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Normative BREAST-Q reconstruction scores for satisfaction and well-being of the breasts and potential donor sites: what are Swedish women of the general population satisfied/dissatisfied with? J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-11-15 Christian Jepsen,Anna Paganini,Emma Hansson
BACKGROUND Normative data for interpreting the BREAST-Q reconstruction module are currently limited to four populations. The primary aim of this study was to create Swedish normative values for the BREAST-Q reconstruction domains. The secondary aim was to describe what aspects of the breasts and potential donor sites that women of the general population are generally satisfied or dissatisfied with
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Direct fixation of fracture fragment with modified double Kirschner wires for the treatment of old bony mallet finger. J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-09-29 Yong Zhang,Yingluo Gu,Jupu Zhou,Jiaju Zhao,Bo Jiang
BACKGROUND The management of old bony mallet fingers is complicated. The purpose of this study was to describe direct fixation of fracture fragment with modified double Kirschner wires (K-wires) for treatment of old bony mallet finger, and to evaluate the functional outcomes during long-term follow-up. METHODS Forty-nine patients with old bony mallet finger were enrolled and underwent surgical treatment
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Long-term speech outcome after anterior distraction osteogenesis of the maxilla in patients with cleft lip and palate. J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-09-28 Kristina Klintö,Henry Svensson,Anna-Paulina Wiedel
Advancement of the maxilla may increase the distance between the soft palate and the posterior pharyngeal wall in patients with cleft lip and palate, implying a risk of velopharyngeal dysfunction. The aim was to evaluate long-term speech outcome in a consecutive series of patients treated with distraction osteogenesis (DO). Fourteen out of the 16 patients agreed to participate. A long-term speech follow-up
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Conservative treatment of traumatic finger amputations using negative-pressure wound therapy. J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-09-27 Yasushi Mizutani,Susumu Tamai,Toshifumi Nakamura,Yusuke Hagiwara,Takehiko Takita,Kenji Kawamura
Replantation is widely regarded as the first choice of treatment for finger amputations. However, if the fingertip of a traumatic finger amputation is missing after an injury, the following procedures are often performed to reconstruct this portion: flap surgery, stump surgery, or conservative treatment, including occlusive dressings. To our knowledge, no existing English literature reports using negative-pressure
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Expander prosthesis and DIEP flaps in delayed breast reconstruction: Sensibility, patient-reported outcome, and complications in a five-year randomised follow-up study. J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-09-22 Linda Tallroth,Nathalie Mobargha,Patrik Velander,Magnus Becker,Stina Klasson
Breast reconstruction is a given choice for many women following mastectomy. There are a multitude of methods available today, and thus, comparative studies are essential to match patients with suitable methods. The aim of this study was to compare 5-year outcomes following delayed breast reconstruction with expander prosthesis (EP) and with deep inferior epigastric perforator (DIEP) flaps. Seventy-three
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Prevalence of women with breast implants in Sweden: a study based on the population-based mammography screening programme. J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-09-20 Emma Hansson,Sarah Zaya,Susanne Meyer,Alexa Freiin von Wrangel,Fredrik Wärnberg,Sophia Zackrisson
BACKGROUND Knowledge about the prevalence of women with breast implants is paramount in calculations of risks and in estimations of effects on screening and breast cancer treatment. Most of the estimations of prevalence made to date are rough and often based on sales data. The main aim of this study was to calculate the prevalence of breast implants in Swedish women. The secondary aim was to investigate
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Management of common conditions of the musician: a narrative review for plastic surgeons. J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-09-01 Daniel Chu,Sahand C Eftekari,Peter J Nicksic,Samuel O Poore
Career-related injuries and disorders in professional musicians are prevalent across all their respective instruments and fields. They often endure long hours of intensive practice that demand high levels of precision, dexterity, and flexibility of their head, neck, hands, and upper extremities. Unlike the average patient, musicians are sensitive to even mild symptoms and deficits that can interfere
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Single or double Kirschner wire fixation: which provides better outcomes for pediatric proximal phalanx base fractures? J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-09-01 Chan Ju Park,Kyung Jin Lee,Jin Soo Kim,Sung Hoon Koh,Dong Chul Lee,Si Young Roh
PURPOSE The most common hand fracture in children is seen at the base of the proximal phalanx. This study aims to compare clinical outcomes of single versus double Kirschner wire pinning for pediatric proximal phalanx base fractures. PATIENTS AND METHODS The retrospective study enrolled patients who underwent closed K-wire pinning for proximal phalanx base fractures from January 2016 to February 2022
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Comparison of patient-reported achievements of goals and core outcomes with delayed breast reconstruction in irradiated patients: latissimus dorsi with an implant versus DIEP. J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-08-24 Jonas Löfstrand,Anna Paganini,Mattias Lidén,Emma Hansson
BACKGROUND Different women's individual goals with a breast reconstruction vary, and few studies compare techniques in light of the different goals. This study aimed to compare patient-reported core outcomes in patients reconstructed with deep inferior epigastric artery perforator (DIEP) flaps and latissimus dorsi (LD) flaps. Second, breast-related factors that the patients were particularly satisfied/dissatisfied
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Long-term effectiveness of conservative management for lateral epicondylitis: a meta-analysis. J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-08-24 Qiaojie Chen,Pingping Shen,Bo Zhang,Yang Chen,Chunli Zheng
OBJECTIVE To investigate the long-term (>12 months) effectiveness of conservative management for lateral epicondylitis. DATA SOURCES PubMed and Embase databases were searched for relevant studies from inception to March 2023. STUDY SELECTION AND DATA EXTRACTION Only English-written randomized controlled trial (RCT) with data download as well as follow up ≥12 months were acceptable. Raw data were extracted
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Diagnostical accuracy of hyperspectral imaging after free flap surgery. J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-08-24 Torsten Schulz,Rima Nuwayhida,Khosrow Siamak Houschyar,Stefan Langer,Lukas Kohler
Microsurgical free-tissue transfer has been a safe option for tissue reconstruction. This study aimed to analyze the diagnostic accuracy of hyperspectral imaging (HSI) after free-tissue transfer surgery. From January 2017 to October 2019, 42 consecutive free-flap surgeries were performed, and their outcomes were analyzed via HSI. Clinical examination of free-flap perfusion was initially performed.
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Triple nerve transfers for the management of early unilateral facial palsy. J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-08-09 Jose E Telich-Tarriba,David F Navarro-Barquin,Genesis Pineda-Aldana,Alexander Cardenas-Mejia
BACKGROUND Early onset facial paralysis is usually managed with cross-face nerve grafts, however the low number of axons that reach the target muscle may result in weakness or failure. Multiple-source innervation, or 'supercharging', seeks to combine the advantages of different donor nerves while minimizing their weaknesses. We propose a combination of cross-face nerve grafts with local extra-facial
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An alternative to opioid-based intravenous patient controlled analgesia in severe burn patients undergoing full thickness split graft in upper limbs. J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-08-01 Bo-Fu Shih,Fu-Yu Huang,Shih-Jyun Shen,Chih-Wen Zheng,Chao-Wei Lee,Ming-Wen Yang,An-Hsun Chou,Shiow-Shuh Chuang,Hsin-I Tsai
BACKGROUND Opioids provide good analgesic effect in burn patients during acute phase, but these patients may develop tolerance after prolonged exposure. Alternative analgesic strategies such as peripheral nerve blocks appear to provide adequate pain control while sparing opioid-related side effects. The purpose of this study was to evaluate intravenous patient-controlled analgesia (IV-PCA) and continuous
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Short term treatment of secondary lymphedema with hyaluronidase injections reduces mouse hindlimb lymphedema. J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-06-20 Farima Dalaei,Amar Bucan,Alexander Wiinholt,Mads Gustaf Jørgensen,Christian Rønn Hansen,Christina Baun,Svend Hvidsten,Eva Kildall Hejbøl,Henrik Daa Schrøder,Jens Ahm Sørensen
Lymphedema is a common complication following breast cancer treatment with axillary lymphadenectomy and radiotherapy. Currently, there is no curative treatment for this disease, hence there is a need for new therapeutic suggestions. The aim of this study was to investigate the effect of hyaluronidase (HYAL) injections after inducing hindlimb lymphedema in 36 female C57BL/6 mice. HYAL injections were
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Translation and validation of a Finnish version of the Facial Clinimetric Evaluation (FaCE) Scale. J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-06-14 Arttu Mentula,Mikko Uimonen,Andrew Lindford,Sinikka Suominen,Jussi P Repo,Tuija Ylä-Kotola
BACKGROUND The Facial Clinimetric Evaluation (FaCE) scale is a patient-reported health status instrument developed for assessing the health-related quality of life (HRQoL) in patients with facial nerve paralysis. The aim of this study was to translate and validate the FaCE scale for the Finnish-speaking population. METHODS The FaCE scale was translated according to international guidelines. Sixty patients
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Topical Dihydroartemisinin Improves Wound Healing in Diabetic Mice. J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-06-14 Shanshan Shi,Yanhong Gong,Hailiang Hu,Shuai Peng,Ju Liu
Impaired skin wound healing is a common complication of diabetes mellitus. Angiogenesis is a critical step in wound healing because it allows oxygen and nutrients to reach the injured area, thereby promoting wound cell proliferation, re-epithelialisation, and collagen regeneration. However, the neovascularisation ability of patients with diabetes often decreases. Therefore, finding ways to improve
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Clinical effects of homodigital dorsal branch of the proper digital artery flap on repairing soft tissue defects of fingers. J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-06-14 Yong Zhang,Jupu Zhou,Jianzhong Qin
Homodigital dorsal branch of proper digital artery flaps (HDBPDAF) have been proved to be an excellent alternative for repairing distal soft tissue defects of fingertip. This study was to evaluate the clinical effects of HDBPDAF on repairing various soft tissue defects of fingers, including thumb and multi-fingers defects. A retrospective study was conducted in 40 patients with 44 finger defects treated
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Long-term longitudinal follow-up of individuals with UCLP after Gothenburg twostage palate closure: surgical and speech outcomes. J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-06-14 Hans Mark,Jan Lilja,Christina Havstam
BACKGROUND Delayed hard palate closure in unilateral cleft lip and palate (UCLP) patients show on a safe surgical method and good speech outcome, however, occurrence of orally retracted articulation before hard palate closure at 8 years. The aim of this study was to describe surgical and speech outcome in UCLP patients closing the hard palate at 3 years. METHODS A consecutive of 28 participants were
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Fresh human amniotic membrane wrapping promotes peripheral nerve regeneration in PGA-collagen tubes. J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-05-23 Atsuhiko Iwao,Hiroto Saijo,Takafumi Nakayama,Akihito Higashi,Kazuya Kashiyama,Norisato Mitsutake,Katsumi Tanaka
BACKGROUND An artificial nerve conduit can interpose the peripheral nerve defect without donor site morbidity. However, treatment outcomes are often unsatisfactory. Human amniotic membrane (HAM) wrapping has been reported to promote peripheral nerve regeneration. We evaluated the effects of a combined application of fresh HAM wrapping and a polyglycolic acid tube filled with collagen (PGA-c) in a rat
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Classification and treatment of congenital central slip hypoplasia. J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-05-16 Yuzhou Liu,Xiuyue Xu,Le Wang,Jie Lao,Yongqing Zhuang,Yousheng Fang
OBJECTIVES The aim of this study is to make a diagnosis and a classification for congenital central slip hypoplasia. The surgical treatment was determined according to the classification. METHODS A retrospective study of 25 treated digits in 13 patients with congenital central slip hypoplasia was carried out. The central slip was classified into two types. Type I: The distance between the insertion
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Treatment of orbital fractures - a critical analysis of ophthalmic outcomes and scenarios for re-intervention. J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-05-16 Anna A E Persson,Hanna M Lif,Alberto Falk-Delgado,Daniel Nowinski
BACKGROUND Malplaced implants in orbital reconstruction may lead to serious complications and necessitate re-intervention. The aim of this study was to describe outcomes, complications and scenarios of re-intervention in a historical case series of orbital fractures treated with free-hand orbital wall reconstruction. The main hypothesis was that early re-interventions are mainly because of malplaced
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How to measure success in lower extremity reconstruction, which outcome measurements do we use a systematic review and metanalysis J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-02-13 Inga S. Besmens, Florence E. Zoller, Marco Guidi, Pietro Giovanoli, Maurizio Calcagni
Abstract Different factors have to be considered and weighted in the treatment algorithm of lower extremity reconstruction. A combination of both clinicians’ and patients’ perspectives is necessary to provide a conclusive picture. Currently, there aren’t any standardized and validated measurement data sets for lower extremity reconstructions. This makes it necessary to identify the relevant domains
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Lower limb soft tissue reconstruction using free ALT flaps: multimodal parameter analysis to predict the level of spontaneous reinnervation J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-02-02 William Watfa, Gianluca Sapino, Francesco Teatini, Carlo M. Oranges, Mario Cherubino, David Guiller, Wassim Raffoul, Pietro G. di Summa
Abstract Introduction This work aims to assess lower limb free flaps spontaneous sensory recovery by comparing and analyzing a single standardized reconstructive procedure, namely the free noninnervated anterolateral thigh (ALT) flap in order to evaluate which flap or patient-related factors may predict flap reinnervation. Methods Between January 2010 and March 2018 all nonreinnervated ALT flaps for
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The minimal clinically important difference of the Southampton Dupuytren’s Scoring Scheme J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-02-02 Jens Jørgsholm, Rasmus Wejnold Jørgensen
Abstract The minimal clinically important difference (MCID) for patient-reported outcome questionnaires is important in the interpretation of outcome in clinical and research settings. MCID represents the smallest difference in score that the patient would identify as important. There is, to our knowledge, no reported MCID value for Southampton Dupuytren’s scoring scheme (SDSS). The SDSS is a 5-item
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Comparıson of the effect of the autogenıc and xenogenıc use of platelet-rıch plasma on rabbıt chondrocutaneous composıte graft survıval J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-01-31 Hande Akdeniz, Koray Gursoy, Gokay Baykara, Adile Dikmen, Hilal Ozakinci, Ugur Kocer
Abstract The platelet-rich plasma (PRP) has become popular in the medical world due to its content of growth factors and numerous studies are experimental. In experimental studies, the preparation and application of PRP are problematic and allogenic PRP transfers have been preffered, because of the difficulties in preparation of autogenic PRP in animal experiments. Xenogenic transfers and their effects
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Conjoint fascial sheath suspension with levator muscle advancement for severe blepharoptosis J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-01-20 Yucheng Qiu, Rui Jin, Xue Dong, Yirui Shen, Feixue Ding, Zhizhong Deng, Xianyu Zhou, Youcong Ning, Jun Yang, Fei Liu
Abstract In patients with severe blepharoptosis, the function of the levator muscle is usually weak. Even if a large amount of levator is resected, under-correction and recurrence often occur postoperatively. Frontalis suspension is the first choice for severe ptosis; however, the external orbital lifting force of the frontalis causes non-physiological eyelid movement. Conjoint fascial sheath (CFS)
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The superficial peroneal neurocutaneous flap: a cadaveric study J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-01-20 Thepparat Kanchanathepsak, Katanyata Kunsook, Wasit Panoinont, Chinnawut Suriyonplengsaeng, Sorasak Suppaphol, Ittirat Watcharananan, Panithan Tuntiyatorn, Tulyapruek Tawonsawatruk
Abstract Soft tissue defects around the ankle are common and must be covered with thin and pliable flaps. A regional flap, particularly from the dorsum of the foot was considered ideal. A neurocutaneous flap, based on the superficial peroneal nerve (SPN) and its branches was designed as a proximally based flap via cadaveric dissection. This study aimed to demonstrate the vascularity and characteristics
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Integrating the Fast-Track surgery concept into the surgical treatment of gynecomastia J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-01-17 Jinguang He, Jiafei Yang, Tingting Dai, Jiao Wei
Abstract Background: The use of fast-track surgery pathway has been reported to reduce the stress of operation and accelerate rehabilitation in various surgical specialties. However, there has been a relative dearth of research on this subject for surgical treatment of gynecomastia. Materials and methods: The gynecomastia was treated by liposuction plus pull-through technique. The safety and recovery
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Comparative outcomes between surgical treatment and orthosis splint for mallet finger: a systematic review and meta-analysis J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-01-10 Chi Peng, Ren-Wen Huang, Shih-Heng Chen, Chung-Chen Hsu, Cheng-Hung Lin, Yu-Te Lin, Che-Hsiung Lee
Abstract Mallet finger is a commonly encountered condition in daily practice. However, there is currently no consensus on whether surgical intervention or conservative treatment with orthosis splint is superior. In this systematic review and meta-analysis, we compare the treatment outcomes between surgery and orthosis for bony and tendinous mallet finger. We searched PubMed, Embase, and the Cochrane
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Long-term patient-reported outcomes after anterior distraction osteogenesis of the maxilla in patients with cleft J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-01-09 Lina Yasin, Magnus Becker, Henry Svensson, Anna-Paulina Wiedel
Abstract Maxillary growth inhibition in patients with cleft lip and palate (CLP) is an undesired effect that may occur in the teens despite proper primary care. Dental malocclusion and distortion of facial appearance can be treated with external distraction osteogenesis (DO) of the maxilla. This entails a Le Fort I osteotomy, fastening a semi-circular distractor to the skull, distraction for three
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Mastectomy is a safe procedure in transgender men with a history of breast reduction J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-01-09 Floyd W. Timmermans, Lian Elfering, Thomas D. Steensma, Mark-Bram Bouman, Wouter B. van der Sluis
Abstract Little is known about the safety and surgical outcomes of mastectomy after breast reduction in the trans male population. Several concerns have been voiced that performing mastectomy with prior breast reduction surgery, increases the risk for complications and revision surgery. All transgender men with a history of breast reduction, who underwent a mastectomy at our center between 01-1990
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Additional diagnoses in children with cleft lip and palate up to five years of age J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2023-01-09 Ellen Aspelin, Måns Cornefjord, Kristina Klintö, Magnus Becker
Abstract Cleft lip and palate (CL/P) is the most common congenital craniofacial malformation and is often associated with additional diagnoses. The purpose of this study was to explore the cumulative five-year incidence of additional diagnoses for patients with cleft lip and palate. Further aims were, type of cleft and type of additional diagnose and to validate CLP registry data on additional diagnoses
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The origins of the camper’s chiasm asymmetry: a cadaveric study and clinical implications for flexor tendons surgery J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2022-12-22 Diego Faccio, Sara Montanari, Nicola Maschio, Franco Bassetto, Cesare Tiengo, Francesco Messana
Abstract The Camper’s chiasm (CC) originates from the decussation of tendon fibers of the flexor digitorum superficialis at the level of the proximal phalanx. Previous studies described several conformations of the CC, but none has studied the asymmetry pattern for each finger. We lack studies about the relationship between the vincula tendinum and the morphology of the CC. We aimed to study the precise
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Total wrist fusion versus total wrist prosthesis: a comparative study J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2022-12-20 Luis Rodríguez-Nogué, Gregorio Martínez-Villén
Abstract We present a comparative study of 41 total wrist fusions (TWFs) with contoured plate and 22 total wrist prostheses using the Universal 2™ model, with a mean follow-up of 6 years for the fusion and 6.5 years for the prosthesis. We evaluated grip strength, pain according to the visual analogue scale, functional results using the Quick Disabilities of the Arm, Shoulder and Hand and the Patient-Rated
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Editorial J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2022-12-20 Anna Elander
Published in Journal of Plastic Surgery and Hand Surgery (Vol. 56, No. 6, 2022)
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Corset trunkoplasty is able to preserve postoperative abdominal skin sensation in massive weight loss patients J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2022-12-15 Kathrin Bachleitner, Maximilian Mahrhofer, Friedrich Knam, Thomas Schoeller, Laurenz Weitgasser
Abstract Conventional abdominoplasty techniques commonly cause postoperative peri- and infraumbilical skin hypesthesia due to abdominal skin flap undermining. The aim of this study was to evaluate abdominal skin sensation after corset trunkoplasty in massive weight loss patients. Forty-nine massive weight loss patients suffering from excess skin underwent corset trunkoplasty between April 2017 and
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Evaluation of an assessment scale for aesthetic outcome in breast reconstructions based on digital photos in both 2D and 3D format J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2022-12-12 Linda Tallroth, Nathalie Mobargha, Patrik Velander, Stina Klasson, Magnus Becker
Abstract The aesthetic outcome is crucial in a breast reconstruction. Our aim was to evaluate the intra- and interrater reliability of an aesthetic outcome assessment scale with digital photos of breast reconstructions in two-dimensional (2D) and three-dimensional (3D) format. Thirty-three women with delayed breast reconstructions, consecutively participating in a five-year follow-up between November
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A mini hallux neurovascular osteo-onychocutaneous free flap for refined reconstruction of distal defects in thumbs and fingers J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2022-12-09 Xianyu Zhou, Di Sun, Fei Liu, Wen Jun Li, Chuan Gu, Ling Ling Zhang
Abstract Distal injury in thumbs and fingers is common in emergency. Although multiple surgical techniques have been introduced for repair purpose, it is still challenging for restoring both good function and cosmetic appearance. The present study reports our experiences on how to reconstruct amputated fingertips in thumbs and fingers using a mini hallux neurovascular osteo-onychocutaneous free flap
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Clinical effects of resurfacing fingertip amputations in long fingers using homodigital dorsal neurofascial broaden pedicle island flaps J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2022-12-09 Zhongqing Ji, Rongjun Nie, Shiyan Li, Chuancheng Liu, Bin Wei, Chunyong Zhu
Abstract The use of homodigital dorsal neurofascial broaden pedicle island flaps (HDNBPIF) to treat fingertip amputations is an ongoing research topic. Here, we evaluated the clinical effects of resurfacing fingertip amputations in long fingers using HDNBPIF. Seventeen patients with 18 long fingers were treated with HDNBPIF from December 2018 to May 2021. Total active motion (TAM) scores, Semmes Weinstein
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Use of acellular dermal matrix in peripheral nerve reconstruction: an experimental study on rat sciatic nerve defect J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2022-12-08 Fatih Ceran, Ozgur Pilanci, Asuman Ozel, Gul Ilbay, Rukiye Karabacak, Mehmet Kanter, Konuralp Ilbay, Samet Vasfi Kuvat
Abstract Background In patients with nerve tissue defects, the use of autologous nerve grafts is the standard method of treatment. Alternatives to autologous, nerve grafts have attracted the attention of reconstructive surgeons. In this study, the results of nerve repairs using acellular dermal matrix (ADM) in an experimental rat sciatic nerve defect model are presented. Methods Thirty-six Sprague-Dawley
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Single versus dual venous anastomosis in radial forearm free flaps in head and neck reconstruction J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2022-12-07 Hanjin Ruan, Zhengxue Han
Abstract A retrospective cohort study of 253 radial forearm free flap (RFFF) procedures in head and neck reconstruction performed in our department between 2005 and 2018 was reviewed. In order to explore the effects between single and dual anastomoses, we applied Fisher’s exact test for statistical analysis. Although no flap failure was identified, more venous compromises were observed in single anastomosis
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Lateral supramalleolar flap for soft-tissue coverage of ankle and foot defects J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2022-12-06 Thach Ngoc Nguyen, Tuong Trong Mai, Thi Cao, Truc Thanh Thai
Abstract The reconstruction of soft tissue defects in the foot and ankle remains a big challenge due to the anatomical characteristics of this area. This study evaluated the long-term effectiveness of covering by lateral supramalleolar flap in patients with soft tissue defects around the ankle and foot. We conducted a retrospective study from January 2017 to December 2020 at the Hospital for Traumatology
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Endovascular therapy and free flap transfer in chronic limb-threatening ischemia J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2022-11-26 Shoichi Ishikawa, Kiyohito Arai, Takeshi Kurihara, Tomoya Sato, Shigeru Ichioka
Abstract Although revascularization has evolved, treating foot gangrene with chronic limb-threatening ischemia remains challenging. There have been many reports on bypass surgery and free flap transfer. Meanwhile, few studies have reported on endovascular therapy and free flap transfer, with high flap survival rates and high wound complication rates. Wound complications are a serious problem that can
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Outcomes of perineal wound closure techniques after abdominoperineal resections in rectal cancer: an NSQIP propensity score matched study J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2022-11-26 Jose L. Cataneo, Sydney A. Mathis, Diana D. del Valle, Alejandra M. Perez-Tamayo, Anders F. Mellgren, Gerald Gantt Jr., Lee W. T. Alkureishi
Abstract Perineal defects following abdominoperineal resections (APRs) for rectal cancer may require myocutaneous or omental flaps depending upon anatomic, clinical and oncologic variables. However, studies comparing their efficacy have shown contradictory results. We aim to compare postoperative complication rates of APR closure techniques in rectal cancer using propensity score-matching. The American
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Health-related quality of life of children treated for non-syndromic craniosynostosis J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2022-11-21 Marizela Kljajić, Giovanni Maltese, Peter Tarnow, Peter Sand, Lars Kölby
Abstract Health-related quality of life (HRQoL) allows the acquisition of the subjective perspective of patients regarding their health and function; yet a very few studies have been evaluated HRQoL of patients treated for craniosynostosis (CS). In this retrospective, descriptive cohort study, school-aged children (7–16 years) treated for non-syndromic CS were assessed using the Pediatric Quality of
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10-Year single center experience in lower limb reconstruction with free muscle flaps – factors influencing complications in 266 consecutive cases J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2022-11-14 Inga S. Besmens, Florian S. Frueh, Christina Gehrke, Sophie Knipper, Pietro Giovanoli, Maurizio Calcagni
Abstract The anatomy and technique of free muscle flaps – in particular gracilis flap and latissimus dorsi flap – in lower extremity reconstruction have been well described. There is a paucity of data on potential risk factors in larger patient series that affect the outcome. The objective of this study was to address this lack of knowledge by reporting outcomes and complications of free muscle flaps
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Anatomic study of septocutaneous system of the human fetuses’ lower leg: peroneal artery J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2022-11-11 Goran Stevanović, Stefan Momčilović
Abstract The septocutaneous system of the lower leg perforating blood vessels consists of a vascular basis of fasciocutaneous flaps. This system is of particular importance when designing distally based fasciocutaneous flaps that are the ‘workhorse’ in reconstructing the distal third of the lower leg and foot. The aim of this study was to provide a comprehensive, clear and conclusive overview of the
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Surgical flap delay to allow primary transabdominal transplantation of extended rectus abdominis myocutaneous flaps in increasingly complex pelvic wound reconstructions J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2022-11-07 Maurits Lange, J. Joris Hage, Arend Aalbers, Esther M. K. Wit, Frédéric Amant, Marije J. Hoornweg
Abstract Primary intra- or transabdominal transplantation of an extended rectus abdominis myocutaneous (ERAM) flap may help prevent surgical complications of pelvic resections. Surgical delay of the ERAM flap may help prevent intra-abdominal (partial) flap loss after transplantation in highly complex situations including previous irradiation. We report on the outcome of this approach and the risk-factors
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Is conservative management of partial zone II flexor tendon laceration possible? A systematic literature review and meta-analysis J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2022-10-19 Young Woong Mo, Da Hye Ryu, Gyo-Young Cho, Jong Won Hong
Abstract Background: There is still no consensus on managing zone II level partial flexor tendon lacerations, and the management of zone II partial flexor tendon injuries is controversial. No reliable large cohort studies or metaanalysis papers on partial flexor tendon laceration management are available in PubMed or Embase. Methods: We searched PubMed, Embase, Cochrane Library, Insight, Scopus, and
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Experience of a single center in the treatment of rare malignant peripheral nerve sheath tumors during the years 1991–2021 J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2022-10-16 Anna Ptchelintseva, Henrik Nuutinen, Juho Salo, Erkki Tukiainen
Abstract Malignant peripheral nerve sheath tumor (MPNST) is a rare sarcoma with a poor prognosis, as the aggressive types of this cancer tend to grow rapidly and metastasize frequently. MPNST is associated with neurofibromatosis type 1 gene mutation. The minority of cases arise secondary to radiation therapy or sporadically. The primary treatment for MPNST is early surgical resection of the tumor.
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SESQ, a patient-reported outcome instrument addressing excess skin; report on the updated version and the validation process J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2022-09-10 Christina Biörserud, Anna Elander, Monika Fagevik Olsén
Abstract Excess skin after weight loss is perceived as a major problem for the majority of the bariatric patients, between 68 and 90% desire additional reconstructive surgery. However, only about 20% of the patients actually have the possibility to undergo these procedures. Reliable and valid patient-reported outcome instruments, PROM, are required in order to consider the patients’ perspective of
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Outcomes of smooth round implant-based immediate breast reconstruction: Long-term follow-up results J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2022-09-08 Soo Hyun Woo, In Ah Yoon, Eun Jeong Choi, Hyun Ho Han, Jin Sup Eom, Taik Jong Lee, Eun Key Kim
Abstract The issue of breast implant-associated anaplastic large cell lymphoma in 2019 has resulted in the discontinuation of textured breast implants and resumption in the use of smooth round implants. However, in the field of breast reconstruction, long-term follow-up data for direct-to-implant reconstruction using smooth round implants is insufficient. This retrospective study aimed to evaluate
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Comparing the outcomes of fingertip-to-palm and fingertip-to-forearm two-stage flexor tendon reconstruction for isolated flexor digitorum profundus tendon injuries J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2022-09-08 Osman Orman, Ethem Ayhan Ünkar, Kahraman Öztürk
Abstract Flexor tendon injuries of the hand have devastating consequences when primary tendon repair fails or left untreated in the first place. Flexor tendon reconstruction is a substantial treatment option to obtain functional digit. In this study, we aimed to compare the functional outcomes and technical feasibility of fingertip-to-palm and fingertip-to-forearm tendon reconstruction methods. Thirty-five
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Excision and adjuvant treatment to prevent keloid recurrence. – a systematic review of prospective, clinical, controlled trials J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2022-07-18 Julie R. Bjerremand, Ann Haerskjold, Katrine E. Karmisholt
Abstract Keloids are defined as the formation of collagen-rich scar tissue extending beyond the original lesion. Not all keloids respond to conventional treatment with intralesional triamcinolone injections. Recurrence of keloids after primary excision is reported in almost 100% of cases and should therefore always be followed by adjuvant treatment. Currently, consensus on preferred adjuvant treatment
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Associations of discharge destination and length of stay in lower extremity free flap reconstruction J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2022-07-18 Daniel Donato, Jacob Veith, Kathleen Holoyda, David Magno-Padron, Andrew Simpson, Brody King, Jayant Agarwal
Abstract Patients with lower extremity defects requiring free flap reconstruction often have difficult postoperative courses with prolonged length of stay and need for transfer to a post-acute care facility. The primary aim of this study was to determine associations of preoperative and perioperative variables with length of stay and discharge destination in patients undergoing lower extremity free
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Factors affecting cell viability and the yield of adipose-derived stromal vascular fraction J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2022-07-12 E. Cigdem Karadag Sari, Ercument Ovali
Abstract The stromal vascular fraction (SVF) is isolated from adipose tissue and has tremendous regenerative potential for proliferation and differentiation. This study aimed to investigate the factors affecting the cell yield and viability of the SVF to improve the outcomes of its clinical applications and enhance its clinical usage. We performed a retrospective analysis with 121 patients who underwent
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A national registry-based study of surgery and demography comparing internationally adopted and children born in Sweden with cleft lip and/or palate J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2022-07-08 Johnna Sahlsten Schölin, Sara Rizell, Anna Paganini, Hans Mark
Abstract This national registry-based study compares surgical procedures, demography, and concurrent medical conditions, in internationally adopted and Swedish-born children with cleft lip and/or palate until the age of five years. Data on the cleft type and gender for 331 internationally adopted children and 2064 Swedish-born children born from 2007 to 2018, were extracted from the registry and analyzed
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How long does it to achieve sagittal realignment of the displaced epiphysis in Salter-Harris type II distal radial fracture when treated by manual reduction? J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2022-06-24 Seung Hoo Lee, Hyun Dae Shin, Eun-Seok Choi, Soo Min Cha
Abstract This study aimed to investigate how long it takes for the dorsally displaced distal radial epiphysis to achieve realignment. We retrospectively reviewed 56 patients with dorsally displaced Salter-Harris type II distal radial epiphyseal fractures who were aged ≤15 years at the time of injury. All fractures were treated with closed reduction and immobilised using a sugar tong splint for 6 weeks
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Reverse homodigital dorsal wraparound flap for reconstruction of distal thumb J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2022-06-20 Hui Wang, Xiaoxi Yang, Yongxin Huo, Ruizheng Hao, Bin Wang, Wei Wang
Abstract Reconstruction of degloving injury or amputation of distal thumb with no indication of replantation has always been a challenging problem for hand surgeons. In this study, a reverse homodigital dorsal wraparound flap innervated by the dorsal digital nerve was devised to repair degloving injury or amputation of distal thumb in 20 consecutive cases. In nine cases of thumb amputation, we skeletonized
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Technique and biomechanical properties of the side-to-side Z-lengthening in spasticity-correcting surgery- a study on porcine tendons J. Plast. Surg. Hand Surg. (IF 1.2) Pub Date : 2022-06-17 Joakim Strömberg, Johan Berg, Carina Reinholdt
Abstract Spasticity-correcting surgery in patients with injuries to upper motor neurons include various techniques, including tenotomies and lengthening of tendons of spastic muscles. Early mobilization including active loading of a lengthened tendon is essential to prevent adhesion formation, which necessitates a lengthening technique that resists the forces produced by the involved muscles. This