Functional and cosmetic results of fingertip replantation: anastomosing only the digital artery.

Abstract:

:In fingertip amputations, conventional stump plasty provides an almost acceptable functional result. However, replanting fingertips can preserve the nail and minimize loss of function. We investigated the functional and cosmetic results of fingertip replantation at the terminal branch of the digital artery. Outcomes were nailbed width and distal-segment length; sensory recovery; and range of motion (ROM) of thumb-interphalangeal (IP) or finger-distal interphalangeal (DIP) joints, and total active motion (TAM) of the replanted finger. Of 15 fingertips replanted after only arterial anastomosis, 13 were successful, and 12 were studied. After a median of 1.3 years, mean nailbed widths and distal-segment lengths were 95.4% and 93.0%, respectively, of the contralateral finger. Average TAM and ROM of the thumb-IP or finger-DIP joints were 92.0% and 83.0% of normal, respectively. Semmes-Weinstein results were blue (3.22 to 3.61) in 4 fingers and purple (3.84 to 4.31) in 8; the mean result from the 2-point discrimination test was 5.9 mm (range, 3 to 11 mm). Thus, amputated fingertips should be aggressively replanted.

journal_name

Ann Plast Surg

authors

Matsuzaki H,Yoshizu T,Maki Y,Tsubokawa N

doi

10.1097/01.sap.0000137136.09890.18

subject

Has Abstract

pub_date

2004-10-01 00:00:00

pages

353-9

issue

4

eissn

0148-7043

issn

1536-3708

pii

00000637-200410000-00010

journal_volume

53

pub_type

杂志文章
  • Versatile use of extended transconjunctival approach for orbital reconstruction.

    abstract::When exposing the orbit, the transconjunctival approach is regarded to have limited surgical exposure. The aim of this study is to demonstrate the versatile usability of extended transconjunctival approach, which can be extended medially and laterally, in reconstruction of medial orbital wall, floor, and even the late...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e3181855d27

    authors: Kim DW,Choi SR,Park SH,Koo SH

    更新日期:2009-04-01 00:00:00

  • Treatment of recalcitrant air leaks: the combined latissimus dorsi-serratus anterior flap.

    abstract::Pleural space problems after lung resection and persistent air leaks are among the commonest challenges posed to thoracic surgeons. Surgical repair of air leaks are indicated when conventional tube thoracostomy has failed to solve the problem. We would like to propose the novel application of the combined latissimus d...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31818a6609

    authors: Woo E,Tan BK,Lim CH

    更新日期:2009-08-01 00:00:00

  • Isolated and syndromic syngnathism: management, implications, and genetics.

    abstract::We present 2 contrasting cases of congenital interalveolar synechiae. The first occurred in the setting of Van der Woude syndrome and was associated with a cleft palate. In the second case, it was an isolated abnormality and there was no contributory family history or syndromic associations. We review the literature o...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000215265.68252.f0

    authors: Tomlinson JK,Liem NT,Savarirayan R,Meara JG

    更新日期:2006-08-01 00:00:00

  • The oblique mastectomy incision: advantages and outcomes.

    abstract::Mastectomy has traditionally been performed using a transverse elliptical incision. The disadvantages of this approach are a potentially visible scar medially and poor subincisional soft-tissue coverage of implants laterally. A more natural and aesthetic result is obtained with an oblique incision running parallel to ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000000119

    authors: Gronet EM,Halvorson EG

    更新日期:2014-01-01 00:00:00

  • Recurrent basal cell carcinoma in margin-positive tumors.

    abstract::The purpose of this investigation was (1) to determine the incidence of basal cell carcinoma (BCC) recurrence in patients who had microscopic evidence of residual tumor at the margin of resection and (2) to identify morphological characteristics that predispose to recurrence. Twenty-nine patients with margin-positive ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199703000-00008

    authors: Friedman HI,Williams T,Zamora S,al-Assaad ZA

    更新日期:1997-03-01 00:00:00

  • Crystal deposition disease masquerading as proliferative tenosynovitis and its associated sequelae.

    abstract::Extra-articular crystalline deposition secondary to gout, and less commonly, pseudogout is a well known phenomenon. Despite this well-documented entity of extra-articular deposition, there have been few reports of infiltration of the flexor tendon sheath of the hand. Here, we present a case series of this unique occur...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e3181788e98

    authors: Bullocks JM,Downey CR,Gibler DP,Netscher DT

    更新日期:2009-02-01 00:00:00

  • Medial canthal support structures: the medial retinaculum: a review.

    abstract::The medial canthus is supported by several structures with a complicated 3-dimensional arrangement in a narrow space. Although the medial canthal tendon occupies a major portion of the area, the medial canthal support structures include the following entities: Horner's muscle, the medial rectus capsulopalpebral fascia...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1097/SAP.0b013e3182a6365c

    authors: Kang H,Takahashi Y,Nakano T,Asamoto K,Ikeda H,Kakizaki H

    更新日期:2015-04-01 00:00:00

  • Donor site morbidity after harvest of free osteofasciocutaneous fibular flaps with an extended skin island.

    abstract::Since 1993, a total of 41 free osteofasciocutaneous fibular flaps with an extended skin island (average dimensions, 16.9 cm long [range, 12-22 cm] x 10.7 cm wide [range, -16 cm], or 180.8 cm [range, 112-352 cm ]) have been used in by the authors in various clinical applications. To evaluate donor site morbidity, the 4...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-200208000-00005

    authors: Papadopulos NA,Schaff J,Bucher H,Groener R,Geishauser M,Biemer E

    更新日期:2002-08-01 00:00:00

  • Breast augmentation by autologous fat injection grafting: management and clinical analysis of complications.

    abstract::Autologous fat is an excellent soft-tissue filler, given its abundance and ease of harvest. Nevertheless, the technique is accompanied by postoperative complications such as fat necrosis, calcification, and sclerotic nodules. These problems directly influence surgical efficacy. Computed tomography or magnetic resonanc...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e318189a98a

    authors: Mu DL,Luan J,Mu L,Xin MQ

    更新日期:2009-08-01 00:00:00

  • Nodal metastatic melanoma in the neck of a 4-year-old girl after diagnosis of Spitz nevus of the cheek.

    abstract::A 4-year-old girl was referred to the plastic surgery unit with metastatic malignant melanoma diagnosed in a cervical lymph node. She had previously undergone excision of a Spitz nevus of the cheek at age 18 months. The management of this patient is discussed along with a review of the literature relating to Spitz nev...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.SAP.0000037277.03962.4F

    authors: Reynolds N,Ali-Khan AS,Rigby H,Orlando A

    更新日期:2003-05-01 00:00:00

  • Further clinical experience in permanent lip augmentation using autologous breast implant capsule.

    abstract::Lip augmentation is a well tolerated procedure that can lead to a more youthful appearance. Autologous tissue offers the safest and most long lasting results. Recently, a new source of autologous tissue, breast implant capsule, was described in the performance of permanent lip augmentation. Long term data in thirteen ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199803000-00012

    authors: Isenberg JS

    更新日期:1998-03-01 00:00:00

  • Comparing Muscle and Fasciocutaneous Free Flaps in Lower Extremity Reconstruction--Does It Matter?

    abstract:INTRODUCTION:Plastic surgeons are often asked to assist with the reconstruction of lower extremity wounds. These patients many times require free tissue transfer for coverage given paucity of soft tissue. Anecdotally, many orthopedic surgeons prefer muscle coverage--particularly in the setting of potentially infected b...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000000779

    authors: Paro J,Chiou G,Sen SK

    更新日期:2016-05-01 00:00:00

  • Intensive Care Unit Versus Ward Management After Anterolateral Thigh Flap Reconstruction After Oral Cancer Ablation.

    abstract:BACKGROUND:Whether postoperative care in the intensive care unit (ICU) is a necessity for patients undergoing head and neck free flap reconstruction remains debatable. In August 2012, our institute initiated a policy to care for these patients in the ICU, opposed to the previous policy of care in the ward. Thus, we use...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000001301

    authors: Chen WC,Hung KS,Chen SH,Shieh SJ,Lee JW,Hsiao JR,Lee YC

    更新日期:2018-02-01 00:00:00

  • Effects of topical glutathione treatment in rat ischemic wound model.

    abstract::Oxidative stress secondary to ischemia can cause physiopathologic changes that adversely affect wound healing. In this experimental study, we hypothesized that the topical use of esterified glutathione, a well-known antioxidant, can minimize the effects of oxidative stress by an increase in intracellular glutathione a...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000241681.57965.35

    authors: Kopal C,Deveci M,Oztürk S,Sengezer M

    更新日期:2007-04-01 00:00:00

  • Forearm compartment syndrome following brachial arterial puncture in uremia.

    abstract::Although compartment syndromes of the forearm are infrequently encountered, they are well described in the literature. Forearm compartment syndrome uncommonly occurs after percutaneous arterial blood sampling and is usually associated with anticoagulant therapy. Our review of the English literature revealed no other c...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1097/00000637-199405000-00017

    authors: Safran MR,Bernstein A,Lesavoy MA

    更新日期:1994-05-01 00:00:00

  • The 180-degree perforator-based propeller flap for soft tissue coverage of the distal, lower extremity: a new method to achieve reliable coverage of the distal lower extremity with a local, fasciocutaneous perforator flap.

    abstract:BACKGROUND:Traumatic and nontraumatic defects of the distal third of the tibia are challenging in regard to soft tissue coverage. While local, pedicled fasciocutaneous perforator flaps allow adequate coverage, the donor site often requires skin grafting. When a local perforator flap is designed as a 180-degree propelle...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31803c9b66

    authors: Jakubietz RG,Jakubietz MG,Gruenert JG,Kloss DF

    更新日期:2007-12-01 00:00:00

  • Tissue engineering in plastic surgery: an up-to-date review of the current literature.

    abstract::Tissue engineering is an interdisciplinary field that applies the principles of engineering and life sciences toward the development of biological substitutes that restore, maintain, or improve tissue function. This field has enjoyed tremendous growth in the past 10 years fuelled by its potential role in regenerating ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1097/SAP.0b013e3181788ec9

    authors: Sterodimas A,De Faria J,Correa WE,Pitanguy I

    更新日期:2009-01-01 00:00:00

  • The internal mammary artery and vein as recipient vessels for microvascular breast reconstruction.

    abstract::Current recipient vessels for microvascular breast reconstruction include the internal mammary and the thoracodorsal systems. This review will focus on the advantages of the internal mammary artery and vein and reasons for their preference. ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1097/SAP.0b013e31821daac3

    authors: Nahabedian M

    更新日期:2012-05-01 00:00:00

  • Prophylactic antibiotics in surgical treatment of axillary hyperhidrosis.

    abstract::A randomized, prospective, double-blind study designed to compare the effectiveness of the use of cloxacillin with the result of nontreatment in patients undergoing surgical intervention of axillary hyperhidrosis was conducted from August 1987 to October 1987 at the Veterans General Hospital, Taipei, Taiwan. Forty-two...

    journal_title:Annals of plastic surgery

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000637-198905000-00009

    authors: Ma S,Chiang SS,Fang RH

    更新日期:1989-05-01 00:00:00

  • The efficacy of tongue resection in treatment of symptomatic macroglossia in the child.

    abstract::Nine patients with symptomatic macroglossia, 3 with Beckwith-Wiedemann syndrome, 3 with Down's syndrome, and 3 with lymphatic malformation of the tongue, were evaluated for postoperative improvement following partial glossectomy. Symptoms evaluated were speech intelligibility, oral competence at rest, drooling, and no...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199007000-00003

    authors: Siddiqui A,Pensler JM

    更新日期:1990-07-01 00:00:00

  • An alternative approach for correction of Stahl's ear.

    abstract::A technique of correction of Stahl's ear is presented and is compared with other techniques reported in the literature. ...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.SAP.0000067728.84041.96

    authors: Al-Qattan MM,Hashem FK

    更新日期:2004-01-01 00:00:00

  • A new in vivo model for the study of fetal wound healing.

    abstract::We have developed a new in vivo model for the study of fetal wound healing. Fetal ICR mice (total gestation, 21 days) received a full-thickness incisional wound in the hind limb at gestational day 14 (N = 100). The wound was made with a 28.5-gauge needle that was passed transplacentally into the amniotic cavity. The w...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199710000-00008

    authors: Stelnicki EJ,Bullard KM,Harrison MR,Cass DL,Adzick NS

    更新日期:1997-10-01 00:00:00

  • Adipose-derived stem cells promote proliferation, migration, and tube formation of lymphatic endothelial cells in vitro by secreting lymphangiogenic factors.

    abstract::Adipose-derived stem cells (ADSCs) are a promising new therapeutic modality for several diseases and have been applied to various clinical fields because of their multidifferentiation potential and capacity for growth-factor secretion. Recently, 2 in vivo studies showed ADSCs to have potential applications in lymphede...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0000000000000084

    authors: Takeda K,Sowa Y,Nishino K,Itoh K,Fushiki S

    更新日期:2015-06-01 00:00:00

  • Tomographic diagnosis of palatal defects.

    abstract::We present the results of a pilot study conducted to evaluate the effectiveness of palatal tomography in patients suspected of having palatal defects not detectable by other methods. Twelve patients were involved in the projects, ranging in age from 3 to 11 years. There were 8 boys and 4 girls. Each patient was evalua...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-197903000-00009

    authors: Michel RG,Baylin GJ,Hall AS,Pipkin IH,Hudson WR

    更新日期:1979-03-01 00:00:00

  • Locating perforator vessels by dynamic infrared imaging and flow Doppler with no thermal cold challenge.

    abstract:BACKGROUND:Dynamic Infrared Imaging (DIRI) is a noninvasive technique that precisely analyzes the infrared radiation of any object. We used this technique to locate the dominant perforator vessels in flap surgery in conjunction with conventional Doppler. METHODS:Ten patients scheduled for deep inferior epigastric arte...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e3181ef6da3

    authors: Tenorio X,Mahajan AL,Elias B,van Riempst JS,Wettstein R,Harder Y,Pittet B

    更新日期:2011-08-01 00:00:00

  • The effectiveness of scoring and bipolar diathermy on ear cartilage behavior: ex vivo study.

    abstract::A common unsatisfactory long-term outcome of otoplasty is undercorrection and residual deformity. Aggressive scoring with a scalpel blade can cause unattractive and painful ridging, especially in older patients with stiffer cartilage. We developed an ex vivo pig ear model to compare the effectiveness of bipolar diathe...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000237684.42771.10

    authors: Qureshi TR,Hurren JS,Gourlay T

    更新日期:2007-03-01 00:00:00

  • Perineal wound complications, risk factors, and outcome after abdominoperineal resections.

    abstract:BACKGROUND:We describe the risk factors for complications and outcome of perineal wounds after abdominoperineal resections (APRs). METHODS:A retrospective chart review was performed, and patient demographics, risk factors, extent of APR, closure of perineal wounds, exposure to radiation, and outcome were collected. R...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31823fac2b

    authors: Choudry U,Harris D

    更新日期:2013-08-01 00:00:00

  • Familial multiple glomus tumors: report of a pedigree and literature review.

    abstract::Glomus tumors are uncommon, benign soft tissue tumors that can occur in a familial or sporadic pattern. Only 15 pedigrees have been reported to date. We report a family with three generations developing multiple glomus tumors of the skin. Although controversy exists over pattern of inheritance, review of the published...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/00000637-199401000-00013

    authors: Tran LP,Velanovich V,Kaufmann CR

    更新日期:1994-01-01 00:00:00

  • An introduction to the chimeric deep inferior epigastric artery perforator (DIEAP)-rectus abdominis muscle flap.

    abstract::A muscle perforator flap is a unique form of fasciocutaneous flap whose circulation is derived from musculocutaneous perforators, but without including any muscle. This anatomic relationship intuitively should readily allow the formation of branch-based chimeric or polyflaps consisting of a cutaneous perforator flap a...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/SAP.0b013e31818b4cc4

    authors: Hallock GG

    更新日期:2008-11-01 00:00:00

  • Long-term results of midcarpal arthrodesis in the treatment of scaphoid nonunion advanced collapse (SNAC-Wrist) and scapholunate advanced collapse (SLAC-Wrist).

    abstract:UNLABELLED:Outcome evaluation of midcarpal arthrodesis in the treatment of scaphoid nonunion advanced collapse (SNAC-wrist) and scapholunate advanced collapse (SLAC-wrist). PURPOSE:Scaphoid nonunion or scapholunate ligament instability results in carpal collapse and subsequent arthrosis. These conditions, termed SLAC-...

    journal_title:Annals of plastic surgery

    pub_type: 杂志文章

    doi:10.1097/01.sap.0000194245.94684.54

    authors: Dacho A,Grundel J,Holle G,Germann G,Sauerbier M

    更新日期:2006-02-01 00:00:00