{"title":"End to Side Nerve Repair in Avulsion Amputations","authors":"M. Ozturk, F. Kabakaş","doi":"10.5455/handmicrosurg.112838","DOIUrl":"https://doi.org/10.5455/handmicrosurg.112838","url":null,"abstract":"In avulsion amputations, replantation is challenging because the structures, such as the skin, veins, nerves, and tendons are extensively damaged. Various techniques have been described for avulsion amputations with nerve defects. If the nerve is avulsed from the main body and the proximal nerve stump cannot be located, nerve transfers, neurovascular island flaps, or end-to-side (ETS) nerve repair are reasonable options. ETS nerve repair involves the coaptation of the distal stump of the transected nerve to the side of the donor nerve. ETS nerve repair has been described as an alternative technique in cases where the proximal nerve stump cannot be located, but literature regarding the use of this technique in avulsion amputations is extremely limited. In this study, we performed replantation in three patients with avulsion amputa tions of nine digits. We present the long-term outcomes of these nerve repair procedures in this study.","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81167794","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}
{"title":"Clinical Outcomes of Treatment with Free Vascularized Fibular Flap in Avascular Necrosis of the Femoral Head","authors":"İ. Rızvanoglu, kazım ünal, E. akşahin, M. akıncı","doi":"10.5455/handmicrosurg.136634","DOIUrl":"https://doi.org/10.5455/handmicrosurg.136634","url":null,"abstract":"","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87227001","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}
{"title":"Lesser carpometacarpal fracture dislocation complicated by a compartment syndrome: A case report","authors":"Francesco Kostoris, A. Mas","doi":"10.5455/HANDMICROSURG.41690","DOIUrl":"https://doi.org/10.5455/HANDMICROSURG.41690","url":null,"abstract":"","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"29 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81569506","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}
T. Yıldırım, S. Unsal, Mustafa Özyıldıran, M. Gezer, M. Armangil
{"title":"Short-term Results of Arthroscopic Dorsal Capsulodesis in Scapholunate Instability","authors":"T. Yıldırım, S. Unsal, Mustafa Özyıldıran, M. Gezer, M. Armangil","doi":"10.5455/handmicrosurg.38917","DOIUrl":"https://doi.org/10.5455/handmicrosurg.38917","url":null,"abstract":"","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87458911","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}
{"title":"GIANT LIPOMAS OF THE HAND","authors":"A. Kaya, Mustafa Incesu, M. Koç","doi":"10.5455/handmicrosurg.132366","DOIUrl":"https://doi.org/10.5455/handmicrosurg.132366","url":null,"abstract":"","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"96 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87498792","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}
{"title":"Effect of papaverin in vessel diameter of Tamai zone I amputations","authors":"A. Ahmedov, Furkan Karabulut, A. Aksoy","doi":"10.5455/handmicrosurg.109438","DOIUrl":"https://doi.org/10.5455/handmicrosurg.109438","url":null,"abstract":"","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"66 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89275919","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}
{"title":"Is Pronator Quadratus Affected In Volar Approach To Distal Radius Fractures?","authors":"M. Tunçez, H. Ursavaş, H. Tunçez, M. Tahta","doi":"10.5455/handmicrosurg.94388","DOIUrl":"https://doi.org/10.5455/handmicrosurg.94388","url":null,"abstract":"Objective: One of the structures encountered in surgical incision in volar Henry approach to distal end of the radius is the pronator quadratus (PQ) muscle. It may be preferable to repair the PQ after the surgery on radius, but due to the structure of the muscle tissue, the success of repair and therefore repair indications are still controversial. Therefore, in this study, we aimed to evaluate the PQ muscle placement and functional conclusions of patients with radial distal end fractures treated with volar locking plate. Methods:74 patients with closed distal radius fractures who underwent osteosynthesis with volar plate, are over 18 year were evaluated. Quick DASH, Stewart Scoring Board, AO classification, Frykman classification, thickness of the PQ muscle with USG, ranges of motion of wrist and grip strengths were recorded. Results:In 26 patients with PQ repair and 48 without PQ repair; no significant difference was found in QDASH scores (p=0.954), grip strength (p=0.300), ranges of motion of wrist and Stewart scores. No statistically significant thickness difference was found in USG transverse (p=0.312) and longitudinal (p=0.137) measurements made in patients with or without repair. Loss of thickness compared to the intact side was found as 15.4% in all patients. Conclusion:We found that PQ repair had no significant effect on range of motion of wrist, QDASH score or grip strength. We found an average 15.4% atrophy whether it was repaired or not. We believe that the portion of PQ removed from the radius does not affect the function of hand.","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"112 1","pages":"86-92"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73105179","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}
{"title":"Recurrence of Giant-Cell Tumor in Proximal Phalanx of The Middle Finger with Pulmonary and Lymph Node Metastasis. A Case Report.","authors":"Z. Asfuroğlu, K. Güvenç, H. Sayar, M. Çolak","doi":"10.5455/handmicrosurg.97949","DOIUrl":"https://doi.org/10.5455/handmicrosurg.97949","url":null,"abstract":"","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"20 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77993045","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}
{"title":"Microvenous anastomosis: The rat tail model alternative","authors":"B. Mofikoya, Andrew mofikoya, O. Belie","doi":"10.5455/handmicrosurg.110982","DOIUrl":"https://doi.org/10.5455/handmicrosurg.110982","url":null,"abstract":"Background: The rat femoral vein and dorsal penile vein have been have been well described as microvenous models. We report the use of the rat tail lateral vein as model for microvenous anastomosis training. Methods: Careful anatomic dissections were made of the rat tail noting the basic gross anatomy in 3 rats. 20 albino rats were anaesthesized via intraperitoneal ketamine injection, lateral vein of the tail is then transected about 5 cm distal to the tail base. Immediate repair was carried out by standard interrupted microanastomosis suture technique with 10/0 nylon suture. Patency was assessed at 30 minutes and 1 week. Results: 40 consecutive anastomosis of the lateral tail vein was done in 20 rats . The mean diameter of the rat tail lateral vein in the study rats was 0.8mm SD± 0.02mm.The mean anastomosis time was 22.6 minutes SD±4.3 minutes from clamp application to removal. There was a 90% patency rate at 30 minutes and 81 % at 1 week. Conclusion: The rat lateral tail vein appears to be a viable alternate model for microvenous anastomosis. The study identifies the ease of access, duality, potentially long length and the absence of accompanying artery as some of the unique features of this microvenous anastomosis practice model.","PeriodicalId":31023,"journal":{"name":"Hand and Microsurgery","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87736192","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}