Recording Congenital Differences of the Upper Limb

2003 ◽  
Vol 28 (3) ◽  
pp. 205-214 ◽  
Author(s):  
A. J. M. LUIJSTERBURG ◽  
G. J. SONNEVELD ◽  
CHR. VERMEIJ-KEERS ◽  
S. E. R. HOVIUS

Consistent classification of congenital differences of the upper limb is of paramount importance for the study of the pathogenesis. To overcome the inconsistencies of present classifications, a non-classifying recording method has been developed. This method records individual aberrations, including bone and soft-tissue defects. Between 1996 and 1998, a prospective study was performed to validate the method. Two hundred and thirty-one patients with upper limb differences were assessed, and all individual aberrations were recorded. These data can be transferred to any classification. It is concluded that the presented method will allow consistent grouping of patients without losing details about simple and complex differences.

Injury ◽  
2014 ◽  
Vol 45 (7) ◽  
pp. 1042-1048 ◽  
Author(s):  
Jean-Maxime Alet ◽  
Romain Weigert ◽  
Jean-Claude Castede ◽  
Vincent Casoli

2020 ◽  
pp. 70-72
Author(s):  
Vishwamitra B Dayal ◽  
M. Senthil Kumaran ◽  
S Raja Sabapathy

Introduction: Major crush injury of elbow joint following trauma with extensive injury to skin & soft tissue, bone, tendon, nerves and vessels remains a challenge to the reconstructive surgeon. Purpose of this study is to nd out whether the size of the defect, type of ap used and the location of the soft tissue defect inuence the outcome of soft tissue reconstruction. Material and methods: A prospective study was performed in all patients with soft tissue defects around the elbow in need of ap cover at Ganga Medical Centre Coimbatore, Tamilnadu India from April 2014 to December 2015.Patients demographics, defect size, location, type of ap used, complications and long – term outcomes analysed. Patients Mayo elbow performance score and Likert scale score were recorded for analysis of functional and aesthetic outcome respectively. The Kruskal wallis test was used for statistical comparison. Results: Forty three aps were performed primarily for coverage in forty patients. Three patients required two primary aps for reconstruction. The aps used in our study included 14 local fasciocutaneous aps (32.5%); 20 pedicled aps both locoregional and distant (46.5%) and 9 2 2 Anterolateral thigh free aps (20.9%) The average defect size was 151 cm . For local fasciocutaneous ap the average defect size was 44.7cm , 2 2 2 2 2 (range, 4-120 cm ), distant pedicled ap was181 cm (range 24- 600 cm ) and for the ALT free ap was 252.2 cm (range 80-450 cm ). Conclusion: The defect size is the main determinant of the type of ap used and their outcomes.


Author(s):  
Elena Lucattelli ◽  
Irene Laura Lusetti ◽  
Federico Cipriani ◽  
Alessandro Innocenti ◽  
Giorgio De Santis ◽  
...  

2021 ◽  
Vol 74 (8) ◽  
pp. 1900-1904
Author(s):  
Ihor R. Trutyak ◽  
Nazar R. Kalynovych ◽  
Roman I. Trutiak ◽  
Maria Y. Kuzeikiv

The aim: Develop a classification of post-traumatic soft tissue defects of the hand to standardize the care of this group of patients. And in order to simplify the choice of plastic technic for post-traumatic soft tissue defects of the hand by surgeons and traumatologists. Materials and methods: We analyzed the treatment of 54 patients with hand injury and PTSTD. 14 physicians used AFC in the choice of surgical method for the closure of PTSTDH. The practical application of AFC and effectiveness of providing medical care to patients with PTSTDH was performed on a ten-point scale by anonymous questioning immediately at the time of discharge from the hospital and 6 months after the injury. Results: The results of the practical application analysis of AFC by physicians were as follows: «convenience» – 8.7 ± 0.6; «usefulness» is 9.4 ± 0.2. The results of treatment for 54 patients were: hands «functionality» – 8,3 ± 0,4, «aesthetics» – 7,6 ± 1,7. The results in the retrospective group, in which the AFC was not applied, were as follows: «functionality» – 6.8 ± 0.7, and «aesthetics» – 5.6 ± 1.1 Conclusions: The proposed AFC of PTSTDH help to choose the proper method of surgical management and get good results.


2004 ◽  
Vol 37 (02) ◽  
pp. 129-130 ◽  
Author(s):  
Jagannath B. Kamath ◽  
Chitta Ranjan Sahu ◽  
Thangam Verghese Joshua

ABSTRACTAbdominal and groin flaps are the main workhorse for soft tissue defects in hand injuries. A simple and easy method is being described for immobilising the upper limb following abdominal and groin flaps for soft tissue defects of the hand using commonly available clavicular braces. This is devoid of all the problems of immobilisation using the common methods such as adhesive plasters and pin fixators and has its own advantages.


2009 ◽  
Vol 81 (11) ◽  
Author(s):  
Adam Domanasiewicz ◽  
Leszek Kaczmarzyk ◽  
Maciej Paruzel ◽  
Jerzy Jabłecki

2011 ◽  
Vol 127 (1) ◽  
pp. 293-302 ◽  
Author(s):  
Chun-Yang Wang ◽  
Yi-Min Chai ◽  
Gen Wen ◽  
Pei-Hua Cai ◽  
Lu-Yuan Sun ◽  
...  

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