Plastic and Reconstructive Surgery Global Open最新文献

{"title":"Evaluation of Lateral Triangular Flaps When Combined With Bilateral Superficial Epigastric Artery Flap for Shaft-only Penile Reconstruction.","authors":"Ashraf El Eebaie Mohamed, Ahmed Abdelsalam Hafez Hamza, Mohammed Ahmed Hussein","doi":"10.1097/GOX.0000000000006485","DOIUrl":"10.1097/GOX.0000000000006485","url":null,"abstract":"<p><strong>Background: </strong>Phalloplasty represents a challenging complex genital reconstruction surgery. Phalloplasty should result in an aesthetic composite phallus, with the ability to void while standing, allowing placement of an implantable prostheses and preserving both tactile and erogenous sensation with minimal donor site morbidity.</p><p><strong>Methods: </strong>A bilateral superficial epigastric artery flap was design in the supra pubic area, extending upward till the lower boarder of the umbilicus. Two triangular flaps were designed at the base of the main rectangular flap to facilitate further mobilization of the neophallus. A penile prosthesis was implanted at the same stage in some patients. Finally, the lateral abdominal flaps were dissected and mobilized to be closed primarily in the mid line.</p><p><strong>Results: </strong>Twenty patients who were candidate for first stage of penile reconstruction were included in our study. The average flap dimensions were 18 × 15 cm; the largest was 32 × 18 cm, whereas the smallest flap was 15 × 113 cm. Eleven patients had immediate implantation with 2 failures due to impaired sensation. Four patients had tissue expansion before flap harvesting. Three patients developed partial flap loss during the first 2 weeks postoperatively.</p><p><strong>Conclusions: </strong>The modified bilateral superficial epigastric artery flap is a convenient flap for neophallus reconstruction. Flap design and harvesting is simple with a minimal learning curve. The flap has good color match with well-hidden donor site morbidity. Also, the bilateral triangular flaps permit adequate caudal repositioning of the neophallus, which gives a more natural position.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6485"},"PeriodicalIF":1.5,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11856887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143503411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Rare Case of Combined Merkel Cell Cancer and Squamous Cell Carcinoma of the Face in an Older Woman of Southern Italy.","authors":"Domenico Mariniello, Santolo D'Antonio, Francesco Castellaneta, Michele Grieco, Tommaso Fabrizio","doi":"10.1097/GOX.0000000000006509","DOIUrl":"10.1097/GOX.0000000000006509","url":null,"abstract":"<p><p>Merkel cell carcinoma (MCC) is a rare, aggressive neuroendocrine skin tumor, whereas squamous cell carcinoma (SCC) is a more common form of skin cancer. Both tumors share similar risk factors, including advanced age, sun exposure, and fair skin. Cases of synchronous MCC and SCC are rare, and there are no established guidelines for their combined management. We report the case of an 85-year-old White woman from Southern Italy, presenting with a nodular lesion on her right forehead and a flat keratotic lesion on her right zygomatic region. The patient was treated with surgical excision and close postoperative follow-up. Histopathological analysis confirmed 2 distinct tumor populations in the forehead lesion: poorly differentiated neuroendocrine cells, consistent with MCC, and squamous cells with invasive characteristics. The zygomatic lesion contained only squamous cells. Despite surgical intervention and multidisciplinary postoperative care, the patient experienced recurrence within 4 months and died. This case illustrates a rare occurrence of combined MCC and SCC, presenting challenges in diagnosis and treatment. Given the lack of guidelines for managing dual diagnoses, this case highlights the need for further studies to establish standardized treatment protocols. The aggressive nature of these tumors underscores the importance of early detection and ongoing research to improve outcomes.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6509"},"PeriodicalIF":1.5,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143493203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Rate of Secondary Speech Surgery After Cleft Palate Repair: A Systematic Review.","authors":"Alexander T Plonkowski, Dylan G Choi, Priyanka Naidu, Marvee Turk, Caroline A Yao, William P Magee","doi":"10.1097/GOX.0000000000006465","DOIUrl":"10.1097/GOX.0000000000006465","url":null,"abstract":"<p><strong>Background: </strong>Reported rates of velopharyngeal insufficiency (VPI) after primary palatoplasty for cleft palate (CP) range from 5% to 30%. Although some cases are managed with speech therapy, many patients with VPI require surgical intervention. In this study, we investigate the rate of VPI surgery in patients with CP.</p><p><strong>Methods: </strong>A systematic review was undertaken following PRISMA guidelines. PubMed, Scopus, and Cochrane databases were used. Studies reporting the rate of VPI surgery in patients with CP were included. Studies containing patients with submucous clefts and/or lacking 6 months follow-up were excluded. Rates of VPI surgery were calculated through weighted means.</p><p><strong>Results: </strong>Fifty-eight articles were included. The overall rate of VPI surgery was 17.5% ± 9.2% (range, 0%-59%). When stratified by phenotype, the rate of VPI surgery was 20.0% ± 13.1% for unilateral cleft lip and palate (range, 0%-39.6%), 27.1% ± 17.2% for bilateral cleft lip and palate (range, 0%-59%), and 14.4% ± 7.2% for isolated CP (range, 0%-47.4%, <i>P</i> > 0.05). When segregated by the palatoplasty technique, the surgical rate was 7.2% ± 3.7% for Furlow, 20.3% ± 19.8% for 2-flap, 5.0% ± 2.8% for Sommerlad, and 23.4% ± 8.0% for 2-stage (<i>P</i> > 0.05). Of studies reporting VPI assessment criteria, speech pathology assessment alone (n = 11, 34.4%) was the most common.</p><p><strong>Conclusions: </strong>Significant variability exists in reported rates of VPI surgery after CP repair. Initial results suggest a higher rate of VPI surgery in association with certain phenotypes and repair techniques, but data are insufficient for robust conclusions.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6465"},"PeriodicalIF":1.5,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143493211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes and Current State of Deep Inferior Epigastric Perforator Flap Surgery in Peru and Mexico.","authors":"Otto Rolando Ziegler Rodriguez, Gabriel De La Cruz-Ku, Juan Rafael Ludeña Muñoz, Juan Enrique Rodriguez Valdivia, Christian Gerardo Ramos-Acevedo, Eduardo Medina Flores, Hector Vicuña Urbina, Miguel De La Parra-Marquez, Mauricio Manuel García-Pérez, Ignacio González-García","doi":"10.1097/GOX.0000000000006532","DOIUrl":"10.1097/GOX.0000000000006532","url":null,"abstract":"<p><strong>Background: </strong>In developing countries, breast reconstruction has multiple barriers, especially related to microsurgical procedures. Our aim was to describe the characteristics and outcomes of patients who underwent deep inferior epigastric artery perforator (DIEP) flap in 2 Latin American countries (Peru and Mexico) performed by recent postgraduate microsurgery fellows.</p><p><strong>Methods: </strong>A retrospective study of a case series of breast cancer patients who underwent DIEP flap surgery in 5 surgery centers in 2 different countries, Peru and Mexico, was conducted.</p><p><strong>Results: </strong>A total of 45 female patients were included, the mean age was 47.62 years with a median body mass index of 24.91 kg/m². The majority of patients had a presurgical diagnosis of mastectomy (91.1%), whereas 8.9% had chronic radiodermatitis. Moreover, the most common reason for surgical intervention was breast reconstruction after breast cancer surgery (88.9%). The median operative time and length of hospital stay were 8 hours (range 3-14 h) and 6 days (range 3-21 d), respectively. Twenty percent of patients required blood transfusions, 24.4% had venous congestion, and 15.6% presented wound dehiscence. Moreover, 9 (33.3%) patients required reoperation and 6 required salvage procedures (15.6%).</p><p><strong>Conclusions: </strong>Due to the multiple healthcare barriers in these countries, a very low number of DIEP flaps are performed in Peru and Mexico. Outcomes were worse in Peru compared with Mexico, with complication rates similar to those of other Latin American countries but higher than those of interventions performed in more experienced hands in the United States and Europe.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6532"},"PeriodicalIF":1.5,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850047/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143493208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment of Mild-to-moderate Progressive Hemifacial Atrophy by Acellular Dermal Matrix Combined With Preoperative Digital Evaluation.","authors":"Xinhao Cheng, Haijiang Dong, Chengxiang Yan, Zhibin Li, Baihui Xie, Yu Li, Huilong Liu, Yijun Zhang, Ximei Wang","doi":"10.1097/GOX.0000000000006558","DOIUrl":"10.1097/GOX.0000000000006558","url":null,"abstract":"<p><strong>Background: </strong>Progressive hemifacial atrophy (PHA) is a rare condition marked by the gradual degeneration of skin, soft tissues, muscles, and, in advanced stages, bone. The primary approach for managing PHA involves surgical interventions to reconstruct and restore the facial contour. The current treatments each present several limitations. Therefore, there is a critical need for innovative therapeutic methodologies for PHA soft-tissue reconstruction.</p><p><strong>Methods: </strong>Eight patients diagnosed with Guerrerosantos II and III PHA were included in the study. Preoperative 3-dimensional facial scans were digitally analyzed, and corresponding 3-dimensional-printed models were generated to assess soft-tissue deficiencies. Based on this evaluation, acellular dermal matrix (ADM) was tailored to a stepped, multilayered composite dermis of a specific shape and size. It was then anatomically anchored at precise locations and supplemented with volume filler and ligament-mimicking repairs.</p><p><strong>Results: </strong>The location, volume, and thickness of the ADM postoperatively were highly compatible with preoperative evaluations, significantly improving the facial contour and morphological and volumetric differences. All patients achieved good healing without other complications and reported improved postoperative scores on the FACE-Q craniofacial modules (<i>P</i> < 0.05).</p><p><strong>Conclusions: </strong>Structural repair of PHA using ADM, guided by preoperative digital assessments, provides a safe, effective, and relatively stable outcome. This approach is innovative for achieving precise facial reconstruction.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6558"},"PeriodicalIF":1.5,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in Relationship Dynamics in Men and Women After Receiving the Diagnosis of Breast Versus Prostate Cancer: A Population-based Study.","authors":"Frederick Heath, Kyle Ockerman, Gayle S Wiesemann, Rachel Safeek, Marie Heath, Arash Momeni, Lisa R Spiguel, Stephen Kovach, Sarah Sorice-Virk","doi":"10.1097/GOX.0000000000006494","DOIUrl":"10.1097/GOX.0000000000006494","url":null,"abstract":"<p><strong>Background: </strong>Relationship changes after cancer are prevalent yet underexplored. This investigation aimed to assess factors influencing relationship changes between participants receiving the 2 most common gender-specific cancer diagnoses: breast and prostate.</p><p><strong>Methods: </strong>Anonymous surveys were administered via Amazon Mechanical Turk. Eligible participants were 18 years or older and diagnosed with breast or prostate cancer. Relationship satisfaction and mental health were assessed via Personal Health Questionnaire Depression Scale (PHQ-8), General Anxiety Disorder (GAD-7), and Self-Esteem and Relationship Questionnaire.</p><p><strong>Results: </strong>Of the 186 study respondents, 85.4% (159) had breast cancer and 14.5% (27) had prostate cancer. More breast cancer participants reported that their relationship worsened after cancer diagnosis (breast: 40.9%, prostate: 11.1%), whereas a majority of prostate cancer patients reported improved relationships (breast: 17%, prostate: 66.7%; <i>P</i> < 0.001). However, most participants reported no relationship status change (breast: 66.7%, prostate: 77.8%; <i>P</i> = 0.508) and remained with the same partner postdiagnosis (breast: 84.9%; prostate: 77.8%). Breast cancer participants reported higher self-esteem compared with prostate cancer participants (<i>P</i> = 0.019). There was no significant difference in overall Self-Esteem and Relationship Questionnaire (<i>P</i> = 0.140), PHQ-8 (<i>P</i> = 0.689), and GAD-7 (<i>P</i> = 0.871) scores. Average PHQ-8 and GAD-7 scores indicated moderate depression (breast: 12.62, prostate: 12.88) and moderate anxiety (breast: 10.96, prostate: 11.06).</p><p><strong>Conclusions: </strong>Breast cancer participants reported greater perceived changes in their relationship postdiagnosis. This study supports routine, active, and pre-emptive involvement of a mental health provider for patients with cancer to improve mental health outcomes.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6494"},"PeriodicalIF":1.5,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Border Digit Transposition and Intramedullary Nail Fixation for Third or Fourth Ray Amputation.","authors":"Xavier J Candela, Vasanth S Kotamarti, Teun Teunis","doi":"10.1097/GOX.0000000000006554","DOIUrl":"10.1097/GOX.0000000000006554","url":null,"abstract":"<p><p>Central ray amputation of the third or fourth finger leaves a gap between the remaining digits. This gap can allow small objects to fall out of the hand. The gap may be narrowed by suturing the remaining intermetacarpal ligaments or transposing the remaining border digit to the amputated ray. Both methods are often followed by prolonged immobilization to prevent gapping after suture repair and nonunion after transposition, respectively. We propose the use of an intramedullary nail for metacarpal fixation after ray transposition. This provides the advantage of early mobilization, potentially reducing stiffness and hardware irritation, thus enabling an early return to work.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6554"},"PeriodicalIF":1.5,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sense and Sensibility: Nerve Tape-A More Efficient Alternative for Nerve Repair in Breast Reconstruction?","authors":"Malini Chinta, Theresa Webster, Hao Huang, Lisa Gfrerer","doi":"10.1097/GOX.0000000000006551","DOIUrl":"10.1097/GOX.0000000000006551","url":null,"abstract":"<p><strong>Background: </strong>Current methods of nerve coaptation, ranging from epineural microsuture to fibrin glue, are either technically challenging or inadequate in providing robust repair. Nerve Tape, a novel sutureless nerve coaptation device, addresses these shortcomings by enabling rapid application while still preserving high-quality nerve repair. The purpose of this study was to compare the speed and quality of nerve repair between Nerve Tape and the traditional microsuture in patients who undergo cancer-related and gender-affirming mastectomies with chest/breast reinnervation.</p><p><strong>Methods: </strong>Fourteen surgeon participants performed direct coaptations between the lateral cutaneous branches of intercostal nerves and either medial intercostal nerve branch autograft or allograft. Neurorrhaphy was randomized and performed with microsuture on 1 breast/chest and Nerve Tape on the contralateral breast/chest. Repair time and repair quality, graded with a standardized neurorrhaphy grading scale, were compared between the 2 repair methods.</p><p><strong>Results: </strong>The mean repair time using Nerve Tape and microsuture was 1.79 and 5.20 minutes, respectively. Nerve Tape repair required less than half the time of microsuture repair for trainees of all postgraduate year levels. The repair quality was excellent or good in 92% of Nerve Tape coaptations and 69% of microsuture repairs.</p><p><strong>Conclusions: </strong>Nerve Tape enables faster repair times and higher rates of clinically acceptable nerve coaptation, regardless of the surgeon's level of experience. This sutureless technology proves to be a potentially promising alternative to traditional microsurgical suture repair, though more studies are needed to establish a correlation with clinical outcomes.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6551"},"PeriodicalIF":1.5,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety and Performance of RHA4 in the Midface Using the Multilayering Technique: Preclinical and Clinical Evidence.","authors":"Killian Flégeau, Stefania Ballarini, Romain Brusini, Camille Vantou, Zhifeng Liao, Nathalie Hirt-Burri, François Bourdon, Fang-Wen Tseng, Jimmy Faivre","doi":"10.1097/GOX.0000000000006560","DOIUrl":"10.1097/GOX.0000000000006560","url":null,"abstract":"<p><strong>Background: </strong>Resilient hyaluronic acid (RHA) fillers are used to treat dynamic wrinkles or provide tissue lifting in facial aesthetics. This study explored the biological, biomechanical, and clinical safety and performance of RHA4, a volumizing hyaluronic acid filler tailored for tissue support in dynamic facial areas, upon interaction with human subcutaneous adipose tissue (AT).</p><p><strong>Methods: </strong>RHA4 underwent cytocompatibility testing with human fibroblasts and adipose stem cells. A 1-year rat in vivo implantation study tracked tissue integration, local effects, and filler degradation. Biomechanical tests assessed RHA4's impact on subcutaneous AT mechanics. Clinical outcomes, safety, injection volumes, and techniques were evaluated in 35 patients, treated in midface deep and superficial fat compartments via a multilayering methodology. Dynamic outcomes and 2-year follow-up of RHA4 in the midface using multilayer treatments were described.</p><p><strong>Results: </strong>RHA4 demonstrated excellent biocompatibility and tissue integration both in vitro and in vivo, exhibiting minimal local inflammation and rapid collagen bundle formation within the filler. It integrated gradually over time and was well tolerated, allowing for increased extracellular matrix presence, neovascularization, denser collagen deposition, and AT growth. Ex vivo, RHA4 did not impede fat motion biomechanics but visibly lifted the tissue. Clinically, RHA4 proved safe and effective for lifting both deep and superficial fat compartments in the midface without affecting facial expressiveness.</p><p><strong>Conclusions: </strong>Preclinical and clinical evidence confirmed that RHA4 is a versatile filler capable of lifting tissue efficiently, whether deep or superficial, particularly through the multilayering treatment approach. Importantly, RHA4 preserves AT biomechanics, adapts to the dynamism of the face, and ensures natural-looking outcomes.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6560"},"PeriodicalIF":1.5,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Novel Minimally Invasive Approach for Arthrodesis in Distal Interphalangeal Joint Using Microscope.","authors":"Hiroki Hachisuka, Atsushi Okuhara, Masaru Munemori, Shigeki Ishibashi, Nobuo Adachi","doi":"10.1097/GOX.0000000000006553","DOIUrl":"10.1097/GOX.0000000000006553","url":null,"abstract":"<p><p>Arthrodesis is a definitive treatment for osteoarthritis of the distal interphalangeal (DIP) joint. The surgical approach is generally performed from the dorsal side of the DIP joint using a Y- or H-shaped incision. However, this approach can lead to relatively noticeable scarring and dorsal tissue complications. We introduced a microsurgery technique to address patients' desire for cosmetic improvement in addition to pain relief. In our modified approach, a small 1.5-cm skin incision was made along the mid-lateral line of the finger. This approach allows for a safer and faster synovectomy, osteophyte resection, and osteotomy in a limited surgical field. The joint was fixed by using a headless screw. In this article, we describe the application of this method for DIP arthrodesis. Our study included 12 women with a mean age of 63 years (51-83 y) and a mean follow-up period of 6 months (3-12 mo). All patients expressed satisfaction with the results. Bone union was successfully achieved in all fingers, leading to the resolution of pain without complications. The average postoperative score on the short version of the Disabilities of the Arm, Shoulder, and Hand questionnaire was 0. These findings suggest that the microsurgical approach is a minimally invasive and effective method for treating DIP arthrodesis.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 2","pages":"e6553"},"PeriodicalIF":1.5,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11841839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}