Handchirurgie Mikrochirurgie Plastische Chirurgie最新文献

{"title":"[HaMiPla Best Paper Award - Your Favourites in 2022].","authors":"Daria Gose, Sonja Schmid","doi":"10.1055/a-2202-6243","DOIUrl":"https://doi.org/10.1055/a-2202-6243","url":null,"abstract":"","PeriodicalId":55075,"journal":{"name":"Handchirurgie Mikrochirurgie Plastische Chirurgie","volume":"55 6","pages":"470-471"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138813677","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":"[Searching for Evidence: A Systematic Review of the Pathology of Lipoedema].","authors":"Sarah Funke, Constanze Kuhlmann, Sara Taha, Benedikt Fuchs, Paul Severin Wiggenhauser, Riccardo E Giunta","doi":"10.1055/a-2183-7414","DOIUrl":"10.1055/a-2183-7414","url":null,"abstract":"<p><strong>Background: </strong>Lipoedema is a symmetrically localised, painful hypertrophy of subcutaneous adipose tissue in the extremities with marked disproportion to the trunk, and almost exclusively affects females. Despite being first described over 80 years ago, the aetiology and pathogenesis of the disease are largely unknown and are currently the subject of intensive research efforts.</p><p><strong>Methods: </strong>To summarise the current evidence-based literature on the cellular pathologies and aetiology of lipoedema, a PRISMA-based systematic review was conducted within the National Library of Medicine and Cochrane databases.</p><p><strong>Results: </strong>A total of 53 studies were identified and included in this review. The results were classified and summarised into categories.</p><p><strong>Conclusion: </strong>Although there has been a significant increase in research activity and recent publication of extensive studies with a histological and molecular genetic focus, the fundamental aetiology and pathology of lipoedema remains largely unclear. The current data shows discrepancies across studies, particularly with regard to the \"oedematous\" component of lipoedema. The frequently present comorbidities \"lymphoedema\" and \"obesity\", primarily in advanced stages of lipoedema, complicate the diagnostic differentiation and clear definition of study cohorts in scientific research.</p>","PeriodicalId":55075,"journal":{"name":"Handchirurgie Mikrochirurgie Plastische Chirurgie","volume":" ","pages":"411-426"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138178066","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":"Danksagung an die Gutachter.","authors":"","doi":"10.1055/a-2194-3069","DOIUrl":"https://doi.org/10.1055/a-2194-3069","url":null,"abstract":"","PeriodicalId":55075,"journal":{"name":"Handchirurgie Mikrochirurgie Plastische Chirurgie","volume":"55 6","pages":"407"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138813680","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":"An Oroauricular Fistula After Mandibular Osteosarcoma Resection.","authors":"Mehmet Tapan, Vedat Can İsler, Ramazan Furkan Akman, Özlenen Özkan, Ömer Özkan","doi":"10.1055/a-2125-0407","DOIUrl":"10.1055/a-2125-0407","url":null,"abstract":"<p><p>Bone tumors are rare malignancies and osteosarcoma is the most common malignant bone tumor. However, only 6% of all osteosarcomas occur in the mandible and maxilla 1. The location of these tumors also presents a unique set of challenges during resection and repair when compared to long bone tumors.</p>","PeriodicalId":55075,"journal":{"name":"Handchirurgie Mikrochirurgie Plastische Chirurgie","volume":" ","pages":"462-465"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10534719","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":"[Multidrug-resistant bacterial colonisation in Ukrainian war injuries: a need for multimodal therapy].","authors":"Wolfram Demmer, Irene Mesas Aranda, Paul Severin Wiggenhauser, David Braig, Fabian Gilbert, Riccardo Giunta","doi":"10.1055/a-2108-8978","DOIUrl":"10.1055/a-2108-8978","url":null,"abstract":"<p><p>This case report describes the interdisciplinary treatment of a complex shrapnel injury to the right femur of an 18-year-old Ukrainian soldier. This open multifragmentary fractur of the femur with a large bone defect, soft tissue damage and osteomyelitis was complicated by several multidrug-resistant bacteria, including Acinetobacter baumanii, which could not be eradicated by antibiotic treatment. Sterility was only achieved by multiple radical debridement and by negative pressure wound therapy with instillation (NPWTi) using hypochlorous acid. The femur was then reconstructed with a chimeric double-barrel fibula free flap. This report highlights the importance of multimodal antimicrobial wound treatments in an era of increasing antibiotic resistance to enable a successful und functional reconstruction of complex and infected fractures.</p>","PeriodicalId":55075,"journal":{"name":"Handchirurgie Mikrochirurgie Plastische Chirurgie","volume":" ","pages":"457-461"},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41184200","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":"DGH-Delegationsreise nach Hong Kong im März 2023.","authors":"","doi":"10.1055/a-2118-7098","DOIUrl":"https://doi.org/10.1055/a-2118-7098","url":null,"abstract":"Meine handchirurgischen Freunde aus Hong Kong fragten mich vor einigen Jahren, ob ich mich nicht bei der DGH für einen Austausch der Fachgesellschaften auf unseren Jahreskongressen einsetzen wolle. Nach Zustimmung durch den Vorstand und nach Corona hatte ich die Gelegenheit die HKSSH (Hong Kong Society for Surgery of The Hand) mit einer Delegation und dem Buck-Gramcko-Lecturer Pr. PC HO im Herbst 2022 in Garmisch-Partenkirchen zu empfangen. Bei bestem Wetter durften wir sehr schöne gemeinsame Tage erleben mit einem intensiven Erfahrungsaustausch.","PeriodicalId":55075,"journal":{"name":"Handchirurgie Mikrochirurgie Plastische Chirurgie","volume":"55 5","pages":"390-391"},"PeriodicalIF":0.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41123843","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":"[Treatment of the contracted first Commissure of the Hand: Literature Overview and own Experiences].","authors":"Elmar Fritsche,&nbsp;Dorrit Winterholer,&nbsp;Urs Hug","doi":"10.1055/a-2013-5449","DOIUrl":"10.1055/a-2013-5449","url":null,"abstract":"<p><p>The freely movable thumb is of central importance for the function of the human hand. This mobility is necessarily linked to an undisturbed function of the commissure between the thumb and the index finger or, if the index finger is missing, the middle finger. A significant contracture of the first commissure, caused by whatever genesis, inevitably results in a significant loss of function up to almost complete inability to use. The surgical treatment of the first commissure often only affects the contracted skin. In some cases, however, it requires a multi-stage approach to fascia, muscles and joints, at the end of which there is the soft tissue expansion of the interspatium between the thumb and index finger. We mention old insights on the subject, give an overview of the literature, present our own experiences based on 5 cases and - according to the severity of the contracture - make a therapy recommendation.</p>","PeriodicalId":55075,"journal":{"name":"Handchirurgie Mikrochirurgie Plastische Chirurgie","volume":" ","pages":"336-343"},"PeriodicalIF":0.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9547112","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":"[Medium-term Results after percutaneous Needle Fasciotomy in Dupuytren's Disease].","authors":"Emmanouil Nichlos,&nbsp;Olaf Wölfle,&nbsp;Ingo Marzi,&nbsp;Johannes Frank,&nbsp;Katharina Sommer","doi":"10.1055/a-2055-1592","DOIUrl":"10.1055/a-2055-1592","url":null,"abstract":"<p><strong>Background: </strong>Dupuytren's disease often leads to an increasing limitation in finger extension in affected patients. As the incidence rises with age, the number of cases is expected to rise in the future due to the demographic change. Therefore, an easy and patient-oriented treatment is required. In the following study, we investigated the short and medium-term results after percutaneous needle fasciotomy (PNF).</p><p><strong>Patients and methods: </strong>Overall, 65 fingers of 40 patients were treated with PNF. We evaluated the total passive deficit of extension (TPED), the passive deficit of extension of the joints (PED), the Buck-Gramcko score, rate of recurrence, DASH score and patient satisfaction. The average age of the patients was 65,9 years. Most of the patients (82%) were male.</p><p><strong>Results: </strong>Directly after the PNF, extension in the treated fingers improved significantly (TPED before PNF 74,6°±41,1 SD to 32,8°±29,0 SD after the procedure). By the time of the follow-up examination (30,2±13,9 SD months), TPED had increased again (52,7°±40,2 SD). The rate of recurrence was 29,7%, and a higher Tubiana stage before the procedure correlated significantly with a higher recurrence rate. Nevertheless, patients demonstrated a very high level of satisfaction with the procedure and almost all patients would choose to undergo PNF again.</p><p><strong>Conclusion: </strong>Although it is associated with a relatively high recurrence rate, PNF represents an effective and patient-oriented treatment of Dupuytren's contracture.</p>","PeriodicalId":55075,"journal":{"name":"Handchirurgie Mikrochirurgie Plastische Chirurgie","volume":" ","pages":"330-335"},"PeriodicalIF":0.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4f/e3/10-1055-a-2055-1592.PMC10513775.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9767697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Evaluation of the Charlson Comorbidity Index as a prognostic tool for assessing the severity of hand infections]","authors":"Anne Sorowka, Thomas Grünewald, Thomas Kremer, Susanne Rein","doi":"10.1055/a-2108-8874","DOIUrl":"10.1055/a-2108-8874","url":null,"abstract":"<p><strong>Background: </strong>The Charlson Comorbidity Index (CCI) is used for the prognostic analysis of comorbidities. Comorbidities, especially diabetes mellitus, are a decisive factor for the development and course of hand infections. This study aimed to determine the CCI in patients with hand infections in order to examine how comorbidities influence the course and severity of hand infections.</p><p><strong>Material and methods: </strong>Ninety patients with hand infections requiring surgery but without previous antibiotic treatment were studied prospectively. The respective CCI was determined on admission to hospital. A total score of zero points was defined as \"low\", a score of one to three as \"medium\" and a score of four to nine points as a \"high\" index. Age, CRP level, duration of inpatient stay and the number of performed surgeries were documented and statistically evaluated.</p><p><strong>Results: </strong>The median CCI was 0,5 points with a range of 0-9 points. The most common comorbidity was diabetes mellitus without end-organ damage, followed by heart failure and chronic lung disease. Patients with a low total score (median 51 years) were significantly younger than those with a medium score (median 60 years; p=0,018) or a high score (median 66,5 years; p=0,018). In addition, patients with a low or medium score had a shorter hospital stay (median 6 vs. 11,5 days; plow=0,003; pmean=0,005), required fewer surgeries (median 1 vs. 3 surgeries; plow=0,002; pmean=0,003) and had a lower CRP level (median 8,3 mg/l vs. 7,1 mg/l vs. 86,25 mg/l; plow=pmean=0,001) than those with a high index. A significant positive correlation was found between the CCI and patient age (Spearman's ρ=0,367; p<0,001) as well as the length of hospital stay (Spearman's ρ=0,261; p=0,013), the number of surgeries (Spearman's ρ=0,219; p=0,038) and the CRP level (Spearman's ρ=0,212; p=0,045).</p><p><strong>Conclusions: </strong>The CCI is an appropriate questionnaire for the prognostic assessment of the course and severity of hand infections, particularly with regard to the length of hospital stay, the number of surgeries and the CRP level.</p>","PeriodicalId":55075,"journal":{"name":"Handchirurgie Mikrochirurgie Plastische Chirurgie","volume":"55 5","pages":"358-363"},"PeriodicalIF":0.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41161723","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":"[Protracted Course with Finger Amputation Following Stonefish Envenomation].","authors":"Jakob Richard Schnegg,&nbsp;Jörg Först,&nbsp;Jörg van Schoonhoven,&nbsp;Karl-Josef Prommersberger,&nbsp;Marion Mühldorfer-Fodor","doi":"10.1055/a-2010-7353","DOIUrl":"10.1055/a-2010-7353","url":null,"abstract":"Fallbericht Eine 53-jährige Frau stellte sich 2,5 Wochen, nachdem sie sich auf Mauritius eine Steinfischstichverletzung am rechten Kleinfinger zugezogen hatte, in unserer Notfallambulanz vor. Sie hatte im Urlaub beim Schwimmen am Meeresufer versehentlich auf einen im Sand vergrabenen Steinfisch gegriffen ( Abb. 1 ). Sofort war es neben massiven Schmerzen am gesamten Arm zu einer Rötung am Kleinfinger und einer Schwellung der Hand gekommen. Nach notfallmäßigem Transport in das nächste Krankenhaus wurde der Patientin dort aufgrund einer starken systemischen Reaktion ein Antidot im Rahmen eines kurzzeitigen intensivmedizinischen Aufenthaltes verabreicht. Bei Blasenbildung wurde eine oberflächliche Wundrevision und eine Kompartmentspaltung palmar an der rechten Hand am Folgetag durchgeführt. Die Narben ließen allerdings auf eine nur minimale Eröffnung der Stichwunde und der Intermetakarpalräume schließen. Eine Antibiotikatherapie erfolgte während des 4-tägigen Krankenhausaufenthaltes mittels Ampicillin/Sulbactam intravenös, welche bei Entlassung oralisiert und bis zur Vorstellung in unserer Klinik fortgesetzt wurde.","PeriodicalId":55075,"journal":{"name":"Handchirurgie Mikrochirurgie Plastische Chirurgie","volume":" ","pages":"364-367"},"PeriodicalIF":0.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9169809","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}