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https://www.readbyqxmd.com/read/29223881/time-of-return-back-to-work-and-complications-following-cross-finger-flaps-in-industrial-workers-comparison-between-immediate-post-operative-mobilization-versus-immobilization-until-flap-division
#1
M M Al-Qattan
INTRODUCTION: Previous authors have immobilized the injured hand or digits following cross finger flaps. PATIENTS AND METHODS: About 3 years ago, the author adopted a protocol of immediate postoperative active and passive mobilization (without a splint) following cross finger flap surgery in industrial workers. The current study is a retrospective audit comparing postoperative complications and time of return back to work following cross-finger flaps in two groups of injured industrial workers: Group I (n=12) had immediate postoperative mobilization; and Group II (n=12) had immobilization till the time of flap division...
November 28, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29200490/management-of-nail-bed-injuries-associated-with-fingertip-injuries
#2
Alexander George, Reena Alexander, C Manju
Background: Management of nail injuries can often be a challenging experience, especially in presence of complex fingertips' injuries that include soft tissue loss and distal phalanx injury. Most studies found in the literature focus on individual injuries and describe methods to tackle those injuries, notwithstanding the fact that the nail, nailbed, distal phalanx, soft tissue and skin of the finger tip form a complex and often more than one element of this complex is injured. This retrospective study therefore focuses on the management of nail bed injuries as a part of the complex finger tip injury and outlines the surgical principles and techniques that were used in their management...
November 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29186749/-microvascular-reconstruction-of-the-larynx-following-total-laryngectomy
#3
Stephan Hackenberg, Norbert Kleinsasser, Agmal Scherzad, Fabian Kraus, Rudolf Hagen
Total laryngectomy still is a standard procedure for the treatment of advanced laryngeal or hypopharyngeal carcinoma. The unavoidable loss of voice may lead to serious impairments in quality of life. The most common technique of voice restoration is the tracheal-esophageal puncture combined with the application of a voice prosthesis. Laryngeal reconstruction with a radial forearm flap represents a possible surgical method of voice restoration. This study is a mono-center retrospective analysis of patients receiving a so-called laryngoplasty after total laryngectomy between 2006 and 2015, focusing on long-term functional outcome and complications...
November 29, 2017: Laryngo- Rhino- Otologie
https://www.readbyqxmd.com/read/29178311/a-novel-approach-for-reconstruction-of-finger-neurocutaneous-defect-a-sensory-reverse-dorsal-digital-artery-flap-from-the-neighboring-digit
#4
Shi-Ming Feng, Qing-Qing Sun, Jian Cheng, Ai-Guo Wang
OBJECTIVE: Providing soft tissue coverage for finger neurocutaneous defects presents aesthetic and sensory challenges. A common source for reconstruction of soft tissue defects of the fingers is the same finger. However, when the donor areas are damaged by concomitant injuries, this option is not available. The present study aims to reconstruct finger neurocutaneous defects using a sensory reverse dorsal digital artery flap from the neighboring digit and to evaluate the efficacy of this technique...
November 2017: Orthopaedic Surgery
https://www.readbyqxmd.com/read/29153422/a-flap-based-on-the-plantar-digital-artery-arch-branch-to-improve-appearance-of-reconstructed-fingers-anatomical-and-clinical-application
#5
Lin-Feng Tang, Ji-Hui Ju, Yue-Fei Liu, Bo Lan, Rui-Xing Hou
AIM: To investigate blood supply features of the flap based on the plantar digital artery arch and arch branch artery, and the treatment of outcomes of reconstructed fingers by the plantar digital artery arch branch island flap. METHODS: Eight fresh foot specimens were employed with red emulsion infusion and microdissection. The vascular organization was observed in the second toe, such as initiation site, the course, and the number of the plantar digital artery arch branch...
November 16, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29115657/wrapping-degloved-fingers-with-a-distal-based-radial-forearm-perforator-flap-a-repair-method-for-multiple-digital-degloving-injury
#6
Yusuf Kenan Çoban, Özcan Öcük, Kaan Bekircan
Degloving hand injuries present challenging situations to hand surgeons as they present with difficulties in reconstructive microsurgery, particularly in multiple digital injuries. Time is a limiting factor when multiple degloving finger amputations are present. Thus, we proposed a repair method for multiple degloving finger injuries that involves coverage with a distal-based reverse forearm flap of all injured fingers in a two-stage procedure. Early vigorous physical therapy after pedicle division of the flap at postoperative third week eliminates joint stiffness problems at wrist and metacarpophalangeal joints...
November 2017: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/29076328/modified-toe-pulp-fillet-flap-coverage-better-wound-healing-and-satisfactory-length-preservation
#7
Sang Oon Baek, Hyo Wan Suh, Jun Yong Lee
Background: Amputation is commonly performed for toe necrosis secondary to peripheral vascular diseases, such as diabetes mellitus. When amputating a necrotic toe, preservation of the bony structure is important for preventing the collapse of adjacent digits into the amputated space. However, in the popular terminal Syme's amputation technique, partial amputation of the distal phalanx could cause increased tension on the wound margin. Herein, we introduce a new way to resect sufficient bony structure while maintaining the normal length, based on a morphological analysis of the toes...
October 27, 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29056125/quantification-and-further-refinements-of-dorsal-metacarpal-artery-perforator-flap-for-reconstruction-of-wounds-of-fingers-upto-distal-interphalangeal-joints
#8
Muhammad Amin Yousaf, Zain Ul Abidin, Farrukh Aslam Khalid, Kamran Khalid, Muhammad Saleem, Muhammad Jibran Rabbani, Abdul Malik Mujahid, Moazzam Nazeer Tarrar
OBJECTIVE: To assess the outcome of dorsal metacarpal artery perforator flap for coverage of finger defects extending upto distal interphalangeal joint (DIPJ). STUDY DESIGN: Case series. PLACE AND DURATION OF STUDY: Jinnah Burn and Reconstructive Surgery Centre, Lahore, from March 2015 to May 2017. METHODOLOGY: Our study was carried out in two parts. 1st part of study was to measure average flap length in our population...
October 2017: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/29032980/management-of-finger-deep-burns-the-interest-of-local-flaps
#9
Franck Duteille, Audrey Leduc, Julien Verdier, Michael Atlan, Pierre Perrot
INTRODUCTION: The management of finger deep burns is still problematic for the surgeon. Due to the fineness and the thickness of the subcutaneous tissue, after excision there is an important risk of exposure of the underlying tissue like bone, nerve or tendons. Local flaps (random pattern flap and pedicle flap) allowed ensuring a good quality covering with a tissue with many advantages (good thickness, sensitivity). On the contrary of all other techniques, flaps can be used independently from the vascular quality of the wound bed...
October 9, 2017: Burns: Journal of the International Society for Burn Injuries
https://www.readbyqxmd.com/read/29029987/multiple-extensor-tendons-reconstruction-with-hamstring-tendon-grafts-and-flap-coverage-for-severe-dorsal-hand-injuries
#10
M Ozbaydar, O Orman, O Ozel, E Altan
Treatment of patients with traumatic loss of skin and multiple extensor tendons on the dorsum of the hand is a challenge. The aim of this study was to assess the outcome after reconstruction of soft tissues and multiple extensor tendons in patients who suffered traumatic loss of skin and multiple extensor tendons. Ten patients were enrolled in the study. These patients underwent single-stage reconstruction with autogenous hamstring tendon grafts for multiple extensor tendon defects and fasciocutaneous flaps for coverage of dorsal hand defects...
October 10, 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/29020873/palmaris-longus-tendocutaneous-arterialized-venous-free-flap-to-reconstruct-the-interphalangeal-collateral-ligament-in-composite-defects
#11
Sang Hyun Woo, Young Keun Lee, Joo Yong Kim, Young Woo Kim, Ho June Cheon
We present 12 cases in which palmaris longus tendocutaneous arterialized venous free flaps were used for the reconstruction of the collateral ligament in compound defects of digits. There were nine cases involving the interphalangeal joint of the fingers and three of the interphalangeal joints of the thumb. The venous flaps survived completely in 10 of the 12 cases. In 11 cases, there were excellent functional results for joint stability, pain, total active motion and pinch power. In all 12 cases, a pain-free joint with excellent stability was achieved after surgery...
January 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28994884/trauma-of-the-hand-from-circular-saw-table-a-series-of-a-130-cases
#12
Yafa Hadj Hassine, Mohamed Hmid, Walid Baya
INTRODUCTION: Trauma of the hand from a circular saw table is a common occurrence in developing countries it tends to occur in young hand working people and it causes a serious lesions. METHODS: It was a retrospective series about a 130 cases of hand trauma from circular saw table. Epidemiological features, treatment, and permanent disabilities left by hand trauma from circular saw table were studied to identify ways to prevent such an accident. RESULTS: The average age was 31...
December 2016: La Tunisie Médicale
https://www.readbyqxmd.com/read/28992612/type-of-iconicity-influences-children-s-comprehension-of-gesture
#13
Leslie E Hodges, Şeyda Özçalışkan, Rebecca Williamson
Children produce iconic gestures conveying action information earlier than the ones conveying attribute information (Özçalışkan, Gentner, & Goldin-Meadow, 2014). In this study, we ask whether children's comprehension of iconic gestures follows a similar pattern, also with earlier comprehension of iconic gestures conveying action. Children, ages 2-4years, were presented with 12 minimally-informative speech+iconic gesture combinations, conveying either an action (e.g., open palm flapping as if bird flying) or an attribute (e...
February 2018: Journal of Experimental Child Psychology
https://www.readbyqxmd.com/read/28969190/groin-flap-in-paediatric-age-group-to-salvage-hand-after-electric-contact-burn-challenges-and-experience
#14
Pradeep Gupta, Rakesh Singh Tawar, Manohar Malviya
INTRODUCTION: Electric contact burn is characterised by multiple wounds produced by entrance and exit of the current. Hand is most commonly involved in the same and children are particularly susceptible to such accidents. AIM: To document effectiveness and challenges associated with the use of groin flap as an initial definitive treatment of electric contact burn in paediatric age group. MATERIALS AND METHODS: From January 2015 to December 2016, 25 children up to 12 years of age, who were admitted at SMS Medical College, Jaipur, Rajasthan, India, after electric burn injury with hand defect and who were treated by pedicled groin flap at the Department of Plastic and Reconstructive Surgery, were included in the study...
August 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28946724/the-anconeus-muscle-free-flap-clinical-application-to-lesions-on-the-hand
#15
Byung-Joon Jeon, Seung Jun Jwa, Dong Chul Lee, Si Young Roh, Jin Soo Kim
BACKGROUND: It can be difficult to select an appropriate flap for various defects on the hand. Although defects of the hand usually must be covered with a skin flap, some defects require a flap with rich blood supply and adequate additive soft tissue volume. The authors present their experience with the anconeus muscle free flap in the reconstruction of various defects and the release of scar contractures of the hand. METHODS: Ten patients underwent reconstruction of the finger or release of the first web space using the anconeus muscle free flap from May 1998 to October 2013...
September 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/28933803/unusual-ending-of-the-second-dorsal-metacarpal-artery-as-proper-palmar-digital-arteries
#16
Homero F Bianchi, Claudia A Vargas, Nicolas E Ottone
BACKGROUND: The proper palmar digital arteries arises infrequently from dorsal metacarpal arteries. This work reports the second dorsal metacarpal artery unusual ending and a vascular variation related to the superficial palmar arch. MATERIALS AND METHODS: Fresh human upper limbs routine dissection, from a male cadaver, injected with colored elastomeric material immersed 10% formalin. RESULTS: The second dorsal metacarpal artery presented terminal branches, the index finger medial proper digital palmar artery and the middle finger lateral proper digital palmar artery...
September 21, 2017: Folia Morphologica (Warsz)
https://www.readbyqxmd.com/read/28926877/-clinical-effects-of-repair-of-wounds-in-fingers-after-electrical-burn-with-wrist-perforator-free-flaps
#17
H P Di, C D Xia, P P Xing, Q Li, D W Han, J D Xue, D Y Cao
Objective: To explore the clinical effects of repair of wounds in the fingers after electrical burn with wrist perforator free flaps. Methods: Twelve patients (13 fingers) with electrical burn were hospitalized in our burn ward from January 2016 to January 2017. After radical debridement, the size of wounds ranged from 5.0 cm×2.0 cm to 10.0 cm×7.0 cm. Wounds with size below or equal to 6.0 cm ×2.5 cm were repaired with free flaps based on the superficial palmar branch of radial artery, with flap area ranging from 2...
September 20, 2017: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
https://www.readbyqxmd.com/read/28925493/repair-and-sensory-reconstruction-of-the-children-s-finger-pulp-defects-with-perforator-pedicled-propeller-flap-in-proper-digital-artery
#18
S-M Feng, A-G Wang, Z-Y Zhang, Q-Q Sun, Y-L Tao, M-M Zhou, Y-J Hao
OBJECTIVE: This study was designed to investigate the clinical effects of adopting perforator pedicled propeller flap in the proper digital artery for treatment and sensory reconstruction of finger pulp defects in children. PATIENTS AND METHODS: Perforator pedicled propeller flap of proper digital arteries in thirty-one fingers from twenty-three children patients were selected for repairing the pulp defects on the 2nd to the 5th fingers. All cases were treated from September 2012 to December 2013...
August 2017: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/28869456/perfusion-control-of-a-partial-revascularized-hand-via-application-of-indocyanine-green-icg-and-near-infrared-fluorescence-imaging
#19
C Strauss, E Brix, A Anker, L Prantl, V Brébant, T Aung
BACKGROUND: Intra- and postoperative assessment of perfusion with near-infrared fluorescence imaging is commonly used among plastic surgeons to evaluate the quality of a microsurgical anastomosis in free flaps. OBJECTIVE: As microsurgical anastomosis can be monitored with near-infrared fluorescence imaging there is potential concerning revascularized fingers and hands with soft tissue depths not exceeding 7 mm above anastomosis. In a case of a severe crush injury of the hand more information about the perfusion was necessary as clinical assessment suspected loss of perfusion...
August 28, 2017: Clinical Hemorheology and Microcirculation
https://www.readbyqxmd.com/read/28864313/toe-to-finger-combined-with-free-flap-transfer-for-primary-one-stage-post-traumatic-reconstruction-of-the-complex-fingerless-hand
#20
Hua Chen, Chaoyin Jiang, Yaozeng Xu, Yangbai Sun
Toe-to-finger transplantation is intimately related to the development of microsurgical free tissue transplantation, which is one of the most important advances in the history of reconstructive surgery. It is also generally acknowledged that a mangled hand with massive tissue loss and amputation of multiple digits presents a challenge for plastic and reconstructive surgeons. In this retrospective study we reviewed 11 cases of primary one-stage post-traumatic reconstruction of complex fingerless hands using a combination of toe-to-finger and free tissue transplantation performed in Shanghai Jiao Tong University affiliated Sixth People's Hospital and Shanghai Jiao Tong University School of Medicine affiliated Ninth People's Hospital from January 2001 to November 2014...
August 7, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
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