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J Hand Surg Am 2020 May 30. Epub 2020 May 30.

Department of Orthopedic Surgery, University of Michigan, Ann Arbor, MI. Electronic address:

Over the course of the last 60 years, microsurgical techniques, instrumentation, operating microscopes, and suture materials have all been perfected. Microsurgery training became part of the standard curriculum in plastic, orthopedic, and hand surgery programs. Despite those advances, limb replantation and transplantation are still surgical emergencies owing to limits in composite tissue viability under ischemia. Read More

Trials 2020 Jun 1;21(1):450. Epub 2020 Jun 1.

Department of Hand Surgery, Upper Extremity and Foot Surgery, Center for Orthopedics and Trauma Surgery, Hospital Waldfriede, Argentinische Allee 40, 14163, Berlin, Germany.

Background: Rhizarthrosis (trapeziometacarpal osteoarthritis) is the second most common site of osteoarthritis in the hand affecting 10-30% of adults over the age of 50. Up to four times as many women as men have rhizarthrosis. Clinical symptoms include functional disability of the thumb, pain, joint swelling, and reduced strength. Read More

Technol Health Care 2020 May 15. Epub 2020 May 15.

Institute of Medical Microbiology, Immunology and Parasitology, University Hospital Bonn, Bonn, Germany.

Background: To date only scanty data exist regarding the effect of failed debridement, antibiotics, irrigation and retention of the prostheses (DAIR) and negative pressure wound therapy (NPWT) on the outcome of a subsequent exchange arthroplasty.

Objective: The objective of this study was to determine the success rate of a two- or multi-stage procedure after initial failed DAIR/NPWT in patients with an acute periprosthetic joint infection (PJI) and to evaluate the influence of possible risk factors for treatment failure.

Methods: Nineteen consecutive patients with a persisting PJI and ongoing NPWT after treatment of an acute PJI with DAIR of the hip or knee joint from October 2010 to June 2017 were included. Read More

Medicine (Baltimore) 2020 May;99(20):e20068

Department of Plastic and Aesthetic Surgery, St. Anne's University Hospital.

Rationale: The first successful ear replantation was performed by Pennigton in 1980 in Sydney. At least 84 ear replantations have been described in the literature over a period of 37 years since the first case. The authors have not found any previous case of frozen ear replantation in the literature. Read More

Trauma Case Rep 2020 Jun 11;27:100306. Epub 2020 May 11.

Sri Sankara Dental College, Varkala, Kerala, India.

Complicated crown root fractures are mostly difficult to treat and have a poor prognosis. To restore the biological space, intentional replantation may be chosen when other immediate treatment options are not viable. Intentional replantation with tooth rotation consists of extraction, 180° rotation and replantation, thereby maintaining the biological width. Read More

J Tissue Viability 2020 May 6. Epub 2020 May 6.

Department of Plastic, Reconstructive and Aesthetic Surgery, Abant Izzet Baysal University, Gölköy, Bolu, 14280, Turkey. Electronic address:

In cases of complete scalp loss where the calvarium is exposed and reconstruction cannot be achieved using replantation, or local or far flaps, using trephination to create holes to the depth of the spongeous layer followed by grafting once granulation has covered all defects is an important reconstruction alternative. However, growth of the granulation after trephination and waiting for the entire defect to be covered is a slow process. Since the introduction of platelet-rich plasma (PRP), several researchers have investigated the efficacy of different bone healing and grafting procedures. Read More

J Clin Med 2020 May 1;9(5). Epub 2020 May 1.

Victor Babes University of Medicine and Pharmacy, Division of Reconstructive Microsurgery, Clinic of Vascular Surgery, Pius Brânzeu Emergency Clinical County Hospital, Timișoara 300041, România.

Aim: Here, we retrospectively analyzed the success rate of reconstructive microsurgery for tubal infertility (RMTI) as a "first-line" approach to achieving tubal reversal and pregnancy after tubal infertility.

Patients And Methods: During 9 consecutive years (2005-2014), 96 patients diagnosed with obstructive tubal infertility underwent RMTI (tubal reversal, salpingostomy, and/or tubal implantation) in our centre. The outcomes are presented in terms of tubal reversal rate and pregnancy and correlated with age, level of tubal obstruction, and duration of tubal infertility. Read More

Microsurgery 2020 May 5:e30596. Epub 2020 May 5.

Department of Plastic, Reconstructive and Aesthetic Surgery, Medical Faculty, Bezmialem Vakif University, Istanbul, Turkey.

Ther Clin Risk Manag 2020 17;16:311-319. Epub 2020 Apr 17.

Department of Orthopedics, The Third Hospital of HeBei Medical University, Shijiazhuang, People's Republic of China.

Background: There are many surgical procedures that can be used to relieve compression caused by thoracic ossification of the ligamentum flavum (TOLF). The present study aims to retrospectively observe the differences in subsection laminectomy with pedicle screw fixation (SLPF) and lamina osteotomy and replantation with miniplate fixation (LORF) in the treatment of continuous TOLF.

Patients and methods: From March 2014 to October 2017, 61 patients with continuous TOLF underwent SLPF (group A) or LORF (group B). Read More

Indian J Plast Surg 2020 Mar 24;53(1):124-130. Epub 2020 Apr 24.

Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts, United States.

Combined major injury to both upper extremities, in which one hand is amputated and structurally intact but not replantable, and the other hand is unsalvageable, is a rare setting in which cross-hand replantation may be considered. We report a case of an emergency cross-hand replantation performed at the wrist level. In our case, insertions of the wrist flexor and extensor tendons at the second and third metacarpal bases were retained at the recipient, allowing for early active wrist motion and finger motion by tenodesis. Read More

Niger J Clin Pract 2020 May;23(5):631-637

Department of Pediatric Dentistry, Faculty of Dentistry, Gaziantep University, Gaziantep, Turkey.

Background: Replantation of avulsed teeth is an invasive treatment approach where patient cooperation is required after the risks are explained to the patient or family. Although replantation of an avulsed permanent teeth is an accepted treatment approach, the long-term prognosis of the replanted teeth is still controversial. This report describes the survival of delayed replanted 15 incisors that was stored in unfavorable conditions after avulsion. Read More

J Orthop Sci 2020 Apr 26. Epub 2020 Apr 26.

Department of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Density and Pharmaceutical Sciences, Okayama, Japan.

Background: In Japan, microsurgical skill development and a system to transfer patients to an appropriate hospital for upper extremity amputation have been promoted; however, information about trends of replantation is limited. Therefore, the aim of this study was to clarify the trends in the treatment for upper extremity amputation using the Japan Trauma Data Bank (JTDB).

Methods: Data derived from JTDB (2004-2015) were used to quantify trends in the volume of replantation for upper extremity amputation including finger amputation. Read More

Shanghai Kou Qiang Yi Xue 2019 Dec;28(6):640-643

Department of General Dentistry, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology and Shanghai Research Institute of Stomatology. Shanghai 200011, China.

Purpose: To evaluate the treatment effect of topical doxycycline on avulsed permanent teeth compared with normal saline.

Methods: A total of 44 avulsed teeth from 38 patients (22 boys and 16 girls, aged 7-14 years) were recruited. Twenty-one teeth in group A were treated with doxycycline for 5 min before replantation while 23 teeth in group B were treated with saline solution. Read More

Shanghai Kou Qiang Yi Xue 2019 Dec;28(6):636-639

Department of Stomatology, Clinical Center of Public Health, Fudan University. Shanghai 200083, China.

Purpose: To evaluate the clinical effects of periodontal therapy for combined periodontal-pulpal lesions.

Methods: One hundred and nine patients with periodontal-pulpal lesions were included in this study, with total 120 teeth. All the teeth were treated by perfect root canal therapy, and than divided into group A and B. Read More

J Am Acad Orthop Surg 2020 Apr 27. Epub 2020 Apr 27.

From the Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School (Mr. Kane), and the Section of Plastic Surgery, Department of Surgery,University of Michigan Medical School (Dr. Chung), Ann Arbor, MI.

Outcomes research has historically been driven by single-center investigations. However, multicenter studies represent an opportunity to overcome challenges associated with single-center studies, including generalizability and adequate power. In hand surgery, most clinical trials are single-center studies, with few having randomized controls and blinding of both participants and assessors. Read More

Dent Traumatol 2020 Apr 28. Epub 2020 Apr 28.

Centre for Evidence-Based Practice (CEBaP), Belgian Red Cross, Mechelen, Belgium.

Background/aim: It is crucial to store an avulsed tooth appropriately to preserve the viability of the periodontal ligament cells prior to replantation. The aim of this systematic review was to identify the best available evidence for the effectiveness of any technique available to laypeople for storing an avulsed tooth compared with storage in milk or saliva.

Methods: The following databases were searched (September 2019): Cochrane Library, MEDLINE and Embase. Read More

Mil Med Res 2020 Apr 26;7(1):21. Epub 2020 Apr 26.

Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany.

Background: Limb loss has a drastic impact on a patient's life. Severe trauma to the extremities is common in current military conflicts. Among other aspects, "life before limb" damage control surgery hinders immediate replantation within the short post-traumatic timeframe, which is limited in part by the ischemic time for successful replantation. Read More

Cochrane Database Syst Rev 2020 04 17;4:CD009894. Epub 2020 Apr 17.

Chang Gung University, College of Medicine, Taoyuan, Taiwan.

Background: The success of digital replantation is highly dependent on the patency of the repaired vessels after microvascular anastomosis. Antithrombotic agents are frequently used for preventing vascular occlusion. Low molecular weight heparin (LMWH) has been reported to be as effective as unfractionated heparin (UFH) in peripheral vascular surgery, but with fewer adverse effects. Read More

Ann Plast Surg 2020 May;84(5S Suppl 3):S208-S214

Departments of Orthopedics.

Background: Wang successfully replanted the severed fingers of 2 patients after cryopreservation in 2002 and 2003, which has enabled us to share our own experience for the knowledge interests of our colleagues and to further develop this technology.

Methods: Fifteen healthy adult male Sprague-Dawley rats were selected and divided into 5 groups (group 1: normal control, group 2: cryopreservation with protectant, group 3: cryopreservation without protectant, group 4: 6-hour postoperative, and group 5: 72-hour postoperative). After harvesting the hind limbs, cryoprotectant was applied to 20 limbs, and the rest were cryopreserved without cryoprotectant for 15 days. Read More

Compend Contin Educ Dent 2020 Apr;41(4):211-215; quiz 216

Second-year endodontic resident, University of Illinois-Chicago, College of Dentistry, Chicago, Illinois.

Forensic endodontics is an empirical concept that has a clinical application. By definition, forensic endodontics is the determination of the diagnosis and etiology of a patient's tooth pain and/or periradicular radiographic lesion on a tooth that has been previously endodontically treated. Forensic endodontics diverges from conventional endodontic retreatment in that the patient has no recollection of when the tooth was treated or by whom, and the clinician has no access to any past radiographs to assess the healing progression of the previous endodontic treatment. Read More

Dent Traumatol 2020 Apr 5. Epub 2020 Apr 5.

Clinic for Pediatric and Preventive Dentistry, School of Dental Medicine, University of Belgrade, Belgrade, Serbia.

During extraction of the primary mandibular right second molar in an 11-year-old girl, the unerupted second premolar was accidentally extracted. Clinical and radiographic examination showed that the immediately replanted immature premolar was not oriented and positioned correctly. Four hours later, treatment consisted of manual extrusion of the permanent tooth bud, rotation, and gentle repositioning into its original position. Read More

J Hand Surg Am 2020 Mar 31. Epub 2020 Mar 31.

Division of Plastic and Reconstructive Surgery. Electronic address:

Purpose: Replant survival rates have reportedly declined over the past decade. Although this problem is multifactorial, 1 potential solution may include the development of a relevant teaching model. The development of an in vivo animal model that can be used for surgical training could enhance surgeon and resident experience and potentially improve outcomes. Read More

J Contin Educ Nurs 2020 Apr;51(4):189-196

Background: The competence of nurses who care for patients with finger replantation is critical for positive patient outcomes. This study sought to identify the effects of standardized patient (SP)-based training on surgical ward nurses' knowledge, clinical performance, and self-efficacy regarding finger replantation.

Method: A wait-list control group with a crossover design was used for this study. Read More

Ann Anat 2020 Mar 27:151514. Epub 2020 Mar 27.

Dental Clinic of Minhang District, Shanghai, 201107, China; Department of Orthodontics, Shanghai Stomatological Hospital, Fudan University, Shanghai, 200031, China. Electronic address:

This article reports a clinical case of an 8-year-old boy who sustained avulsion of the maxillary right central incisor and the maxillary left lateral incisor. The avulsed teeth were kept in adverse extraoral dry conditions for 1 hour from the moment of trauma until their replantation. The prognosis of tooth replantation is dependent on multiple factors such as methods of teeth storage in vitro, endodontic intervention, extra-oral time, and type of retention employed. Read More

Dent Traumatol 2020 Mar 25. Epub 2020 Mar 25.

Department of General Dentistry and Integrated Emergency Dental Care, Beijing Stomatological Hospital, Capital Medical University, Beijing, China.

Background/aims: The diagnosis and treatment of dental trauma are developing rapidly in China. Therapeutic methods used to treat immature avulsed teeth remain a unique challenge in the clinical setting. The aim of this study was to compare the differences in the survival rate and management of avulsed teeth over two distinct periods. Read More

Orthop Traumatol Surg Res 2020 Apr 13;106(2):297-300. Epub 2020 Mar 13.

Service de chirurgie de la main, centre chirurgical Émile-Gallé, CHU de Nancy, 49, rue Hermite, 54000 Nancy, France.

Introduction: The main aim of the present study was to determine the existence of pathological grief in victims of traumatic upper-limb amputation. The secondary objective was to determine risk factors for onset of pathological grief.

Method: A retrospective clinical study was conducted for an 11-year period, including all cases of traumatic upper-limb amputation in adults. Read More

Eur Endod J 2019 22;4(3):145-149. Epub 2019 Nov 22.

Department of Surgical Science, Marquette University School of Dentistry, Milwaukee, Wisconsin, USA; (Private Practice, Tan Endodontic Dental Specialist Centre, Kuala Lumpur, Malaysia).

A 27-year-old male patient complained of dental pain on previously root-treated tooth #17. Intentional replantation (IR) was performed. However, the symptoms returned at 10 months of follow-up, and a sinus tract was detected on the buccal gingiva of tooth #17. Read More

J Orthop Surg Res 2020 Mar 11;15(1):104. Epub 2020 Mar 11.

Department of Orthopedics, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, 600 Yishan Road, Shanghai, 200233, China.

Background: Mangled finger with impaired arteria digitalis communis remains to be a challenge for replantation surgery due to the limited amount of tissue to work with.

Methods: Out of 554 hands with total finger amputations treated by replantation of finger/fingers from July 2012 to June 2018, there were 7 cases of damaged arteria digitalis communis, all of which were replanted by anastomosing distal adjacent radial/ulnar digital artery to distal end of ulnar/radial digital artery of amputation finger, and 2 veins were anastomosed for each finger. A skin pedicle was made by suturing both dorsal and palmar skin of adjacent fingers, and detachment was performed 4 weeks postoperatively. Read More

J Plast Surg Hand Surg 2020 Jun 10;54(3):177-181. Epub 2020 Mar 10.

Department of Plastic and Reconstructive Surgery, New Tokyo Hospital, Matsudo, Japan.

In digital replantation, Kirschner wire (K-wire) fixation has commonly been used for osteosynthesis. On the other hand, K-wires are often obtrusive because of protrusion from the replanted digit. We describe a case series treated using hydroxyapatite/poly-L-lactide (HPLLA) threaded pins, which are not only bioabsorbable, but also osteoconductive, for osteosynthesis in crushed amputation or comminuted fracture, including distal phalanx amputation. Read More

Handchir Mikrochir Plast Chir 2020 Feb 5;52(1):38-40. Epub 2020 Mar 5.

J Foot Ankle Surg 2020 Mar - Apr;59(2):427-430

Surgeon, Orthopedics Department, Ningxia Armed Police General Hospital, Yinchuan, Ningxia Hui Autonomous Region, China.

Replantation of a lower extremity amputated at the knee joint level in a child is rare. We present a case of a 3-year-old child with his right leg totally severed from the knee joint in a traumatic accident. After 5 hours of cold ischemia time, together with antishock therapies, the child underwent leg replantation under stable conditions. Read More

Case Reports Plast Surg Hand Surg 2020 31;7(1):23-29. Epub 2020 Jan 31.

Department of Plastic and Reconstructive Surgery, Tokyo Women's Medical University, Tokyo, Japan.

We present four cases of fingertip amputation treated with local flap where the avulsed fingertip skin could be effectively utilized for these donor sites. The avulsed finger skin may be utilized even when replantation is not possible. This approach may serve as a new treatment option after fingertip amputation. Read More

Injury 2020 Feb 22. Epub 2020 Feb 22.

Orthopedic and Traumatology University Clinic, Clinical Center of Serbia, Belgrade, Serbia; Faculty of Medicine, University of Belgrade, Belgrade, Serbia.

Replantation of lower extremity is a very complex and difficult procedure. There are still a lot of controversies about indications, even numerous scoring systems are now available that can facilitate the surgeon's decision. We present the functional results of a replanted below-knee amputation in an elderly patient, 27 years after the injury and discuss the indication for replantation. Read More

Stem Cells Int 2020 10;2020:9567362. Epub 2020 Feb 10.

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

To date, the decellularized scaffold has been widely explored as a source of biological scaffolds for regenerative medicine. However, the acellular matrix derived from natural tissues and organs has a lot of defects, including the limited amount of autogenous tissue and surgical complication such as risk of blood loss, wound infection, pain, shock, and functional damage in the donor part of the body. In this study, we prepared acellular matrix using adipose-derived stem cell (ADSC) sheets and evaluate the cellular compatibility and immunoreactivity. Read More

Int Urol Nephrol 2020 Feb 25. Epub 2020 Feb 25.

Department of Urology, Daping Hospital, Army Medical University, Chongqing, China.

Objective: The aim of this study was to summarize in a literature review our treatment experience involving microscopic replantation in a rare case of a completely amputated penis and testes.

Patient And Methods: The penis and testes were completely amputated due to self-mutilation. The 26-year-old patient immediately underwent microscopic replantation of the penis and testes after pre-operative preparation. Read More

Injury 2020 Feb 19. Epub 2020 Feb 19.

Hand and Microsurgery Unit, Department of Orthopaedics, Faculty of Medicine Ramathibodi hospital, Mahidol University, Bangkok, Thailand.

Background: Bone distraction lengthening has been used for hand reconstruction. The healing process involved in this technique is affected by many factors. Here, the effectiveness and rates of healing of the phalanges and the metacarpals were evaluated in cases of traumatic finger amputation treated using an Ilizarov mini-fixator. Read More

Hand Surg Rehabil 2020 May 20;39(3):235-237. Epub 2020 Feb 20.

Bahcelieveler Memorial Private Hospital, Department of Orthopedics/Hand Surgery, Bahçelievler Merkez, Eski Londra Asf Cd No:227, 34180 Bahçelievler/İstanbul, Turkey.

Although finger amputations are not life-threatening, they are functionally and psychologically problematic for the patient. Successful replantation of amputated fingers results in better appearance and functional outcome. Therefore, the patient's satisfaction and psychological status improve. Read More

JAMA Netw Open 2020 Feb 5;3(2):e1921626. Epub 2020 Feb 5.

Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor.

Importance: Optimal treatment for traumatic finger amputation is unknown to date.

Objective: To use statistical learning methods to estimate evidence-based treatment assignment rules to enhance long-term functional and patient-reported outcomes in patients after traumatic amputation of fingers distal to the metacarpophalangeal joint.

Design, Setting, And Participants: This decision analytical model used data from a retrospective cohort study of 338 consenting adult patients who underwent revision amputation or replantation at 19 centers in the United States and Asia from August 1, 2016, to April 12, 2018. Read More

Dent Traumatol 2020 Feb 14. Epub 2020 Feb 14.

Department of Prosthodontics, Study of Dental Medicine, University of Split School of Medicine, Split, Croatia.

Background/aims: With the growing popularity of water polo across the world, there has been rising awareness of the risks for orofacial injures in water polo. The aim of this study was to evaluate knowledge and attitudes of water polo coaches regarding dental trauma, dental emergency procedures and awareness about prevention of such injuries.

Materials And Methods: A specific questionnaire comprising 25 questions regarding knowledge, experiences, and behaviors following dental trauma was distributed to 62 water polo coaches during the license renewal seminar held by the Croatian Water Polo Federation, in February 2018 in Split, Croatia. Read More

Spine (Phila Pa 1976) 2020 Feb 11. Epub 2020 Feb 11.

Department of Orthopedics, General Hospital of Southern Theater Command of PLA. Guangzhou, China.

Study Design: A retrospective study.

Objective: Investigate the diagnosis and surgery strategy for treatment of development spinal canal stenosis (DSSA) at atlas plane based on CT image characters.

Summary Of Background Data: The occurrence of spinal canal stenosis in the atlas plane is relatively rare compared with lower cervical. Read More

Med Oral Patol Oral Cir Bucal 2020 May 1;25(3):e353-e358. Epub 2020 May 1.

Universidade Cruzeiro do Sul Rua Constantino de Sousa, 454, apto 141 zip code: 04605-001, São Paulo - SP, Brazil

Background: Intubation is necessary during critical situations to reduce the risk of death. In Brazil, a need exists to determine the prevalence of tooth avulsions in emergency and urgent care. The objective of this study was to identify the causes of orotracheal intubation (OTI), the number of tooth avulsions, and the avulsed teeth that result from urgent and emergency intubation. Read More

J Vasc Surg 2020 Feb;71(2):717-718

Division of Vascular and Endovascular Surgery, Department of Surgery, Stony Brook University Medical Center, Stony Brook, NY.

Ann Plast Surg 2020 Mar;84(3S Suppl 2):S151-S157

From the Joseph M. Still Burn and Reconstruction Center, Jackson, MS.

Background: Advances in microsurgery have improved the survival rate of arm replantation. However, the functional outcome of the replanted arms remains unpredictable. The authors performed a systematic review to evaluate the long-term outcome of arm replantation and the secondary reconstructive procedures after replantation. Read More

J Reconstr Microsurg 2020 May 5;36(4):301-310. Epub 2020 Feb 5.

Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Linkou Medical Center and Chang Gung Medical College and Chang Gung University, Taoyuan, Taiwan.

Background:  Replantation of a single digit at the distal phalanx level is not routinely performed since it is technically challenging with questionable cost-effectiveness. The purpose of this study was to analyze international microsurgeons' clinical decisions when faced with this common scenario.

Methods:  A survey of a right-middle finger distal phalanx transverse complete amputation case was conducted via online and paper questionnaires. Read More

JBJS Essent Surg Tech 2019 Jul-Sep;9(3):e30. Epub 2019 Sep 11.

Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.

Fingertip injuries are common and can be difficult to manage because of unique anatomical considerations. Optimal treatment minimizes residual pain while preserving the function, length, and sensation of the affected digit. Several types of fingertip injury, including sharp or crush injuries, partial or complete amputations, and those involving the nail plate or nail bed, can occur. Read More

Medicine (Baltimore) 2020 Jan;99(3):e18869

School of Stomatology, Jilin University.

Rationale: The frequency of tooth avulsion is on the rise due to increasing rates of maxillofacial trauma. Avulsed teeth present with varying degrees of root resorption, and are generally asymptomatic; therefore, they often go undiagnosed. The etiopathogenesis of root resorption in replanted teeth following avulsion remains unclear. Read More

Cryobiology 2020 Feb 27;92:235-240. Epub 2020 Jan 27.

Department of Orthopedics, Department of Hand Surgery, Qilu Hospital of Shandong University, #107 Wenhua Xilu, Jinan, 250012, China. Electronic address:

Every year tens of millions reconstruction surgeries were performed to repair tissue defects caused by trauma or malignant tumor. As the composite tissues are very difficult to be preserved for a long time in vitro, "organ bank" was proposed. In addition to immune rejection, tissue cryopreservation is the key step of the "Organ Bank". Read More

Khirurgiia (Mosk) 2020 (1):74-79

Speransky Clinical Children's Hospital No. 9, Moscow, Russia.

A 8-year-old child with multiple skeletal injuries after car accident is presented in the article. Extensive right-sided urohematoma with impaired kidney function was diagnosed after 15 days. External drainage of urohematoma, ureteroscopy and examination of the right kidney were consecutively performed within 1. Read More

J Craniofac Surg 2020 Mar/Apr;31(2):520-521

Plastic Surgery Hospital (Institute), Peking Union Medical College, Beijing, China.

Autologous costal cartilage graft is an important material in orthopedic surgery. However, postoperative deformity of costal cartilage in donors is also a matter of concern. In our clinical experience, the preservation of the intercostal perichondrium, the replantation of part of the costal cartilage, and wearing an elastic chest strap for half a year are all ways to avoid thoracic deformity. Read More

J Craniofac Surg 2020 Mar/Apr;31(2):e185-e189

Department of Neurosurgery.

Total scalp avulsion is a rare but devastating injury currently without proven reconstructive techniques. While microsurgical anastomosis procedures have advanced and allowed for the replantation of digits and limbs, special anatomical considerations and risk of fatal blood loss add to the difficulty of replanting totally avulsed scalps. The authors present their replantation experience of 4 totally avulsed scalps between 2008 and 2017. Read More