Journal of Hand and Microsurgery最新文献

Osteofibrous Dysplasia of Humerus: An Unusual Presentation of a Rare Lesion. 肱骨骨纤维结构不良:一种罕见病变的不寻常表现

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Journal of Hand and Microsurgery Pub Date : 2024-04-16 eCollection Date: 2024-03-01 DOI: 10.1055/s-0042-1757181

K Venkatadass, Deepak Jain, Owais Ahmed, S Rajasekaran

引用次数: 0

Emergency Foot Fillet Free Flap Based on Posterior Tibial Vessels for Reconstruction of Contralateral Heel and Sole: A Unique Spare Part Surgery. 利用胫后血管重建对侧足跟和足底的急诊足底游离皮瓣：一种独特的备件手术。

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Journal of Hand and Microsurgery Pub Date : 2024-04-16 eCollection Date: 2024-03-01 DOI: 10.1055/s-0042-1749443

Hari Venkatramani, Smitkumar K Patel, Monusha Mohan, Vamseedharan Muthukumar, S Raja Sabapathy

{"title":"Emergency Foot Fillet Free Flap Based on Posterior Tibial Vessels for Reconstruction of Contralateral Heel and Sole: A Unique Spare Part Surgery.","authors":"Hari Venkatramani, Smitkumar K Patel, Monusha Mohan, Vamseedharan Muthukumar, S Raja Sabapathy","doi":"10.1055/s-0042-1749443","DOIUrl":"10.1055/s-0042-1749443","url":null,"abstract":"Introduction: Reconstruction of the sole is an extremely challenging problem for a reconstructive microsurgeon. The specialized nature of its skin and subcutaneous tissue makes reconstruction arduous. When posed with complex bilateral lower extremity trauma where one limb was nonsalvageable, we harvested the uninjured foot fillet flap for free flap cover to reconstruct the contralateral sole. We report two such cases with follow-up assessment.Patients and methods: Two cases of sole reconstruction with emergency foot fillet free flap scavenged from the amputated contralateral limb were retrospectively analyzed. In both the patients, foot fillet free flap based on the posterior tibial neurovascular bundle was used. The follow-up assessment data collected included flap status, presence of any complications and prosthesis use, and functional status of the limbs at final follow-up.Results: Both the free flaps survived. Postoperative period was uneventful. No complications such as wound infection, delayed healing, flap necrosis, or scar breakdown were noted. The plantar flaps had recovery of protective sensation. Both the patients are ambulant; the first man with a fitted prosthesis and the second woman with the aid of a walker.Conclusion: The opportunity to utilize spare tissue from the amputated limb should be seized. Loss of the plantar aspect of foot poses a real challenge. The plantar foot fillet free flap is a durable flap with preservation of plantar sensations. It is probably the best choice as it replaces \"like with like.\" Prerequisites for utilizing the \"spare part surgery\" concept are meticulous initial debridement as well as emergency free tissue transfer, which require senior input and excellent infrastructure.","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"16 1","pages":"100004"},"PeriodicalIF":0.4,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11127540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141296998","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}

引用次数: 0

JHAM's next chapter: A thrilling leap with Elsevier in 2024! JHAM 的下一个篇章：2024 年与爱思唯尔实现惊险一跃！

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Journal of Hand and Microsurgery Pub Date : 2024-04-16 eCollection Date: 2024-03-01 DOI: 10.1016/j.jham.2024.100058

J Terrence Jose Jerome, Jorge Boretto, Luigi Troisi, Takehiko Takagi, Mohamed A Ellabban, Sonu Jain

引用次数: 0

Relative Motion Extension Splint after Extensor Tendon Reconstruction. 伸肌腱重建后的相对运动伸展夹板

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Journal of Hand and Microsurgery Pub Date : 2024-04-16 eCollection Date: 2024-03-01 DOI: 10.1055/s-0043-1761222

Egemen Ayhan, Ozge Buket Arslan, Kadir Cevik, Cigdem Oksuz

引用次数: 0

Differences in Academic Qualifications for Leadership at Hand Surgery Fellowships in the United States. 美国手外科奖学金领导学历的差异

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Journal of Hand and Microsurgery Pub Date : 2024-04-16 eCollection Date: 2024-03-01 DOI: 10.1055/s-0043-1760764

Jason Silvestre, James A Clemmons, Benjamin Chang, Robert H Wilson

{"title":"Differences in Academic Qualifications for Leadership at Hand Surgery Fellowships in the United States.","authors":"Jason Silvestre, James A Clemmons, Benjamin Chang, Robert H Wilson","doi":"10.1055/s-0043-1760764","DOIUrl":"10.1055/s-0043-1760764","url":null,"abstract":"Objective: In the United States, orthopaedic, general, and plastic surgery hand fellowship programs train hand surgeons. Currently, differences in the academic qualifications of hand surgery fellowship directors (HSFDs) are unknown. This study compares the academic qualifications of HSFDs by specialty.Methods: American Medical Association's Residency and Fellowship Database was queried for hand surgery fellowship training programs. Scholarly activity, academic characteristics, and training pedigrees were collected for each HSFD.Results: Ninety-two HSFDs (73 orthopaedic surgeons, 17 plastic surgeons, 2 general surgeons) were identified. Most were male (87%) and Caucasian (82%). Mean age was 55 ± 11 years and most were trained in orthopaedic surgery (80%). Ten percent of orthopaedic hand surgery fellowship programs were run by a plastic surgeon HSFD, which was greater than 0% of plastic surgery hand fellowship programs run by an orthopaedic surgeon HSFD (p < 0.05). Mean H-index was 15 ± 9 from an average of 57 ± 47 publications. Orthopaedic and plastic surgeon HSFDs had similar levels of scholarly activity (p > 0.05). Age correlated with higher H-index values (r = 0.38, p < 0.001). More plastic surgeon HSFDs were trained by their top five fellowship programs than orthopaedic surgeon HSFDs (65 vs. 27%, p < 0.05).Conclusion: Ultimately, HSFDs have strong research backgrounds and similar characteristics despite disparate training pathways. Women and racial minority groups are largely underrepresented among leadership positions at hand surgery fellowships. These benchmarks can help inform future diversity initiatives.","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"1 1","pages":"100014"},"PeriodicalIF":0.4,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11127534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41562438","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}

引用次数: 0

Development of a Framework for Assessment and Management of Proximal Ulna Fracture Dislocations of the Elbow. 制定肘关节近端尺骨骨折脱位的评估和管理框架。

IF 0.3

Journal of Hand and Microsurgery Pub Date : 2023-12-26 eCollection Date: 2023-12-01 DOI: 10.1055/s-0043-1777429

Joideep Phadnis, Terrence Jose Jerome, Andrew Stone

引用次数: 0

Review of Replantation Services from a Level One Trauma Center in India. 印度一级创伤中心再植服务回顾。

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Journal of Hand and Microsurgery Pub Date : 2023-11-29 eCollection Date: 2023-12-01 DOI: 10.1055/s-0043-1777066

Suvashis Dash, Raja Tiwari, Rakesh Dawar, Shivangi Saha, Maneesh Singhal

{"title":"Review of Replantation Services from a Level One Trauma Center in India.","authors":"Suvashis Dash, Raja Tiwari, Rakesh Dawar, Shivangi Saha, Maneesh Singhal","doi":"10.1055/s-0043-1777066","DOIUrl":"10.1055/s-0043-1777066","url":null,"abstract":"The aim of this article is to examine the elements that contribute to effective operation of a specialized replantation center and to provide readers with a general idea of the outcome of replantation services in India. A dedicated high-volume center coupled with a sound referral system is the backbone of replantation services in a country. A retrospective study was done on all patients who visited a level 1 trauma center in India from November 1, 2017, to December 31, 2018, for various amputations. The medical records and digital pictures of these patients were extracted from the records and analyzed. During the study period, 77 replants were performed on 63 patients at our center. Males were 68% of the study, mostly belonging to the 20 to 40 years age group (63%). Thirty-four percent of cases were smokers. Agricultural injuries (49%) were the most common cause of amputation. Finger replantation was the most common type of replantation (82%). The rate of successful replantation was highest for scalp (100%) followed by hand (71%) and thumb (67%). Setting up dedicated replantation services is essential, especially in highly populated areas. Manpower, resources, and a protocol-led approach help in achieving optimum results. A multidisciplinary team approach with round-the-clock availability plays a vital role in intraoperative decision-making and planning postoperative rehabilitation.","PeriodicalId":45368,"journal":{"name":"Journal of Hand and Microsurgery","volume":"15 5","pages":"328-339"},"PeriodicalIF":0.3,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10751205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139049525","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}

引用次数: 0

Multiple Mini Incision Technique for Sural Nerve Harvest: When to Add a Fibular Incision Based on a New Surgical Classification 腓肠神经切除的多重小切口技术:基于新的手术分类何时增加腓骨切口

Journal of Hand and Microsurgery Pub Date : 2023-11-06 DOI: 10.1055/s-0043-1771397

Sreekanth Raveendran, Binu Prathap Thomas

引用次数: 0

Current Concepts and Management of Upper Limb Amputees. 上肢截肢者的当前概念和管理。

IF 0.3

Journal of Hand and Microsurgery Pub Date : 2023-08-25 eCollection Date: 2023-09-01 DOI: 10.1055/s-0043-1773775

Eliana B Saltzman, J Terrence Jose Jerome, R Glenn Gaston

引用次数: 0

From Art to Science: Patient-Reported Outcomes in Hand Surgery. 从艺术到科学：从艺术到科学：手外科患者报告结果。

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Journal of Hand and Microsurgery Pub Date : 2023-06-29 eCollection Date: 2023-06-01 DOI: 10.1055/s-0043-1770769

Jane E McEachan, J Terrence Jose Jerome

引用次数: 0