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https://www.readbyqxmd.com/read/28216827/distal-phalanx-amputation-with-delayed-presentation-and-successful-reconstruction-with-reposition-and-flap-after-2-weeks
#1
Jefferson Braga-Silva, Renato Franz Matta Ramos, Gabriela Meirelles Marchese, Pedro Salomao Piccinini
Traumatic finger amputations are common, causing significant functional and cosmetic deficits. Microsurgical replantation techniques are the mainstay of treatment for most such injuries although they require adequate conservation of the amputated segment for a successful result. In distal finger amputations, replantation is the procedure of choice, as long as the amputated fragment is viable. If replantation is not an option, reposition + flap using a neurovascular flap can be an efficient option, as this offers improved skin coverage...
September 2016: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/28183229/modified-innervated-sensory-cross-finger-flap-in-failed-finger-replantation
#2
S H Lee, S J An, D H Kim, S M Hong, J I Kim
No abstract text is available yet for this article.
February 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28178151/reconstruction-of-large-area-defect-of-the-nail-bed-by-cross-finger-fascial-flap-combined-with-split-thickness-toe-nail-bed-graft-a-new-surgical-method
#3
Jianyun Yang, Tao Wang, Cong Yu, Yudong Gu, Xiaotian Jia
Fingertip injury commonly results in avulsion of the nail bed. For large area defects of the nail bed with distal phalanx exposure, methods for reconstruction of soft tissue defects are scarcely mentioned in the literature.From May 2014 to January 2016, 6 patients with large area defects of the nail bed with distal phalanx exposure were enrolled. A new surgical method, cross finger fascial flap combined with thin split-thickness toe nail bed graft, was applied in all patients.All the 6 patients were followed-up at least 3 months...
February 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28176541/super-kutler-flap-an-alternative-technique-for-reconstruction-of-fingertip-defects
#4
E Arpaci, R E Unlu, S Altun, N M Ertas
: The bilateral V-Y flap concept for fingertip reconstruction was first desribed by Kutler. This method has limitations, such as flap size and advancement, therefore larger flap modifications are described to increase the advancement capacity of the flaps. We described a small direct-flow homodigital island flap method, called the 'super Kutler flap', for recontruction of finger pulp defects. In addition, neurorrhaphy was performed between the cut ends of the digital nerves to prevent neuroma formation...
February 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28160036/-treatment-of-recurrent-dupuytren-s-disease
#5
T Pillukat, L Walle, R Stüber, J Windolf, J van Schoonhoven
BACKGROUND: The tendency of recurrence or progression is a frequent problem in Dupuytren's disease. The management of recurrence is adapted to the individual situation and the patient's needs. In mild cases a non-operative approach is recommended. Revision surgery is reserved for disabling situations with acceptable circulation and sensation in absence of dystrophy. It is complicated by a combined formation of scar tissue and new cords. This increases the risk of soft tissue loss and injuries to the neurovascular bundles, which impair sensation and circulation and may result in loss of the finger...
February 3, 2017: Der Orthopäde
https://www.readbyqxmd.com/read/28149255/treatment-of-an-acute-deep-hand-burn-in-a-lowincome-country-with-no-available-microsurgery-a-case-report
#6
K S Amouzou, A El Harti, T E Kouevi-Koko, A Abalo, A Dossim
Deep hand burns usually lead to joint and tendon exposure. A simple skin graft is insufficient to achieve healing. Soft tissue reconstruction represents a surgical challenge that ranges from the simplest to the most complex flaps. In some areas, microsurgery is not technically possible. Choice is then limited to pedicled distant flaps such as the abdominal wall flap-graft. We report a case of an acute burned hand with exposure of metacarpophalangeal joints from the second to the fourth radius as well as proximal inter phalangeal joints from the second to the fifth radius and extensor tendons, treated in the burns and wound care unit of the Sylvanus Olympio Teaching Hospital in Lomé...
September 30, 2016: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/28141728/parental-influence-on-a-child-s-autistic-traits
#7
Randall Phelps, Robert Nickel, Debi Eisert, Martin T Stein
Robbie is a 4-year-old boy whose parents are concerned about his speech, social skills, and repetitive behaviors. He has poor articulation; at time, he is difficult to understand. On the other hand, he has a fair vocabulary, and he has good intent to communicate. He is generally able to communicate his needs and wants. He likes to tell his parents about his day.When he begins the day at preschool, Robbie initially stands by himself and watches. He slowly warms up and eventually participates in activities. He engages in parallel play or follows other children...
February 2017: Journal of Developmental and Behavioral Pediatrics: JDBP
https://www.readbyqxmd.com/read/28099360/aggressive-intramuscular-hemangiomas-in-the-upper-extremity-a-case-report
#8
Hui Lu, Qiang Chen, Hu Yang, Hui Shen
INTRODUCTION: Intramuscular hemangioma (IMH) is a rare congenital soft tissue tumor. Here, we report a case of IMH patient who had undergone several surgeries and other treatments that were all ineffective before he visited us. CLINICAL FINDINGS: This IMH patient was a 16-yearold male who was born with a tumor of unknown size in his right hand and forearm. On physical examination, the tumor and skin flap complex was seen with a size of 14 cm_12 cm in his right hand, and the multiple postoperative scars were shown on his right hand and forearm...
January 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28065405/fingertip-reconstruction-with-a-posterior-interosseous-artery-perforator-flap-a-minimally-invasive-procedure-for-donor-and-recipient-sites
#9
Satoshi Usami, Mutsumi Okazaki
BACKGROUND: A posterior interosseous artery perforator flap is used for small defects and leaves no functional disturbance at the flap donor site. This report aimed to describe our experience with the transfer of this flap for fingertip defects and the evaluation of postoperative function. METHODS: In total, 11 flaps were used for 13 fingertip reconstructions in 11 patients. Two patients had two finger defects simultaneously covered with one bridge flap, and five flaps were harvested in true perforator flap style...
February 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28057323/reconstruction-of-two-fingertip-amputations-using-a-double-thenar-flap-and-comparison-of-outcomes-of-surgery-using-a-single-thenar-flap
#10
Yu-Jun Kwon, Byung-Moon Ahn, Jae-Sung Lee, Yong-Gum Park, Hyun-Jun Ryu, Yong-Chan Ha
BACKGROUND: Although thenar flap for single fingertip amputation is a common and popular surgical technique, double thenar flap technique for patients with two fingertip amputations has rarely been reported in the literature. The purpose of this case-control study was to introduce the double thenar technique and compare the clinical outcomes between single thenar flap and double thenar flap surgical treatments. METHODS: From January 2005 to December 2014, 92 patients with single fingertip amputations were treated with thenar flap (Group I) and 28 patients with two fingertip amputations were treated with double thenar flap (Group II)...
February 2017: Injury
https://www.readbyqxmd.com/read/28012353/impact-of-timing-of-cranioplasty-on-hydrocephalus-after-decompressive-hemicraniectomy-in-malignant-middle-cerebral-artery-infarction
#11
Tobias Finger, Vincent Prinz, Evelyn Schreck, Alexandra Pinczolits, Simon Bayerl, Thomas Liman, Johannes Woitzik, Peter Vajkoczy
OBJECTIVE: Patients with malignant middle cerebral artery infarction frequently develop hydrocephalus after decompressive hemicraniectomy. Hydrocephalus itself and known shunt related complications after ventriculo-peritoneal shunt implantation may negatively impact patientś outcome. Here, we aimed to identify factors associated with the development of hydrocephalus after decompressive hemicraniectomy in malignant middle cerebral artery infarction. PATIENTS AND METHODS: A total of 99 consecutive patients with the diagnosis of large hemispheric infarctions and the indication for decompressive hemicraniectomy were included...
February 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27940039/management-strategy-for-congenital-thumb-differences-in-paediatric-patients
#12
REVIEW
G Dautel
Congenital thumb anomalies are common and have a major impact given the specific functional role of the thumb. They may occur alone or as part of a multiple congenital anomaly syndrome. The primary goal of surgical management is to improve or restore pincer grip. In patients with 'congenital' trigger thumb, the A1 pulley must be released if the interphalangeal joint remains in fixed flexion. Thumb duplication is generally managed by reconstruction of the thumb from the predominant (ulnar-based) digit; the accessory (radial-based) digit is excised after collection of its tissue components needed for the reconstruction programme...
December 8, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27904754/polymethylmethacrylate-imbedded-with-antibiotics-cranioplasty-an-infection-solution-for-moderate-and-large-defects-reconstruction
#13
Paulo Valdeci Worm, Tobias Ludwig do Nascimento, Fabricio do Couto Nicola, Eduardo Farias Sanches, Carlos Fernando Dos Santos Moreira, Luiz Pedro Willimann Rogério, Marcelo Martins Dos Reis, Guilherme Finger, Marcus Vinicius Martins Collares
BACKGROUND: In cases where autologous bone graft reconstruction is not possible (such as comminuted fractures, bone graft reabsorption, or infection) and the use of synthetic material is required, polymethylmethacrylate (PMMA) use is a safe and efficient solution. Studies comparing the incidence of postoperative complications between autologous and synthetic cranioplasty are heterogeneous, not allowing a conclusion of which is the best material for skull defects reconstruction. Current medical literature lacks prospective well-delineated studies with long-term follow-up that analyze the impact of antibiotic use in PMMA cranial reconstruction of moderate and large defects...
2016: Surgical Neurology International
https://www.readbyqxmd.com/read/27901645/fenestrated-adipofascial-reverse-flap-a-modified-technique-for-the-reconstruction-of-fingertip-amputations
#14
Francesco Idone, Andrea Sisti, Juri Tassinari, Giuseppe Nisi
AIMS OF THE STUDY: Fingertip injuries can be treated in different ways, including shortening with primary closure, skin graft, and local or distant flaps. Several local flaps for the reconstruction of the amputated fingertip were described. We present our experience with a new concept of homodigital adipofascial reverse flap that avoids the second surgical stage and allows a complete and anatomically perfect reconstruction of nail bed, with preservation of the nail lamina. MATERIALS AND METHODS: Between March 2014 and February 2015, five patients with digital amputations (distally to the nail matrix) were treated using the Fenestrated Adipofascial Reverse (F...
November 30, 2016: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
https://www.readbyqxmd.com/read/27895538/syndactyly-release
#15
REVIEW
Tara L Braun, Jeffrey G Trost, William C Pederson
Syndactyly is one of the most common congenital hand anomalies treated by pediatric plastic surgeons. Established principles of syndactyly separation dictate the timing and order of syndactyly release, with the goals of surgery being the creation of an anatomically normal webspace, tension-free closure of soft tissue, and return of function to the fingers. Numerous surgical methods have been described, many of which involve the use of local flaps to reconstruct the commissure and full-thickness skin grafts for coverage of raw areas...
November 2016: Seminars in Plastic Surgery
https://www.readbyqxmd.com/read/27857526/functional-salvage-of-a-hand-after-unsuccessfull-attempt-of-replantation
#16
Ileana Rodica Matei, Alexandru Valentin Georgescu
Amputation by crush injuries generally represents a contraindication for replantation, and especially when the lesion is caused by the summation of multiple concomitant traumatic mechanisms. We present the case of a 22 year- old female who arrived in our service with a crush/torsion amputation of all long fingers at the metacarpo-phalangeal level of the right hand. After the unsuccessful attempt of replantation, the functional reconstruction of the hand was achieved by using a double free flap transfer: anterolateral thigh perforator flap (ALT) and digital block transfer of second and third toes...
2016: Clujul Medical (1957)
https://www.readbyqxmd.com/read/27845962/anatomical-study-of-cutaneous-venous-flow-of-the-palm
#17
Baek-Kyu Kim, Heeyeon Kwon, Nobuaki Imanishi, Hak Chang
BACKGROUNDS: Various flaps elevated from the palm have been widely used for finger and hand reconstruction. Recently, perforator-based free flaps or venous free flaps have received popularity due to several advantages. The cutaneous venous system has been chosen as the circulatory outlet when designing and harvesting the flap from the palmer area due to the small size and thin nature of the flap. However, there have been few descriptions about the anatomy of the palmar cutaneous veins...
November 15, 2016: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/27833299/hatchet-flap-and-rotation-flap-for-distal-dorsal-finger-defect-reconstruction
#18
Jyoshid R Balan
No abstract text is available yet for this article.
May 2016: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/27833279/free-toe-pulp-flap-for-finger-pulp-and-volar-defect-reconstruction
#19
Jyoshid R Balan
BACKGROUND: Fingertip injury requiring flap cover is very common in the modern era. The ideal cover should fulfill both functional and aesthetic improvement. MATERIALS AND METHODS: From June 2015 to April 2016, we performed seven free toe pulp flaps for finger defect reconstruction. All patients were males. Five flaps were done in emergency post-traumatic cases, and two were done in elective set up. The cases included reconstruction of three thumbs, one index and one ring finger in an emergency set up and two ring fingers in the elective...
May 2016: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/27811675/a-new-species-of-semi-terrestrial-freshwater-crab-crustacea-decapoda-brachyura-potamidae-from-the-central-highlands-of-vietnam
#20
Van Tu Doweld, Van Dong Dang, Thi Kim Thu Cao, Ngoc Khac Hoang
A new species of semi-terrestrial crab of the family Potamidae, Rathbunamon chumomrayense sp. nov. is described from Chu Mom Ray National Park, the Central Highlands of Vietnam. The new species can be distinguished from R. lacunifer (Rathbun, 1904), the only other species in the genus, by a suite of characters, including the slightly more rugose anterolateral regions, confluent epigastric and postorbital cristae that are sinuous, less convex anterolateral margins, relatively shorter fingers of the chelipeds, and the terminal segment of the male first gonopod being slightly curved outwards, with narrower dorsal flap...
October 31, 2016: Zootaxa
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