Complete circumferential congenital constriction of the trunk – operation procedures and results

Siemers, Frank; Wünsch, Lutz; Namdar, Thomas; T, von Wild; Mailänder, P.

doi:10.3205/000140

GMS German Medical Science; 9:Doc17; ISSN 1612-3174 2011

DOI: 10.3205/000140

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Complete circumferential congenital constriction of the trunk – operation procedures and results

Frank Siemers

Lutz Wünsch²,

Thomas Namdar³

et al.

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Cited by 2 publications

References 8 publications

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Flail extremity resulting from constriction band syndrome: Neurovascular implications and surgical management

Rapp

Pan

Yakuboff

2014

Case Reports in Plastic Surgery and Hand Surgery

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Purpose: Constriction band syndrome afflicting in utero development can lead to devastating and possibly fatal outcomes. A lack of consensus regarding noninvasive testing and surgical modalities is likely secondary to the continued poorly understood pathology. Methods: We provide a case report of a 6-month-old boy who presented with a functional, nonsensate upper limb after surgical release of midhumeral banding at 3 months of age. Results: Exploration revealed intact, albeit atrophic, peripheral nerves with brachial artery disruption above the elbow. Sural nerve grafting was performed and 2-year follow-up demonstrated return of protective sensation in the median nerve distribution with minimal motor return. Conclusion: This case demonstrates that nerves present distal to the original soft tissue insult oppose the idea of failure of nerve formation. Early nerve grafting at the time of initial Z-plasty release may serve to improve long-term functional outcomes.

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Flail extremity resulting from constriction band syndrome: Neurovascular implications and surgical management

Rapp

Pan

Yakuboff

2014

Case Reports in Plastic Surgery and Hand Surgery

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A Review on the Safety of One-Stage Circumferential Ring Constriction Release

Prasetyono

Sitorus

2015

International Surgery

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The study was undertaken to investigate the use of one-stage circumferential ring-constriction release with Z-plasties regarding the safety, aesthetic appearance, and limb function. A thorough review was conducted on all English publications in PubMed during the period of 2001 through 2011. Titles and abstracts were identified using online search engine from National Library of Medicine's PubMed database under the keywords "limb constriction ring," "limb constriction band," "amniotic band," "annular constriction," and "circumferential constriction." We used Boolean operator and field of title. Evaluation was done to search indications, timing of the first surgical intervention, time interval between surgeries, patients' gender, anatomic location of the ring, wound healing problems, and scar quality. Fourteen publications met the criteria. There were 17 patients with 25 ring constrictions in total. Sixteen ring constrictions (64%) were circumferential; nine (36%) were semi-circumferential. Mean age of 14 patients treated with one-stage release was 4.8 years. Six articles mentioned about normal development of postoperative limb function. Mean age of three patients treated with staged release was 10.5 months. Two articles mentioned regained distal muscle function postoperatively. It is confirmed that surgeons may continue the practice to release circumferential CRS in one stage.

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Complete circumferential congenital constriction of the trunk – operation procedures and results

Cited by 2 publications

References 8 publications

Flail extremity resulting from constriction band syndrome: Neurovascular implications and surgical management

Flail extremity resulting from constriction band syndrome: Neurovascular implications and surgical management

A Review on the Safety of One-Stage Circumferential Ring Constriction Release

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