Paradoxe Perfusionsreaktion der kontralateralen Hand nach Hand-MRT

Promny, Dominik; J, Gruner; Hauck, Theresa; Horch, Raymund E.

doi:10.1055/a-1738-9906

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…By applying these contact-free measuring tools, the oxygen saturation and hemoglobin view, as well as the microperfusion pattern, can be directly visualized, and, hence, the stretching is reduced to a degree where the finger perfusion is within the normal and safe range. These relatively new modalities have been described to evaluate perfusion patterns and areal oxygen saturation [ 30 , 31 ]. By doing so, we can easily determine the maximum degree of pre-extension within the margins of safe microcirculation, and find out how far we can safely extend the distractor at that initial moment, without jeopardizing microcirculation ( Figure 3 ).…”

Section: Methodsmentioning

confidence: 99%

A Personalized Approach to Treat Advanced Stage Severely Contracted Joints in Dupuytren’s Disease with a Unique Skeletal Distraction Device—Utilizing Modern Imaging Tools to Enhance Safety for the Patient

Müller‐Seubert

Cai

Arkudas

et al. 2022

JPM

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Background: While surgical therapy for Dupuytren’s disease is a well-established standard procedure, severe joint flexion deformities in advanced Dupuytren’s disease remain challenging to treat. Skeletal distraction has proven to be an additional treatment option. Methods: We analyzed the surgical treatment algorithm, including the application of a skeletal distraction device, in patients with a flexion deformity due to Dupuytren’s disease, Iselin stage III or IV, who were operated on from 2003 to 2020 in our department. Results: From a total of 724 patients, we included the outcome of 55 patients’ fingers in this study, who had undergone additional skeletal joint distraction with our Erlangen device. Additional fasciotomy or fasciectomy, in a one- or two-staged procedure, was performed in all patients, according to the individual findings and necessities. The range of motion of the PIP joint improved from 12° to 53°. A number of complications, in all steps of the treatment, were noted in a total of 36.4% of patients, including the development of fractures (16.4%), followed by vessel injury, pin infections, and complex regional pain syndrome (5%). Conclusions: Additional skeletal distraction improves the range of motion of severely contracted joints in Dupuytren’s disease. Nevertheless, careful patient selection is necessary, due to the moderate rate of complications.

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Section: Methodsmentioning

confidence: 99%

A Personalized Approach to Treat Advanced Stage Severely Contracted Joints in Dupuytren’s Disease with a Unique Skeletal Distraction Device—Utilizing Modern Imaging Tools to Enhance Safety for the Patient

Müller‐Seubert

Cai

Arkudas

et al. 2022

JPM

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“…Due to worldwide increasing expertise today, by means of microsurgery and perforator flaps, almost every reconstructive issue can be addressed somehow utilizing individually tailored techniques. Flaps can by their very nature comprise different tissues and can be custom designed using new imaging technologies [ 1 , 2 , 3 ] in order to increase the safety of the procedures and to retain the form and function of the reconstructed area in accordance with the donor site morbidity [ 4 ], as well as to reduce complications [ 5 ]. Automated devices—such as topical negative pressure application—to clean and precondition complex wounds and make them suitable for flap or skin graft coverage have found their way into daily clinical practice [ 2 ].…”

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confidence: 99%