keyword
Keywords Hand surgery, upper limb surge...

Hand surgery, upper limb surgery, microsurgery

https://read.qxmd.com/read/33335362/correction-of-thumb-duplication-a-systematic-review-of-surgical-techniques
#21
REVIEW
Robert Miller, Alexandre Kaempfen, Jamil Moledina, Bran Sivakumar, Gill Smith, Dariush Nikkhah
Surgical intervention for thumb duplication can be divided into three categories: simple excision of the accessory thumb, excision of the accessory thumb with reconstruction from available "spare parts," and combining the two thumbs into one, as described by Bilhaut. This prospectively PROSPERO registered systematic review evaluates the overall, aesthetic and functional outcomes for the latter two options (reconstruction from spare parts vs. combining two thumbs into one), aiming to facilitate evidence-based decision making when addressing thumb duplication and direct future research...
August 2020: Journal of Hand and Microsurgery
https://read.qxmd.com/read/33277214/reconstruction-of-upper-limb-soft-tissue-defects-after-sarcoma-resection-with-free-flaps-a-systematic-review
#22
JOURNAL ARTICLE
Elena Lucattelli, Irene Laura Lusetti, Federico Cipriani, Alessandro Innocenti, Giorgio De Santis, Marco Innocenti
BACKGROUND AND OBJECTIVES: Upper limb preservation after soft tissue sarcoma (STS) surgical excision is now the accepted gold standard and it often requires reconstruction with free flaps. The purpose of this review is to summarize current literature on upper limb reconstruction with free flaps after STS resection. METHODS: A systematic review was performed in July 2019 in PubMed and MedLine Ovid databases according to the PRISMA guidelines. RESULTS: A total of 17 studies were included in the final analysis, with 132 patients...
April 2021: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://read.qxmd.com/read/33186997/-a-short-history-of-handsurgery-with-link-to-video
#23
JOURNAL ARTICLE
Riccardo E Giunta, Nicholas Möllhoff, Andreas Gohritz, Martin Langer, Ulrich Lanz
Hand surgery is a combination of microsurgery, osteosynthesis, nerve and tendon surgery focusing on the most essential organ in daily life and in societal interactions: the human hand. A discipline as important and highly specialized as hand surgery must be based on scientific studies and milestones from the past. Our work accompanies the video with english subtitles that was displayed in part during the opening ceremony of the 58th Congress of the Deutsche Gesellschaft für Handchirurgie (DGH, German Society of Hand Surgery) in Munich (President of the conference, Univ...
November 13, 2020: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
https://read.qxmd.com/read/33161681/-the-scientific-practical-input-of-academician-n-o-milanov-in-development-of-national-plastic-surgery-to-the-seventieth-anniversary
#24
JOURNAL ARTICLE
A A Stochik
Nikolai Olegovich Milanov, the academician of the Russian Academy of Medical Sciences, leading Russian surgeon, Merited Scientist of the Russian Federation, is one of the pioneers of development of reconstructive microsurgery in our country. He made immense contribution to development of modern plastic and reconstructive microsurgery. He is the author of unique developments that inputted significantly into successive achievements in treatment of traumatic and iatrogenic tissue defects and congenital pathology...
September 2020: Problemy Sot︠s︡ialʹnoĭ Gigieny, Zdravookhranenii︠a︡ i Istorii Medit︠s︡iny
https://read.qxmd.com/read/29706734/thoracoumbilical-flap-anatomy-technique-and-clinical-applications-in-upper-limb-reconstruction-in-the-era-of-microvascular-surgery
#25
JOURNAL ARTICLE
Ravikiran Naalla, Moumita De, Rakesh Dawar, Shashank Chauhan, Maneesh Singhal
Purpose: Microvascular reconstruction is the standard of care for salvage of soft tissue defects in complex upper extremity due to their distinct advantages over the pedicled flaps. However, in the era of microsurgery, pedicled flaps have an acceptable significant role for reconstruction of complex soft tissue defects. The authors aim to demonstrate the versatility of pedicled thoracoumbilical flap (TUF) in selected clinical scenarios. Patients and Methods: Retrospective analysis of patients who underwent TUF for upper limb posttraumatic reconstruction was performed between January 2016 and October 2017...
April 2018: Journal of Hand and Microsurgery
https://read.qxmd.com/read/27015330/reconstructive-microsurgery-the-future-is-today
#26
JOURNAL ARTICLE
Kavit Amin, Anita T Mohan
This reconstructive microsurgery course will run yearly and was borne and popularized from its infant meeting the year before, primarily focused on perforator flaps. It is a 2-day course updating residents/registrars to attending physicians/consultants about the most topical advancements in microvascular reconstructive surgery. The course is held at the New York University Langone Hospital in the United States.The timetable is primarily lecture based with the advantage of live-surgical procedures by world-renowned faculty...
January 2017: Annals of Plastic Surgery
https://read.qxmd.com/read/26045073/fatal-bilateral-lower-limb-deep-vein-thrombosis-and-pulmonary-embolism-following-single-digit-replantation
#27
JOURNAL ARTICLE
Anderson S M Leung, Margaret W M Fok, Boris K K Fung
Venous thromboembolism in hand surgery is rare. There is no report in the literature on postoperative mortality from venous thromboembolism following microsurgery in upper limbs. We report the case of a 56-year-old Chinese man who died from pulmonary embolism as a result of bilateral lower-limb deep vein thrombosis following prolonged surgery under general anaesthesia after replantation of a finger. This case raises awareness of the need for precautions against venous thromboembolism following prolonged microsurgery and identification of high-risk patients...
June 2015: Hong Kong Medical Journal
https://read.qxmd.com/read/23265785/functional-and-subjective-results-of-20-thumb-replantations
#28
JOURNAL ARTICLE
Davide Ciclamini, Pierluigi Tos, Ernesta Magistroni, Bernardino Panero, Paolo Titolo, Ilaria Da Rold, Bruno Battiston
The aim of this retrospective study was to analyse the results of 20 thumb replantations with special and exhaustive attention on functional outcomes. Twenty patients with traumatic thumb amputation were enrolled in the study. Range of motion, grip strength, sensory recovery, and subjective perception of overall hand function recovery were measured. The average age at the time of surgery was 35 years (range, 13-73 years). The mean follow-up was 3.25 years (range, 1.9-10.25 years). The long-term results of thumb replantation confirmed satisfactory outcomes in terms of general upper limb function, handgrip and pinch strength, and social and work reintegration...
April 2013: Injury
https://read.qxmd.com/read/22480121/free-tissue-transfer-in-hand-surgery-essential-step-in-hand-transplantation
#29
JOURNAL ARTICLE
S Marinescu, I P Florescu, C Giuglea, I Lascăr
INTRODUCTION: The development of microsurgery allowed huge advancements in the reconstructive surgery of the upper limb. The use of free digital transfer started a true revolution for the reconstruction of the mutilated, functionally compromised hand, with multiple amputations. Slowly, surgeons started using free tissue transfers in other reconstructive procedures of the hand, forearm and arm. This way they avoided amputating a limb and they realized quality reconstructions in a single surgical step in cases in which classical methods did not apply...
January 2012: Chirurgia
https://read.qxmd.com/read/19639541/-the-need-for-flaps-in-burn-surgery
#30
JOURNAL ARTICLE
A Hold, L Kamolz, M Frey
BACKGROUND: Due to the improvement of surgery and intensive care more and more patients survive even severe burn injuries. Therefore we have to pay attention not only to survival alone but also to the achievement of a good quality of life. Thereby, one of the most important aspects is sufficient tissue coverage. After appropriate debridement functionally important structures may be exposed. Therefore, these areas require more than split skin coverage. These cases necessitate flap coverage for preservation of function or, respectively, limb salvage...
December 2009: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
https://read.qxmd.com/read/18830033/restoring-movement-to-paralyzed-limbs-by-treating-nerve-root-avulsion-a-seven-year-retrospective
#31
JOURNAL ARTICLE
M Dididze
Traumatic injury of major nerve roots of extremities paralyzes the limb and causes high degree of disability. The aim of the study was to evaluate outcomes of surgical treatment of upper and lower limb nerve root avulsion using various microsurgical techniques to reconstruct the function of the extremity. 31 contralateral nerve transfer surgeries were performed on 17 patients with upper and lower extremities nerve root avulsion. Neurological and EMG examinations were carried out. To assess the return of function in the patient's hand Medical Research Council grading systems were used; to evaluate the return of function in the patient's leg we developed special microsurgical techniques...
September 2008: Georgian Medical News
https://read.qxmd.com/read/18726833/idiopathic-neonatal-ischemia-in-the-upper-limb-the-role-of-the-microsurgeon
#32
JOURNAL ARTICLE
Elisabeth Zetlitz, Eva Weiler-Mithoff, Tom Turner
Idiopathic neonatal limb ischemia remains a rare occurrence. It is a devastating process that leads to complete or partial loss of affected limb or severe deformity. The main treatments over the years have been conservative and nonsurgical, such thrombolysis. Surgical treatment has traditionally been delayed until a line of demarcation is clear, at which time amputation of the limb proceeds. We present a case of idiopathic upper limb ischemia in a newborn, where it was clear that nonsurgical management would result in limb necrosis...
September 2008: American Journal of Perinatology
https://read.qxmd.com/read/18535796/-distally-pedicled-posterior-interosseous-artery-flap-for-the-coverage-of-defects-on-the-wrist-and-hand
#33
JOURNAL ARTICLE
Matthias Rab, Karl-Josef Prommersberger
OBJECTIVE: Coverage of defects on the upper limb with the distally pedicled, fasciocutaneous posterior interosseous artery flap. INDICATIONS: Defects with exposed tendon and/or bony tissue on the palmar and dorsal side of the wrist, the hand upon the proximal interphalangeal joint level and the whole thumb. Coverage of defects on the palmar side of wrist and palm of the hand with exposed median and/or ulnar nerve. Enlargement of the 1st interdigital web space in cases of thumb adduction contracture...
June 2008: Operative Orthopädie und Traumatologie
https://read.qxmd.com/read/15656239/-emergency-treatment-of-hand-trauma-in-france-an-important-public-health-challenge
#34
JOURNAL ARTICLE
Claude Kenesi, Emmanuel Masmejean
For decades hand trauma surgery was a small branch of general surgeons' practice. Only after the second world war did some orthopaedic or plastic surgeons with specific training in microsurgery start to sub-specialize in hand surgery. In the past 50 years, National Hand Societies have been created all over the world Hand trauma represents a significant proportion of emergency room attendance, and 20-25 % of traumatic emergencies. Most hand trauma patients are manual workers, who are sometimes injured at work...
2004: Bulletin de L'Académie Nationale de Médecine
https://read.qxmd.com/read/15201022/principles-of-limb-salvage-surgery-of-the-upper-extremity
#35
REVIEW
Michael E Leit, Matthew M Tomaino
The goals of limb salvage surgery in the upper extremity are to achieve resection of the tumor and preserve hand function without the risk for local recurrence. Historically, amputation was the treatment of choice for a neoplasm of the hand, wrist, and forearm, but limb-sparing procedures have become feasible largely because of advances in diagnostic imaging, reconstructive microsurgery, and adjuvant radiotherapy and chemotherapy. Because preservation of hand function, even modest levels thereof, is clearly superior to amputation from a functional standpoint, the authors review the principles of limb salvage in this article...
May 2004: Hand Clinics
https://read.qxmd.com/read/14653019/-hand-surgery-training
#36
JOURNAL ARTICLE
F Moutet, J P Haloua
Training of the hand surgeon HAND SURGEON A CONCEPT: The hand surgeon is supposed to be in charge of all the hand lesions regarding, skeleton, muscles, tendons, nerves and vessels. He has to be able to insure reparation and coverage of all of them. So he is involved in all the structures, which insure integrity and function of the hand. PURPOSE AND WAYS OF TRAINING: To obtain the asked ability, the hand surgeon training has to be global and sustained by two underlying surgical specialities: orthopedic surgery and plastic and reconstructive surgery...
October 2003: Chirurgie de la Main
https://read.qxmd.com/read/11340941/-failure-of-upper-limb-macro-implantations-surgery-and-outcome-11-cases
#37
JOURNAL ARTICLE
S Houzé de l'Aulnoit, M Schoofs, P Leps, G Auvray
The failure of macro-implantation of the upper limb must not be considered as the end of a therapeutic method, but instead as a step in the functional rehabilitation of the upper limb. From a group of 24 patients that have been operated with a macro-implantation of the upper limb, we have seen 11 patients for who the reimplantation had failed. We have studied the surgical procedure of those failures, the mid-term evolution (prosthesis and operations), and a long-term evolution with the functional future of those patients...
April 2001: Annales de Chirurgie Plastique et Esthétique
https://read.qxmd.com/read/10777425/-results-of-nerve-sutures-in-the-wrist-in-children
#38
JOURNAL ARTICLE
F Tomei, J P Aubert, J L Benaim, R Legré, G Magalon
INTRODUCTION: Wounds involving the peripheral nerves cause serious damage in the upper limb. The prognosis for recovery remains uncertain despite microsurgery. It is commonly accepted that the results are far better in children than in adults. We sought to confirm this idea on the basis of objective recovery criteria, discriminating between peripheral axonal regeneration and the child's own capacity to adapt. In other words, do nerves regenerate better in children? MATERIALS AND METHODS: The clinical results of 25 nerve sutures of the wrist, in children under 15, were analysed with a minimum follow-up of 12 months...
February 2000: Chirurgie de la Main
https://read.qxmd.com/read/9835121/-the-palliative-surgical-treatment-of-paralysis-of-the-hand
#39
JOURNAL ARTICLE
M R Colonna, U M Giovannini, A M Longoni, G E Pajardi
Restorative tendon transfer in upper limb palsy should be regarded as an important tool in hand surgery. An adequate planning and patient selection must be required, as well as several techniques can be used. Particularly, associated articular lesions must be detected and cured in the same time. Wrist extension palsies should be treated surgically with PT or LS transfer, whereas flexion palsies can be corrected with opportune balance in movements. Finger palsies can be treated with Zancolli's methods, including MP plasties and "lazos"...
July 1998: Annali Italiani di Chirurgia
https://read.qxmd.com/read/9592697/-the-supinator-syndrome
#40
JOURNAL ARTICLE
M Völlinger, B D Partecke
BACKGROUND: The posterior interosseous nerve syndrome is a rare compression neuropathy of the upper limb, which must be differentiated from tennis elbow. The aim of our study is to show etiology, symptoms, and diagnostic methods, and to illustrate the common operative techniques. PATIENTS AND METHODS: We examined retrospectively all patients of the Department for Hand Surgery, Plastic and Microsurgery of the Berufsgenossenschaftlichen Unfallkrankenhaus Hamburg, who underwent operative treatment because of posterior interosseous nerve syndrome between 1984 and 1992...
March 1998: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
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