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https://www.readbyqxmd.com/read/28230584/microsurgical-replantation-of-total-avulsed-scalp-extending-the-limits
#1
Yunbo Jin, Chen Hua, Xiaojie Hu, Hui Chen, Gang Ma, Yun Zou, Bin Chen, Dongze Lyu, Mathias Tremp, Xiaoxi Lin
BACKGROUND: Avulsion of the scalp is a rare but severe trauma and challenging to the reconstructive surgeon. It poses not only physical concussion but also significant persisting psychological distress to the patients. METHODS: Medical records from 5 patients who suffered scalp avulsion were reviewed retrospectively. The following data and methods were assessed: age, number of vessels repaired, method of replantation, vein grafts required, blood transfusion, ischemia time, total operating time, and percentage of scalp survival...
February 22, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28216832/a-novel-technique-for-continuous-cooling-till-re-establishment-of-blood-flow-during-major-limb-replants
#2
R Jayakumar, Rahul Bamal, Amrita Mandal
No abstract text is available yet for this article.
September 2016: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/28216827/distal-phalanx-amputation-with-delayed-presentation-and-successful-reconstruction-with-reposition-and-flap-after-2-weeks
#3
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/28216826/assessment-of-hand-function-after-successful-replantation-of-upper-limb-at-arm
#4
V Koteswara Rao Rayidi, Venkata Bhargava Velde, Narsimha Rao, N Ram Babu, Laxman Sambari
In upper arm replantation, a successful anastomosis guarantees the viability and good quality repair determines the overall function of the hand. There is paucity of successful arm replantation case reports in the literature. This is a case report of a successful arm replantation in a four year child with a near total functional outcome. We have used different scores to assess the functional outcome.
September 2016: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/28215343/clinical-outcomes-after-intentional-replantation-of-periodontally-involved-teeth
#5
Sin-Yeon Cho, Seung-Jong Lee, Euiseong Kim
INTRODUCTION: Periodontal involvement has been thought to be a contraindication for intentional replantation. This retrospective study aimed to assess clinical outcomes after intentional replantation of teeth with periodontal involvement and to explore potential predictors of outcomes. METHODS: Teeth with a history of intentional replantation between March 2000 and December 2014 and with 1 or 2 preoperative periodontal pockets ≥6 mm among 6 sites evaluated per tooth were included...
February 15, 2017: Journal of Endodontics
https://www.readbyqxmd.com/read/28209953/-extracorporeal-partial-nephrectomy-under-pharmaco-cold-ischemia-for-renal-cell-carcinoma
#6
A A Gritskevich, I V Miroshkina, S S Piyanikin, Z A Adyrkhayev, Yu A Stepanova, A E Zotikov, A A Teplov, V A Kubyshkin, A Sh Revishvili
AIM: To develop the method for extracorporeal partial nephrectomy under pharmaco-cold ischemia without ureter intersection with orthotopic replantation of renal vessels for RCC. MATERIAL AND METHODS: The study included 37 patients with morphologically confirmed RCC pT1a-Т3bN0M0-1G1-3 with intraparenchymal and central location of the tumor in cases of single kidney, comorbidity of contralateral kidney and kidney on the side of lesion. RESULTS: Mean surgery time was 413...
2017: Khirurgiia
https://www.readbyqxmd.com/read/28194348/analysis-of-bone-fixation-methods-in-digital-replantation
#7
Seung Woo Lee, Dong Chul Lee, Jin Soo Kim, Si Young Roh, Kyung Jin Lee
BACKGROUND: Adequate fixation of replanted digits is essential not only for short-term healing but for long-term function. Various bony fixation methods using Kirschner (K-) and intraosseous wire are available in replantation. We examined clinical and radiographic outcomes of fixation methods on bone union after digital replantation. METHODS: A single institutional retrospective review identified 992 patients who had undergone 1,247 successful replantations between July 2009 and September 2015...
January 2017: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/28187720/long-term-outcome-following-upper-extremity-replantation-after-major-traumatic-amputation
#8
G Mattiassich, F Rittenschober, L Dorninger, J Rois, R Mittermayr, R Ortmaier, M Ponschab, K Katzensteiner, L Larcher
BACKGROUND: Amputations in general and amputations of upper extremities, in particular, have a major impact on patients' lives. There are only a few long-term follow-up reports of patients after macro-replantation. We present our findings in contrast with the existing literature. METHODS: Sixteen patients with traumatic macro-amputation of an upper extremity were eligible for inclusion in this study. Altogether, the patients underwent replantation in 3 institutions between 1983 and 2011...
February 10, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28184238/a-carbon-balance-model-for-the-great-dismal-swamp-ecosystem
#9
Rachel Sleeter, Benjamin M Sleeter, Brianna Williams, Dianna Hogan, Todd Hawbaker, Zhiliang Zhu
BACKGROUND: Carbon storage potential has become an important consideration for land management and planning in the United States. The ability to assess ecosystem carbon balance can help land managers understand the benefits and tradeoffs between different management strategies. This paper demonstrates an application of the Land Use and Carbon Scenario Simulator (LUCAS) model developed for local-scale land management at the Great Dismal Swamp National Wildlife Refuge. We estimate the net ecosystem carbon balance by considering past ecosystem disturbances resulting from storm damage, fire, and land management actions including hydrologic inundation, vegetation clearing, and replanting...
December 2017: Carbon Balance and Management
https://www.readbyqxmd.com/read/28183229/modified-innervated-sensory-cross-finger-flap-in-failed-finger-replantation
#10
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/28179478/magnetic-resonance-spectroscopy-of-current-hand-amputees-reveals-evidence-for-neuronal-level-changes-in-former-sensorimotor-cortex
#11
Carmen M Cirstea, In-Young Choi, Phil Lee, Huiling Peng, Christina L Kaufman, Scott H Frey
Deafferentation is accompanied by large-scale functional reorganization of maps in the primary sensory and motor areas of the hemisphere contralateral to injury. Animal models of deafferentation suggest a variety of cellular-level structural changes including depression of neuronal metabolism and even neuronal death. Whether similar neuronal changes contribute to patterns of reorganization within the contralateral sensorimotor cortex of chronic human amputees is uncertain. We used a functional MRI-guided proton magnetic resonance spectroscopy (1H-MRS) to test the hypothesis that unilateral deafferentation is associated with lower absolute levels of N-acetylaspartate (NAA, a putative marker of neuronal integrity) in the sensorimotor hand territory located contralateral to the missing hand in chronic amputees (N=19) as compared to the analogous hand territory of age/sex-matched healthy controls (N=28)...
February 8, 2017: Journal of Neurophysiology
https://www.readbyqxmd.com/read/28177531/recruitment-of-bone-marrow-derived-cells-to-the-periodontal-ligament-via-the-stromal-cell-derived-factor-1-c-x-c-chemokine-receptor-type-4-axis
#12
M Kaku, M Kitami, J M Rosales Rocabado, T Ida, Y Akiba, K Uoshima
BACKGROUND/OBJECTIVES: The periodontal ligament (PDL) is a non-mineralized connective tissue that exists between the alveolar bone and root surface cementum and plays important roles in tooth function. The PDL harbors a remarkable reserve of multipotent stem cells, which maintain various types of cells. However, the sources of these stem cells, other than their developmental origin, are not well understood. MATERIAL AND METHODS: To elucidate the recruitment of bone marrow (BM)-derived stem cells in the PDL, green fluorescent protein (GFP)-expressing BM-derived cells were transplanted into the femoral BM of immunodeficient rats, and the distribution and expression of stem cell markers in the PDL were analyzed in vivo...
February 8, 2017: Journal of Periodontal Research
https://www.readbyqxmd.com/read/28166136/aesthetic-multiple-toe-reconstruction-with-combined-iliac-bone-graft-and-wraparound-free-anterolateral-thigh-flap-a-case-report-and-literature-review
#13
Soo-Ha Kwon, William Lao, Cheng-I Yen, Yu-Te Lin, Katie Pei-Hsuan Wu, Tommy Nai-Jen Chang
Compared with upper extremity injuries, toe amputations and their replantations are rare because of the difficulty of their relatively thinner soft tissue envelope. Consequently, fewer reconstructive options are available for toes and they are rarely reported in the literature. In this study, we reported a case of right third to fifth toe amputations and their subsequent reconstruction with iliac bone grafts and a free anterolateral thigh flap. After serial debulking and division procedures, 3 toes were divided successfully...
February 4, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28161852/pre-operative-predictive-factors-for-the-survival-of-replanted-digits
#14
Xiaozhong Zhu, Hongyi Zhu, Changqing Zhang, Xianyou Zheng
PURPOSE: The primary objective of this study was to evaluate factors that influence the survival rate after digit replantation. METHODS: A total of 291 digits of 200 patients who received digital replantation after complete amputation from 1 January 2014 to 31 December 2015 were included in this study. Univariate and multivariate analysis were performed to evaluate the correlation between potential risk factors and the failure rate. Age, gender, smoking status, Tamai level of amputation, causes of injury and ischemia time were recorded before replantation...
February 4, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28127394/crop-to-wild-gene-flow-and-its-fitness-consequences-for-a-wild-fruit-tree-towards-a-comprehensive-conservation-strategy-of-the-wild-apple-in-europe
#15
Alice Feurtey, Amandine Cornille, Jacqui A Shykoff, Alodie Snirc, Tatiana Giraud
Crop-to-wild gene flow can reduce the fitness and genetic integrity of wild species. Malus sylvestris, the European crab-apple fruit tree in particular, is threatened by the disappearance of its habitat and by gene flow from its domesticated relative, Malus domestica. With the aims of evaluating threats for M. sylvestris and of formulating recommendations for its conservation, we studied here, using microsatellite markers and growth experiments: (i) hybridization rates in seeds and trees from a French forest and in seeds used for replanting crab apples in agrosystems and in forests, (ii) the impact of the level of M...
February 2017: Evolutionary Applications
https://www.readbyqxmd.com/read/28121877/the-effect-of-patient-age-on-the-success-rate-of-digital-replantation
#16
Gi-Doo Kwon, Byung-Moon Ahn, Jae-Sung Lee, Yong-Gum Park, Geun-Wu Chang, Yong-Chan Ha
BACKGROUND: The purpose of this study was to evaluate outcomes and risk factors for failure after digital replantation in elderly patients, with a special focus on the effect of patient age on replantation success. METHODS: Replantation patients older than 60 years were analyzed thoroughly to characterize outcomes and risk factors for failure in older patients. Survival rates of all age groups older than 20 years were then analyzed to determine the specific effect of patient age on replantation success...
February 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28121876/emergency-department-wait-time-and-treatment-of-traumatic-digit-amputation-do-race-and-insurance-matter
#17
Elham Mahmoudi, Peter R Swiatek, Kevin C Chung
BACKGROUND: Little is known about the association between the quality of trauma care and management of nonfatal injuries. The authors used emergency department wait times as a proxy for hospital structure, process, and availability of on-call surgeons with microsurgical skills. They evaluated the association between average hospital emergency department wait times and likelihood of undergoing digit replantation for patients with traumatic amputation digit injuries. The authors hypothesized that hospitals with shorter emergency department wait times were associated with higher odds of replantation...
February 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28099269/bilateral-leg-replantation-in-a-3-month-old-baby-after-a-knee-level-crush-amputation-a-2-year-follow-up
#18
Kresimir Bulic, Anko Antabak, Anto Dujmovic, Hrvoje Kisic, Mia Lorencin
We present a case of a successful bilateral leg replantation in a 3-month-old baby after a knee-level crush amputation with the loss of both knee joints. The legs were replanted after 4 hours of warm and an additional 2.5 and 3.5 hours of cold ischemia time. Both legs show motor and sensory reinnervation, without additional procedures performed on the right leg, and after a nerve reconstruction with cadaveric allografts on the left leg. Both replanted legs exhibit excellent bony and soft tissue growth. Two years after the injury, the patient is progressing well with rehabilitation, with favourable odds of having knee reconstructions performed at a later age...
March 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28052825/a-population-based-study-of-replantation-after-traumatic-thumb-amputation-2007-2012
#19
Elham Mahmoudi, Helen E Huetteman, Kevin C Chung
PURPOSE: The recommended surgical treatment after thumb amputation is replantation. In the United States, fewer than 40% of thumb amputation injuries are replanted, and little is known about factors associated with the probability of replantation. We aimed to investigate recent trends and examine patient and hospital characteristics that are associated with increased probability of attempted thumb replantation. We hypothesized that higher-volume teaching hospitals and level-I trauma centers attempted more replantations...
January 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28050990/swinging-replantation-a-possible-protocol-for-the-management-of-inverted-impacted-upper-central-incisor-tooth
#20
Seidu A Bello, Deborah J Enebong, Emeka V Obi
Inverted tooth impaction is a rare occurrence. Third molar impaction is the most extensively studied, and only eight cases of inverted third molars have been reported in a literature search of 40 years from 1973 to 2013. In a study, 43.4% of the premaxillary supernumeraries were inverted and 21.1% were transversely oriented, while occasional inverted central incisors have been mentioned in the literature. Severe dilaceration makes the management of this case a big challenge. The case of an 8-year-old boy with an inverted, rotated, and impacted upper left central incisor obstructed by an odontome is presented here...
January 1, 2017: Journal of Contemporary Dental Practice
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