Composite grafting for distal digital amputation with respect to injury type and amputation level.

Abstract:

PURPOSE:This study evaluated the composite graft survival rate in distal digital amputations with respect to injury type and amputation level. METHODS:Twenty-seven patients with complete fingertip amputations (32 digits) distal to the distal interphalangeal joint who were treated by composite grafting from January 2010 to February 2012 were enrolled. Injury type was classified as clean-cut, blunt-cut, or crush-avulsion. Amputation level was classified according to Ishikawa's classification: subzones I-IV. Graft survival was categorised as complete, partial, or no survival. RESULTS:The graft was more likely to exhibit complete survival in clean-cut injuries (50%) than in blunt-cut (10%) or crush-avulsion injuries (12.5%). However, when complete and partial survival were combined, there was no significant difference among injury types (clean-cut = 83.3%, blunt-cut = 70.0%; crush-avulsion = 68.8%). Composite grafting in sub-zone I provided good results (complete survival = 50%; partial survival = 50.0%; no survival = 0%). When complete and partial survival were combined, there was no significant difference with respect to amputation level except sub-zone I (II = 70.6%; III = 66.7%; IV = 60%). In sub-zone II, clean-cut injuries exhibited better graft survival than blunt-cut or crush-avulsion injuries. In sub-zones III and IV, no complete graft survival was observed. CONCLUSION:In conclusion, all types of injuries in sub-zone I and clean-cut injuries in sub-zone II are candidates for composite grafting. Blunt-cut and crush-avulsion injuries in sub-zone II are marginal candidates for composite grafting. Any type of injury in sub-zone III or IV is contraindicated for composite grafting and should be treated by microanastomosis.

journal_name

J Plast Surg Hand Surg

authors

Kiuchi T,Shimizu Y,Nagasao T,Ohnishi F,Minabe T,Kishi K

doi

10.3109/2000656X.2015.1020314

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

224-8

issue

4

eissn

2000-656X

issn

2000-6764

journal_volume

49

pub_type

杂志文章
  • A systematic review of outcomes of abdominoplasty.

    abstract::Abdominoplasty is a well-established operation to remove abdominal tissue excess. The patients' benefits and risks of this surgical treatment are, however, incompletely studied. The aim of this study was to evaluate the quality of evidence of benefits and risks for patients having abdominoplasty from massive weight lo...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章,评审

    doi:10.3109/2000656X.2012.683794

    authors: Staalesen T,Elander A,Strandell A,Bergh C

    更新日期:2012-09-01 00:00:00

  • Does postauricular fascial flap reduce suture complications in otoplasty?

    abstract::Numerous suture techniques and covering flaps have been described to minimize complications related to sutures in otoplasty. The split postauricular fascial flap is one of such techniques, and it has been used to pad otoplasty suture. The aim of this study was to evaluate complications related to nonabsorbable cartila...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.1080/2000656X.2018.1444618

    authors: Albacete Neto A,Ungarelli LF,Coltro PS,Schwartzmann GL,Horácio GS,Silva VZ,Farina JA Jr

    更新日期:2018-08-01 00:00:00

  • Is Swanson prosthesis better than Sutter prosthesis for metacarpophalangeal joint arthroplasty? A meta-analysis.

    abstract::The aim of this meta-analysis is to compare the outcomes of the Swanson and Sutter prostheses (previously the Avanta prosthesis) used for metacarpophalangeal joint arthroplasty, and provide a powerful and rational conclusion regarding the use of prosthesis in MCP joint surgery. The literature search was based on PubMe...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章,meta分析

    doi:10.3109/2000656X.2014.942313

    authors: Zhang H,Xue D,Yu J

    更新日期:2015-02-01 00:00:00

  • Importance of mesenchymal stem cells in autologous fat grafting: a systematic review of existing studies.

    abstract::Autologous fat grafting (lipofilling) enables repair and augmentation of soft tissues and is increasingly used both in aesthetic and reconstructive surgery. Autologous fat has several advantages, including biocompatibility, versatility, natural appearance, and low donor site morbidity. The main limitation is unpredict...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章,评审

    doi:10.3109/2000656X.2012.668326

    authors: Trojahn Kølle SF,Oliveri RS,Glovinski PV,Elberg JJ,Fischer-Nielsen A,Drzewiecki KT

    更新日期:2012-04-01 00:00:00

  • A versatile modification of dermoglandular hammock flap for mastopexy: extended hammock.

    abstract::Breast ptosis commonly develops in response to ageing and breastfeeding. Clinical studies now focus on both filling the upper pole of the breast with parenchymal flaps and long-term maintenance of the breast projection without recurrence of upper pole concavity and a significant change in breast shape over time. This ...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.3109/2000656X.2012.753080

    authors: Gümüş N

    更新日期:2013-09-01 00:00:00

  • Should immediate breast reconstruction be performed in the setting of radiotherapy? An ethical analysis.

    abstract::Immediate breast reconstruction (IBR) combined with post-mastectomy radiotherapy (PMRT) is associated with an increased risk for complications. Here, we analyse whether IBR combined with PMRT is ethically acceptable. We employ normative analysis following reflective equilibrium and the principles of Beauchamp and Chil...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.1080/2000656X.2019.1688165

    authors: Hansson E,Elander A,Hallberg H,Sandman L

    更新日期:2020-04-01 00:00:00

  • Rectus abdominis diastasis.

    abstract::Because of the lack of agreement on when rectus diastasis (RD) is pathologic, the aim was to investigate indications for surgical repair. This study presents classifications of RD, current knowledge on the relation to pregnancy, and conservative and surgical management. A systematic search in Pubmed, Embase, Cochrane,...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章,评审

    doi:10.3109/2000656X.2013.859145

    authors: Akram J,Matzen SH

    更新日期:2014-06-01 00:00:00

  • Pharmacological thrombolysis: the last choice for salvaging free flaps.

    abstract::Microvascular free flap transfer has become a prevailing surgery with a failure rate of <5%. However, pedicle thrombosis occurs more frequently than indicated by the failure rate. This difference is due to the successful salvage of failing flaps. During exploration, thrombi are often encountered at anastomotic sites, ...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.1080/2000656X.2018.1523177

    authors: Namgoong S,Yang JP,Jeong SH,Han SK,Kim WK,Dhong ES

    更新日期:2018-12-01 00:00:00

  • Needle fasciotomy for Dupuytren's contracture- a prospective cohort study of 58 fingers with a median follow-up of 6.5 years.

    abstract::Needle fasciotomy (NF) is a minimally invasive treatment option for Dupuytren contractures, but long-term results have indicated a high recurrence rate. This prospective study was initiated to monitor the introduction of NF in a context where limited fasciectomy had been the only treatment option, and to investigate t...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.1080/2000656X.2019.1693391

    authors: Zachrisson A,Sörensen AI,Strömberg J

    更新日期:2020-04-01 00:00:00

  • Anatomical study of medial and lateral sural cutaneous nerve: implications for innervated distally-based superficial sural artery flap.

    abstract::We report about reconstruction of the foot with an innervated distally-based superficial sural artery flap using the lateral sural cutaneous nerve. The sensation of the lateral part of the leg depends on the sural nerve (SN), and the medial part of the leg on the saphenous nerve. The border of the area between the SN ...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.3109/2000656X.2011.644720

    authors: Nuri T,Ueda K,Maeda S,Otsuki Y

    更新日期:2012-02-01 00:00:00

  • Height of the palatal vault after two different surgical procedures: study of the difference in patients with complete unilateral cleft lip and palate.

    abstract::The present study compared the height of the palatal vault in dental casts from 320 10-year-old children with unilateral cleft lip and palate (UCLP) operated on with the push-back technique according to Wardill-Kilner (W-K) with patients operated on with delayed hard palate closure (DHPC). The palatal height in patien...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.3109/2000656X.2012.683796

    authors: Bakri S,Rizell S,Saied S,Lilja J,Mark H

    更新日期:2012-09-01 00:00:00

  • Treatment of chronic ulcer with elastic plasma protein and platelet film for wound dressing.

    abstract::Experimental results have previously been reported for a new biological dressing consisting of concentrated plasma proteins and platelet-rich plasma (PRP), which is named Platelet-Protein film (PPF). This study reports clinical experience using PPF produced from the patients' own blood by the original technique. Ten p...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 临床试验,杂志文章

    doi:10.3109/2000656X.2013.783485

    authors: Sano H,Ichioka S,Minamimura A,Tanaka R,Ikebuchi K,Suzuki M

    更新日期:2013-12-01 00:00:00

  • The use of dermal automesh for incidental hernia repair in abdominoplasty: Clinical, biochemical, and radiological results.

    abstract::Abdominal wall hernias are often diagnosed on clinical examination or encountered intraoperatively during an abdominoplasty. The aim of this study is to evaluate the long-term results of the use of dermal automesh for the repair of incidental hernias during abdominoplasty operations, and to perform a comparative analy...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.3109/2000656X.2014.976571

    authors: Özkaya Mutlu Ö,Egemen O,Akan A,Akan M,Karahangil M,Filinte G,Bozdağ E,Sünbüloğlu E,Kurtul H

    更新日期:2015-06-01 00:00:00

  • Enhanced healing of mitomycin C-treated healing-impaired wounds in rats with PRP-containing fragmin/protamine microparticles (PRP&F/P MPs).

    abstract:PURPOSE:The purpose of this study was to evaluate the accelerating effects of platelet-rich plasma-containing (PRP&) fragmin/protamine microparticles (F/P MPs) for repairing mitomycin C-treated healing-impaired wounds. Staining with terminal deoxynucleotidyl transferase-mediated dUTP nick-end labelling (TUNEL-staining)...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.3109/2000656X.2015.1034723

    authors: Takikawa M,Ishihara M,Takabayashi Y,Sumi Y,Takikawa M,Yoshida R,Nakamura S,Hattori H,Yanagibayashi S,Yamamoto N,Kiyosawa T

    更新日期:2015-10-01 00:00:00

  • A novel technique for distal fingertip replantation: Polypropylene suture guided interpositional vein graft.

    abstract:BACKGROUND:Despite current advances in microsurgery, fingertip replantation is still controversial, mainly due to its difficulty and cost. The purpose of this study is to describe a new technique of interposition vein graft guided by polypropylene suture in distal fingertip replantation. METHODS:A total of eight conse...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.3109/2000656X.2015.1041968

    authors: Dadaci M,Ince B,Altuntas Z,Bitik O,Uzun H,Bilgen F

    更新日期:2015-10-01 00:00:00

  • The free groin flap in the rat: a model for improving microsurgical skills and for microvascular perfusion studies.

    abstract::The goal of this study was to evaluate the free groin flap in the rat transplanted to the neck as a tool for extending microsurgical skills and to assess its suitability as a model for microvascular perfusion studies following secondary venous ischaemia. An analysis of 60 consecutive groin flap transplantations was pe...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.3109/2000656X.2013.852100

    authors: Wallmichrath J,Baumeister RG,Gottschalk O,Giunta RE,Frick A

    更新日期:2014-06-01 00:00:00

  • Analysis of satisfaction after breast reduction comparing vertical scar versus inverted T-shaped technique using the Breast-Q questionnaire. Is patient satisfaction influenced by the amount of tissue removed?

    abstract:BACKGROUND:Breast reduction is a procedure with a high rate of patient satisfaction. Many techniques can be used for this type of surgery; patient satisfaction can vary from one technique to another. The main aim of this study was to use Breast-Q for initial evaluation of patient satisfaction after breast reduction by ...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.1080/2000656X.2017.1291432

    authors: Menéndez-Cardo A,Guillen-Grima F,Hontanilla B

    更新日期:2017-12-01 00:00:00

  • Importance of the reconstruction of the extensor retinaculum after injury.

    abstract::We reconstructed an extensive soft tissue defect of the dorsum of the left wrist after an injury using a free anterolateral thigh flap and a tendon graft, and intending to substitute the extensor retinaculum for the fascia in this flap. As a result, maximum function of the extension mechanism was restored to the recon...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.3109/2000656X.2010.544916

    authors: Kawakatsu M,Ishikawa K,Terai T

    更新日期:2011-09-01 00:00:00

  • Changing strategy and implementation of a new treatment protocol for cleft palate surgery in "Maria Sklodowska Curie" (MSC) Children's Hospital, Bucharest, Romania.

    abstract::In "Maria Sklodowska Curie" (MSC) Children's Hospital, Bucharest, Romania, cleft palate repair has been performed according to von Langenbeck since 1984. The speech was good in most patients but wide clefts had a high percentage of fistulas, abnormal speech due to short length and limited mobility of the soft palate. ...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.3109/2000656X.2014.893886

    authors: Spataru R,Mark H

    更新日期:2014-12-01 00:00:00

  • The cost of major complications associated with immediate two-stage expander/implant-based breast reconstruction.

    abstract::Previous studies assessing the costs associated with two stage expander/implant (E/I) reconstruction rarely include the cost of complications. The purpose of this study is to analyze the complication costs associated with a single institution experience with immediate E/I reconstruction. All immediate two stage E/I re...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.3109/2000656X.2014.970639

    authors: Yan C,Fischer JP,Wes AM,Basta MN,Rohrbach JI,Kovach SJ,Serletti JM,Wu LC

    更新日期:2015-06-01 00:00:00

  • Self-citation rate and impact factor in the field of plastic and reconstructive surgery.

    abstract:BACKGROUND:Journal ranking based on the impact factor (IF) can be distorted by self-citation. The aim of this study is to investigate the present status of self-citation in the plastic surgery journals and its effect on the journals' IFs. METHODS:IF, IF without self-citations (corrected IF), self-cited rate, and self-...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.1080/2000656X.2017.1319847

    authors: Miyamoto S

    更新日期:2018-02-01 00:00:00

  • Upper extremity replantation and revascularization in Finland between 1998 and 2016.

    abstract::Emergency replantation and revascularization operations of upper extremity injuries demand considerable resources, but their actual occurrence is unknown. This study evaluated all emergency replantations and revascularizations in the upper extremity in Finland from 1998 to 2016. A total of 2,434 operations were identi...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.1080/2000656X.2020.1771720

    authors: Pyörny J,Huttunen TT,Mattila VM,Jokihaara J

    更新日期:2020-10-01 00:00:00

  • Comparison of Emla cream and topical lidocaine tape for pain relief of V-beam laser treatment.

    abstract::The authors compared the analgesic effects of two topical applications; Emla® cream (Sato Pharmaceutical Co. Ltd., Tokyo, Japan) and 60% lidocaine tape (Penles® tape; Maruho, Osaka, Japan). The authors examined 20 outpatients with capillary malformations. Emla® cream or Penles® tape was applied 1 h before laser irradi...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.1080/2000656X.2017.1342092

    authors: Horikiri M,Ueda K,Sakaba T

    更新日期:2018-04-01 00:00:00

  • Detrimental influences of intraluminally-administered sclerotic agents on surrounding tissues and peripheral nerves: an experimental study.

    abstract::The minimally-invasive nature of sclerotherapy makes it one of the first treatment options for venous malformations, although treatment-related complications, such as peripheral nerve paralysis, have been reported in some clinical cases. However, no studies of the aetiology of the detrimental effects of intraluminally...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.3109/2000656X.2012.675881

    authors: Fujiki M,Kurita M,Ozaki M,Kawakami H,Kaji N,Takushima A,Harii K

    更新日期:2012-09-01 00:00:00

  • Dog bite injuries to the hand.

    abstract::Dog bites to the hand and forearm are common. Although bites are usually minor, aggressive dogs may cause extensive bites developing to a public health problem. In a database review of dog bites to the hand applied to Emergency Department or to the Department of Hand Surgery in Malmö, Sweden 2008-2009, we found 81 cas...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.3109/2000656X.2011.558735

    authors: Nygaard M,Dahlin LB

    更新日期:2011-04-01 00:00:00

  • Muscle flaps for sternoclavicular joint septic arthritis.

    abstract::Septic arthritis of the sternoclavicular joint (SC) is rare. The most accepted technique for reconstruction of the defect after SC joint resection is the use of muscle flaps. We hypothesized that resection of ribs with the SC joint impacts timing, type and outcomes of reconstruction. This is a retrospective review of ...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.1080/2000656X.2020.1856672

    authors: Ali B,Petersen TR,Shetty A,Demas C,Schwartz JD

    更新日期:2020-12-16 00:00:00

  • Histologic comparison between the internal mammary artery and the deep inferior epigastric artery and clinical implications for microsurgical breast reconstruction.

    abstract:BACKGROUND:The internal mammary artery (IMA) is one of the most popular recipients for microsurgical breast reconstruction. However, it is often separated into sleeve-like layers when it is handled. This study tried to explain this unique behaviour of the IMA through histologic observation. METHODS:Nine pairs of IMAs ...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.3109/2000656X.2015.1021815

    authors: Jeong WS,Yun J,Lee TJ,Eom JS,Kim EK

    更新日期:2015-01-01 00:00:00

  • Positive compared with negative margins in a single-centre retrospective study on 3957 consecutive excisions of basal cell carcinomas. Associated risk factors and preferred surgical management.

    abstract::The rate of margins involvement and the associated recurrence risk in basal cell carcinomas (BCCs) varies widely in published works (7%-25% and 26%-67%, respectively). This study investigated the risk factors associated with incomplete excision and their relevance in surgical management when positive margins occur in ...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.3109/2000656X.2013.800526

    authors: Codazzi D,Van Der Velden J,Carminati M,Bruschi S,Bocchiotti MA,Di Serio C,Barberis M,Robotti E

    更新日期:2014-02-01 00:00:00

  • A rare anatomical variant of the thenar branch discovered during open decompression of the median nerve.

    abstract::We describe a rare anatomical variant of the thenar branch of the median nerve during open release of the carpal tunnel. The thenar branch originated from the ulnar side of the median nerve and traversed supraligamentously close to the top of the transverse ligament. A high resolution clinical photograph shows the rel...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.3109/02844310903123379

    authors: Vinding MT,Tarnowski JR,Benyahia M

    更新日期:2010-12-01 00:00:00

  • Idiopathic distal radioulnar synostosis.

    abstract::Radioulnar synostosis is rare, and exists in two forms: congenital and post-traumatic. The congenital form presents only in the proximal forearm, and the post-traumatic form may present anywhere along the radius and ulna. The only known aetiology for distal radioulnar synostosis is post-traumatic. We present a rare ca...

    journal_title:Journal of plastic surgery and hand surgery

    pub_type: 杂志文章

    doi:10.3109/2000656X.2012.754626

    authors: Shoham Y,Gurfinkel R,Sagi A

    更新日期:2014-02-01 00:00:00