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Background: Digital amputation is a common upper extremity injury and can cause significant impairment in hand function, as well as psychosocial stigma. Currently, the gold standard for the reconstruction of such injuries involves autologous reconstruction. However, when this or other autologous options are not available, prosthetic reconstruction can provide a functionally and aesthetically viable alternative. This study describes a novel technique, known as a tripod titanium mini-plate, for osseointegrated digit prostheses, and reviews the outcomes in a set of consecutive patients.
Methods: A retrospective review of patients who underwent 2-stage prosthetic reconstruction of digit amputations was performed. Demographic information, occupation, mechanism of injury, number of amputated fingers, and level of amputation were reviewed. Functional and aesthetic outcomes were assessed using the quick disabilities of the arm, shoulder, and hand (Q-DASH) scale and a visual analog scale (VAS) score, respectively. In addition, complications during the postoperative period were recorded.
Results: Seven patients were included in this study. Their average age was 29 years. Five patients had single-digit amputations and 2 patients had multiple-digit amputations. Functional and aesthetic outcomes were assessed using the Q-DASH score (average, 10.4) and VAS score (average, 9.1), respectively. One episode of mild cellulitis was seen at 24 months of follow-up. However, it was treated successfully with oral antibiotics. No other complications were reported.
Conclusions: When autologous reconstruction is not suitable for digit reconstruction, prosthetic osseointegrated reconstruction can provide good aesthetic and functional results. However, larger series with longer-term follow-up are required in order to rule out the possibility of other complications.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5366522 | PMC |
http://dx.doi.org/10.5999/aps.2017.44.2.150 | DOI Listing |
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
September 2024
Department of Orthopaedic, 920th Hospital of Joint Logistics Support Force of Chinese PLA, Kunming Yunnan, 650032, P. R. China.
Anal Chem
September 2024
Department of Pediatrics, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China.
Convenient and accurate quantification of disease-relevant multitargets is essential for community disease screening. However, in the field of photoelectrochemical (PEC) sensors for multisubstance detection, research on the continuous detection of multiple targets using a polarity-switching mode is scarce. In this study, a multiplexed PEC bioassay was developed based on a target-triggered "anodic-cathodic-anodic" multiple-polarity-switchable mode.
View Article and Find Full Text PDFArch Craniofac Surg
October 2024
Department of Plastic Reconstructive Surgery, Chosun University College of Medicine, Gwangju, Korea.
Chem Commun (Camb)
July 2024
Department of Chemistry, Tokyo Institute of Technology, Ookayama, Meguro-ku, Tokyo 152-8551, Japan.
Here we report stepwise methylation of end-on bridging dinitrogen to a hydrazido ligand to a pentamethylhydrazinium salt, which is mediated by a titanium system with a tripodal aryloxide supporting ligand. The results constitute a synthetic cycle for pentamethylhydrazinium formation from dinitrogen and methyl iodide. We also describe silylation of the dinitrogen complex and carboxylation of the hydrazido complex.
View Article and Find Full Text PDFJ Contemp Dent Pract
August 2022
Department of Prosthodontics, Adhiparasakthi Dental College and Hospital, Melmaruvathur, Tamil Nadu, India.
Aim: To find and compare the amount of screw loosening in gold and titanium alloy abutment screws without any cyclic load, this study was performed.
Materials And Methods: A total of 20 implant fixture screw samples with 10 gold abutment screws from Osstem and 10 titanium alloy abutment screws from Genesis. Implant fixtures were placed into the acrylic resin using a surveyor to maintain the same path of insertion.
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