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Hand (N Y) 2019 Feb 14:1558944719828005. Epub 2019 Feb 14.

1 University of Toronto, Toronto, ON, Canada.

Background: Tendon adhesions and capsular contractures following trauma to the proximal interphalangeal joint (PIPJ) may significantly reduce hand function. Traditional, staged surgical management prioritizes restoration of PIPJ passive range of motion with joint release prior to restoration of active range of motion (AROM) with tenolysis. This is expensive and burdensome for patients. Read More

Hand (N Y) 2019 Feb 14:1558944719828002. Epub 2019 Feb 14.

1 New York University Langone Orthopedic Hospital, New York City, USA.

Background: The general teaching is that increased number of vein repairs in digit replantation leads to improved venous outflow, resulting in lower need for iatrogenic bleeding, lower postoperative transfusion requirements, and better survival rates. The purpose of this study was to determine whether the traditional teaching that emphasizes the repair of multiple veins per arterial anastomosis results in superior survival rates.

Methods: A retrospective review of a single urban replant center's single-digit replants distal to the mid-metacarpal level in adult patients from 2007 to 2017 was performed. Read More

Turk J Med Sci 2019 Feb 11;49(1):435-441. Epub 2019 Feb 11.

Background/aim: Venous insufficiency after replantation or revascularization is one of the most common causes of limb loss in either the short or the long term. The aim of this study was to evaluate the results of a new technique to overcome venous insufficiency.

Materials And Methods: A crush-avulsion type of injury was formed in the femoral veins of rats of 3 separate groups. Read More

J Hand Surg Asian Pac Vol 2019 Mar;24(1):1-5

1 Department of Plastic and Reconstructive Surgery, Kansai Electric Power Hospital, Osaka, Japan.

Background: Antithrombotic therapy following replantation remains controversial, and the survival of replanted digits is affected by various other factors, such as the state of vascular damage and the surgeon's level of skill. The present study's aim is to obtain clinical evidence for postoperative antithrombotic therapy in replantation, with antithrombotic therapy being the only variable.

Methods: This was a single-center retrospective study of patients who underwent replantation of a completely amputated digit by the same surgeon. Read More

Am J Dent Sci 1873 Oct;7(6):286-287

Am J Dent Sci 1876 Dec;10(8):344-354

Am J Dent Sci 1874 May;8(1):41-42

Am J Dent Sci 1872 Aug;6(4):189

Am J Dent Sci 1882 Apr;15(12):563-566

Dental Surgeon to the Hospital.

Am J Dent Sci 1869 Jul;3(3):113-116

Microbiol Res 2019 Mar 6;220:1-11. Epub 2018 Dec 6.

School of Geography Science, Nanjing Normal University, Nanjing, 210023, China; Jiangsu Center for Collaborative Innovation in Geographical Information Resource Development and Application, Nanjing, 210023, China; Jiangsu Provincial Key Laboratory of Materials Cycling and Pollution Control, Nanjing Normal University, Nanjing, 210023, China. Electronic address:

Continuous monocropping often influences negatively the soil microbial community and leads to the occurrence of soil-borne diseases. In this study, a pre-cultivation soil management strategy, reductive soil disinfestation (RSD), involving amendment by the use of reed straw, bagasse, and rice straw, and creating anaerobic soil conditions, was used to regulate the microbial community in a soil infested by Fusarium wilt of lisianthus and make it suitable for plant cultivation. The results showed that RSD significantly decreased F. Read More

J Nepal Health Res Counc 2019 Jan 28;16(41):467-469. Epub 2019 Jan 28.

Department of Burns, Plastic and Reconstructive Surgery, Kirtipur Hospital, Kathmandu, Nepal.

Thumb is very important for hand function. Many options are available to reconstruct injured thumb from simple dressing (pulp injury without bone exposure) to replantation and toe transfer (significant loss of thumb length). In chronic setting, where other fingers are intact, on-top plasty can be used to reconstruct injured thumb. Read More

Cochrane Database Syst Rev 2019 Feb 5;2:CD006542. Epub 2019 Feb 5.

Department of Paediatric Dentistry, Leeds Dental Institute, Clarendon Way, Leeds, UK, LS2 9LU.

Background: Traumatic dental injuries are common. One of the most severe injuries is when a permanent tooth is knocked completely out of the mouth (avulsed). In most circumstances the tooth should be replanted as quickly as possible. Read More

Microsurgery 2019 Feb 3. Epub 2019 Feb 3.

Division of Plastic Surgery, Department of Surgery, University of Wisconsin-Madison, Madison, Wisconsin.

Penile amputation is a rare injury with significant posttraumatic ramifications. We present a case of successful immediate replantation after traumatic penile avulsion in a 52-year-old male patient. The patient reported his penis was caught in machinery during a boating accident, and avulsed at the level of the pubis. Read More

Hand (N Y) 2019 Jan 31:1558944718824700. Epub 2019 Jan 31.

2 Stanford Health Care, CA, USA.

Background: Care of digit amputations ranges from revision amputation to replantation. Many factors determine the treatment type. We looked at the epidemiology of amputation and factors associated with escalation of care after presenting to the emergency department (ED). Read More

J Surg Res 2019 Mar 25;235:113-123. Epub 2018 Oct 25.

Department of Plastic and Reconstructive Surgery, Radboud University Medical Center, Nijmegen, the Netherlands.

Background: Extracorporeal perfusion is a technique that aims to safely prolong tissue preservation by reducing ischemia-reperfusion injury. Free muscle flaps provide a sensitive research model due to their low ischemic tolerance. However, long-term perfusion of free muscle flaps is scarcely researched. Read More

Bosn J Basic Med Sci 2019 Jan 17. Epub 2019 Jan 17.

Department of Stomatology, General Hospital of PLA, Beijing, China.

This study aimed to systematically assess the outcomes of intentional replantation (IR) of teeth and to determine the survival rate, success rate, and prognostic factors related to the treatment. A search was conducted for all relevant English language articles published from January 2000 to October 2017. The search terms included "intentional replantation" and "teeth" according to the inclusion criteria. Read More

Microsurgery 2019 Jan 25. Epub 2019 Jan 25.

Department of Urology, Faculty of Medicine and Dentistry, Palacky University and University Hospital Olomouc, Olomouc, Czech Republic.

SAGE Open Med Case Rep 2019 10;7:2050313X18823094. Epub 2019 Jan 10.

Baptist Health Louisville, Louisville, KY, USA.

Replantation of a traumatic upper extremity amputation is a complex process accompanied by prolonged hospitalization, extended rehabilitation, and potential for graft failure secondary to poor perfusion to the distal extremity. The patient is faced with repeat visits to the operating room in addition to severe acute and chronic pain issues. We present the case of an 18-year-old male treated with prolonged continuous peripheral nerve blockade following traumatic left mid-humeral amputation and subsequent replantation. Read More

Artif Organs 2019 Jan 17. Epub 2019 Jan 17.

CD Laboratory for the Restoration of Extremity Function, Department of Surgery, Medical University of Vienna, Austria.

Even though the hand comprises only 1% of our body weight, about 30% of our central nervous systems (CNS) capacity is related to its control. The loss of a hand thus presents not only the loss of the most important tool allowing us to interact with our environment, but also leaves a dramatic sensory-motor deficit that challenges our CNS. Reconstruction of hand function is therefore not only an essential part of restoring body integrity and functional wholeness but also closes the loop of our neural circuits diminishing phantom sensation and neural pain. Read More

J Hand Surg Eur Vol 2019 Jan 12:1753193418823595. Epub 2019 Jan 12.

1 Hansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, NY, USA.

We retrospectively reviewed 201 digit replantations or revascularizations that were performed between August 2007 and June 2015. Leeching therapy was used in 48 digits and was more commonly required in replanted digits. In revascularized digits, leeching was used significantly more frequently in avulsion injuries and injuries associated with fractures. Read More

J Urol 2019 02;201(2):226

Hand (N Y) 2019 Jan 8:1558944718821414. Epub 2019 Jan 8.

1 Rush University, Chicago, IL, USA.

J Craniofac Surg 2018 Dec 29. Epub 2018 Dec 29.

Department of Plastic Surgery, Ninth People's Hospital, Shanghai Jiao Tong University.

Background: Total scalp avulsion is a fairly rear but severe soft tissue injury. Even with microsurgical replantation, the survival rate is still low. In this study, the authors incorporated 2 main modifications (Halo-Vest head ring and quick hair removing) and assessed the surgical outcomes versus those of traditional replantation. Read More

Arch Craniofac Surg 2018 Dec 27;19(4):304-308. Epub 2018 Dec 27.

Department of Plastic and Reconstructive Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea.

Replantation using microvascular anastomosis is considered to be the optimal method in treating the amputated ear in terms of resulting color, texture, and shape. Only a few cases of ear replantation have been reported because it is anatomically difficult to identify suitable vessels for anastomosis. We successfully replanted the amputated helical rim of the ear using single arterial anastomosis. Read More

J Plast Reconstr Aesthet Surg 2018 Dec 14. Epub 2018 Dec 14.

Department of Neurology, Jagiellonian University Medical College, Kraków, Poland.

Purpose: The aim of this study was to investigate the associations between nerve conduction studies and three commonly used patient-reported outcome measures (Disabilities of the Arm, Shoulder and Hand [DASH], Michigan Hand Outcomes Questionnaire [MHQ], and the Polish version of the Boston Carpal Tunnel Questionnaire [BCTQ]) METHODS: A total of 218 consecutive patients with carpal tunnel syndrome (CTS) completed the BCTQ, MHQ, and DASH questionnaires followed by nerve conduction studies on their first visit to the clinic.

Results: After a 14-day interval, 189 of these patients completed the BCTQ for the second time. The Polish version of the BCTQ was shown to have excellent internal consistency, test-retest reliability, and validity. Read More

Plast Reconstr Surg 2018 Dec 26. Epub 2018 Dec 26.

Hansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, New York.

Introduction: Interpositional grafts (IG) can be used to reconstruct the digital artery during revascularization and replantation when primary repair is not possible. The purpose of this study is to determine the effect of using interpositional graft on rates of digit survival.

Methods: A retrospective review of all patients from 2007 to 2016 that required revascularization and/or replantation of one or more digits was performed. Read More

Scanning 2018 25;2018:2516832. Epub 2018 Nov 25.

Department of Conservative Dentistry, Seoul St. Mary's Dental Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

The purpose of this study was to analyze various characteristics and classification of C-shaped root canals and evaluate the causes of endodontic failure of C-shaped root canals by examining the resected root surface with an endodontic microscope and a scanning electron microscope (SEM). Forty-two teeth with C-shaped root canals were included in this study and had undergone intentional replantation surgery. Before surgery, periapical radiography and cone-beam computed tomography were taken. Read More

J Vasc Surg 2018 Dec 24. Epub 2018 Dec 24.

Department of Surgery, The George Washington University Hospital, Washington, DC.

Background: Ischemic colitis after an open abdominal aortic aneurysm (AAA) repair remains a serious complication with a nationally reported rate of 1% to 6% in elective cases and up to 60% after an aneurysmal rupture. To prevent this serious complication, inferior mesenteric artery (IMA) replantation is performed at the discretion of the surgeon based on his or her intraoperative findings, despite the lack of clear evidence to support this practice. The purpose of this study was to determine whether replantation of the IMA reduces the risk of ischemic colitis and improves the overall outcome of AAA repair. Read More

Surg Res Pract 2018 21;2018:1601738. Epub 2018 Nov 21.

Professor of Plastic Surgery, Alazhar University Hospitals, Cairo, Egypt.

Background: Distal digital replantation and revascularisation remains one of the demanding microsurgical procedures due to the difficulty of vascular anastomosis. Venous congestion is the most commonly encountered problem after replantation due to the difficulty of venous anastomosis in traumatic injuries. Heparin, among other drugs, is commonly used to facilitate venous drainage and prevent thrombosis. Read More

Transplant Proc 2018 Dec 30;50(10):3405-3410. Epub 2018 Jun 30.

Department of Urology, Istinye University School of Medicine, Istanbul, Turkey.

Purpose: The aim of the study was to evaluate the effectiveness of minimally invasive treatment of ureteral strictures and describe the technique that we used for retrograde placement of ureteral stent in transplant kidneys.

Material And Methods: We reviewed the medical cards of all transplant kidney patients with persistent ureteral strictures who were managed with periodical ureteral stent placement and balloon dilatation between 2008 and 2016. Different maneuvers that were used to overcome the difficulties for retrograde ureteral stent placement and exchange were discussed. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Dec;32(12):1545-1548

Department of Hand Surgery, Repair and Reconstruction Surgery, the Second Hospital of Tangshan (the Affiliated Hospital of North China Polytechnic University), Tangshan Hebei, 063000, P.R.China.

Objective: To investigate the effectiveness of Ilizarov technique in reconstruction of thumb function in patients with thumb degloving injury after amputation.

Methods: Between June 2011 and September 2016, 9 cases of thumb degloving injury were treated with amputation and Ilizarov technology. There were 8 males and 1 female with an age of 18-52 years (mean, 34. Read More

BMJ Case Rep 2018 Dec 7;11(1). Epub 2018 Dec 7.

Department of Orthopedic Trauma Surgery, Shonan Kamakura General Hospital, Kanagawa, Japan.

J Urol 2018 Dec 7;200(6):1338-1343. Epub 2018 Jul 7.

ArkLaTex Urology, Shreveport, Louisiana.

Purpose: Many providers elect to use a transcorporeal approach for artificial urinary sphincter placement in an attempt to minimize risks, given the increased risk of complications in revision cases. We present outcomes in a multicenter retrospective analysis of artificial urinary sphincter cuff reimplantation in patients with prior cuff erosion with special consideration given to the transcorporeal approach.

Materials And Methods: We compiled a multi-institutional database of patients who underwent artificial urinary sphincter reimplantation after prior urethral erosion. Read More

Ned Tijdschr Tandheelkd 2018 12;125(12):664-668

Replacement of a single tooth in the maxillofacial aesthetic zone is a reliable treatment option. Recession of the mid-buccal mucosa, however, frequently results in a less favourable aesthetic outcome. It is possible that thickening of the buccal mucosa through connective tissue grafting would improve the final result. Read More

J Hand Surg Eur Vol 2019 Feb 11;44(2):181-186. Epub 2018 Dec 11.

National University Hospital, NUHS Tower Block National University Hospital Singapore, Singapore.

Venous congestion in distal digital replantations is a common problem as suitable veins are not always available. We compared two methods of venous decongestion, external bleeding ( n = 15) and dermal pocketing ( n = 28) carried out when venous anastomosis was not possible. The findings of this small study suggest that neither method of venous decongestion is clearly better than the other. Read More

Plast Reconstr Surg Glob Open 2018 Oct 3;6(10):e1839. Epub 2018 Oct 3.

Division of Plastic Surgery, University of Alberta, Edmonton, Alberta, Canada.

The nose plays a critical role in olfaction, air filtration and humidification, and facial aesthetics. Most nasal amputations result from animal bites, human bites, and lacerations from glass. Successful replantation yields the best aesthetic and functional outcomes and is preferred compared with multistage nasal reconstruction. Read More

Plast Reconstr Surg 2019 Feb;143(2):495-502

Toronto and Kingston, Ontario, Canada From the Division of Plastic and Reconstructive Surgery, University of Toronto; Hand Program, Toronto Western Hospital; and the School of Medicine, Queen's University.

Background: The aim of this study was to evaluate the impact of increasing age on rates of digital failure.

Method: A retrospective cohort study of digital replantation or revascularization patients was undertaken from 2005 to 2016. Data collected consisted of patient demographics, smoking status, injury mechanisms, procedure types, and postoperative morbidity and mortality. Read More

J Stomatol Oral Maxillofac Surg 2018 Dec 7. Epub 2018 Dec 7.

Endodontist, Dental Research Center, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Science, Tehran, Iran. Electronic address:

When non-surgical and surgical endodontic retreatments are impractical, intentional replantation (IR) might be employed as an accepted endodontic treatment procedure. This report describes an IR and root amputation of a tooth with several endodontic complications. A 28-year-old woman was referred for management of tooth #37. Read More

J Craniofac Surg 2019 Jan;30(1):208-210

Harvard Integrated Plastic Surgery Program, Boston, MA.

Complete avulsion of the nose is a devastating injury that may result in permanent disfigurement. Microvascular reattachment is technically difficult due to small size of the injured vessels, associated avulsion or crush injury, and relative inability to achieve venous anastomosis. This report describes a successful case of microsurgical replantation of the distal third of the nose in a 47-year-old patient after a dog bite injury with the use of a superficial temporal vein graft for arterial repair and leeching for venous outflow. Read More

Indian J Plast Surg 2018 May-Aug;51(2):243-246

Department of Plastic Surgery, Apollo Hospitals, Bengaluru, Karnataka, India.

Total scalp avulsion injury with cervical spine injury is rare. This article is to describe the technical difficulties and precautions to be taken during anatomical replantation. The patients with cervical spine injury should not be considered as an absolute contraindication for anatomical replant if patients are fit for general anaesthesia. Read More

Microsurgery 2018 Nov 29. Epub 2018 Nov 29.

Division of Plastic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.

Background: The success of salvage procedures for failing digital replants (FR) is poorly documented. We sought to evaluate the success of salvage procedures for FR and factors contributing to successes and failures of replants.

Methods: Adult patients who presented to our center between January 1, 2000 and December 31, 2015, suffered ≥1 digital amputation(s), and underwent digital replantation were included. Read More

Microsurgery 2018 Nov 29. Epub 2018 Nov 29.

Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.

Thumb reconstruction has been a very challenging issue for hand surgeons. In this report, we present a case of thumb reconstruction with combination of the wrap-around flap prefabricated by the medialis pedis perforator flap with phalanx and nail bed banked from the amputated thumb. A 22-year-old man suffered from the left thumb amputation as well as large soft tissue defect of hand and comminuted fracture in wrist due to a crush accident. Read More

Hand Clin 2019 Feb;35(1):59-66

W Institute for Hand & Reconstructive Microsurgery, W General Hospital, 1632 Dalgubeol-daero, Dalseo-Gu, Daegu 42642, Korea.

Wide-awake local anesthesia no tourniquet (WALANT) is a promising development for surgeons and patients through improved operation outcomes in hand and wrist surgery. The authors have mostly used WALANT for flexor and extensor tendon repair, tenolysis, and tendon transfer. Its application at W Hospital in korea has bolstered surgeon confidence in tendon repair integrity, gliding ability, and transfer tension via direct observation and patient feedback. Read More

J Surg Res 2018 Dec 4;232:137-145. Epub 2018 Jul 4.

Division of Plastic Surgery, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA. Electronic address:

Background: Ischemia-reperfusion injury remains the major limiting factor for limb replantation and transplantation. Static cold storage (SCS) on ice currently represents the standard mode of preservation but is limited to 6 h of duration. Ex vivo machine perfusion has evolved as a potential alternative to safely extend the duration of ex vivo preservation by providing continuous supply of oxygen and nutrients. Read More

Br J Nurs 2018 Nov;27(20):S50-S56

Military Burns and Plastics Nurse, The Queen Elizabeth Hospital, Birmingham.

Hands are anatomically complex and have great social, physical and emotional importance. Hand or digit replantation following traumatic partial or complete amputation is a complex injury for nursing staff to understand and manage. The absence of clear guidance, combined with a lack of consensus in the literature gives rise to ambiguity and insufficient understanding of appropriate and effective management. Read More

Handchir Mikrochir Plast Chir 2018 Sep 7;50(5):353-358. Epub 2018 Nov 7.

Abteilung für Plastische, Hand- und Rekonstruktive Chirurgie, BG Unfallklinik Frankfurt am Main gGmbH.

Background: Finger amputation injuries are frequently treated conditions in occupational accident hospitals. They are either treated by replantation or revision amputation. The costs of these two treatment options differ significantly. Read More

J Tissue Eng 2018 Jan-Dec;9:2041731418807396. Epub 2018 Oct 30.

Institute of Tissue Regeneration Engineering (ITREN), Dankook University, Cheonan, Republic of Korea.

Mineral trioxide aggregate, which comprises three major inorganic components, namely, tricalcium silicate (C3S), dicalcium silicate (C2S), and tricalcium aluminate (C3A), is promising regenerative cement for dentistry. While mineral trioxide aggregate has been successfully applied in retrograde filling, the exact role of each component in the mineral trioxide aggregate system is largely unexplored. In this study, we individually synthesized the three components, namely, C3S, C2A, and C3A, and then mixed them to achieve various compositions (a total of 14 compositions including those similar to mineral trioxide aggregate). Read More

Ulus Travma Acil Cerrahi Derg 2018 Sep;24(5):462-467

Department of Plastic, Reconstructive and Aesthetic Surgery, Private Practice, İzmir-Turkey.

Background: Replantation is the gold standard procedure for traumatic amputation of fingertips. Reposition flap procedure is performed using nail-bone complex as a free graft and covering graft site with a flap to preserve original finger length, nail complex, and sensory functions of fingertip in pateints where microsurgical methods cannot be applied. In our study, we aimed to compare the long-term outcomes of patients with amputated fingertips who underwent replantation or reposition flap procedures. Read More

Eur J Dent 2018 Oct-Dec;12(4):502-507

Department of Clinical Dentistry, Federal University of Bahia, Salvador, BA, Brazil.

Objective: To investigate the effect of dental trauma educational intervention among undergraduate students of a Federal University in Brazil.

Materials And Methods: Students ( = 125) enrolled in the dentistry ( = 70), nursing ( = 33), and speech therapy ( = 22) courses were invited to attend a dental trauma lecture and also to answer a questionnaire about their confidence in managing crown fracture and tooth avulsion, before (T0) and immediately after (T1) the lecture. McNemar's test ( < 0. Read More