Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery最新文献

{"title":"Anomalies of the arterial tree that coexist with arteriovenous malformations in the lower extremity.","authors":"Hiroyuki Sakurai,&nbsp;Masaki Takeuchi,&nbsp;Kazutaka Soejima,&nbsp;Takashi Yamaki,&nbsp;Taro Kono,&nbsp;Hisato Konoeda,&nbsp;Motohiro Nozaki","doi":"10.3109/02844310701682956","DOIUrl":"https://doi.org/10.3109/02844310701682956","url":null,"abstract":"<p><p>Several previous reports have documented arteriovenous malformations associated with anomalies of the arterial tree. We report two cases in which a malformation on the foot coexisted with arterial variants of the popliteal artery. Careful therapeutic planning was required to avoid jeopardising perfusion to the distal area.</p>","PeriodicalId":49569,"journal":{"name":"Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery","volume":"44 2","pages":"121-4"},"PeriodicalIF":0.0,"publicationDate":"2010-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844310701682956","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28715391","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":"Malignant melanoma in association with or mimicking blue naevus.","authors":"Fatima Habbou Birch-Johansen,&nbsp;Helle Sjøstrand,&nbsp;Jørgen Lock-Andersen","doi":"10.3109/02844310902957579","DOIUrl":"https://doi.org/10.3109/02844310902957579","url":null,"abstract":"<p><p>Malignant blue naevus is a rare but highly aggressive form of cutaneous malignant melanoma, which spreads often and early to the regional lymph nodes, liver, lungs, and other organs. We report three cases, review published reports, and recommend treatment.</p>","PeriodicalId":49569,"journal":{"name":"Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery","volume":"44 2","pages":"118-20"},"PeriodicalIF":0.0,"publicationDate":"2010-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844310902957579","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28715388","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":"Influence of the recipient vessel on fat necrosis after breast reconstruction with a free transverse rectus abdominis myocutaneous flap.","authors":"Nina Kropf,&nbsp;Sheina A Macadam,&nbsp;Colleen McCarthy,&nbsp;Joseph J Disa,&nbsp;Andrea L Pusic,&nbsp;Andrew Da Lio,&nbsp;Christopher Crisera,&nbsp;Babak J Mehrara","doi":"10.3109/02844311003675354","DOIUrl":"https://doi.org/10.3109/02844311003675354","url":null,"abstract":"<p><p>The effect of the selection of recipient vessels on the rate of fat necrosis after microsurgical reconstruction of the breast remains largely unknown. Our aim was to evaluate the incidence of fat necrosis after unilateral breast reconstruction with a free transverse rectus abdominis myocutaneous (TRAM) flap after anastomosis with either the internal mammary vessels or the thoracodorsal artery and vein. Consecutive patients who had unilateral reconstruction with a free, muscle-sparing TRAM flap at two tertiary care centres over a 6-year period were identified. The incidence of fat necrosis, defined as postoperative firmness of 1 cm or more persisting for 3 months or more after anastomosis was calculated. To control for the effect of potentially confounding variables (body mass index (BMI), history of preoperative or postoperative radiation, previous abdominal operation, smoking, and hospital) we did a matched-cohort study. A total of 840 unilateral muscle-sparing TRAM flaps were done using either the internal mammary (n = 109) or the thoracodorsal (n = 731) vessels. Evaluation of the entire cohort showed that the incidence of fat necrosis after the two anastomoses was 13 (12%) compared with 130 (18%), respectively (p = 0.17). To control for the effect of confounding variables, 98 patients who had internal mammary anastomoses were matched 1:1 with 98 patients who had thoracodorsal anastomoses. Pair-wise comparisons showed that the incidence of fat necrosis was significantly higher when the thoracodorsal vessels were used (29; 30%) compared to when the internal mammary vessels were used (12; 12%; p = 0.002). Our results showed that a higher rate of fat necrosis may be seen after muscle-sparing TRAM flap reconstruction after anastomosis to the thoracodorsal vessels than with the internal mammary vessels. The exact mechanisms of this association are unknown and warrant additional investigation.</p>","PeriodicalId":49569,"journal":{"name":"Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery","volume":"44 2","pages":"96-101"},"PeriodicalIF":0.0,"publicationDate":"2010-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844311003675354","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28985600","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":"Displacement of the bar after minimally-invasive repair of pectus excavatum.","authors":"Takashi Nuri,&nbsp;Koichi Ueda,&nbsp;Sousuke Oba,&nbsp;Kunihiro Nakai,&nbsp;Mai Hara","doi":"10.3109/02844310903569709","DOIUrl":"https://doi.org/10.3109/02844310903569709","url":null,"abstract":"Abstract The most common complication of the minimally-invasive technique for the repair of pectus excavatum is displacement of the bar, and it may cause retraction of the chest. We aimed to find out if there was any factor that could predict displacement of the bar after operation. The records of 12 patients who were operated on for repair of pectus excavatum at the Osaka Medical College between December 1999 and August 2006 were analysed. Their mean age was 9 years (range 4-21). The mean Haller computed tomographic (CT) index was 4.9 (range 3.8-6.9). To predict the risk of postoperative rotation of the bar we considered patients' age, Haller CT index, intercostal distance where the pectus bar passed through, and the depression index. The bar was displaced in four patients, and there was a significant difference in depression index between those in whom the bar was displaced (n=4) and those in whom it was not (n=8). In the displacement group, it ranged from 25% to 38% (mean 32%), and in the undisplaced group from 15% to 27% (mean 18%). There was a significant difference between the groups (p< 0.01). Rotation of the bar is thought to be closely related to its stability at the deepest point of the depressed sternum. The depression index is useful in predicting the risk of rotation of the bar.","PeriodicalId":49569,"journal":{"name":"Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery","volume":"44 2","pages":"102-5"},"PeriodicalIF":0.0,"publicationDate":"2010-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844310903569709","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28985601","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":"Classification system for isolated arthritis of the scaphotrapeziotrapezoidal joint.","authors":"Laura White,&nbsp;Julio Clavijo,&nbsp;Louis A Gilula,&nbsp;Ronit Wollstein","doi":"10.3109/02844311003675388","DOIUrl":"https://doi.org/10.3109/02844311003675388","url":null,"abstract":"<p><p>We have developed a classification system for osteoarthritis (OA) of the scaphotrapeziotrapezoidal (STT) joint that can be used on posteroanterior, lateral, and oblique wrist radiographs. It can be used to communicate the degree of severity of arthritis, and to study arthritis in the wrist further. Currently we know of no classification system for OA of the STT. We devised a classification system and made an initial study to assess the reproducibility of the system. It was compared with a classification system similar to the Eaton classification of carpometacarpal OA of the thumb. Cohen's kappa test and the sign test were used for comparison. Thirty-seven of the 46 wrists evaluated (80%) showed radiographic evidence of osteoarthritis of the scaphotrapeziotrapezoidal joint. Most kappa values for intrarater and inter-rater reliability lay between 0.87 and 0.95. There was absolute agreement between both systems about the existence of osteoarthritis. When we compared the two classification systems, ours tended to underestimate the arthritic stage. This classification may be helpful for communication, comparison, and evaluation of osteoarthritis of the STT joint among surgeons. Further study is needed to define the clinical and mechanical relevance of osteoarthritis in this joint.</p>","PeriodicalId":49569,"journal":{"name":"Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery","volume":"44 2","pages":"112-7"},"PeriodicalIF":0.0,"publicationDate":"2010-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844311003675388","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28984628","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":"Interosseous epidermoid cyst at the base of the distal phalanx.","authors":"Jennifer K O'Neill,&nbsp;Sherif Wilson","doi":"10.3109/02844310801956730","DOIUrl":"https://doi.org/10.3109/02844310801956730","url":null,"abstract":"<p><p>Interosseous epidermoid cysts of the phalanges are rare, particularly at the base of the phalanx and if the lesion is tender. We report a case of a tender interosseous epidermoid cyst at the base of the distal phalanx of a young man.</p>","PeriodicalId":49569,"journal":{"name":"Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery","volume":"44 2","pages":"125-7"},"PeriodicalIF":0.0,"publicationDate":"2010-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844310801956730","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28717530","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 lip adhesion on maxillary arch alignment and reduction of a cleft's width before definitive cheilognathoplasty in unilateral and bilateral complete cleft lip.","authors":"Gian Luca Gatti,&nbsp;Davide Lazzeri,&nbsp;Gianfranco Romeo,&nbsp;Bruno Balmelli,&nbsp;Alessandro Massei","doi":"10.3109/02844310903569378","DOIUrl":"https://doi.org/10.3109/02844310903569378","url":null,"abstract":"<p><p>High tension and tissue dislocation caused by wide maxillary clefts could prevent an optimal aesthetic and functional outcome in primary cheilognathoplasty. Many surgical techniques or conservative (orthodontic and orthopaedic) devices have been proposed for the initial management of infants with complete cleft lip and palate to achieve a tension-free repair of the lip. Adhesion converts a wide unilateral complete cleft into a lesser deformity anatomically similar to an incomplete cleft lip. This study aimed to measure the effect of lip adhesion on the width of maxillary clefts. Between 2000 and 2007 lip adhesion was used on 49 consecutive infants affected by complete unilateral (n = 35) and bilateral (n = 14) cleft lip and palate. The indication for lip adhesion was the presence of a wide alveolar cleft (gap > 7 mm) with severely malpositioned maxillary segments. Lip adhesion was done at about 48 days, followed by definitive cheilognathoplasty at 98 days. Photographs and impressions were obtained before any operation. The width of the maxillary clefts was reduced by 60% in unilateral clefts and 61% in bilateral clefts. By converting a complete wide cleft lip to an incomplete cleft in both unilateral and bilateral clefts, adhesion of the lip achieved a better position and stabilised the arch in a symmetrical platform that eased both definitive closure of the defect in the lip and the restoration of the maxillary gap by periosteoplasty during definitive cheilognathoplasty.</p>","PeriodicalId":49569,"journal":{"name":"Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery","volume":"44 2","pages":"88-95"},"PeriodicalIF":0.0,"publicationDate":"2010-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844310903569378","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28696430","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":"Healing of ununited scaphoid fractures by Kirschner wires and autologous structural bone grafts.","authors":"Ole Reigstad,&nbsp;Rasmus Thorkildsen,&nbsp;Christian Grimsgaard,&nbsp;Astor Reigstad,&nbsp;Magne Røkkum","doi":"10.3109/02844310903528663","DOIUrl":"https://doi.org/10.3109/02844310903528663","url":null,"abstract":"<p><p>Untreated ununited scaphoid fractures are a hazard to the wrist because of increasing degenerative changes with time. We have treated 81 consecutive ununited scaphoid fractures by open reposition, autologous bone transplantation, and Kirschner wire fixation, 2.7 years after the primary injury. Sixty-nine were men and the mean age at operation was 29 (range 15-71) years. Anatomy of the wrist was restored and radiological healing confirmed in 72/81 patients. There were two deep infections, and the fractures did not heal. Patients with moderate preoperative arthritic wrist changes (scaphoid non-union advanced collapse (SNAC) stage 2) or ununited fractures of the proximal 1/6 of the scaphoid had worse healing than the remainder. Two of nine scaphoids that did not heal were reoperated on with autologous bone grafting and fixation with screws or pins, both of which healed successfully. Three salvage procedures (two wrist arthrodeses and one four corner fusion) were done and the remaining four declined further treatment. Our overall results are comparable to results published where alternative fixation methods have been used. We find that our standard method using Kirschner (K) wires and bone grafting is reliable and inexpensive for most scaphoid pseudarthroses and our results are comparable to published results when alternative fixation methods have been used.</p>","PeriodicalId":49569,"journal":{"name":"Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery","volume":"44 2","pages":"106-11"},"PeriodicalIF":0.0,"publicationDate":"2010-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844310903528663","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28696429","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":"Efficacy and evaluation of safety of sclerosants for intramuscular venous malformations: clinical and experimental studies.","authors":"Mine Ozaki,&nbsp;Masakazu Kurita,&nbsp;Nobuyuki Kaji,&nbsp;Takashi Fujino,&nbsp;Mitsunaga Narushima,&nbsp;Akihiko Takushima,&nbsp;Kiyonori Harii","doi":"10.3109/02844310903569725","DOIUrl":"https://doi.org/10.3109/02844310903569725","url":null,"abstract":"<p><p>Excision of intramuscular venous malformations may damage intact functional muscles, and sclerotherapy is an alternative way of relieving symptoms. Several sclerosants are available, but selection of the optimal one is controversial. We report our clinical experiences of sclerotherapy, and experimental studies in rats that investigated muscular damage after injection of various sclerosants. For the clinical study, 10 patients with intramuscular venous malformations were reviewed who had been treated by sclerotherapy using ethanolamine oleate. The rate by which the volume reduced was assessed quantitatively using findings from magnetic resonance imaging (MRI). Pain was cured or improved in all cases, and volume reduced on imaging analysis. There were no severe complications such as renal failure or thromboembolism. For the experimental study, 62 Wistar rats were used to investigate the toxicity of sclerosants on the intact-muscle by injecting three types of sclerosants (100% ethanol, 5% ethanolamine oleate, and 1% polidocanol). After the injection of each sclerosant into the anterior tibial muscle, the daily measurement of the circumference of the legs, histological and morphological alterations in the muscles, and maximal isometric tetanic tension, were investigated. Swelling was most prominent with ethanolamine oleate, while destruction and atrophy of the muscle were most prominent after injection of ethanol. In the clinical study, the efficacy of 5% ethanolamine oleate was at least equivalent or possibly superior to that of 100% ethanol. In the experimental study, ethanol had a more detrimental effect on muscles than the other agents. We consider that ethanolamine oleate is the most suitable sclerosant for the treatment of intramuscular venous malformations.</p>","PeriodicalId":49569,"journal":{"name":"Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery","volume":"44 2","pages":"75-87"},"PeriodicalIF":0.0,"publicationDate":"2010-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844310903569725","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28985599","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":"Neurolysis using a carbohydrate polymer gel for the treatment of postoperative neuropathic pain.","authors":"Daniel P Espinoza,&nbsp;Daniel F Kalbermatten,&nbsp;Daniel V Egloff,&nbsp;Wassim Raffoul","doi":"10.3109/02844310903351335","DOIUrl":"https://doi.org/10.3109/02844310903351335","url":null,"abstract":"<p><p>Perineural and intraneural fibrosis is thought to be the main cause of failure of the many surgical treatments of neuropathic pain. We have used Adcon-T/N carbohydrate polymer gel for prevention of perineural fibrosis in several parts of the body. In this retrospective study, 54 patients who presented with postoperative neuropathic pain had microsurgical epineural neurolysis and relocation of a terminal neuroma. In 19 of them, the carbohydrate gel was applied at the same time. The mean follow-up was four years and the nerve distribution varied. Postoperative improvement in pain scores (visual analogue scale (VAS) and neuropathic pain scale inventory (NPSI)), sensitivity, overall improvement and satisfaction were equivalent in the two groups, with pain relief in about 80% of the patients. There was no significant beneficial effect in the carbohydrate gel group. Patients treated with this device had a higher infection rate (21 compared with 0, p = 0.01) and delayed wound healing (31.6 compared with 11.8, p = 0.2). We conclude that good long-term pain relief is obtained postoperatively independently of the addition of carbohydrate gel. There was a slight but not significant trend towards profound pain relief with the gel.</p>","PeriodicalId":49569,"journal":{"name":"Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery","volume":"44 1","pages":"12-6"},"PeriodicalIF":0.0,"publicationDate":"2010-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/02844310903351335","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28697112","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}