scholarly journals Retrospective Study of 20 Patients that has Treated with Pedicled Groin Flap in Reconstruction in Hand Injuries

2021 ◽  
Vol 1 (3) ◽  
Author(s):  
Hokleang LY
Keyword(s):  
Hand Surgery ◽  
Hand Injuries ◽  
Tissue Loss ◽  
Phnom Penh ◽  
Groin Flap ◽  
Hand Defects ◽  
Male Patients ◽  
Soft Tissue Loss ◽  
Clinical Conditions ◽  
Future Practice

Pedicled groin flap has long been playing an important role in reconstructive hand surgery. This flap is a reliable method for closing the defects of the soft tissue loss of the hand and is used in many clinical conditions. This study aims to evaluate the epidemiology and geographic aspects of the patients that required the treatment with pedicled groin flap and to assess the outcomes achieved by the Children’s Surgical Centre to help guide the future practice. We studied of 20 patient that has treated with pedicled groin flap reconstruction of the hand injuries between 2009 and 2019 at the Children’s Surgical Centre, Kien Klerng, Phnom Penh, Cambodia. In this study pedicled groin flap was used in 20 patients aged between 7 to 56 years, with a mean of 31 years or 40 % of all patients. The sex ratio M/F was 1.5 which was 12 male patients (60 %) and 08 female patients (40 %). The main cause of patient hand defects was from contracture related to burn sequelae which is 70 %.

scholarly journals Groin Flap: A Good Converge for Hand Injury

1970 ◽  
Vol 7 (1) ◽  
pp. 15-19
Author(s):  
Md Shamsuzzaman ◽  
SK Borhan Uddin ◽  
Md Masoom ◽  
Md Anowarul Islam ◽  
Azizul Haque
Keyword(s):  
Soft Tissue ◽  
Hand Function ◽  
Hand Injury ◽  
Tissue Loss ◽  
Hand Trauma ◽  
Groin Flap ◽  
Flap Loss ◽  
Soft Tissue Loss

Fifty cases of hand trauma of different aetiology with soft tissue loss with exposed tendons and bones were treated in NITOR and DMCH, Dhaka between January '97 and December '02 with groin flap. Eighty three percent (83%) cases have good results with excellent flap adhesion and no flap loss. Seventeen percent (17%) cases have some degree of flap loss which were taken to be acceptable. Overall result in terms of restoring the hand function was encouraging which was approximately eighty eight percent (88%).   DOI = 10.3329/jom.v7i1.1357 J MEDICINE 2006; 7 : 15-19

Free ‘Mini’ Groin Flap for Digital Resurfacing

2009 ◽  
Vol 34 (3) ◽  
pp. 336-342 ◽  
Author(s):  
M. TARE ◽  
V. RAMAKRISHNAN
Keyword(s):  
Operating Time ◽  
Free Tissue Transfer ◽  
Tissue Loss ◽  
Team Approach ◽  
Groin Flap ◽  
Skin Loss ◽  
Post Traumatic ◽  
The Mean ◽  
Soft Tissue Loss ◽  
Average Size

Ten cases of post-traumatic skin and soft tissue loss over the digits were resurfaced by free ‘mini’ groin flap. Five patients had defects of the dorsum of the digit, three had proximal palmar defects, one patient had circumferential skin loss and one had multiple digital injuries. The flap was harvested from the contralateral groin using a two-team approach. The average size of the flap was 5.5 × 4.75 cm and the mean operating time was 2.45 hrs. All patients had physiotherapy within 48–72 hrs. There were no flap losses. Six patients were happy with the cosmetic result and did not require any further debulking. We recommend free tissue transfer for digital resurfacing specifically in moderate to large dorsal defects, proximal volar defects, circumferential skin loss and multiple digit injuries.

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.

scholarly journals Treatment of digital ulcers in systemic sclerosis: Case series study of thirteen patients and discussion on outcome

2017 ◽  
Vol 63 (5) ◽  
pp. 422-426 ◽  
Author(s):  
Yahia Abuowda ◽  
Raquel Sousa Almeida ◽  
Ana Alves Oliveira ◽  
Petra Pego ◽  
Cristina Santos ◽  
...  
Keyword(s):  
Systemic Sclerosis ◽  
Treatment Protocol ◽  
Treatment Strategies ◽  
Case Series ◽  
Tissue Loss ◽  
Repeated Treatment ◽  
Digital Ulcers ◽  
Case Series Study ◽  
Clinical Description ◽  
Soft Tissue Loss

Summary Introduction: In systemic sclerosis (SSc), digital ulcers (DU) are debilitating and recurrent. They are markers of prognosis and are associated with disability and mortality. Treatment strategies have been developed to block the proposed mechanisms of this complication. Objective: Clinical description of a population of SSc patients with DU, treatment, complications and outcome. Method: Analysis of 48 SSc patients meeting 2013 ACR-EULAR criteria, followed between 1999-2015; 13 patients had DU. Treatment protocol applied included cycles of 21 days of alprostadil, which can be repeated in the absence of DU healing. After DU healing, bosentan was initiated. Results: DU healing was achieved with intravenous prostanoid in 12 patients; seven patients required repeated treatment for DU healing. Twelve patients were later treated with bosentan; three of them experienced recurrence of DU, while one was anti-B2-GPI positive. Four patients had soft tissue loss and three other suffered digital amputation, these being late diagnosis. Conclusion: Younger patients and early referrals had better outcomes. Endothelin receptor antagonist toxicity should be monitored, particularly in patients previously exposed to hepatotoxic drugs.

Injectable Soft Tissue Nano/Micro Fillers for Facial Reconstruction

2021 ◽  
Vol 17 (1) ◽  
pp. 1-17
Author(s):  
Yue Pan ◽  
Ying Hao ◽  
Yao Xiao ◽  
Kun Shi ◽  
Ying Qu ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Facial Reconstruction ◽  
Soft Tissue Augmentation ◽  
Tissue Loss ◽  
Competitive Performance ◽  
Filling Materials ◽  
Tissue Augmentation ◽  
Soft Tissue Loss ◽  
Injectable Fillers ◽  
Micro Fillers

Soft Tissue augmentation is a way to restore lost tissue and also a way to reshape confidence for patients who suffer from soft tissue loss. Materials that can realize such a function are called soft tissue fillers. Among the large number of fillers, injectable fillers have attracted widespread attention in facial cosmetic fields due to their convenience and competitive performance. Meanwhile, there is a huge demand for better injectable soft tissue fillers in medical cosmetology market. This review introduces several fillers which were once used in clinical or are now still in use. Furthermore, we update recent improvements and progress on injectable filling materials hoping to contribute to its further developments.

The Role of Cross-Finger Flaps in the Primary Management of Untidy Flexor Tendon Injuries

1993 ◽  
Vol 18 (3) ◽  
pp. 408-408
Author(s):  
D. T. Gault ◽  
A. A. Quaba
Keyword(s):  
Flexor Tendon ◽  
Favourable Outcome ◽  
Tendon Injuries ◽  
Tissue Loss ◽  
Traditional Teaching ◽  
Flexor Tendon Injuries ◽  
Soft Tissue Loss ◽  
Primary Management

This is a report of five patients who sustained untidy division of flexor tendons in zones 1 and 2, associated with overlying soft tissue loss. Contrary to traditional teaching, the tendon injuries were repaired primarily, and the tissue loss was made good with a cross-finger flap. At final evaluation, three cases were assigned excellent grades and two cases fair grades by Kleinert criteria. This unexpectedly favourable outcome may be due to a quality of the inner surface of the cross-finger flap and/or to staggering of the skin and tendon suture lines.

scholarly journals Ischemic Hand Complications From Intra-Arterial Injection of Sublingual Buprenorphine/Naloxone Among Patients With Opioid Dependency

Hand ◽  
2016 ◽  
Vol 12 (5) ◽  
pp. 507-511 ◽  
Author(s):  
Ryan M. Wilson ◽  
Shady Elmaraghi ◽  
Brian D. Rinker
Keyword(s):  
Treatment Algorithm ◽  
Hand Surgery ◽  
Tissue Loss ◽  
Opioid Dependency ◽  
Sublingual Buprenorphine ◽  
Review Period ◽  
Intravenous Heparin ◽  
Oral Agents ◽  
Clinical Records

Background: Sublingual buprenorphine/naloxone, a common treatment for opioid dependence, is frequently abused by intravenous injection. Inadvertent intra-arterial injection of buprenorphine/naloxone can produce acute ischemic insult to the hand due to gelatin embolism. Our purpose was to review a series of these patients in order to describe the clinical entity, review the outcomes, and propose a rational treatment algorithm. Methods: Clinical records of all patients evaluated by the hand surgery team between 2011 and 2015 for ischemia of the hand after buprenorphine/naloxone injection were reviewed. Treatment, complications, and amount of tissue loss were recorded. Patients presenting within 48 hours of the injection were treated with intravenous heparin for 5 days, followed by oral aspirin and clopidogrel for 30 days. Those presenting after 48 hours were treated with aspirin and clopidogrel only. Results: Ten patients presented during the review period. Average follow-up time was 13 weeks. Eight had ischemia of the radial side of the hand, 1 of the ulnar side, and 1 had bilateral ischemia. Three patients were treated with intravenous heparin and 5 with oral agents. Two presented with dry gangrene and did not receive anticoagulation. All patients experienced tissue loss. There was no difference in outcome regardless of treatment. Conclusions: With the increasing use of sublingual buprenorphine/naloxone in opioid dependency, ischemic hand injuries will be seen with greater frequency. Whereas outcomes did not vary with treatment modality in this series, further study is needed to determine the most effective treatment of these injuries.

scholarly journals Biomaterials – Novel Advances in Nasal Medical Implants, 3D Printing Applications

2021 ◽  
pp. 52-64
Author(s):  
T. M. Amulya ◽  
K. G. Siree ◽  
T. M. Pramod Kumar ◽  
M. B. Bharathi ◽  
K. Divith ◽  
...  
Keyword(s):  
3D Printing ◽  
Tissue Loss ◽  
Medical Implants ◽  
Anatomical Structures ◽  
Regulatory Aspects ◽  
3D Printed ◽  
Targeting Ability ◽  
Soft Tissue Loss ◽  
Biodegradable Biomaterials ◽  
High Degree

The scope and applications of biomaterials have spread out throughout a broad spectrum. Particularly in pharmacy, biomaterials are an attractive choice because they can be modified to decrease toxicity, increase the targeting ability among many other aspects of drug delivery. Extensive studies have led to the development of many metal-based, ceramic, biocompatible and biodegradable biomaterials for medical purposes among many others. The utilization of 3D printing in this discipline is a very novel research subject with infinite potential. Personalized and customized nasal implants are a great option to increase patient compliance and 3D printed accurate anatomical structures are rendered to be effective tools of learning. One of the disadvantages of biomaterial-based implants is the formation of a thick fibrous capsule formation around the implant, others being breakage, soft tissue loss and so on. Regulatory aspects are less explored for nasal implants. 3D printing is a unique technique that allows for a high degree of customisation in pharmacy, dentistry and in designing of medical devices. Current research in 3D printing indicates towards reproducing an organ in the form of a chip; paving the way for more studies and opportunities to perfecting the existing technique.

scholarly journals Intravascular Shunt in Management of Limb Trauma- A Review

2021 ◽  
pp. 274-281
Author(s):  
Hashem Bark Awadh Abood ◽  
Abdulaziz Munahi Alanazi ◽  
Falah Bader Alhajraf ◽  
Wejdan Nawaf Mesfer Alotaibi ◽  
Bushra Saad Alghamdi ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Lower Limb ◽  
Patient Survival ◽  
Survival Rates ◽  
Tissue Loss ◽  
Vascular Injuries ◽  
Limb Trauma ◽  
Life Threatening ◽  
Arterial Insufficiency ◽  
Soft Tissue Loss

Vascular injuries to the upper or lower limb in the context of significant soft tissue loss, fractures, or other life-threatening injuries are associated with a high amputation rate. Complex extremity vascular injuries in which acute arterial insufficiency combined with severe or prolonged shocks are unacceptable because warm, warm, skeletal muscle time is often exceeded before adequate revascularization, and are associated with extended ischemia periods or fractures or soft tissue wounds. Revascularizing the limb is essential for the success of the limb rescue. Selective intravascular temporary shunting hence allows better overall care of the patient and can therefore be predicted to increase both limb rescue and patient survival rates. The aim of this article was to review and summarize results of previous literature regarding effectiveness on intravascular shunting as management of limb trauma as well as reviewing its potential complications.

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