Using Free Arterialized Venous Flaps for Reconstructing Hand Defects

2021 ◽  
Vol 41 (2) ◽  
pp. 121-123
Author(s):  
Miriam Alonso-Carpio ◽  
Alberto Pérez-García ◽  
Alessandro Thione ◽  
Enrique Salmerón-González ◽  
Eloy Condiño-Brito ◽  
...  
Keyword(s):  
Venous Flaps ◽  
Hand Defects

scholarly journals Hand Surgery in Saudi Arabia

2020 ◽  
Author(s):  
Abdullah E. Kattan ◽  
Mohammad M. Al-Qattan
Keyword(s):  
Saudi Arabia ◽  
Orthopedic Surgery ◽  
Significant Contribution ◽  
Hand Surgery ◽  
Fellowship Program ◽  
Novel Mutations ◽  
Work Related ◽  
The Past ◽  
Aesthetic Results ◽  
Hand Defects

AbstractHand surgery is a unique field that incorporates multiple specialties, aiming to provide the patient with a best possible functional and aesthetic results. Hand surgeons deal with different pathologies that require skills in several aspects of surgery. The field of hand surgery has evolved significantly over the past decades across the globe. This specialty has also been evolving in Saudi Arabia over the past 25 years. Some of the services offered to patients include specialized centers for brachial plexus, peripheral nerve, and pediatric hand surgery as well as centers for work-related hand injuries. There has also been significant contribution to the hand surgery literature from the hand surgeons working in Saudi Arabia, with hundreds of papers published in journals pertaining to hand surgery, orthopedic surgery, and plastic surgery, as well as the publication of several novel mutations causing congenital hand defects in journals concerned with genetics. The recent approval of a hand and microsurgery fellowship program in Saudi Arabia will also help boost this field in the country and the region.

Repair of soft tissue defects in finger, thumb and forearm: less invasive methods with similar outcomes

2018 ◽  
Vol 43 (10) ◽  
pp. 1019-1029 ◽  
Author(s):  
David Elliot ◽  
Roberto Adani ◽  
Sang Hyun Woo ◽  
Jin Bo Tang
Keyword(s):  
Soft Tissue ◽  
Skin Graft ◽  
Soft Tissue Defects ◽  
Flap Transfer ◽  
Less Invasive ◽  
Defect Site ◽  
Venous Flaps ◽  
Occlusive Dressings ◽  
Recent Developments ◽  
Tissue Defects

We review recent developments in using occlusive dressings, dermal templates, and venous flaps for less invasive approaches to treat soft tissue defects of the forearm and fingers. Occlusive dressings can be used for thumb tip or fingertip trauma with soft tissue defects of small or moderate sizes. They permit skin regeneration without use of skin graft or a flap transfer. This is currently a popular way to treat tip soft tissue defects in European countries. Extensive soft tissue defects in the thumb, fingers, hand and forearm require flap transfers traditionally, but in recent years, surgeons use dermal templates to cover the defect site to allow regeneration of subcutaneous tissues, over which a skin graft is used in lieu of a flap. Transfer of a venous flap is currently a reliable procedure and is less invasive compared with conventional flaps, which usually damage a named artery in the donor. We advocate that less invasive methods should be considered for soft tissue defects in the hand and forearm.

Reconstruction of complex hand defects using trapezoidal osteocutaneous free fibular flap

Microsurgery ◽  
2019 ◽  
Vol 40 (3) ◽  
pp. 306-314
Author(s):  
Ahmad Addosooki ◽  
Elsayed Said ◽  
Mohamed Kenawey ◽  
Mohamed A. Yousef
Keyword(s):  
Free Fibular Flap ◽  
Hand Defects ◽  
Fibular Flap

scholarly journals Vascularized tendon graft to the central slip using a finger fillet flap

2020 ◽  
Vol 2020 (6) ◽  
Author(s):  
Jonathan Rogozinski ◽  
R Michael Johnson
Keyword(s):  
Burn Injury ◽  
Flexor Tendon ◽  
Extensor Tendon ◽  
Tendon Graft ◽  
Spare Parts ◽  
Fillet Flap ◽  
Hand Defects ◽  
Central Slip ◽  
Trauma Algorithm

Abstract Burn boutonniere deformity (BBD) treatment remains a challenge in reconstructive surgery. Severe hand defects after burn/trauma may be reconstructed with nonsalvageable or amputated tissue. The fillet flap (FF) is generally used as “spare parts” in the trauma algorithm for mangled extremities. This case study examines the use of a FF with concurrent repair of the adjacent finger extensor tendon with the amputated finger flexor tendon after burn injury. The goal is to provide adequate tissue coverage using a finger FF while concurrently reconstructing the central slip of the extensor tendon with the transposed flexor tendon from an adjacent nonfunctional digit. After reconstruction, no subluxation of the extensor tendon occurred with manipulation. Despite prolonged rehabilitation due to injuries, the surgical site healed appropriately. Single-stage FF reconstruction with vascularized tendon grafts should be considered in selected patients with BBD. This novel idea can be applied to the management of traumatized extremities.

Clinical and Molecular Description of 16 Families With Heterozygous IHH Variants

2020 ◽  
Vol 105 (8) ◽  
pp. 2654-2666
Author(s):  
Lucía Sentchordi-Montané ◽  
Sara Benito-Sanz ◽  
Miriam Aza-Carmona ◽  
Arrate Pereda ◽  
Manuel Parrón-Pajares ◽  
...  
Keyword(s):  
Short Stature ◽  
Functional Characterization ◽  
Phenotype Correlation ◽  
Normal Height ◽  
Skeletal Anomalies ◽  
Targeted Next Generation Sequencing ◽  
Hand Defects ◽  
Generation Sequencing ◽  
Complete Deletion ◽  
Molecular Description

Abstract Context Heterozygous variants in the Indian hedgehog gene (IHH) have been reported to cause brachydactyly type A1 and mild hand and feet skeletal anomalies with short stature. Genetic screening in individuals with short stature and mild skeletal anomalies has been increasing over recent years, allowing us to broaden the clinical spectrum of skeletal dysplasias. Objective The objective of this article is to describe the genotype and phenotype of 16 probands with heterozygous variants in IHH. Patients and Methods Targeted next-generation sequencing or Sanger sequencing was performed in patients with short stature and/or brachydactyly for which the genetic cause was unknown. Results Fifteen different heterozygous IHH variants were detected, one of which is the first reported complete deletion of IHH. None of the patients showed the classical phenotype of brachydactyly type A1. The most frequently observed clinical characteristics were mild to moderate short stature as well as shortening of the middle phalanx on the fifth finger. The identified IHH variants were demonstrated to cosegregate with the short stature and/or brachydactyly in the 13 probands whose family members were available. However, clinical heterogeneity was observed: Two short-statured probands showed no hand radiological anomalies, whereas another 5 were of normal height but had brachydactyly. Conclusions Short stature and/or mild skeletal hand defects can be caused by IHH variants. Defects in this gene should be considered in individuals with these findings, especially when there is an autosomal dominant pattern of inheritance. Although no genotype-phenotype correlation was observed, cosegregation studies should be performed and where possible functional characterization before concluding that a variant is causative.

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