In this regional Swedish cohort, a substantial proportion of complications originated from procedures performed domestically rather than abroad. These findings challenge the perception that the public healthcare burden from cosmetic surgery complications is primarily driven by cosmetic tourism. Improved coordination between private cosmetic providers and the public healthcare system may help reduce the clinical and economic impact of these complications.</p>","PeriodicalId":16847,"journal":{"name":"Journal of Plastic Surgery and Hand Surgery","volume":"61 ","pages":"132-139"},"PeriodicalIF":1.4,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148031875","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}

{"title":"Endoscopic cubital tunnel release: a modified surgery and clinical application.","authors":"Yinglu Zhao, Jing Xu, Jie Lao, Jianyun Yang","doi":"10.2340/jphs.v61.45986","DOIUrl":"10.2340/jphs.v61.45986","url":null,"abstract":"<p><strong>Background: </strong>Varied surgical alternatives for treating cubital tunnel syndromes have been used. A trend of endoscopic ulnar nerve release is emerging. The purpose of this study is to introduce a modified technique of endoscopic ulnar nerve decompression in association with anterior transposition of the ulnar nerve and to assess the feasibility and efficacy of the surgery.</p><p><strong>Materials and methods: </strong>We introduced a modified method of endoscopic release and subfascial anterior transposition of the ulnar nerve. The technique was applied to six patients who presented signs, symptoms, and abnormal neurophysiological studies of cubital tunnel syndrome. The patients were classified according to the Dellon classification preoperatively. The Bishop rating system was used to evaluate the postoperative outcomes. Trial registration number for the study is MR-31-25-090620.</p><p><strong>Results: </strong>Preoperatively, all six patients were classified as severe according to the Dellon classification. The endoscopic cubital tunnel release and subfascial anterior ulnar nerve transposition surgeries were performed with no difficulty in all patients. All the patients had improvement in symptoms and scored excellent or good according to the modified Bishop Rating System postoperatively.</p><p><strong>Conclusions: </strong>The modified endoscopic cubital tunnel release and subfascial anterior ulnar nerve transposition technique is technically feasible with satisfactory outcomes in six patients in this study.</p>","PeriodicalId":16847,"journal":{"name":"Journal of Plastic Surgery and Hand Surgery","volume":"61 ","pages":"115-120"},"PeriodicalIF":1.4,"publicationDate":"2026-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147874591","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}

{"title":"Atlas of recipient vessels for the superficial venous system of DIEP-flaps - a systematic literature review and clinical practice review.","authors":"Emma Hansson, Jonas Löfstrand","doi":"10.2340/jphs.v61.45988","DOIUrl":"10.2340/jphs.v61.45988","url":null,"abstract":"<p><strong>Background: </strong>Venous congestion contributes to up to 40% of failures in abdominally based free flaps, underscoring the importance of optimising superficial venous drainage in deep inferior epigastric perforator (DIEP) flap breast reconstruction. The superficial inferior epigastric vein (SIEV) is sometimes essential to flap outflow. This systematic review investigates the choice of recipient vessels for superficial venous supercharging.</p><p><strong>Methods: </strong>A systematic review was performed according to a PROSPERO-registered protocol (CRD42022353591) and PRISMA guidelines. PubMed, CINAHL, Embase, and the Cochrane Library were searched for studies describing SIEV recipient vessels or vessel-selection algorithms. Extracted data included study design, recipient vessel, graft use, and decision strategies. A clinical practice review was also conducted at Sahlgrenska University Hospital, where prophylactic SIEV-cephalic vein (CV) anastomosis has been used for over two decades.</p><p><strong>Results: </strong>Twenty-nine studies were included. Reported recipient vessels outside the flap comprised, for example, the following veins: internal mammary, cephalic, thoracoacromial, and thoracodorsal. Intra-flap options included anastomoses to branches or the caudal end of the deep inferior epigastric vein. Three studies described interposition grafts, and eight proposed selection algorithms, with no consensus. The internal mammary vein was most frequently used. At Sahlgrenska, a short axillary-fold incision provides consistent and cosmetically favourable access to the CV, adding minimal operative time.</p><p><strong>Conclusion: </strong>Recipient vessel selection for SIEV anastomosis remains highly variable in the literature. Long-term institutional experience supports the CV as a reliable and versatile option. Prospective studies are needed to evaluate outcomes.</p>","PeriodicalId":16847,"journal":{"name":"Journal of Plastic Surgery and Hand Surgery","volume":"61 ","pages":"121-131"},"PeriodicalIF":1.4,"publicationDate":"2026-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147874562","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}

{"title":"Towards consensus on the treatment of congenital craniofacial conditions: the discussion section of a doctoral thesis.","authors":"Victor Van Roey, Irene M J Mathijssen, Aebele B Mink van der Molen, Sarah L Versnel","doi":"10.2340/jphs.v61.45985","DOIUrl":"10.2340/jphs.v61.45985","url":null,"abstract":"<p><strong>Background: </strong>Congenital craniofacial conditions are a diverse group of rare and complex disorders, leading to significant functional and psychosocial challenges. Their rarity and variability hinder research and clinical standardisation, resulting in substantial practice variation across centres. International collaboration and high-quality evidence are therefore essential to improve and converge care for affected individuals. This article presents the discussion section of a doctoral thesis that addressed these challenges through multiple methodological approaches, the majority of which were conducted within the European Reference Network for Rare and Complex Craniofacial Conditions (ERN CRANIO).</p><p><strong>Methods: </strong>The studies combined systematic reviews, multicentre cohort analyses, expert consensus and registry development to advance understanding and care for three conditions: unilateral cleft lip and palate (UCLP), Treacher Collins syndrome and Miller syndrome.</p><p><strong>Results: </strong>The thesis provides evidence supporting early hard palate closure in UCLP, contributing to improved speech outcomes and fewer oronasal fistulas without increasing surgical burden. For facial dysostosis syndromes, the European clinical consensus statement and the establishment of the first international registry provide a foundation for more standardised multidisciplinary care and collaborative research. The systematic review on Miller syndrome clarifies its phenotypic spectrum and aids differential diagnosis with other syndromes.</p><p><strong>Conclusions: </strong>Through its comprehensive and collaborative approach, this thesis promotes the convergence of care for congenital craniofacial conditions in Europe. It highlights the importance of methodological rigour, standardisation and international collaboration to achieve evidence-based and equitable care for these rare and complex disorders.</p>","PeriodicalId":16847,"journal":{"name":"Journal of Plastic Surgery and Hand Surgery","volume":"61 ","pages":"110-114"},"PeriodicalIF":1.4,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839447","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}

{"title":"Evaluation of severe radial translation of distal radius fractures which is a potential cause of distal radioulnar joint instability.","authors":"Jiang Huajun, Liu Sida, Jiang Peilong, Zhang Borui, Yang Jingjing, Qu Wei","doi":"10.2340/jphs.v61.46005","DOIUrl":"10.2340/jphs.v61.46005","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;This study aimed to (1) introduce a simple and reproducible method to assess severe radial translation of distal radius fractures (DRF) which is a potential cause of distal radioulnar joint (DRUJ) instability, and (2) to construct a treatment-oriented classification.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Materials and methods: &lt;/strong&gt;From 2018 to 2023, stress test (ballottement test) was performed to detect DRUJ instability associated with DRF after treatment with locking plate fixation. Potential radiographic predictors of DRUJ instability focus on radial translation were accessed. The severity of radial translation was described by a readily and easily technique as 'point- baseline' method. According to this method, radial translation was categorized into three grades: no translation (the marking points not moved), moderate translation (the marking points moved, but were located on the ulnar side of the baseline), and severe translation (the marking points moved and reached the baseline position, or even completely moved to the radial side of the baseline). All these fractures were divided into two groups, namely Group A (cases with no translation or moderate translation) and Group B (cases with severe translation). Relationships between DRUJ instability and the radiographic parameter of radial translation were analyzed. To investigate the causes of DRUJ instability, all of the cases with DRUJ instability were further divided into two subgroups: subgroup A (cases with DRUJ instability in Group A) and subgroup B (cases with DRUJ instability in Group B). Practices to address DRUJ instability at the time of DRF fixation were explored.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;There were 226 patients enrolled in this study. According to 'point- baseline' method, there were 174 wrists in Group A and 52 wrists in Group B. There were 34 cases (19.54%) diagnosed as having DRUJ instability intraoperatively via manual stress testing in Group A, while 36 cases (69.23%) in Group B. There was significant difference in the incidence of DRUJ instability between the two groups (p &lt; 0.0001). Of the 70 cases with DRUJ instability, 18 cases regained stability by ulnar styloid fracture fixation, 12 cases by dorsal ulnar corner fragment (sigmoid notch fracture) fixation, and 40 cases by arthroscopy-assisted triangular fibrocartilage complex (TFCC) repair. To investigate the causes of DRUJ instability, there were 34 wrists in subgroup A, while 36 wrists in subgroup B. There were no significant differences between the two subgroups regarding the causes of DRUJ instability including ulnar styloid process fracture, dorsal ulnar corner fragment (sigmoid notch fracture), and traumatic TFCC injury.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This study helped establish a 'point- baseline' method which can be readily and easily used to identify the severity of radial translation, which was a significant predictor of DRUJ instability. On the other hand, whether or not severe radial tr","PeriodicalId":16847,"journal":{"name":"Journal of Plastic Surgery and Hand Surgery","volume":"61 ","pages":"104-109"},"PeriodicalIF":1.4,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839389","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}

{"title":"Infiltration level of macrophages and its impact on fat graft retention in mouse free fat grafting model.","authors":"Chengzhi Dong, Jian Zhang, Lijuan Peng","doi":"10.2340/jphs.v61.45744","DOIUrl":"10.2340/jphs.v61.45744","url":null,"abstract":"<p><strong>Background: </strong>Autologous fat grafting faces the clinical challenge of unstable absorption rates, and the regulatory mechanisms of macrophages need to be elucidated.</p><p><strong>Objectives: </strong>It aimed to investigate the infiltration levels and phenotypic dynamics of macrophages and explore their impact on graft retention rate (RR).</p><p><strong>Methods: </strong>A total of 180 C57BL/6J mice were randomly divided into experimental (AG, fat grafting), sham (BG, no grafting), and intervention (CG, macrophage depletion followed by grafting) groups. Graft RR was assessed, and macrophage status was analyzed by flow cytometry and immunofluorescence postoperatively. Levels of inflammatory, pro-fibrotic, and angiogenic factors were also detected.</p><p><strong>Results: </strong>Macrophage infiltration in the AG peaked at week 2 (21.3 ± 1.5%) and then shifted from M1 to M2 phenotype. The graft RR in the AG was visibly higher as against the CG (p < 0.05). M2 macrophages were strongly positively correlated with RR (based on the aggregated data of all time points, r = 0.821, p < 0.0001), while pro-inflammatory factors suggested negative correlation. The AG had visibly elevated levels of angiogenic factors, which were strongly positively correlated with RR (p < 0.05).</p><p><strong>Conclusion: </strong>Macrophages (especially the M2 subtype) play a key role in fat graft survival by modulating inflammatory responses and promoting angiogenesis. Targeting macrophage polarization may be a novel strategy to improve fat grafting outcomes.</p>","PeriodicalId":16847,"journal":{"name":"Journal of Plastic Surgery and Hand Surgery","volume":"61 ","pages":"95-103"},"PeriodicalIF":1.4,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839400","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}

{"title":"Medial femoral condyle flap for ulnar reconstruction and structural bone allograft for radial reconstruction in post-traumatic forearm diaphyseal non-union: a two-case report.","authors":"Matthias Holzbauer, Maximilian Zaussinger, Klaus Strassmair, Stefan M Froschauer, Tobias Gotterbarm, Manfred Schmidt","doi":"10.2340/jphs.v61.45795","DOIUrl":"10.2340/jphs.v61.45795","url":null,"abstract":"<p><p>The successful treatment of forearm non-unions, which occur as a complication in 2-10% of all forearm fractures, poses a significant challenge in reconstructive surgery. Current treatment often involves revision fixation with non-vascularized bone grafts for atrophic non-unions. Large bony defects in both forearm bones, however, necessitate advanced reconstructive techniques. In isolated reconstructions of the radius or ulna, the vascularized medial femoral condyle (MFC) flap has gained popularity, achieving 98-100% union rate. Allogenic bone grafts have also been described for reconstruction of large bone defects, potentially reducing donor site morbidity and operation time. This two-case report investigates the performance of vascularized MFC cortico-cancellous flap for ulna reconstruction and tricortical allogenic bone graft of the iliac crest for radius reconstruction in excessive, post-traumatic, atrophic non-union of the forearm diaphysis. In May and June 2021, a 62-year-old and a 56-year-old male received reconstruction surgery 9 and 13 months after initial plate osteosynthesis after a motorcycle accident. The MFC flap showed successful bony union of the ulna after 3 months as well as consecutive remodeling. However, the reconstruction of the radius showed a recurrent non-union, which even led to plate breakage in one case. In both cases, ulnar reconstruction with a vascularized MFC flap achieved successful union. However, radial reconstruction using structural allograft did not achieve union, causing recurrent non-union, likely reflecting limited biological incorporation. Level of Evidence: V (Therapeutic).</p>","PeriodicalId":16847,"journal":{"name":"Journal of Plastic Surgery and Hand Surgery","volume":"61 ","pages":"91-94"},"PeriodicalIF":1.4,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774715","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}

{"title":"Characteristics and prognosis of skin cancer arising from burn scars: a systematic review.","authors":"Abdulmajeed Alhadlaq, Ibraheem M Kereet, Basma Kamel, Kainat Jahangir, Nada G Hamam, Mohamed Ashraf Shehab, Mohamed Hisham Alamin, Ahmed S A Osman, Salma Rechid, Mohamed Ahmed Ali, Mohamed Elsaid","doi":"10.2340/jphs.v61.45793","DOIUrl":"10.2340/jphs.v61.45793","url":null,"abstract":"<p><strong>Background: </strong>Burn scars are recognized risk factors for malignant skin transformation, most notably Marjolin's ulcer (MU). Despite extensive documentation in case reports and series, the epidemiological characteristics and prognosis of burn scar-related skin cancers have lacked large-scale systematic synthesis.</p><p><strong>Methods: </strong>We conducted a systematic review in line with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, registered with PROSPERO (CRD42024545404), covering literature from PubMed, Scopus, and Web of Science up to 18 January 2024. Eligible studies included case reports, case series, and observational studies reporting any type of skin cancer in burn scars. Data were extracted on demographics, burn and tumor characteristics, treatment, latency, outcomes, and risk of bias using Joanna Briggs Institute tools.</p><p><strong>Results: </strong>A total of 211 studies reporting 830 cases were included. The mean latency period from burn injury to cancer diagnosis was 21.7 years (SD = 19.6). Males constituted 53% of patients, with third-degree burns predominating (89.37%) and lower limbs being the most affected site (33.59%). Squamous cell carcinoma (SCC) was the most frequent malignancy (67.19%), followed by basal cell carcinoma (BCC, 3.83%) and other cancers (15.33%). Recurrence occurred in 13.2% of cases; mortality was 6.96%. SCC accounted for most deaths (63.8%), while melanoma and sarcoma exhibited high rates of recurrence and mortality. Lymph node metastasis and distant metastasis were found in 7.56 and 4.74% of cases, respectively.</p><p><strong>Conclusion: </strong>Skin cancers arising from burn scars, especially SCC, demonstrate aggressive clinical behavior with significant morbidity and mortality. Reduced latency periods and high metastatic potential highlight the importance of vigilant, long-term surveillance and radical initial treatment. This review provides a contemporary benchmark for epidemiological understanding and supports calls for international registries, molecular diagnostics, and standardized management protocols for burn scar malignancies.</p>","PeriodicalId":16847,"journal":{"name":"Journal of Plastic Surgery and Hand Surgery","volume":"61 ","pages":"86-90"},"PeriodicalIF":1.4,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774700","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}

{"title":"Current materials and techniques in cosmetic hand injections.","authors":"Yutong Liang, Jun Zhuang, Xueshang Su, Ziming Zhang, Qingqian Wei, Jintian Hu","doi":"10.2340/jphs.v61.45435","DOIUrl":"10.2340/jphs.v61.45435","url":null,"abstract":"<p><strong>Background: </strong>With the widespread popularity and development of aesthetic treatments, the focus has extended from facial aging to include the aging of hands. The primary aim of this study is to review the current materials, methods of injection, and testing procedures employed in cosmetic hand injections.</p><p><strong>Methods: </strong>PubMed database (from 1971 to April 2024) was searched to identify relevant studies on materials, injection techniques, and evaluation methods associated with aesthetic hand injections, excluding systematic reviews and medical record reports.</p><p><strong>Results: </strong>A total of 1815 articles were identified, of which 41 articles were included. This study summarizes the current materials, injection techniques, and outcome evaluation methods used for cosmetic hand injections, while discussing observations and making recommendations.</p><p><strong>Conclusion: </strong>Hand skin conditions tend to receive less attention than cosmetic facial injections. In existing studies of injected substances, hydroxyapatite remains the main material used for cosmetic hand injections. Poly-L-lactic acid (PLLA), platelet-rich plasma (PRP), and polycaprolactone injections were significantly more effective than other substances in the hand. In commonly used injection techniques, catheter-based injection methods are more accurate than needle positioning and dose. The most commonly used assessment methods remain ultrasound and the Merz hand partial scale. At present, there is still a relative lack of research on aesthetic hand injections, and extensive and in-depth research, such as randomized studies comparing hyaluronic acid and calcium hydroxylapatite and longitudinal data on the results of PLLA or PRP, is recommended to further develop hand injection techniques with lasting aesthetic results. Increased public awareness of hand injections derives from more reliable and valid studies. And we need standardized outcome measures and long-term follow-up data in future studies.</p>","PeriodicalId":16847,"journal":{"name":"Journal of Plastic Surgery and Hand Surgery","volume":"61 ","pages":"78-85"},"PeriodicalIF":1.4,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774737","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}