中华显微外科杂志最新文献

{"title":"Inheritance, innovation, unity, cooperation and internationalization——New mission of Chinese Journal of Microsurgery in 2020","authors":"Liqiang Gu, Huaqiao Wang, Jing Feng, Q. Zhu, Xiaolin Liu","doi":"10.3760/CMA.J.ISSN.1001-2036.2020.01.001","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-2036.2020.01.001","url":null,"abstract":"In and from year 2020, we will work on an enthusiastic initiative: to make the Chinese Journal of Microsurgery a world leading sci-tech journal by executing our new mission \"inheritance, innovation, unity, cooperation and internationalization\" . Two special columns will be created: World Masters in Microsurgery and Pioneers of Microsurgery in China. We will start to compile a bilingual Bibliographic Index of Literatures in Microsurgery in China (Chinese and English), and publish a commemorative album which includes all the successive members of the editorial boards of the Chinese Journal of Microsurgery. A new academic and communicational forum will be established through a series of academic seminars held by the Chinese Journal of Microsurgery. In addition, we will start professional training programs for the surgeons and junior surgeons who work in the first-line of care in microsurgery, assist and enable them to participate international academic events and build/establish cooperation with their international counterparts. In line with international standards, we will apply bilingual titles and abstracts of articles in both Chinese and English, and add English interpretations/translations to all the references listed in Chinese. We will continue to keep our best work to make our journal being listed by the Medline hence to fulfil international involvement. \u0000 \u0000 \u0000Key words: \u0000Chinese Journal of Microsurgery; Internationalization; Microsurgery; Academic seminars","PeriodicalId":60782,"journal":{"name":"中华显微外科杂志","volume":"43 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2020-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44694384","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":"Short history of Harry J. Buncke MD","authors":"朱家恺, M. Gregory","doi":"10.3760/CMA.J.ISSN.1001-2036.2020.01.103","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-2036.2020.01.103","url":null,"abstract":"","PeriodicalId":60782,"journal":{"name":"中华显微外科杂志","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45697833","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":"Microanatomical study of the scapholunate interosseous ligament with micro-CT","authors":"Yujian Xu, Yongqing Xu, Haotian Luo, Xiao‐qing He, Xulin Zhang, Wan-qiu Zhao, Huan Wu, Libo Yuan","doi":"10.3760/CMA.J.ISSN.1001-2036.2020.01.014","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-2036.2020.01.014","url":null,"abstract":"Objective \u0000To explore the morphology and vessel distribution of the scapholunate interosseous ligament and anatomical basis for the clinical reconstruction of scapholunate interosseous ligament. \u0000 \u0000 \u0000Methods \u0000From October, 2018 to December, 2018, 12 fresh wrist joint specimens were perfused with gelatin-lead oxide solution from ulnar or radial artery and scanned under micro-CT. The morphology of scapholunate interosseous ligament in neutral position and the distribution of nutrient vessels in the ligament were observed on reconstructed 3D images by Mimics. The width, length and thickness of palmar, dorsal and proximal ligaments were measured. The anatomical parameters at the entrance of nutrient vessels in the scapholunate interosseous ligament were taken and their relationship with the blood supply to the scapholunate was analyzed. \u0000 \u0000 \u0000Results \u0000①For scapholunate interosseous ligament, it was found that the average length of the proximal sub-region was the longest, the length of palmar and dorsal sides was similar to each other and the widest and thinnest was in palmar side, while the thickness and width of dorsal and proximal were similar. ②There was no nutrient vessel in the proximal part of the scapholunate interosseous ligament. But there were abundant nutrient vessels in the palmar and dorsal scapholunate interosseous ligament, and there was no significant difference in blood supply to palmar and dorsal scapholunate interosseous ligament (P>0.05). ③The palmar and dorsal medial nutrient vessels that supply to the scapholunate interosseous ligament enter the scapholunate from the attachment of ligament of scapholunate interosseous joint. \u0000 \u0000 \u0000Conclusion \u0000The palmar side of the scapholunate interosseous ligament is wider and thinner than that of the other subareas, which makes it more vulnerable to injury from an anatomical point of view. There is abundant blood supply to the palmar and dorsal subareas of the scapholunate interosseous ligament and the supplying vessels anastomose inside the scapholunate bone. There is no distribution of blood vessel at the proximal part of scapholunate interosseous ligament, hence is difficult to heal. An injury of palmar and dorsal ligaments may affect the blood supply of scapholunate. \u0000 \u0000 \u0000Key words: \u0000Scapholunate interosseous ligament; Vascular perfusion; Microscopic imaging; Applied anatomy; Digital technology","PeriodicalId":60782,"journal":{"name":"中华显微外科杂志","volume":"43 1","pages":"56-60"},"PeriodicalIF":0.0,"publicationDate":"2020-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48396947","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":"Application of free anterolateral thigh tissue flap in repairation of tissue defects in total or near-total glossectomy","authors":"Sanke Zhang, Dandan Zhu, Wei He","doi":"10.3760/CMA.J.ISSN.1001-2036.2020.01.012","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-2036.2020.01.012","url":null,"abstract":"Objective \u0000To evaluate the functional outcomes of the flaps repaired with free anterolateral thigh tissue flap in patients who had total or near-total glossectomy. \u0000 \u0000 \u0000Methods \u0000From March, 2015 to May, 2018, 15 patients with tongue cancer were treated by total or near total tongue resection. The free anterolateral thigh tissue flaps were used to repair the defects of tongues after radical tumor resection. The size of 15 flaps were 6 cm×10 cm to 8 cm×15 cm. Patient data were retrospectively analyzed. Patients were requested to conduct the postoperative reviews. \u0000 \u0000 \u0000Results \u0000All 15 flaps survived, while 1 occurred vascular crisis which was survived after the exploration and corresponding treatment. As the results of 12 to 48 (average 30) months followed-up by clinic visits, the mouth and chewing function recovered well after 6 months, while the swallowing and pronouncing function were poor. The motion of thigh donor area was good, without numbness, pain and discomfort. \u0000 \u0000 \u0000Conclusion \u0000The defect being left after total or near-total tongue resection is repaired and reconstructed with anterior lateral cutaneous tissue flap, which is able to partially restore the functions and shape of the tongue. \u0000 \u0000 \u0000Key words: \u0000Tongue cancer; Anteriolateral thigh tissue flap; Reconstruction; Microsurgical technique","PeriodicalId":60782,"journal":{"name":"中华显微外科杂志","volume":"43 1","pages":"47-50"},"PeriodicalIF":0.0,"publicationDate":"2020-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44166809","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":"Repair of medial plantar wound with posterior tibial artery perforator combined with saphenous nerve nutrient vessel fascial flap","authors":"Liang Xu, Nan Wang","doi":"10.3760/CMA.J.ISSN.1001-2036.2020.01.004","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-2036.2020.01.004","url":null,"abstract":"Objective \u0000To investigate the surgical technique and its clinical efficacy of the flaps with double blood supply through posterior tibial artery perforators and saphenous nerve nutrient vessels for the secondary stage repair of medial plantar defects. \u0000 \u0000 \u0000Methods \u0000Thirteen patients with medial plantar tissue defects, who were repaired by posterior tibial artery perforator flaps combined with saphenous nerve nutrient vascular fascia flaps from January, 2016 to December, 2018, were studied. The patients were 9 males and 4 females, aged 23-69 (mean age 36.9) years. All defects were near the tarsometatarsal joints in the medial planta, and the soft tissue defects were 4.5 cm× 5.0 cm-8.0 cm×14.0 cm in size. The donor sites were directly sutured or repaired with free graft of ipsilateral thigh full-thickness skin. All patients in this study were followed-up for 6-12 months to observe the function of affected limbs and the recovery of flap donor and recipient sites through outpatient visits and telephone reviews. \u0000 \u0000 \u0000Results \u0000All the 13 flaps survived successfully. One flap developed a small area of necrosis at the distal end, which was healed after partial stitch removal, decompression and dressing change. Another flap had shown purple bruises and tension blisters, surgical exploration was then performed to remove local hematoma and the flap survived after pedicle stitch removal and decompression. One flap received flap thinning and shaping at 8 months after surgery. All flaps showed normal in color, temperature, capillary reaction, soft in texture and without swollen appearance. The affected feet were not apparently restricted when walking, and the functions had satisfactory recovery. \u0000 \u0000 \u0000Conclusion \u0000Posterior tibial artery perforator flap carrying saphenous nerve and great saphenous vein is able to achieve higher and reliable flap survival and better blood supply. Anastomosis of the saphenous nerve carried by flap with cutaneous nerve of the recipient site helps to reconstruct the protective sensation of the flap, which is an effective approach in clinically repairing of the medial plantar defects. \u0000 \u0000 \u0000Key words: \u0000Posterior tibial artery perforator flap; Saphenous nerve nutrient vascular fascial flap; Medial plantar; Soft tissue defect; Repair","PeriodicalId":60782,"journal":{"name":"中华显微外科杂志","volume":"43 1","pages":"10-14"},"PeriodicalIF":0.0,"publicationDate":"2020-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46069762","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":"Application of KISS anterolateral thigh flap in repairing soft tissue defect of dorsal side of multiple fingers","authors":"Chung-Kuang Wu, Zheng-li Wang, L. Tan, B. Dai","doi":"10.3760/CMA.J.ISSN.1001-2036.2020.01.010","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-2036.2020.01.010","url":null,"abstract":"Objective \u0000To evaluate the surgical technique and clinical effect of free KISS anterolateral thigh flap in repairing soft tissue defect of dorsal side of fingers. \u0000 \u0000 \u0000Methods \u0000From January, 2014 to June, 2019, 7 patients with soft tissue defects in dorsal side of multiple fingers were treated. Step one, a KISS anterolateral thigh flap was used and a temporary syndactyly between adjacent affected fingers was created by suture of the digital palmar skin. The donor sites were sutured directly. Step two, a procedure of partial de-bulking and division of syndactyly was followed-up 1-3 months later. All cases were followed-up in observations of appearance, texture, functions and donor site of flaps. \u0000 \u0000 \u0000Results \u0000All flaps survived, and all went through disorders of no blood circulation. The followed-up time were 3 to 24 (average 12.5) months. The flaps had fine appearance, texture and colour. The dorsal aspects of reconstructed fingers demonstrated an aesthetically pleasing effect after the flap de-bulking and division of syndactyly. The donor site only left a linear scar, and the thigh had no functional deficit. \u0000 \u0000 \u0000Conclusion \u0000Free KISS anterolateral thigh flap in repairing defects of dorsal skin in multiple fingers could simplify the operation, shorten operative time and reduce surgical trauma. \u0000 \u0000 \u0000Key words: \u0000Anterolateral thigh flap; Finger; KISS flap; Repair; Microsurgical operation","PeriodicalId":60782,"journal":{"name":"中华显微外科杂志","volume":"43 1","pages":"37-41"},"PeriodicalIF":0.0,"publicationDate":"2020-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49235026","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":"Comparison of therapeutic efficacy between venous flap and the flap with superficial palmar branch of radial artery in reconstruction of the defect of finger with segmental defect of proper digital artery","authors":"Jie Fang, Jun Li, Junjie Gao, Wen-long Zhang","doi":"10.3760/CMA.J.ISSN.1001-2036.2020.01.008","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-2036.2020.01.008","url":null,"abstract":"Objective \u0000To compare the effectiveness of venous flap and the flap based on superficial palmar branch of radial artery (SPBRA) in the reconstruction of the defect of finger with segmental defect of proper digital artery. \u0000 \u0000 \u0000Methods \u0000From July, 2014 to March, 2018, 40 patients with soft tissue defects of finger and the proper arteries were treated by the venous flaps (18 cases, group A) and the flaps based on SPBRA (22 cases, group B). The operative time, postoperative 2-PD of the flaps, appearance, patient satisfaction, flaps donor site complications, flaps survival rate and the motion of digital joints were observed and compared by software SPSS 17.0. P<0.05 was considered statistically significant. \u0000 \u0000 \u0000Results \u0000Forty flaps all survived, and the wounds healed primarily. The operative time of group A was (78.89±7.36) min, which was shorter than that of group B (97.27±9.26) min, with statistically significant difference (P 0.05). \u0000 \u0000 \u0000Conclusion \u0000A higher survival rate and satisfactory clinical efficacy can be achieved by the venous flaps and the flap based on SPBRA while the area of defect in hand soft tissue, where there exists a segmental defect of proper arteries, is small. In terms of the recovery of sensing, the first choice is the flap based on SPBRA. In considering of the difficulty in surgical operation, the venous flap is a relatively simple procedure. \u0000 \u0000 \u0000Key words: \u0000Superficial palmar branch of radial artery; Venous flap; Finger injuries; Microsurgical operation","PeriodicalId":60782,"journal":{"name":"中华显微外科杂志","volume":"43 1","pages":"28-32"},"PeriodicalIF":0.0,"publicationDate":"2020-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47363117","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":"Repairing soft tissue defect in forefoot by a retrograded lateral tarsal artery perforator flap pedicled with anterior branch","authors":"Tao Yang, Guangchao Zhang, Ming-wu Zhou, Zhiyu Hu, Shi-min Li","doi":"10.3760/CMA.J.ISSN.1001-2036.2020.01.005","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-2036.2020.01.005","url":null,"abstract":"Objective \u0000To investigate the surgical method and clinical effect of repairing the forefoot soft tissue defect by the retrograded lateral tarsal artery perforator flap pedicled with the anterior branch. \u0000 \u0000 \u0000Methods \u0000From March, 2015 to October, 2018, 9 patients with soft tissue defects in forefoot were repaired by the retrograded lateral tarsal artery perforator flap pedicled with anterior branch. One patient received an emergency repair and 8 received secondary repair. The wounds were all located in the forefoot. Area of defects were 3.0 cm×2.0 cm-5.0 cm×4.0 cm; flap areas were 3.5 cm×3.0 cm-6.0 cm×4.5 cm. The donor sites of flap were repaired with full thickness skin graft. All patients received postoperative followed-up through the visits of outpatient clinics, WeChat or telephone reviews. \u0000 \u0000 \u0000Results \u0000Eight flaps survived successfully and the wounds healed by first intention; One flap had venous crisis 2 days after surgery and after having removed stitches of the pedicle of flap, only distal skin necrosis occurred. And healed after changing treatment. All the skin graft in donor sites of flaps survived well. All patients were entered 3 to 18 months postoperative follow-up. The shape of flaps had good textures and were not bloated. The sensation of flaps partially recovered. In the last followed-up, 8 flaps were assessed by the American Orthopaedic Foot and Ankle Society (AOFAS) middle foot scoring standard. The results were excellent in 5 cases, good in 2 cases and poor in 1 case, with the good and excellent rate of 87.5%. \u0000 \u0000 \u0000Conclusion \u0000The retrograde lateral tarsal artery perforator flap pedicled with the anterior branch is one of the effective methods to repair the soft tissue defect in forefoot without damaging the main trunk of dorsal pedal artery. It features a reliable blood supply to the flap and a relatively simple surgical procedure. \u0000 \u0000 \u0000Key words: \u0000Lateral tarsal artery perforator flap; Anterior branch; Forefoot; Repair","PeriodicalId":60782,"journal":{"name":"中华显微外科杂志","volume":"43 1","pages":"15-19"},"PeriodicalIF":0.0,"publicationDate":"2020-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41917560","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":"Memory of My International Friend Chen Zhongwei","authors":"S. Tamai","doi":"10.3760/CMA.J.ISSN.1001-2036.2020.01.105","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-2036.2020.01.105","url":null,"abstract":"","PeriodicalId":60782,"journal":{"name":"中华显微外科杂志","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46594886","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":"Emergency repair of Gustillo III C limb extremities with free Flow-through chimeric anterolateral thigh perforator flap","authors":"Yi Zhan, Ji-cun Tang, Rui-ying Wang, Hai-jun Li, Limin Wang, Bao-shan Wang, Changzhao Huang, X. Xue, Xiaoju Zheng","doi":"10.3760/CMA.J.ISSN.1001-2036.2020.01.013","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1001-2036.2020.01.013","url":null,"abstract":"Objective \u0000To explore the clinical effects of a single stage reconstruction and revascularization using a free Flow-through chimeric anterolateral thigh perforator (ALTP) flap in Gustillo III C limb injuries. \u0000 \u0000 \u0000Methods \u0000From January, 2010 to December, 2017, 17 patients with Gustillo III C injury of extremities were repaired with Flow-through chimeric ALTP in emergency surgeries. The patients were 16 males and 1 female with mean age of 32.4 (19-55) years. The size of wounds ranged from 16 cm×8 cm-45 cm×30 cm. The injured arteries were Flow-through anastomosed with the descending branch of the lateral circumflex femoral artery to regain blood flow. The deep dead space was filled with vastus lateralis flap, and the skin flap and fascia flap were used for superficial covering. The donor site was closed directly in 6 patients, simultaneous skin grafts were applied in 11 patients. \u0000 \u0000 \u0000Results \u0000The followed-up time ranged 5 to 60 (average 21.8) months, and conducted by clinic visits and by telephone or WeChat interviews. Fifteen flaps survived, and 2 flaps failed with limb amputated. Six patients were repaired with skin and fascia flaps and 11 patients received flaps comprising the skin, fascia and vastus lateralis muscle. Four flaps healed in stage I. Partial necrosis were observed in 11 flaps. Of which, 1 healed by change of dressing and 10 healed by skin grafting. No complications occurred in donor site in all patients. \u0000 \u0000 \u0000Conclusion \u0000The Flow-through chimeric ALTP flap can be used in stage I reconstruction of the blood supply of limbs and meanwhile achieve the 3-D repair of defects. It is one of the reliable methods in the reconstruction of Gustillo III C injuries in the extremities. \u0000 \u0000 \u0000Key words: \u0000Anteriolateral thigh perforator flap; Flow-through; Chimeric flap; Reconstruction; Gustillo type; Microsurgical technique","PeriodicalId":60782,"journal":{"name":"中华显微外科杂志","volume":"43 1","pages":"51-55"},"PeriodicalIF":0.0,"publicationDate":"2020-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48989069","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}