Abstract:
INTRODUCTION:Adhesions are a major cause of complications and need for repeat surgery in the hand and wrist. They are indication for tenolysis and cause prolonged need for therapy and inability to regain full hand motion. Minimizing adhesions in the hand and wrist would greatly improve surgery, by decreasing cost as well as improved outcome and postoperative function. Antiadhesion barriers, products consisting of hyaluronic acid and methylcellulose were originally advocated for its use in the peritoneal cavity for prevention of adhesions-initially by gynecologist, then general, trauma, and colorectal surgeons. Recently, several authors have looked at its use in animals for prevention of adhesions in regard to tendons, in particular in chickens and rabbits. However, no human studies exist in the literature that shows statistical efficacy or discussing its safety. METHODS:All cases of tendon repairs in the hand and wrist from January 2009 to January 2012 with an antiadhesion barrier placed by a single plastic/hand surgeon at our medical center were evaluated for complications and outcomes. Fourteen patients were identified over this period; demographic data and comorbidities were examined.All patients were placed in blocking splints postoperatively and discharged with 5 days of antibiotics. RESULTS:Of the 14 patients identified over this period, 1 was female and 13 were male. Age of patients ranged from 13 to 74 years. Comorbidities evaluated included diabetes, hypertension, previous wrist or hand injuries or surgery, arthritis, and tobacco use. There was 1 postoperative wound infection with minimal wound separation which resolved with oral antibiotics and Xeroform dressing. One patient experienced spastic muscle disease leading to rerupture of tendon repair. Remainder of patients did not experience any wound complications. No patients required tenolysis after use of the antiadhesion barriers. CONCLUSIONS:Antiadhesion barriers are safe to use in humans for hand/wrist surgery. Studies to evaluate efficacy will require larger numbers of patients, but have already begun at our medical center. According to data from animal studies, antiadhesion barriers should serve as a useful tool for the decrease or even prevention of adhesion formation in the wrist and hand.
journal_name
Ann Plast Surgjournal_title
Annals of plastic surgeryauthors
Kohanzadeh S,Lugo L,Long JNdoi
10.1097/SAP.0b013e31827eace2subject
Has Abstractpub_date
2013-05-01 00:00:00pages
527-9issue
5eissn
0148-7043issn
1536-3708journal_volume
70pub_type
杂志文章abstract::Pre- and postauricular skin was harvested from 25 facelift patients to study fibroblast replicative ability (RA). In tissue cultures, considerable heterogeneity was found in the ability of facial skin fibroblasts to replicate, both from patient to patient, and in the relationship of preauricular and postauricular skin...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-199802000-00005
更新日期:1998-02-01 00:00:00
abstract::The onlay fascia-cartilage graft technique for malar or maxillary projections can be used for recontouring the middle third of the face. Covering onlay grafts with fascia achieves a smoother contour, concealing the edges in addition to obtaining a more natural anatomical look for the face. The technique has provided a...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-198705000-00006
更新日期:1987-05-01 00:00:00
abstract::Unilateral choanal atresia is a congenital obstruction of the posterior nasal passage occasionally seen by plastic surgeons. Because of nonspecific symptoms, this diagnosis can be overlooked for quite some time, and the patients may not seek treatment until adulthood. Traditionally, surgical correction has been throug...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-198804000-00012
更新日期:1988-04-01 00:00:00
abstract:INTRODUCTION:Capsular contracture after breast reconstruction is a morbid complication, occurring in 30.0% to 47.5% of patients undergoing postoperative radiotherapy. Although it is well known that radiation increases rate of capsular contracture, there are few well-established animal models that faithfully replicate s...
journal_title:Annals of plastic surgery
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doi:10.1097/SAP.0000000000001362
更新日期:2018-04-01 00:00:00
abstract::The vascularized whole femur transplantation model is one of the commonly used vascularized bone marrow transplant models. It involves technical complexity and morbidities. To optimize this model, we took 2/3 femur as the carrier of bone marrow cells, and developed a vascularized partial femur model. Four experimental...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0000000000000114
更新日期:2014-12-01 00:00:00
abstract::Fatty tumors of the peripheral nerves, although rare, occur with sufficient frequency to pose problems in diagnosis and treatment. Moreover, the nomenclature of these tumors has suffered from controversy over their morpological description. These factors have contributed to a misunderstanding about the treatment of th...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-197803000-00011
更新日期:1978-03-01 00:00:00
abstract::The use of a Keith needle is described to secure a cartilage graft during rhinoplasty. ...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:
更新日期:1980-01-01 00:00:00
abstract:INTRODUCTION:Surgical volunteer organizations (SVOs) focus considerable resources on addressing the backlog of cases in low-resource countries. This model of service may perpetuate dependency. Efforts should focus on models that establish independence in providing surgical care. Independence could be achieved through s...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0b013e31826aefc7
更新日期:2014-01-01 00:00:00
abstract::A review of the English medical literature over the last 20 years reporting on flexor profundus lacerations revealed only 55 reported cases of zone I flexor profundus lacerations in children. The standard repair technique in young children (5-10 years of age) has been either tendon reinsertion into bone (usually Bunne...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0b013e31820e0e19
更新日期:2012-01-01 00:00:00
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journal_title:Annals of plastic surgery
pub_type: 杂志文章
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更新日期:2017-03-01 00:00:00
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journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-199405000-00006
更新日期:1994-05-01 00:00:00
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journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0000000000002093
更新日期:2019-10-01 00:00:00
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journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/01.sap.0000237684.42771.10
更新日期:2007-03-01 00:00:00
abstract::Intraoperative navigation is a tool that provides surgeons with real-time, interactive access to their patient's diagnostic imaging studies while in the operating room. This modality allows for anatomic localization and facilitates intraoperative planning and diagnosis. The application of intraoperative navigation to ...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/SAP.0b013e31822a3ec3
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abstract:INTRODUCTION:Flexor tendon repair techniques that can resist active forces are widely accepted. Despite that many suture techniques have been described, the "perfect repair" for flexor tendons cannot be achieved yet. We aimed to compare a new loop suture technique with commonly used flexor tendon repair methods biomech...
journal_title:Annals of plastic surgery
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更新日期:2019-04-01 00:00:00
abstract::The reconstruction of small and thin defects in the orbital area using vascularized cortex is described herein. This vascularized cortex is taken from the medial supracondyle area of the femur because a small, thin, and flexible bone can be harvested. We have treated 5 patients with orbital bony defects that would hav...
journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-199410000-00001
更新日期:1994-10-01 00:00:00
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journal_title:Annals of plastic surgery
pub_type: 杂志文章,评审
doi:10.1097/SAP.0b013e3181af8fca
更新日期:2010-03-01 00:00:00
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journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-198403000-00010
更新日期:1984-03-01 00:00:00
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journal_title:Annals of plastic surgery
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/01.sap.0000139563.51598.75
更新日期:2004-12-01 00:00:00
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journal_title:Annals of plastic surgery
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journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-198205000-00009
更新日期:1982-05-01 00:00:00
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journal_title:Annals of plastic surgery
pub_type: 杂志文章,评审
doi:10.1097/SAP.0b013e318070c6fb
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journal_title:Annals of plastic surgery
pub_type: 杂志文章
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journal_title:Annals of plastic surgery
pub_type: 杂志文章
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journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-198302000-00010
更新日期:1983-02-01 00:00:00
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journal_title:Annals of plastic surgery
pub_type: 杂志文章
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更新日期:2006-09-01 00:00:00
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journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-199002000-00017
更新日期:1990-02-01 00:00:00
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journal_title:Annals of plastic surgery
pub_type: 杂志文章
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更新日期:2002-08-01 00:00:00
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journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-198209000-00007
更新日期:1982-09-01 00:00:00
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journal_title:Annals of plastic surgery
pub_type: 杂志文章
doi:10.1097/00000637-200206000-00008
更新日期:2002-06-01 00:00:00