Annals of Plastic Surgery最新文献

{"title":"Surgical Delay of Thoracodorsal Artery Perforator Flaps for Total Autologous Breast Reconstruction: Erratum.","authors":"","doi":"10.1097/SAP.0000000000003963","DOIUrl":"10.1097/SAP.0000000000003963","url":null,"abstract":"","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":" ","pages":"705"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142360866","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":"Outcomes of a Virtual Medicine Hybrid Model for Postoperative Care Following Mastectomy and Immediate Tissue Expander Breast Reconstruction: A Retrospective Review.","authors":"Madeline M Paton, Antonio J Forte, Sarvam P TerKonda, Olivia A Ho, Michael J Maniaci, Brian D Rinker","doi":"10.1097/SAP.0000000000004392","DOIUrl":"https://doi.org/10.1097/SAP.0000000000004392","url":null,"abstract":"<p><strong>Introduction: </strong>The Care Hotel is a virtual medicine hybrid model of care implemented at the Mayo Clinic to increase use of enhanced recovery protocols, address hospital capacity and reduce medical costs. This voluntary accommodation offers patients a comfortable environment to receive nursing care postoperatively with in-person daytime monitoring and 24-hour virtual telemonitoring in a hotel setting. This study aims to evaluate postoperative outcomes in patients admitted to the Care Hotel after mastectomy with immediate tissue expander reconstruction compared to standard overnight admission.</p><p><strong>Methods: </strong>A retrospective review of the electronic medical record was conducted for patients who underwent mastectomy with immediate tissue expander reconstruction prior to (1/2019-1/2020) and after (7/2021-7/2023) the implementation of the Care Hotel. Postoperative outcomes, including 48-hour ED visit, 48-hour readmission, and 30-day infection, hematoma, seroma, admission, and return to operating room were collected.</p><p><strong>Results: </strong>There were 61 patients with 108 tissue expander reconstructions in the hospital admission group and 122 patients with 212 tissue expander reconstructions in the Care Hotel group. The average length of hospital stay was 1.2 days while the average Care Hotel stay was 1.4 days. There were four 48-hour ED visits with 1 admission for 12 hours of observation in the Care Hotel group. There was no statistically significant difference in 30-day infection, seroma, hematoma, readmission, need for IR drain procedure or return to operating room between the groups.</p><p><strong>Conclusions: </strong>This investigation demonstrates the safety of postoperative virtual telemonitoring and should encourage providers to utilize virtual visit technology in the immediate postoperative time-period.</p>","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":"94 6S Suppl 4","pages":"S562-S563"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144207481","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":"How to Incorporate Ultrasound of the Upper Extremity Into Your Practice.","authors":"Kristen L Stephens, Colby Newson, Anthony J Archual, Anthony E Capito, Christine V Schaeffer, Brent R DeGeorge","doi":"10.1097/SAP.0000000000004383","DOIUrl":"10.1097/SAP.0000000000004383","url":null,"abstract":"<p><strong>Abstract: </strong>Ultrasound technology has revolutionized hand and upper extremity surgery by offering real-time, noninvasive imaging that enhances both diagnostic and therapeutic procedures. Its ability to assess soft tissue structures, including tendons, nerves, and blood vessels, provides surgeons with dynamic evaluation tools, improving accuracy in diagnosis and intervention while reducing the need for exploratory surgery or more invasive or time-consuming workup. High-frequency sound waves generated by piezoelectric transducers produce detailed images, allowing for precise guidance during minimally invasive procedures such as tendon repairs, nerve decompressions, and joint injections. Although ultrasound's utility is limited by operator expertise and depth penetration, its portability, affordability, and dynamic capabilities make it a valuable complement to other imaging modalities like magnetic resonance imaging and computed tomography. Advances in ultrasound, including Doppler techniques and elastography, have further improved its application in nerve compression and tendon pathology assessments. As technology evolves, ultrasound continues to become an increasingly popular adjunct to optimize patient outcomes in hand surgery by offering safe, radiation-free, and effective diagnostic and therapeutic options.</p>","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":"94 6S Suppl 4","pages":"S577-S583"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144207477","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":"Beyond One-Size-Fits-All: Pioneering a Zone-Based Strategy in Digital Nerve Autografting.","authors":"Daihun Kang","doi":"10.1097/SAP.0000000000004242","DOIUrl":"10.1097/SAP.0000000000004242","url":null,"abstract":"<p><strong>Background: </strong>Digital nerve injuries significantly affect hand function and quality of life, necessitating effective reconstruction strategies. Autologous nerve grafting remains the gold standard due to its superior biocompatibility, despite recent advancements in nerve conduits and allogenic grafts. This study aims to propose a novel zone-based strategy for donor nerve selection to improve outcomes in digital nerve reconstruction.</p><p><strong>Methods: </strong>A systematic review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines, searching PubMed, Embase, Cochrane Library, and Web of Science for articles published from January 2004 to December 2023. Inclusion criteria included studies involving adult human subjects undergoing autologous nerve grafting for digital nerve reconstruction, with sensory recovery and donor site morbidity as primary outcome measures. Additionally, an anatomical study comparing donor nerves to digital nerves was included.</p><p><strong>Results: </strong>Five studies met the inclusion criteria: 4 clinical studies and 1 anatomical study. Analysis of the 4 included clinical studies showed that the posterior interosseous nerve had the lowest donor site morbidity (6.25%), while the lateral antebrachial cutaneous nerve (LABCN) demonstrated the best sensory recovery outcomes (mean 2-point discrimination of 5.92 mm, with 100% of patients achieving good to excellent recovery). The sural nerve exhibited acceptable donor site morbidity (15%) but showed the lowest sensory recovery outcomes (mean 2-point discrimination of 10.8 mm, with only 46% of patients reporting good to very good recovery). The anatomical study indicated that the LABCN had the closest match in cross-sectional area and fascicle count to most zones of the digital nerve, supporting its suitability as a graft source.</p><p><strong>Conclusions: </strong>Although there are many nerve reconstruction techniques available, autologous nerve grafting remains the gold standard. Based on the analysis of five studies, this review proposes a new zone-based approach for donor nerve selection, emphasizing matching donor nerves to specific injury zones. This tailored strategy can potentially optimize both functional recovery and donor site morbidity, moving beyond the one-size-fits-all paradigm. The posterior interosseous nerve, LABCN, and SN each provide unique benefits depending on the zone of injury, suggesting that this approach may lead to improved patient outcomes. Future research is needed to validate this framework.</p>","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":" ","pages":"663-669"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057832","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":"A Systematic Review of Rhytidectomy Complications and Prevention Methods: Evaluating the Trends.","authors":"Amanda Hua Fang, Jorge de la Torre","doi":"10.1097/SAP.0000000000004272","DOIUrl":"https://doi.org/10.1097/SAP.0000000000004272","url":null,"abstract":"<p><strong>Introduction: </strong>Facelift, also known as rhytidectomy, is one of the most common aesthetic surgical procedures performed by plastic surgeons. The goal around finding the ideal facelift revolves around cosmetic outcome, ability to maintain long term results, and minimizing complications. Known complications in facelift surgery include hematomas, seromas, neurapraxia, and unfavorable scars. With the growing popularity of facelifts and the constant evolution, our study aims to evaluate the complications and interventions reported since 2000 and examining any changes and trends.</p><p><strong>Methods: </strong>A systematic review was performed through PubMed using keyword search in the following combinations: \"facelift,\" \"face lift,\" \"complication,\" \"management,\" \"perioperative,\" and \"prevention.\" The search was restricted from publication years 2000 until day of search (August 2024). The search was designed to find studies that reported facelift-related complications rates and studies that analyzed interventions to help reduce facelift complications.</p><p><strong>Results: </strong>A total of 59 articles were found to meet the inclusion criteria for analysis of complications. Twenty-seven articles were included in the study from 2000 to 2012, whereas 32 articles from 2013 to 2024. A total of 39 studies were included for the analysis of interventions. From 2012 to 2024, hematoma remained the most common reported complication (27% of all complications), followed by unfavorable scarring (24%), neurapraxia (22%), and seroma (7%). Neurapraxia and unfavorable scar complications were reported twice as much, whereas seroma complications decreased by half in studies from 2012 to 2024. Hematoma rates remained similar. The use of fibrin glue/sealant was the most analyzed intervention, followed by use of TXA, quilting sutures, and blood pressure control.</p><p><strong>Conclusions: </strong>The rates of complications in rhytidectomy are low. When compiling all the reported complications, hematomas made up 1/3 of all complications with similar reports from 2000 to 2012 compared to 2013 to 2024. Unfavorable scarring and neurapraxia reports doubled in the latter half of the study, whereas seroma reports decreased by half. This could be attributed the use of tissue sealants and local pharmacologic agents. Complications can occur, and it remains essential to recognize the complications and prevention methods available.</p>","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":"94 6S Suppl 4","pages":"S502-S516"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144207425","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":"From 0 to 100: Delayed Direct to Implant Breast Reconstruction, an Alternative to Tissue Expansion.","authors":"Nicole K Le, Kristen Whalen, Amra Olafson, Brandon Foley, Allison Miscik, Eric Clayman, Pietro Susini, Nicholas J Panetta, Lauren Kuykendall, Deniz Dayicioglu, Paul D Smith","doi":"10.1097/SAP.0000000000004384","DOIUrl":"https://doi.org/10.1097/SAP.0000000000004384","url":null,"abstract":"<p><strong>Introduction: </strong>Implant-based reconstruction is not always feasible when mastectomy flap viability is poor. Rather than returning to the operating room for staged breast reconstruction with tissue expansion (TE), patients may instead opt for delayed direct to implant (dDTI) reconstruction. This study aimed to assess the feasibility of dDTI after patients \"go flat\" after their mastectomy.</p><p><strong>Methods: </strong>Patients unable to undergo breast reconstruction at the time of their mastectomy and who later underwent implant placement without tissue expanders between 2022 and 2024 were included in this study. These patients were compared with patients who underwent delayed tissue expander to implant-based reconstruction.</p><p><strong>Results: </strong>A total of 36 patients (64 breasts) were included in the study (31 TE and 33 dDTI breasts). The average age was 52 ± 13 years, and average body mass index was 26.3 ± 4.8 kg/m2. The mean time between mastectomy and dDTI was 278.9 ± 180.2 days. dDTI had fewer complications than TE (3.0% vs 35.5%, P < 0.01). Univariate logistic regression showed that patients with dDTI had significantly lower odds of having complications compared with TE (odds ratio, 0.06 [0.01-1.22]; P < 0.01).</p><p><strong>Conclusions: </strong>dDTIs appear to be a safe alternative to TE, especially when implant-based reconstruction is not feasible. This technique saves the patient, at minimum, an additional surgery and multiple clinic visits that would have been required if tissue expanders were used.</p>","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":"94 6S Suppl 4","pages":"S522-S525"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144207476","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":"Novel Technique for Single-Site, Ultrasound-Guided Release of the Cubital Tunnel: An Anatomic Feasibility Study.","authors":"Ethan Paulin, Evan C Bowen, Shireen Dogar, John M Sullivan, Marc E Walker","doi":"10.1097/SAP.0000000000004387","DOIUrl":"https://doi.org/10.1097/SAP.0000000000004387","url":null,"abstract":"<p><strong>Introduction: </strong>Current management via open dissection for cubital tunnel syndrome is efficacious; however, it can lead to lengthy recovery. Sonography can be utilized in open dissections for cubital tunnel syndrome to minimize incision lengths, but it has garnered interest in cadaveric studies for achieving entirely minimally invasive decompressions.</p><p><strong>Objective: </strong>This study aimed to examine the feasibility of sonography in diagnosing cubital tunnel syndrome and propose a minimally invasive approach to decompression using a commercially available ultrasound-guided device, leveraging its success in carpal tunnel syndrome management.</p><p><strong>Methods: </strong>Dissections were performed on three cadaveric arms. Presurgical mapping of the ulnar nerve was performed via ultrasonography, identifying the ulnar nerve traversing muscular and bony landmarks through the elbow. Operating bidirectionally via a single site at the level of the cubital tunnel, the carpal tunnel release system was utilized under ultrasound guidance, rigidly simulating surgical operation regarding time, technique, and care of dissection. Postoperative confirmation of decompression was achieved via open dissection.</p><p><strong>Results: </strong>In all three specimens, successful fascial release was confirmed. There was no injury to the ulnar nerve itself or any motor branches, and there was no identifiable subluxation of the nerve with complete ranging of the elbow.</p><p><strong>Conclusions: </strong>This study demonstrates the feasibility of in-office cubital tunnel decompression, addressing the growing demand for minimally invasive interventions. By adapting techniques from carpal tunnel syndrome management, this approach offers an alternative to traditional open surgery, particularly relevant amid limitations on operating theater access. Such innovative strategies hold promise for expanding surgical options and meeting the evolving needs of patients, emphasizing the importance of adapting established techniques to address emerging challenges in patient care.</p>","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":"94 6S Suppl 4","pages":"S564-S567"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144207480","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":"Using Peripheral Nerve Stimulation to Treat Neuropathies of the Upper Extremity: A Systematic Review.","authors":"Janice Choi, Gabrielle Li, Ian Kim, Brent R DeGeorge","doi":"10.1097/SAP.0000000000004400","DOIUrl":"https://doi.org/10.1097/SAP.0000000000004400","url":null,"abstract":"<p><strong>Purpose: </strong>Peripheral neuropathy of the upper extremity often arises from nerve entrapment or nerve injury and can result in chronic, debilitating pain. Peripheral nerve stimulation (PNS) has been shown to restore nerve function and provide pain relief in various neuropathies, particularly in cases refractory to conventional pain management strategies. Our aim was to evaluate the effectiveness of PNS for alleviating peripheral neuropathy-related neuropathic pain resulting from upper extremity nerve entrapment or injury.</p><p><strong>Methods: </strong>A systematic search was conducted across PubMed, Cochrane, Ovid Medline, and Web of Science to identify studies using PNS in upper extremity nerve entrapment or injury patients with reported outcomes measuring neuropathy (pain, sensory and motor function). Data regarding PNS type, neuropathy type, pain scores, motor unit number estimation, treatment duration, and study quality were extracted.</p><p><strong>Results: </strong>Twenty-six studies (973 total participants) were included. Twenty-two studies reported pain relief, with significant decreases in the 11-point Numeric Pain Rating Scale from baseline (effect size: 2.92-6.43). Four studies reported improved nerve function. All studies evaluating secondary outcomes such as concomitant pain medication use and quality of life found improvement in at least one measure. Both permanent and temporary PNS yielded significant improvements, with minimal complications and promising long-term outcomes.</p><p><strong>Conclusion: </strong>Overall, PNS may be a safe and effective nonpharmacologic method to treat pain related to neuropathy as well as improve function and quality of life in patients with nerve entrapment or injury of the upper extremity. More controlled studies are needed to assess the effectiveness of PNS compared to usual care.</p>","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":"94 6S Suppl 4","pages":"S539-S548"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144207494","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":"Utility of Activity Measure for Postacute Care Scoring in Predicting Symptomatic Deep Venous Thromboembolism in Free Tissue Transfer.","authors":"Nikitha Potturi, Kelsey Gray, Stephanie H Carpentier, Stephanie Hamlin, James T Thompson","doi":"10.1097/SAP.0000000000004393","DOIUrl":"https://doi.org/10.1097/SAP.0000000000004393","url":null,"abstract":"<p><strong>Background: </strong>Free tissue transfer (FTT) can be associated with limited postoperative mobility, increasing the risk for venous thromboembolism (VTE). Currently, no standardized protocol for anticoagulation in FTT exists. VTE risk has been calculated using the Caprini score, which is based on preoperative assessments and lacks real-time data on postoperative mobility. The Activity Measure for Postacute Care (AM-PAC) score assesses patients' activity limitations and rehabilitation needs postoperatively. We hypothesize that AM-PAC score will correlate with postoperative VTE in FTT patients and may be a useful adjunct to the Caprini score in anticoagulation decision-making.</p><p><strong>Methods: </strong>A review was completed of patients undergoing FTT for breast or lower extremity reconstruction at a single institution from 2012 to 2023. Data were collected on patient demographics, donor and recipient site, AM-PAC score, Caprini score, postoperative VTE, and medical comorbidities. A composite score was calculated using equally weighted AM-PAC and Caprini scores. Data were analyzed using Wilcox rank-sum tests with a significance level of 0.05.</p><p><strong>Results: </strong>There were 78 patients who underwent breast or lower extremity FTT with an inpatient AM-PAC score evaluation. Six patients developed VTE postoperatively. There was no significant association between VTE and Caprini or AM-PAC scores, but patients with VTE had significantly higher composite scores (P = 0.033), with a higher odds ratio than Caprini or AM-PAC scores.</p><p><strong>Conclusions: </strong>Patients with VTE had significantly higher composite scores than patients without VTE. This may support utilizing AM-PAC score as an adjunct to Caprini score to guide postoperative anticoagulation.</p>","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":"94 6S Suppl 4","pages":"S531-S533"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144207495","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":"Outcomes of Metacarpal Fracture Fixation With Intramedullary Nails: A Systematic Review.","authors":"Syeda Hoorulain Ahmed, Ramin Shekouhi, Ramiz Kardan, Cameron Gerhold, Harvey Chim","doi":"10.1097/SAP.0000000000004271","DOIUrl":"10.1097/SAP.0000000000004271","url":null,"abstract":"<p><strong>Background: </strong>Metacarpal fractures are the third most common upper extremity fracture and the second most common hand fracture, resulting in significant disability. This systematic review evaluates the clinical outcomes associated with using intramedullary nails to treat metacarpal fractures.</p><p><strong>Methods: </strong>A qualitative analysis was conducted to analyze summative data and calculate proportions for dichotomous variables and mean and standard deviation for continuous variables.</p><p><strong>Results: </strong>Seventeen studies involving 761 patients and 815 metacarpal fractures were included. Postoperative recovery of grip strength averaged 89.3% ± 7.7% compared to the unaffected hand. Significant improvement in angulation was noted, decreasing from a preoperative mean of 40.0° ± 9.1° to 11.5° ± 4.3° postoperatively. The mean metacarpal shortening was 2.0 ± 0.8 mm following surgery. The average time to fracture union was 7.3 ± 2.4 weeks, with a mean return-to-work time of 8.1 ± 1.4 weeks. Postoperative functional outcomes were favorable, with mean Disabilities of the Arm, Shoulder and Hand and QuickDASH scores of 4.0 ± 3.6 and 3.9 ± 3.2, respectively. The average postsurgical visual analog scale pain score was 1.1 ± 0.4. The mean postoperative total active arc of motion was 248.6° ± 11.9°.</p><p><strong>Conclusion: </strong>Intramedullary nailing provides favorable outcomes in the fixation of metacarpal fractures, with significant improvements in grip strength, angulation, and functional recovery.</p>","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":"94 6S Suppl 4","pages":"S486-S492"},"PeriodicalIF":1.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144207490","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}