Abstract：
:Degloving injuries of the fingers represent a reconstructive challenge. Even if poorly described in literature, the proximal ulnar perforator flap (PUPF), based on perforator of the anterior ulnar recurrent artery or directly on a perforator branch of the ulnar artery, meets the requested criteria for the ideal coverage. We performed a cadaveric study in order to clarify the anatomical basis and vascularization of the PUPF flap. Eight injected upper limb specimens were dissected for this study: perforators were followed down to their origin and classified in terms of number, length, diameters and distances between their emergence and specific pre-determined landmarks as the medial humeral epicondyle. At least one ulnar perforator in the proximal third of the forearm was identified in all the specimens. In 50% of the upper limbs, the perforator branch came directly from the ulnar artery, while in the 87.5% a perforator branch came from the anterior recurrent ulnar artery; in 3 out of 8 cases both perforator branches were described. Mean lengths of the perforator branch were 57.9 mm and 44.3 mm, respectively and the mean diameters measured at their origin were 0.99 mm and 1.17 mm respectively. Our data illustrate the consistency of at least one perforator branch from the proximal third of the ulnar artery, most commonly coming from the anterior recurrent ulnar artery. Considering our results, the PUPF could be a good alternative to the classical free flaps for the resurfacing of the finger defects.
journal_name
J Plast Surg Hand Surgjournal_title
Journal of plastic surgery and hand surgeryauthors
Guiotto M,di Summa PG,Argentino G,Cherubino Mdoi
10.1080/2000656X.2021.1873793subject
Has Abstractpub_date
2021-01-25 00:00:00pages
1-5eissn
2000-656Xissn
2000-6764pub_type
杂志文章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
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doi：10.3109/2000656X.2015.1041968
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abstract：:Arthrodesis of the thumb metacarpophalangeal (MP) joint exhibits good results in rheumatoid patients but is controversial in post-traumatic conditions. This study evaluated the subjective outcome after thumb MP joint arthrodesis in chronic injuries and non-rheumatoid degenerative disorders. Forty-six patients were eva...
journal_title：Journal of plastic surgery and hand surgery
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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 ...
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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
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abstract：:Premature sagittal synostosis results in an elongated, narrow skull shape, scaphocephaly. It has been unclear whether the intracranial volume (ICV) of these children is different from that of normal children. The aim of the present study was to precisely determine the ICV in a large cohort of children with premature s...
journal_title：Journal of plastic surgery and hand surgery
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journal_title：Journal of plastic surgery and hand surgery
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journal_title：Journal of plastic surgery and hand surgery
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journal_title：Journal of plastic surgery and hand surgery
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journal_title：Journal of plastic surgery and hand surgery
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journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章,meta分析,评审
doi：10.3109/2000656X.2013.788508
更新日期：2013-12-01 00:00:00
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
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journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章
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journal_title：Journal of plastic surgery and hand surgery
pub_type： 杂志文章,多中心研究,随机对照试验
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journal_title：Journal of plastic surgery and hand surgery
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doi：10.3109/2000656X.2015.1089877
更新日期：2016-01-01 00:00:00
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journal_title：Journal of plastic surgery and hand surgery
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journal_title：Journal of plastic surgery and hand surgery
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更新日期：2018-08-01 00:00:00
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journal_title：Journal of plastic surgery and hand surgery
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journal_title：Journal of plastic surgery and hand surgery
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journal_title：Journal of plastic surgery and hand surgery
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journal_title：Journal of plastic surgery and hand surgery
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journal_title：Journal of plastic surgery and hand surgery
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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. ...
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