Matches in SemOpenAlex for { <https://semopenalex.org/work/W2892550147> ?p ?o ?g. }
Showing items 1 to 84 of
84
with 100 items per page.
- W2892550147 endingPage "39" @default.
- W2892550147 startingPage "32" @default.
- W2892550147 abstract "Background. At present, there are multiple approaches to the treatment of macrodactylia in children. Additionally, there are no comparative data on the cosmetic and functional aspects of corrective surgery versus microsurgical transplantations performed in children with a marked disproportion of the segment, making this study particularly relevant.
 Aim. The aim of this study was to determine the role of microsurgical transplantation of the toes in the treatment of children with isolated macrodactylia, based on a comparative analysis of various surgical interventions.
 Materials and methods. Twenty-five children with congenital macrodactylia of the hand were examined and surgically treated in the department of reconstructive microsurgery from 2013 to 2017. Of these, 13 (52%) had macrodactyly of the 2nd and/or 3rd fingers, and of the total number of hyperplastic hand segments (n = 45), 17 rays had hyperplasia greater than 25%.
 Results and discussion. Stage-by-stage modeling resections of enlarged segments were performed in all children with ray hyperplasia that was about 25% of the size of intact fingers. In 4 cases, excision of soft tissues was combined with marginal resection of phalanges. When hyperplasia of the segment reached up to 10% of macrodactylia, single isolated modeling resection of soft tissues and bones was performed. Repeated modeling plasties in 16% (n = 4) of the children were accompanied by gross postoperative scars with the development of secondary angular deformities and loss of function of interphalangeal joints.
 Nine children (n = 14) underwent amputation of hyperplastic fingers followed by microsurgical reconstruction of rays by autografting of toes. In 4 cases, the first finger was reconstructed, and in the other 5 cases, toes of both feet were transplanted to the positions 2 and 3 (n = 4) or 3 and 4 of fingers (n = 1). It was found that in cases of significant hyperplasia of the affected segments of the hand (hyperplastic segment is 1.5–2 times greater compared to normal ones), microsurgical autografting of toes is more effective and acceptable compared to bone and soft tissue resections.
 Conclusions. In cases of segment hyperplasia less than 1.25-times the normal size, the optimal surgical interventions are stage-by-stage modeling resections. An alternative surgical treatment for children with hyperplasia of more than 1.25-times the normal size is microsurgical transplantation of the toes in the position of the involved rays of the hand, which results in good cosmetic and functional outcomes in these patients." @default.
- W2892550147 created "2018-10-05" @default.
- W2892550147 creator A5008957139 @default.
- W2892550147 creator A5012321409 @default.
- W2892550147 creator A5019205681 @default.
- W2892550147 creator A5024749517 @default.
- W2892550147 creator A5031979302 @default.
- W2892550147 creator A5043992467 @default.
- W2892550147 creator A5059106805 @default.
- W2892550147 creator A5065993413 @default.
- W2892550147 date "2018-09-28" @default.
- W2892550147 modified "2023-09-24" @default.
- W2892550147 title "Microsurgical toe-to-hand transfer in children with macrodactyly of the hand" @default.
- W2892550147 cites W1487878277 @default.
- W2892550147 cites W2000566468 @default.
- W2892550147 cites W2026842712 @default.
- W2892550147 cites W2034156618 @default.
- W2892550147 cites W2235322862 @default.
- W2892550147 cites W2755971698 @default.
- W2892550147 cites W2761132298 @default.
- W2892550147 cites W4251749664 @default.
- W2892550147 doi "https://doi.org/10.17816/ptors6332-39" @default.
- W2892550147 hasPublicationYear "2018" @default.
- W2892550147 type Work @default.
- W2892550147 sameAs 2892550147 @default.
- W2892550147 citedByCount "1" @default.
- W2892550147 countsByYear W28925501472022 @default.
- W2892550147 crossrefType "journal-article" @default.
- W2892550147 hasAuthorship W2892550147A5008957139 @default.
- W2892550147 hasAuthorship W2892550147A5012321409 @default.
- W2892550147 hasAuthorship W2892550147A5019205681 @default.
- W2892550147 hasAuthorship W2892550147A5024749517 @default.
- W2892550147 hasAuthorship W2892550147A5031979302 @default.
- W2892550147 hasAuthorship W2892550147A5043992467 @default.
- W2892550147 hasAuthorship W2892550147A5059106805 @default.
- W2892550147 hasAuthorship W2892550147A5065993413 @default.
- W2892550147 hasBestOaLocation W28925501471 @default.
- W2892550147 hasConcept C136948725 @default.
- W2892550147 hasConcept C139542699 @default.
- W2892550147 hasConcept C141071460 @default.
- W2892550147 hasConcept C142724271 @default.
- W2892550147 hasConcept C159110652 @default.
- W2892550147 hasConcept C2776204877 @default.
- W2892550147 hasConcept C2777562237 @default.
- W2892550147 hasConcept C2777642821 @default.
- W2892550147 hasConcept C2781437307 @default.
- W2892550147 hasConcept C2909338845 @default.
- W2892550147 hasConcept C2911091166 @default.
- W2892550147 hasConcept C50816716 @default.
- W2892550147 hasConcept C71924100 @default.
- W2892550147 hasConceptScore W2892550147C136948725 @default.
- W2892550147 hasConceptScore W2892550147C139542699 @default.
- W2892550147 hasConceptScore W2892550147C141071460 @default.
- W2892550147 hasConceptScore W2892550147C142724271 @default.
- W2892550147 hasConceptScore W2892550147C159110652 @default.
- W2892550147 hasConceptScore W2892550147C2776204877 @default.
- W2892550147 hasConceptScore W2892550147C2777562237 @default.
- W2892550147 hasConceptScore W2892550147C2777642821 @default.
- W2892550147 hasConceptScore W2892550147C2781437307 @default.
- W2892550147 hasConceptScore W2892550147C2909338845 @default.
- W2892550147 hasConceptScore W2892550147C2911091166 @default.
- W2892550147 hasConceptScore W2892550147C50816716 @default.
- W2892550147 hasConceptScore W2892550147C71924100 @default.
- W2892550147 hasIssue "3" @default.
- W2892550147 hasLocation W28925501471 @default.
- W2892550147 hasOpenAccess W2892550147 @default.
- W2892550147 hasPrimaryLocation W28925501471 @default.
- W2892550147 hasRelatedWork W1984292086 @default.
- W2892550147 hasRelatedWork W1999233430 @default.
- W2892550147 hasRelatedWork W2031949946 @default.
- W2892550147 hasRelatedWork W2271572542 @default.
- W2892550147 hasRelatedWork W2360640921 @default.
- W2892550147 hasRelatedWork W2418621026 @default.
- W2892550147 hasRelatedWork W2809611294 @default.
- W2892550147 hasRelatedWork W2892550147 @default.
- W2892550147 hasRelatedWork W3116986834 @default.
- W2892550147 hasRelatedWork W319525888 @default.
- W2892550147 hasVolume "6" @default.
- W2892550147 isParatext "false" @default.
- W2892550147 isRetracted "false" @default.
- W2892550147 magId "2892550147" @default.
- W2892550147 workType "article" @default.