The history of microsurgery

Mavrogenis, Andreas F.; Markatos, Konstantinos; Saranteas, Theodosis; Ignatiadis, Ioannis; Spyridonos, Sarantis; Bumbaširević, Marko; Georgescu, Alexandru Valentin; Beris, Alexandros E.; Soucacos, Panayotis N.

doi:10.1007/s00590-019-02378-7

Cited by 36 publications

(28 citation statements)

References 34 publications

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“…Better magnification microscopes, advances in anatomic knowledge of peripheral nerves topography and a better understanding of the pathophysiology of nerve injury have all led to a decisive leap forward in the management of this condition 3,4 . Refined microsurgical techniques 5,6 such as neurorrhaphies (end-to-end, end-to-side, side-to-side, supercharging), neural neurotization, nerve transfer, nerves conduits, and others were developed; However, despite the encouraging results obtained when analyzing the technical, histological and electrophysiological parameters; these parameters normally do not correlate with the return of the functional recovery 3,5,7,8 , making the treatment of peripheral nerve injury a challenge to actual medicine.…”

Section: ■ Introductionmentioning

confidence: 99%

Criteria for assessing peripheral nerve injury. Behavioral and functional assessment in non-operated Wistar rats

et al. 2020

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Section: ■ Introductionmentioning

confidence: 99%

Criteria for assessing peripheral nerve injury. Behavioral and functional assessment in non-operated Wistar rats

et al. 2020

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“…Plastic surgeons do their best to construct functional, while at the same time, esthetically pleasing thumbs for their patients. The free toe-to-thumb transfer is a milestone in the clinical application of microsurgery technique [ 1 , 2 ]. The skin and structure of the toe are very similar to the hand; thus, the functional restoration is an excellent technique that results in minimal morbidity at the donor site [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Cosmetic and functional results of a newly reconstructed thumb by combining the phalanx of second toe and the great toenail flap transplantation

Yin

Tao

et al. 2020

J Orthop Surg Res

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Background Microsurgical toe-to-hand transfer is a gold standard when it comes to repairing a thumb defect. Great toenail flap, thumbnail valva flap, free great toe, and second toe transplantation are the common methods in thumb reconstruction. Second toe transplantation achieves good function, but poor esthetics. Great toe transplantation achieves better esthetics, but hindered walking, due to the foot’s loss of the great toe and moreover suboptimal thumb function. It is difficult to maintain both functional and esthetic satisfaction in thumb reconstruction. Methods We experimented with three different methods of toe to hand transfer. From October 2009 to July 2019, 30 patients with traumatic thumb defects received one of 3 different kinds of thumb reconstruction in our clinic according to their level of amputation. Divided evenly into three groups of ten, group one received a great toe transplantation, group two received a second toe transplantation, and group three received a combined great toenail flap and second toe phalanx transplantation. Each of the patients’ thumbs had different levels of amputation at the metatarsophalangeal joint (MPJ) or distal interphalangeal joint (DIPJ). Results One patient suffered from a partial flap necrosis and received a groin flap to cover the defect. No other thumbs had any complications. The functional and esthetic results of both the donor and the recipient sites were satisfactory. Results show that, for patients with traumatic thumb defects, the combined transfer of flap and second toe phalanx was the best option. Conclusions Compared to the great toe or second toe transfer, combined free transfer of the great toenail flap and second toe phalanx achieved a substantially better functional and esthetic result in the thumb reconstruction.

show abstract

“…Plastic surgeons do their best to construct functional, while at the same time, aesthetically pleasing thumbs for their patients. The free toe-to-thumb transfer is a milestone in the clinical application of microsurgery technique [1,2]. The skin and structure of the toe are very similar to the hand; thus, the functional restoration is an excellent technique that results in minimal morbidity at the donor site [3].…”

Section: Introductionmentioning

confidence: 99%

Cosmetic and functional results of a newly reconstructed thumb by combining the phalanx of second toe and the great toenail flap transplantation

Yin

Tao

et al. 2020

Preprint

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BACKGROUND Microsurgical toe-to-hand transfer is a gold standard when it comes to repairing a thumb defect. Great toenail flap, thumbnail valva flap, free great toe and second toe transplantation are the common methods in thumb reconstruction. Second toe transplantation achieves good function, but poor aesthetics. Great toe transplantation achieves better aesthetics, but hindered walking, due to the foot’s loss of the great toe and moreover suboptimal thumb function. It is difficult to maintain both functional and aesthetic satisfaction in thumb reconstruction.METHODS We experimented with three different methods of toe to hand transfer. From October 2009 to July 2019, 30 patients with traumatic thumb defects received one of 3 different kinds of thumb reconstruction in our clinic according to their level of amputation. Divided evenly into three groups of ten, group one received a great toe transplantation, group two received a second toe transplantation, and group three received a combined great toenail flap and second toe phalanx transplantation. Each of the patients’ thumbs had different levels of amputation at the metatarsophalangeal joint (MPJ) or distal interphalangeal joint (DIPJ).RESULTS 1 patient suffered from a partial flap necrosis and received a groin flap to cover the defect. No other thumbs had any complications. The functional and aesthetic results of both the donor and the recipient sites were satisfactory. Results show that, for patients with traumatic thumb defects, the combined transfer of flap and 2nd toe phalanx was the best option.CONCLUSIONS Compared to the great toe or second toe transfer, combined free transfer of the great toenail flap and 2nd toe phalanx achieved a substantially better functional and aesthetic result in the thumb reconstruction.

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The history of microsurgery

Cited by 36 publications

References 34 publications

Criteria for assessing peripheral nerve injury. Behavioral and functional assessment in non-operated Wistar rats

Criteria for assessing peripheral nerve injury. Behavioral and functional assessment in non-operated Wistar rats

Cosmetic and functional results of a newly reconstructed thumb by combining the phalanx of second toe and the great toenail flap transplantation

Cosmetic and functional results of a newly reconstructed thumb by combining the phalanx of second toe and the great toenail flap transplantation

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