Abstract:
PURPOSE:Replantation of amputations separated by more than four digits is challenging microsurgery because of the technical demands and long operation time. The purpose of this report was to present the clinical and functional outcomes in patients with amputations of four or five digits using a simultaneous replantation technique. PATIENTS AND METHODS:Among the 43 patients who visited our institution due to amputation of four or five digits from 2004 to 2013, 35 patients (28 males and seven females) underwent simultaneous replantation of four or five digits. The age range of the patients was 25-64 years (mean, 40.6 years). Simultaneous replantation technique included that bone was fixed and flexor tendons were repaired first and then digital vessels and nerves were simultaneously anastomosed for all amputated digits. The clinical and functional outcomes were evaluated at a minimum 1-year follow-up. RESULTS:Ischemic time was 150-510 min. Mean operation time was 313.2 min. In total, 127 of the 145 (87.5%) digits remained viable survived 2-weeks postoperatively, and four patients (16 digits) were lost to follow up. Of the 31 patients (129 digits), 19 (61.3%) had excellent and good outcomes using the criteria of Chen, and 21 patients (71%) were satisfied completely. Mean grip strength of the injured hand was 67% at the last follow-up. CONCLUSION:The results from this series of cases showed that the simultaneous replantation technique for four or five digit amputations may provide an alternative method to shorten surgical time, reduce complication rates, and enhance high survival rate.
journal_name
Microsurgeryjournal_title
Microsurgeryauthors
Kwon GD,Ahn BM,Lee JS,Park YG,Ha YCdoi
10.1002/micr.30009subject
Has Abstractpub_date
2016-03-01 00:00:00pages
225-9issue
3eissn
0738-1085issn
1098-2752journal_volume
36pub_type
杂志文章相关文献
MICROSURGERY文献大全abstract::End-to-side neurorrhaphy, a possible strategy for treating nerve lesions without useable proximal nerve stumps, has been experimentally and clinically investigated. In end-to-side neurorrhaphy, three main elements should be considered: 1) the induction of axonal collateral sprouting in the donor nerve; 2) the ability ...
journal_title:Microsurgery
pub_type: 杂志文章,评审
doi:10.1002/micr.21736
更新日期:2002-01-01 00:00:00
abstract::Orthotopic partial liver transplantation (PLT) models were developed in rats to explore the unique role of the liver in transplant tolerance. In PVG rats, syngeneic PLT established that surgical reduction to one-third of the liver and orthotopic transplantation permitted survival. Allogeneic PLT in the PVG to DA liver...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1036
更新日期:2001-01-01 00:00:00
abstract::This study investigates potential functional effects of thyroid hormone (T3) on peripheral nerve regeneration in rats. Forty adult male Lewis rats were included in this study. After complete transection of the right sciatic nerve, the gap between the stumps was bridged with a silicone tube. In the first experimental g...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20546
更新日期:2009-01-01 00:00:00
abstract::The authors present a new technique of end-to-side microvascular anastomosis in a rat carotid artery model, employing a milliwatt CO2 laser. Both carotid arteries were isolated and approximated in an end-to-side fashion by the placement of four 10-0 nylon stay sutures. The milliwatt CO2 laser was used to effect vessel...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920070206
更新日期:1986-01-01 00:00:00
abstract:BACKGROUND:The aim of this study is to determine the minimal postoperative time required that may allow free flap survival after occlusion or ligation of the microsurgical anastomosis without surgical intervention. METHODS:All reports describing free flap survival and failure after delayed postoperative vascular compr...
journal_title:Microsurgery
pub_type: 杂志文章,评审
doi:10.1002/micr.30082
更新日期:2016-10-01 00:00:00
abstract::This experimental study was performed to evaluate the efficacy of end-to-side coaptation between the musculocutaneous nerve and the phrenic nerve for brachial plexus injuries with nerve-root avulsions. In an experimental rabbit model, neurotization of the musculocutaneous nerve with the phrenic nerve was compared usin...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20238
更新日期:2006-01-01 00:00:00
abstract::The effect of hyperbaric oxygen (HBO) on the survival rate of experimental rat pedicle island flaps with arterial, venous, and combined arteriovenous insufficiency was evaluated. Forty male Wistar rats with pedicle island flaps were divided into four groups with different types of vascular status. Another 40 male Wist...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.22004
更新日期:2002-01-01 00:00:00
abstract::Reperfusion injury and the no-reflow phenomenon are manifestations of a complex series of events that culminate in an acute inflammatory reaction within reperfused tissue. Antiinflammatory therapy attenuates ischemia-reperfusion injury. The purpose of this study is to evaluate the effects of dexamethasone on blood flo...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920160208
更新日期:1995-01-01 00:00:00
abstract::The purpose of this work was to report our initial experience with lymphaticovenular anastomoses (LVA), a controversial technique for lymphedema treatment. Although LVA technique was described many years ago, the procedure is not as widespread as it was supposed to be, taking into account the high impact that lymphede...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20980
更新日期:2012-05-01 00:00:00
abstract::The transparent chamber technique of the hamster cheek pouch was utilized to observe the behavior of a transplanted vascular pedicle within a relatively adverse environment. Observations included direct visualization with intravital microscopy, histology, scanning electron microscopy, and alkaline phosphatase staining...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920100307
更新日期:1989-01-01 00:00:00
abstract:BACKGROUND:Reconstruction of complicated diabetic lower leg and foot defects involving multiple tissue components remains a challenge. The purpose of this report is to introduce thoracodorsal artery perforator (TDAP) chimeric flaps for reconstructing diabetic lower leg and foot soft tissue defects. PATIENTS AND METHOD...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.30314
更新日期:2018-09-01 00:00:00
abstract::This experimental study investigates the feasibility of pretreating the abdominal skin of a rat with subdermal injections of adenovirus encoding angiopoietin-1 in order to improve postoperative survival of the skin flap. An epigastric skin flap was used as the model in this study. Rats received subdermal injections of...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.10140
更新日期:2003-01-01 00:00:00
abstract::The aim of this study was to investigate the rate of disappearance of noradrenaline in arterial grafts after their transplanation. Arterial grafts were harvested from AO/Ks:OC strain rats. In each rat, a graft was harvested from the femoral artery and transplanted into the common carotid artery. A contralateral unoper...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20004
更新日期:2004-01-01 00:00:00
abstract::Between 1986-2004, 13 patients (11 males and 2 females; mean age, 63.9 years) underwent microsurgical reconstruction after total maxillectomy in our hospital. Reconstructions using a rectus abdominis musculocutaneous flap were primarily carried out in our hospital by emphasizing soft-tissue filling. No postoperative c...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20194
更新日期:2006-01-01 00:00:00
abstract::Lymphedema most commonly occurs after cancer treatment and can affect limbs and genitalia. Genital lymphedema (GL) is a rare condition and can be disabling psychologically and physically. It often occurs along with lower extremity lymphedema (LEL). Conservative and physiologic reconstructive surgery such as lymphatico...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.30331
更新日期:2018-11-01 00:00:00
abstract:INTRODUCTION:Currently, increasingly reconstructive surgeon consider the failure rates of perforator propeller flaps especially in the distal third of the lower leg are too important and prefer to return to the use of free flap at first line option with failure rates frequently lower than 5%. So, we performed a systema...
journal_title:Microsurgery
pub_type: 杂志文章,meta分析,评审
doi:10.1002/micr.30047
更新日期:2018-01-01 00:00:00
abstract::This paper describes-the indications for, the main points of the surgical technique, and the results of composite reconstruction using a combination of pediculated and free tissue units, which has allowed extensive and complex reconstruction following resection of malignant tumors in the head and neck region or in the...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/(SICI)1098-2752(1996)17:6<341::AID-MICR10>
更新日期:1996-01-01 00:00:00
abstract::Studies of lymphatic and venous pressures of normal and lymphedematous rabbit ears reveal the end pressure of lymphatics to be higher than the venous pressure. Massage of the related rabbit ear increases the lymphatic pressures and can markedly raise the side and end pressures within the lymphatic wall. The venous pre...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920050108
更新日期:1984-01-01 00:00:00
abstract::The feasibility of peripheral nerve allograft pretreatment utilizing cold storage (5 degrees C in the University of Wisconsin Cold Storage Solution) or freeze-thawing to prevent rejection was investigated. Regeneration across cold-stored (3 or 5 weeks) or freeze-thawed (FT), 3.0-cm sciatic nerve allografts were compar...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/(sici)1098-2752(1999)19:3<115::aid-micr1>3
更新日期:1999-01-01 00:00:00
abstract::The purpose of this experiment was to determine the stimulating and recording characters of fascicular physioelectrical signals in the activity of peripheral nerves by longitudinally implanted intrafascicular electrodes (LIFEs) in a rabbit sciatic nerve model, and discuss the future application of LIFEs in functional ...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.10116
更新日期:2003-01-01 00:00:00
abstract::Impaired capillary perfusion may result in flap failure. Platelet emboli, polymorphonuclear leukocytes (PMNs), and/or vasospasm have been identified as possible causes. This study investigates the role of PMNs in causing impaired capillary perfusion in a free flap model. PMN concentrations were depleted using antineut...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/(sici)1098-2752(1998)18:1<23::aid-micr6>3.
更新日期:1998-01-01 00:00:00
abstract::A case is presented where both the ulnar nerve and palmaris profundus tendon were found within the carpal tunnel during routine open decompression for carpal tunnel syndrome. ...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.10196
更新日期:2004-01-01 00:00:00
abstract::The aim of this experiment was to evaluate the feasibility of a microsurgical procedure in the context of microgravity during parabolic flights. The surgical procedure included the sectioning and repair of a rat sciatic nerve and tail artery with 10/0 monofilament sutures. Both procedures were successful. To date, tel...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20089
更新日期:2005-01-01 00:00:00
abstract::Replantation of an amputated digit in a child demands special techniques for success. Our experiences with replantation in this age group have shown that although these patients have a lower viability rate after digital replantation, those digits that do survive develop excellent function. In this case report of a 7-m...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920090308
更新日期:1988-01-01 00:00:00
abstract:BACKGROUND:Free tissue transfer is commonly used in the reconstruction of post-ablative defects of the mandible. Due to lack of statistical power, comparing the survival of various free flaps, even in large studies, is challenging. The purpose of this study was to perform a meta-analysis comparing the survival of the m...
journal_title:Microsurgery
pub_type: 杂志文章,meta分析,评审
doi:10.1002/micr.22471
更新日期:2015-10-01 00:00:00
abstract::The iliac crest is reevaluated with respect to the rapid evolution of vascularized mandibular reconstruction. With more flaps to choose from, indications for the crest have become more specific-playing to the strengths of this particular transfer. Ideally, defects should exclude soft tissue and occupy lateral segments...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920150406
更新日期:1994-01-01 00:00:00
abstract::The present study tests the hypothesis that peripheral hemodynamics in the rat femoral artery remain relatively stable during 3 hours of general anesthesia. Hemodynamic variables (pulse period, maximal centerline velocity, lumen diameter, and mean volumetric flow) were measured by the 20 MHz-pulsed ultrasonic Doppler ...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.1920070410
更新日期:1986-01-01 00:00:00
abstract::The purpose of this study was to evaluate the effect of wrapping bioabsorbable nerve conduit around primary suture repair on motor nerve regeneration in a rat model. Forty rats were randomly divided into two experimental groups according to the type of repair of the rat sciatic nerve: group I had primary suture repair...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.22274
更新日期:2014-10-01 00:00:00
abstract:INTRODUCTION:A Bio 3D printed nerve conduit was reported to promote nerve regeneration in a 5 mm nerve gap model. The purpose of this study was to fabricate Bio 3D nerve conduits suitable for a 10 mm nerve gap and to evaluate their capacity for nerve regeneration in a rat sciatic nerve defect model. MATERIALS AND METH...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.30533
更新日期:2020-02-01 00:00:00
abstract::Single flap for complex hypopharyngoesophageal and anterior neck skin defect reconstruction is still a challenge for reconstructive surgeons. Herein, we present five patients, with advanced hypopharyngeal cancer and anterior neck skin invasion, which received a single anterolateral thigh (ALT) fasciocutaneous flap for...
journal_title:Microsurgery
pub_type: 杂志文章
doi:10.1002/micr.20906
更新日期:2011-10-01 00:00:00