How Rheumatoid Arthritis Patients Make Decisions Regarding Hand Reconstruction: A Qualitative Study from the Silicone Arthroplasty in Rheumatoid Arthritis Project.


BACKGROUND:Previous studies have determined specific factors influencing patients with rheumatoid arthritis to choose to undergo reconstructive hand surgery. However, little is known about how rheumatoid arthritis patients are counseled by physicians regarding surgical options and the concerns that cause patients to decide not to undergo hand surgery reconstruction. The authors conducted a qualitative study to investigate the decision-making process rheumatoid arthritis patients undergo when deciding about surgical treatment, including the specific involvement from their physicians in the decision. METHODS:Participants were recruited from the ongoing international collaborative Silicone Arthroplasty in Rheumatoid Arthritis study. Twenty semistructured interviews were conducted, and data were analyzed using grounded theory methodology. RESULTS:Eight of the 11 participants that underwent metacarpophalangeal joint arthroplasty indicated that improving hand function was the primary reason they chose to undergo surgery. Four of these participants were concerned about the aesthetics of their hands, whereas five of the eight participants who discussed their reasoning for not undergoing surgery felt aesthetics was not a good enough reason to undergo surgery. Three participants indicated that a negative perception of hand surgery by their rheumatologists discouraged them from the procedure. Finally, most (14 of 18) participants chose to make the final decision about surgery without involvement from their physician. CONCLUSIONS:The decision of whether or not to undergo surgery can be personal, and patients may prefer to make the final decision independently. It is important that rheumatoid arthritis patients receive collaborative counseling from their rheumatologists and hand surgeons to ensure they are making a knowledgeable decision.


Plast Reconstr Surg


Mathews AL,Burns PB,Chung KC




Has Abstract


2016-05-01 00:00:00














  • Functional return of tendon graft protected entirely by pseudosheath--experimental study.

    abstract::Sixty-three white Leghorn chickens were used in a two-stage tendon grafting into the deep flexor of the third toe. In the first stage, a 4- or 8-week-old pseudosheath was created around the Silastic rod. In the second stage, the grafting was carried out: in 33 birds the new sheath covered the entire tendon graft and i...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Farkas LG,Lindsay WK

    更新日期:1980-02-01 00:00:00

  • Immature versus mature dura mater: II. Differential expression of genes important to calvarial reossification.

    abstract::The ability of immature animals and newborns to orchestrate successful calvarial reossification is well described. This capacity is markedly attenuated in mature animals and in humans greater than 2 years of age. Previous studies have implicated the dura mater as critical to successful calvarial reossification. The au...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Greenwald JA,Mehrara BJ,Spector JA,Fagenholz PJ,Saadeh PB,Steinbrech DS,Gittes GK,Longaker MT

    更新日期:2000-09-01 00:00:00

  • Standardization in photography for body contour surgery and suction-assisted lipectomy.

    abstract::Despite the existence of basic clinical standards in plastic surgery, specific guidelines for body contour photography have not been detailed previously. In this report we propose standard and supplemental views for positioning of the subject for suction-assisted lipectomy and body contour surgery. Also demonstrated a...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Gherardini G,Matarasso A,Serure AS,Toledo LS,DiBernardo BE

    更新日期:1997-07-01 00:00:00

  • Another method to prevent venous thrombosis in microsurgery: an in situ venous catheter.

    abstract::Free-flap failure is in the order of 4 to 10 percent. Heparin is more effective at preventing venous thrombosis than arterial thrombosis. This study was undertaken to investigate the efficacy of delivering heparin at a high dose locally but low dose systemically (heparin infusion via a catheter placed proximal to the ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Hudson DA,Engelbrecht G,Duminy FJ

    更新日期:2000-03-01 00:00:00

  • Speech outcome and maxillary growth in patients with unilateral complete cleft lip/palate operated on at 6 versus 12 months of age.

    abstract::A prospective study of speech outcome and maxillofacial growth was carried out in cleft palate patients. Seventy-six cleft palate patients were randomly selected for the study group; 41 patients were operated on at 12 months of age, and 35 patients were operated on at 6 months of age. All patients were followed until ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Ysunza A,Pamplona MC,Mendoza M,García-Velasco M,Aguilar MP,Guerrero ME

    更新日期:1998-09-01 00:00:00

  • Facial cleft no. 1.

    abstract::The anomaly of facial cleft no. 1 has been encountered recently. It is a rare finding and, accordingly, is being reported with the hope that more craniofacial clefts will be seen in the future and direct the attention of the medical community to the problems. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Suwantemee C

    更新日期:1994-12-01 00:00:00

  • Intralesional Bleomycin Injections for Vascular Malformations: A Systematic Review and Meta-Analysis.

    abstract:BACKGROUND:Vascular malformations are congenital anomalies of the vascular system. Intralesional bleomycin injections are commonly used to treat vascular malformations. However, pulmonary fibrosis could potentially be a severe complication, known from systemic bleomycin therapy for malignancies. In this study, the auth...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,meta分析,评审


    authors: Horbach SER,Rigter IM,Smitt JHS,Reekers JA,Spuls PI,van der Horst CMAM

    更新日期:2016-01-01 00:00:00

  • The free latissimus dorsi flap revisited: a primary option for coverage of wide recurrent lumbosacral defects.

    abstract::In comparison with other regions of the trunk, defects located in the lumbosacral region are infrequent. However, these particular lesions sometimes present difficulties in reconstruction, arising from the quality of the surrounding tissue and the width of the defects. In this area, the skin adheres strongly to subcut...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Di Benedetto G,Bertani A,Pallua N

    更新日期:2002-05-01 00:00:00

  • Effect of bimaxillary rotational setback surgery on upper airway structure in skeletal class III deformities.

    abstract:BACKGROUND:Upper airway narrowing has been a concern of mandibular setback. The aims of this study were (1) to evaluate the effect of bimaxillary rotational setback surgery on upper airway structure in patients with skeletal class III deformities, and (2) to compare the preoperative and postoperative upper airways of c...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Hsieh YJ,Chen YC,Chen YA,Liao YF,Chen YR

    更新日期:2015-02-01 00:00:00

  • Management of High-Output Chyle Leak after Harvesting of Vascularized Supraclavicular Lymph Nodes.

    abstract::Vascularized lymph node transfer is a physiologic microsurgical technique used for the treatment of lymphedema. As vascularized lymph node transfer is becoming more common, it is essential that one is aware of all potential complications associated with vascularized lymph node transfer and know how to avoid and manage...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Teven CM,Hunter CL,Chang DW

    更新日期:2019-04-01 00:00:00

  • Bilateral neuromata of the great auricular nerves 8 years following face lift.

    abstract::A patient is presented with bilateral neuromata incontinuity of the great auricular nerves 8 years following face lift. The neuromata were excised and repaired utilizing the operating microscope. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Manstein CH,Manstein G

    更新日期:1985-12-01 00:00:00

  • Transversus Abdominis Plane Blocks in Microsurgical Breast Reconstruction: Analysis of Pain, Narcotic Consumption, Length of Stay, and Cost.

    abstract:BACKGROUND:Transversus abdominis plane blocks are increasingly being used in microvascular breast reconstruction. The implications of these blocks on specific reconstructive, patient, and institutional outcomes remain to be fully elucidated. METHODS:Patients undergoing abdominally based microvascular breast reconstruc...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Salibian AA,Frey JD,Thanik VD,Karp NS,Choi M

    更新日期:2018-09-01 00:00:00

  • Rat extramedullary adipose tissue as a source of osteochondrogenic progenitor cells.

    abstract::Human liposuction aspirates contain pluripotent adipose-derived mesodermal stem cells that have previously been shown to differentiate into various mesodermal cell types, including osteoblasts and chondrocytes. To develop an autologous research model of bone and cartilage tissue engineering, the authors sought to dete...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Huang JI,Beanes SR,Zhu M,Lorenz HP,Hedrick MH,Benhaim P

    更新日期:2002-03-01 00:00:00

  • Ultrasound diagnosis of cleft lip and cleft palate before birth.

    abstract::Real-time ultrasonography in pregnancy can accurately detect gestational age, position of the fetus, position of the placenta, sex of the fetus, and many congenital anomalies before birth. To date, however, there has been no report of detection of a cleft lip-palate deformity by ultrasound. Two cases, in approximately...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Christ JE,Meininger MG

    更新日期:1981-12-01 00:00:00

  • Nationwide Cost Variation for Thumb Replantation: A Population Study.

    abstract:BACKGROUND:Health care reforms aimed at bundling payments attempt to contain costs. Uncovering variation in spending provides one strategy for decreasing expenditure. This study aims to investigate interhospital cost variation for thumb replantation. METHODS:A retrospective cross-sectional analysis of patients undergo...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Billig JI,Zhong L,Chung KC

    更新日期:2019-10-01 00:00:00

  • Vascular Endothelial Growth Factor Enhances Proliferation of Human Tenocytes and Promotes Tenogenic Gene Expression.

    abstract:BACKGROUND:In obtaining human tenocytes for tendon tissue engineering, a low proliferation rate and phenotype loss during passaging is a problem. It was the authors' aim to evaluate the influence of vascular endothelial growth factor (VEGF) on human tenocyte growth and gene expression. METHODS:Human tenocytes were exp...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Kraus A,Sattler D,Wehland M,Luetzenberg R,Abuagela N,Infanger M

    更新日期:2018-11-01 00:00:00

  • Mandibular reconstruction with the titanium hollow screw reconstruction plate (THORP) system: evaluation of 62 cases.

    abstract::The titanium hollow screw reconstruction plate (THORP) system for reconstruction of lower jaw defects provides a functional stable fixation and is used as a long-term or permanent implant in tumor surgery and in traumatology. The rigid fixation of the head of the screw to the plate, avoiding unphysiologic loads to the...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Vuillemin T,Raveh J,Sutter F

    更新日期:1988-11-01 00:00:00

  • Use of Decision Analysis and Economic Evaluation in Upper Extremity Surgery: A Systematic Review.

    abstract:BACKGROUND:Decision analysis allows clinicians to apply evidence-based medicine to guide objective decisions in uncertain scenarios. There is no comprehensive review summarizing the various decision analysis tools used. The authors aimed to appraise and review the decision analytic models used in hand surgery. METHODS...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,meta分析


    authors: Safran T,Retrouvey H,Gorsky K,Baltzer HL

    更新日期:2019-08-01 00:00:00

  • Functional assessment of neurologic impairment: track analysis in diabetic and compression neuropathies.

    abstract::A laboratory approach to measuring neurologic impairment has been developed that is applicable to systemic disease as well as localized nerve injury. This approach compares individual parameters of the experimental rat hind footprint (walking track) with weight- and sex-matched control track parameters; classic mathem...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Dellon ES,Dellon AL

    更新日期:1991-10-01 00:00:00

  • Effects of an autologous flap combined with an implant for breast reconstruction: an evaluation of 1000 consecutive reconstructions of previously irradiated breasts.

    abstract:BACKGROUND:The goal of the authors' study was to determine whether an autologous tissue flap, when combined with an implant for breast reconstruction, reduces the incidence of implant-related complications in previously irradiated breasts. METHODS:The authors reviewed 1000 consecutive cases of implant-based breast rec...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Chang DW,Barnea Y,Robb GL

    更新日期:2008-08-01 00:00:00

  • Vertical mammaplasty: update and appraisal of late results.

    abstract::Vertical mammaplasty was evaluated after 10 years of experience and the study of 250 personal consecutive cases, and a few minor technical modifications are presented. In the beginning, the main advantage of the technique seemed to be the reduced amount of scarring, as this technique avoids submammary scars. With more...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Lejour M

    更新日期:1999-09-01 00:00:00

  • Utility of screening for obstructive sleep apnea syndrome in children with craniofacial disorders.

    abstract:BACKGROUND:Children with craniofacial disorders are at increased risk for obstructive sleep apnea syndrome. Methods for diagnosing obstructive sleep apnea syndrome in this population remain controversial. Sleep studies are the criterion standard but are impractical for all patients. The utility of obstructive sleep apn...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Cielo CM,Silvestre J,Paliga JT,Maguire M,Gallagher PR,Marcus CL,Taylor JA

    更新日期:2014-09-01 00:00:00

  • Abdominal Wall Reconstruction Risk Stratification Tools: A Systematic Review of the Literature.

    abstract:BACKGROUND:Ventral hernias are a common pathology encountered by surgeons. Multiple risk stratification tools have been developed in attempts to predict a patient's postoperative risk for complication. The aim of this systematic review was to identify published stratification tools, to assess their generalizability, an...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Bernardi K,Adrales GL,Hope WW,Keith J,Kuhlens H,Martindale RG,Melin AA,Orenstein SB,Roth JS,Shah SK,Tsuda S,Liang MK,Ventral Hernia Outcomes Collaborative Writing Group.

    更新日期:2018-09-01 00:00:00

  • Inferior External Pudendal Artery Anastomosis: Additional Approach to Prevent Skin Necrosis in Replanted Penis.

    abstract:BACKGROUND:Microsurgical anastomosis of the dorsal artery of the penis either with or without anastomosis of the cavernosal artery is the preferred technique for penile replantation. However, postoperative penile skin necrosis is commonly reported with this technique. This study aimed to characterize the anatomy of the...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Lohasammakul S,Turbpaiboon C,Ratanalekha R,Ungprasert P,Yodrabum N

    更新日期:2018-10-01 00:00:00

  • Locational Relationship between the Lateral Border of the Frontalis Muscle and the Superior Temporal Line.

    abstract:BACKGROUND:The frontalis is a representative target muscle for botulinum neurotoxin type A injections aimed at treating horizontal wrinkles in the forehead region. However, a lack of information regarding the shape and thickness of the frontalis may lead to unexpected side effects. METHODS:This study dissected hemifac...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Lee KL,Choi YJ,Gil YC,Hu KS,Tansatit T,Kim HJ

    更新日期:2019-02-01 00:00:00

  • The vascular basis of perforator flaps based on the source arteries of the lateral lumbar region.

    abstract:BACKGROUND:Perforator flaps based on the integument of the trunk have been well described in the literature; however, the anatomy of many donor sites has yet to be adequately documented. The integument of the lateral lumbar region of the trunk is supplied by a number of source arteries (lower posterior intercostal, lum...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Offman SL,Geddes CR,Tang M,Morris SF

    更新日期:2005-05-01 00:00:00

  • Facial asymmetry: three-dimensional analysis using laser surface scanning.

    abstract::This study evaluates six different techniques with respect to their ability to quantitatively describe facial asymmetry in three dimensions. Three-dimensional facial images were acquired using a Cyberware 3030RGB laser surface scanner. Image processing was performed on a Silicon Graphics Indigo computer workstation. T...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: O'Grady KF,Antonyshyn OM

    更新日期:1999-09-01 00:00:00

  • Combined orthognathic distraction procedure: Le Fort I maxillary osteotomy and mandibular curvilinear distraction osteogenesis. A new technique for craniofacial management.

    abstract::Dentofacial deformities are traditionally treated by maxillary and mandibular osteotomies conducted separately or simultaneously. Recently, distraction osteogenesis has become an irreplaceable part of the surgical armamentarium, for its ability to induce new bone formation between the surfaces of bone segments that ar...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Schendel SA,Hazan-Molina H,Aizenbud D

    更新日期:2014-04-01 00:00:00

  • Lymphatic Territories (Lymphosomes) in the Rat: An Anatomical Study for Future Lymphatic Research.

    abstract:BACKGROUND:Understanding the precise anatomy in experimental animals is crucial for correct design of research projects. Rats are commonly used for scientific research in plastic surgery because of their availability in academic institutions, moderate cost, and sizable vessels for microsurgical procedures. In past publ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章


    authors: Suami H,Scaglioni MF

    更新日期:2017-11-01 00:00:00

  • Complex Open Abdominal Wall Reconstruction: Management of the Skin and Subcutaneous Tissue.

    abstract::Optimal skin and soft tissue management in complex open abdominal wall reconstruction is an integral element of the operation to achieve optimal outcomes. Failure to provide stable, well-vascularized soft tissue coverage over the hernia repair can jeopardize the reconstruction through association with nonhealing wound...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审


    authors: Khansa I,Janis JE

    更新日期:2018-09-01 00:00:00