Classification and clinical evaluation of "spare parts" procedures in mutilating hand injuries

Abdelshaheed, Mahmoud

doi:10.1016/j.hansur.2020.10.008

Cited by 4 publications

(4 citation statements)

References 16 publications

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“…Table (8) shows predictors of operative grading and we found that the electrophysiological grading was the first predictor, clinical grading is the second and sonographic grading is the third predictor in order, electrophysiological grading was shown to be the only statistically significant predictor of intraoperative grading.…”

Section: Resultsmentioning

confidence: 81%

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Carpal Tunnel Syndrome: Correlating Preoperative Diagnostic Tools with Intraoperative Findings

Elgazzar,

Ali,

Abdel Shaheed

et al. 2023

The Egyptian Journal of Plastic and Reconstructive Surgery

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Background: There is no universally accepted gold standard for decision-making regarding the choice of surgery for carpal tunnel syndrome. A combination of clinical examination and electrophysiological studies has been commonly used for the diagnosis of CTS and grading its severity with the recent introduction of ultrasonographic examination as a reliable diagnostic tool. In severe cases of CTS, carpal tunnel release surgery is usually done, while patients with mild or moderate degree of the disease usually start with conservative treatment. Knowing which diagnostic test more accurately reflects the severity of CTS is mandatory for proper decision-making regarding management.Objective: To correlate preoperative diagnostic tools (clinical presentation, Nerve conduction study, and US) findings with intraoperative findings to find out which one of these preoperative diagnostic tools plays the greatest role in the decision-making process regarding the choice of surgery.Method: Surgically treated 18 patients diagnosed with carpal tunnel syndrome (CTS) were included in the study. A correlation between clinical, electrophysiological, and ultrasonographic data and intraoperative findings was done.Results: Statistical analysis shows positive correlation between clinical, electrophysiological and ultrasonographic data, and intraoperative findings with electrophysiological studies being the best and only statistically significant predictor of severity. Conclusion:Electrophysiological studies provide the best predictor of the severity of CTS but more studies are needed to test the accuracy of these results.

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Section: Resultsmentioning

confidence: 81%

“…Many studies have tried to assess the validity of these diagnostic methods in determination of the severity of CTS, in an effort to come out with a standard indication of surgical intervention [4][5][6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Carpal Tunnel Syndrome: Correlating Preoperative Diagnostic Tools with Intraoperative Findings

Elgazzar,

Ali,

Abdel Shaheed

et al. 2023

The Egyptian Journal of Plastic and Reconstructive Surgery

View full text Add to dashboard Cite

show abstract

“…The following ratings have been used to evaluate patient satisfaction as regard covering of the defect, cosmetic result of the flap and donor site morbidity on a five-point scale on a five-point scale: (1) unsatisfied, (2) slightly satisfied, (3) moderately satisfied, (4) quite satisfied, and (5) completely satisfied [6].…”

Section: Surgical Interventionmentioning

confidence: 99%

Soft Tissue Reconstruction Around the Ankle with Peroneal and Posterior Tibial Artery Perforator Flaps: A Randomized Controlled Trial

Elshewy

El-Hadidy

Aziz

et al. 2022

The Egyptian Journal of Plastic and Reconstructive Surgery

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Background: Soft tissue defects of the ankle region continue to present a complex reconstructive challenge to the reconstructive surgeon. Many flaps have been used to rebuild these defects, and each flap has its own merits and drawbacks. This randomized controlled study was designed to compare between the peroneal artery perforator flap and the posterior tibial artery perforator flap for the ankle region reconstruction and finding out advantages and disadvantages of each flap.Methods: Between July 2020 and April 2022, 22 patients presented with soft tissue defects around the ankle with exposed vital structures as bones and tendons, who were categorized into two equal groups group 1: The peroneal artery perforator flap group (11 patients) and group 2: The posterior tibial artery perforator flap group (11 patients). Post-operative complications were the primary comparative parameters.Results: In total 22 patients with tissue defects around the ankle region were operated with either the peroneal artery perforator flap and the posterior tibial artery perforator flap 11 cases in each group, the post-operative flap complications as total flap loss and distal flap necrosis were (18.2%), (27.3%) receptively in the peroneal group and (27.3%), (36.4%) in the posterior tibial group and the mean time of flap elevation was longer in the posterior tibial group (106.82min) compared to the peroneal group with (64.55min). Conclusion:The peroneal artery perforator flap is better elevated as pedicled while the posterior tibial artery perforator flap better elevated as propeller.

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“…We estimated the blood loss according to the number and amount of gauze swabs soaked. Patient satisfaction was assessed on a five-point scale (Abdelshaheed, 2021), which included the following ratings: (1) not satisfied, (2) slightly satisfied, (3) moderately satisfied, (4) quite a bit satisfied and (5) extremely satisfied. Patients were asked if they would prefer the same technique if they needed to have hand surgery again.…”

mentioning

confidence: 99%

Classification and clinical evaluation of "spare parts" procedures in mutilating hand injuries

Cited by 4 publications

References 16 publications

Carpal Tunnel Syndrome: Correlating Preoperative Diagnostic Tools with Intraoperative Findings

Carpal Tunnel Syndrome: Correlating Preoperative Diagnostic Tools with Intraoperative Findings

Soft Tissue Reconstruction Around the Ankle with Peroneal and Posterior Tibial Artery Perforator Flaps: A Randomized Controlled Trial

The use of wide awake local anaesthesia initially applied tourniquet (WALAIAT) in flexor tendon surgery: a randomized controlled trial

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