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Hoteit B, Pinsolle V, Delgove A, Dannepond A, Michot A. [Siliconosis with rheumatoid polyarthritis following a breast implant rupture: Case report and literature review]. ANN CHIR PLAST ESTH 2023; 68:368-372. [PMID: 36966097 DOI: 10.1016/j.anplas.2023.03.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2023] [Revised: 02/26/2023] [Accepted: 03/05/2023] [Indexed: 03/27/2023]
Abstract
Breast implant rupture is a common complication in plastic surgery, with various clinical presentations, due to silicone migration. In this article, we present the case of a patient with ruptured silicone implants, who developed siliconosis with rheumatoid polyarthritis, and evolved favourably after explantation surgery. The physiopathology of this disease, and the implication of silicone migration are still controversial, and yet to be confirmed.
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Affiliation(s)
- B Hoteit
- Service de chirurgie plastique, reconstructrice et esthétique, chirurgie de la main, centre Francois-Xavier-Michelet, CHU de Bordeaux, place Amélie-Raba-Léon, 33000 Bordeaux, France.
| | - V Pinsolle
- Service de chirurgie plastique, reconstructrice et esthétique, chirurgie de la main, centre Francois-Xavier-Michelet, CHU de Bordeaux, place Amélie-Raba-Léon, 33000 Bordeaux, France
| | - A Delgove
- Service de chirurgie plastique, reconstructrice et esthétique, chirurgie de la main, centre Francois-Xavier-Michelet, CHU de Bordeaux, place Amélie-Raba-Léon, 33000 Bordeaux, France
| | - A Dannepond
- Service de chirurgie oncologique, institut Bergonié, 229, cours de l'Argonne, 33076 Bordeaux, France
| | - A Michot
- Service de chirurgie oncologique, institut Bergonié, 229, cours de l'Argonne, 33076 Bordeaux, France
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Tchurukdichian A, Delgove A, Essid L, Moris V, di Summa PG, Camuzard O, Ornetti P, Zwetyenga N, Guillier D. Time to return to work after total trapeziometacarpal prosthesis. Hand Surg Rehabil 2023:S2468-1229(23)00116-0. [PMID: 37356569 DOI: 10.1016/j.hansur.2023.05.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/18/2023] [Revised: 05/12/2023] [Accepted: 05/14/2023] [Indexed: 06/27/2023]
Abstract
OBJECTIVES This study assessed return to work and prosthesis survival after trapeziometacarpal prosthesis surgery. MATERIAL AND METHODS A multicenter retrospective study was carried out on patients operated on between 2002 and 2020. All working patients who had undergone trapeziometacarpal prosthesis surgery were included. Return to work was defined as resuming the same full-time position. Postoperative events and their specific treatment and failure to return to work were reported. RESULTS 240 prostheses in 211 patients were included. The complications rate was 7.5%, with 97% prosthesis survival. 94.3% of patients returned to work, at a mean 48 days (range, 29-210 days; SD, 22.7 days), with no significant difference according to age. Twelve patients did not return to work, half of whom because of prosthetic complications. CONCLUSION Trapeziometacarpal arthroplasty enables most patients to return to work within 6 weeks. In this series, the prosthetic survival rate was 97%.
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Affiliation(s)
- A Tchurukdichian
- Department of Plastic Reconstructive and Hand Surgery, Department of Oral and Maxillofacial Surgery - Dijon University Hospital, Boulevard de Lattre de Tassigny F-21000, Dijon, France; Chirurgie de la main, Cliniques de Valmy et de Drevon, 1 bis cours Général de Gaulle F-21000 Dijon, France
| | - A Delgove
- Service de chirurgie plastique, reconstructrice et esthétique, CHU de Bordeaux, place Amélie Raba Léon, 33000 Bordeaux, France
| | - L Essid
- Department of Plastic Reconstructive and Hand Surgery, Department of Oral and Maxillofacial Surgery - Dijon University Hospital, Boulevard de Lattre de Tassigny F-21000, Dijon, France
| | - V Moris
- Department of Plastic Reconstructive and Hand Surgery, Department of Oral and Maxillofacial Surgery - Dijon University Hospital, Boulevard de Lattre de Tassigny F-21000, Dijon, France
| | - P G di Summa
- Department of Plastic and Hand Surgery, Centre Hospitalier Universitaire Vaudois (CHUV), University of Lausanne (UNIL), Rue de Bugnon 46, 1011 Lausanne, Switzerland
| | - O Camuzard
- Department of Plastic and Reconstructive Surgery, Hôpital Pasteur 2, CHU de Nice, Université Côte d'Azur, Nice, France
| | - P Ornetti
- Department of Rhumatology - Dijon University Hospital, Boulevard de Lattre de Tassigny, F-21000, Dijon, France
| | - N Zwetyenga
- Department of Plastic Reconstructive and Hand Surgery, Department of Oral and Maxillofacial Surgery - Dijon University Hospital, Boulevard de Lattre de Tassigny F-21000, Dijon, France
| | - D Guillier
- Department of Plastic Reconstructive and Hand Surgery, Department of Oral and Maxillofacial Surgery - Dijon University Hospital, Boulevard de Lattre de Tassigny F-21000, Dijon, France.
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Blaquière R, Rousvoal A, Delgove A, Belaroussi Y, Michot A. [Morbidity and quality of life following breast reconstruction by autologous latissimus dorsi, muscle sparing and perforator flaps]. ANN CHIR PLAST ESTH 2023; 68:26-34. [PMID: 36028410 DOI: 10.1016/j.anplas.2022.07.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2022] [Revised: 07/24/2022] [Accepted: 07/27/2022] [Indexed: 01/18/2023]
Abstract
INTRODUCTION Morbidity following autologous latissimus dorsi flap (ALD), muscle sparing latissimus dorsi flap (MSLD) and thoracodorsal artery perforator flap (TAP) is controversial. The purpose of this study was to measure morbity using Quick Dash at 1 month and 1 year following breast reconstruction with one of these three flaps. The second objective was the evaluation of quality of life using Breast-Q. PATIENTS AND METHOD Thirty four consecutive patients who had undergone breast reconstruction were included in this monocentric and prospective study: 10 patients in the ALD group, 12 patients in the MSLD group and 12 patients in the TAP group. RESULTS At 1 month and 1 year following surgery, the variation of Quick Dash was 13,63 and 2,38 in the ALD group, 3,41 and -1,13 in the MSLD group and 5,69 and 0 in the TAP group. Satisfaction whith breasts, psychosocial, sexual and chest well-being were higher in the ALD group. Satisfaction with back was higher in the MSLD and TAP groups. Back and shoulder well-being was comparable regardless of the flap. Seroma occurrence was very rare in case of TAP, rare and not abundant in case of MSLD and frequent in case of ALD. CONCLUSION This study appears to confirm that immediate morbidity is less important with MSLD or TAP than ALD. Hoewever at one year following surgery, morbity seems to be comparable with the 3 flaps. Patients satisfaction seems to be higher with ALD except for the aspect of the back.
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Affiliation(s)
- R Blaquière
- Service de chirurgie plastique, reconstructrice et esthétique, CHU de Bordeaux, place Amélie Raba Léon, 33000 Bordeaux, France.
| | - A Rousvoal
- Nouvelle Clinique Bel-Air, 138, avenue de la République, 33200 Bordeaux, France
| | - A Delgove
- Service de chirurgie plastique, reconstructrice et esthétique, CHU de Bordeaux, place Amélie Raba Léon, 33000 Bordeaux, France
| | - Y Belaroussi
- Service de chirurgie thoracique, CHU de Haut-Lévèque, avenue Magellan, 33600 Pessac, France
| | - A Michot
- Institut Bergonié, 229, Cours de l'Argonne, 33076 Bordeaux, France
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Luciani P, Delgove A, Pelissier P. Retrospective evaluation of WALANT in emergency hand surgery in the Bordeaux university hospital. Hand Surg Rehabil 2022; 41:435-440. [PMID: 35487414 DOI: 10.1016/j.hansur.2022.03.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Revised: 02/14/2022] [Accepted: 03/02/2022] [Indexed: 11/19/2022]
Abstract
The Wide-Awake Local Anesthesia No Tourniquet (WALANT) technique uses local anesthesia based on lidocaine and adrenaline, enabling surgery without the tourniquet normally used in hand surgery. Only a few studies have been conducted on the use of WALANT for emergency hand surgery in teaching hospitals. We therefore set up the WALANT procedure in our emergency department in the university hospital of Bordeaux, France, to evaluate its feasibility and the satisfaction of patients and operators. Between April and June 2020, we included 58 patients undergoing surgery for acute trauma of the hand/wrist. WALANT was performed following a specific protocol. A tourniquet was systematically available on standby. After the procedure, patients and operators were asked to complete a questionnaire. Patients rated pain on a 0-10 numerical analog scale. Surgeons reported their feelings about bleeding and patient cooperation. All patients underwent a nearly painless operation, with a mean pain score of 0.36/10. The mean pain score during injection was 2.57, and postoperatively 5.2. Bleeding complications were reported to be absent or slight by 43% of operators, moderate but acceptable by 47%, and significant by 10%. Bipolar forceps were used in 76% of cases. No digital necrosis or prolonged ischemia requiring the use of phentolamine was reported. WALANT offers a simple, safe, and effective alternative to traditional anesthesia techniques in an emergency setting. Patients and surgeons reported overall satisfaction, with no increase in the complications rate.
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Affiliation(s)
- P Luciani
- Service de chirurgie plastique esthétique et reconstructrice, centre hospitalo-universitaire de Bordeaux, GH Pellegrin Centre François-Xavier Michelet, place Amélie-Raba-Léon, 33000 Bordeaux, France.
| | - A Delgove
- Service de chirurgie plastique esthétique et reconstructrice, centre hospitalo-universitaire de Bordeaux, GH Pellegrin Centre François-Xavier Michelet, place Amélie-Raba-Léon, 33000 Bordeaux, France.
| | - P Pelissier
- Service de chirurgie plastique esthétique et reconstructrice, centre hospitalo-universitaire de Bordeaux, GH Pellegrin Centre François-Xavier Michelet, place Amélie-Raba-Léon, 33000 Bordeaux, France.
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De Almeida YK, Athlani L, Piessat C, Delgove A, Dap F, Dautel G. Pollicization in the treatment of congenital severe hypoplasia and aplasia of the thumb: a systematic review. Hand Surg Rehabil 2021; 41:22-30. [PMID: 34687972 DOI: 10.1016/j.hansur.2021.10.311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/08/2020] [Revised: 10/13/2021] [Accepted: 10/14/2021] [Indexed: 10/20/2022]
Abstract
Pollicization of the index is the treatment of choice for severe hypoplasia and aplasia of the thumb. After a historical overview, we present a systematic review of this procedure. The main steps of this procedure were reported by Dieter Buck-Gramcko in 1971 and are still relevant nowadays. Many refinements have been described over the last decades by different surgeons to address limitations related to bone stock, musculotendinous structures and skin incisions. However, considering the complexity of this procedure and the results in the literature, the functional and esthetic outcomes can still be improved thanks to basic research. Pollicization of the index is rarely done and is one of the most demanding surgical procedure in hand surgery.
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Affiliation(s)
- Y-K De Almeida
- Department of Hand Surgery, Plastic and Reconstructive Surgery, Centre chirurgical Emile Gallé, CHU Nancy, 49 Rue Hermite, 54000, Nancy, France.
| | - L Athlani
- Department of Hand Surgery, Plastic and Reconstructive Surgery, Centre chirurgical Emile Gallé, CHU Nancy, 49 Rue Hermite, 54000, Nancy, France.
| | - C Piessat
- Department of Hand Surgery, Plastic and Reconstructive Surgery, Centre chirurgical Emile Gallé, CHU Nancy, 49 Rue Hermite, 54000, Nancy, France.
| | - A Delgove
- Department of Plastic and Reconstructive Surgery, Hand Surgery, Burns Unit, Centre F-X Michelet, CHU Bordeaux, Place Amélie Raba Léon, 33000, Bordeaux, France.
| | - F Dap
- Department of Hand Surgery, Plastic and Reconstructive Surgery, Centre chirurgical Emile Gallé, CHU Nancy, 49 Rue Hermite, 54000, Nancy, France.
| | - G Dautel
- Department of Hand Surgery, Plastic and Reconstructive Surgery, Centre chirurgical Emile Gallé, CHU Nancy, 49 Rue Hermite, 54000, Nancy, France.
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Roulet S, De Luca L, Bulla A, Casoli V, Delgove A. The medial adipofascial flap for infected tibia fractures reconstruction: 10 years of experience with 59 cases. ANN CHIR PLAST ESTH 2020; 66:234-241. [PMID: 32800463 DOI: 10.1016/j.anplas.2020.07.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2020] [Revised: 07/12/2020] [Accepted: 07/24/2020] [Indexed: 10/23/2022]
Abstract
OBJECTIVE The purpose of this study was to evaluate the results of the medial adipofascial flap (MAF) in infected tibia fractures reconstruction and to identify criteria for success or failure. PATIENTS AND METHODS Fifty-nine patients treated with a MAF were enrolled. Age, BMI, tobacco use and bone status were recorded. Early and late postoperative complications were assessed. Bone healing and flap success were systematically evaluated at 12 months. RESULTS Tibia fractures were initially open in 48 cases (81%) and closed in 11 cases (19%). Infection was acute (<30 days) in 9 cases (15%) and chronic in 50 (85%). Thirty-one patients (53%) experienced no early postoperative complications (<30 days). There were 10 (17%) cases of necrosis of the skin graft, 2 (3%) cases of necrosis and 4 (7%) haematomas in the harvesting area, 7 (12%) cases of partial flap necrosis at its tip and 4 (7%) flap failures. None of the criteria was statistically correlated with the occurrence of a complication. At 12 months, 53 flaps (90%) were successful. Immediate skin graft were significantly correlated with flap success (P=0.05). Forty-six patients (78%) had complete bone healing documented by CT scan. CONCLUSION The MAF provides a reliable alternative for lower leg reconstruction. Its major advantages are sparing of the major leg vessels, no donor site morbidity and relatively easy and rapid dissection.
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Affiliation(s)
- S Roulet
- Plastic Surgery and Burns Unit, Centre François-Xavier Michelet, Bordeaux University Hospital, 33076 Bordeaux, France; Department of Orthopaedic Surgery 1 and 2, Trousseau University Hospital, Medical University François-Rabelais, Tours, France.
| | - L De Luca
- Plastic Surgery and Burns Unit, Centre François-Xavier Michelet, Bordeaux University Hospital, 33076 Bordeaux, France
| | - A Bulla
- Plastic Surgery Unit, Department of Surgical, Microsurgical and Medical Sciences, University of Sassari, Italy
| | - V Casoli
- Plastic Surgery and Burns Unit, Centre François-Xavier Michelet, Bordeaux University Hospital, 33076 Bordeaux, France; School of Surgery, University of Bordeaux, 33076 Bordeaux, France
| | - A Delgove
- Plastic Surgery and Burns Unit, Centre François-Xavier Michelet, Bordeaux University Hospital, 33076 Bordeaux, France; School of Surgery, University of Bordeaux, 33076 Bordeaux, France
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Bulla A, Delgove A, De Luca L, Pelissier P, Casoli V. The esthetic outcome of lower limb reconstruction. ANN CHIR PLAST ESTH 2020; 65:655-666. [PMID: 32800462 DOI: 10.1016/j.anplas.2020.07.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2020] [Accepted: 07/17/2020] [Indexed: 12/21/2022]
Abstract
BACKGROUND In recent years, the progress of anatomical knowledge and microsurgical techniques, in particular the development of perforator flaps, has risen the number of flaps available for lower leg reconstruction. The esthetic consequences of flap choice and harvest do have an impact on patients' quality of life. Nowadays, more researchers evaluate the esthetic changes following lower limb reconstruction. OBJECTIVES This review aims to summarize the available evidence on the esthetic outcome of lower limb reconstruction. DATA SOURCES A systematic review was planned to identify the most relevant indexed articles on this subject. The search was performed on Pubmed database without date of publication limits. STUDY ELIGIBILITY CRITERIA All papers about reporting information about the esthetic outcome of lower limb reconstruction were selected. Case reports and the articles not including specific information about complications, secondary procedures, and outcomes were excluded. The articles were categorized according to their topic and date of publication. The full texts of all the articles were obtained and read thoroughly. The references for each article were screened to identify articles that were eventually left outside our database search. PARTICIPANTS, AND INTERVENTIONS One hundred and eight articles were retained for the definitive review. Eleven review articles were kept because they represented a good source of information. Thirty-three articles were added after reading the full texts. The articles appear highly heterogeneous and at, this stage, only a critical and qualitative analysis could be performed. RESULTS We found information about 7895 lower reconstructions, 1295 local flaps, 6546 free flaps. LIMITATIONS The esthetic evaluation is intrinsic subjective. Many psychological and cultural factors influence both the patient and the surgeon. There is not a validated assessment tool for the esthetic outcome of lower leg reconstruction. Therefore, no quantitative analysis was performed. CONCLUSIONS Some ancient techniques are today obsolete, like the rectus abdominis free muscle flaps and perhaps free forearm flap, others are always useful, like gracilis and latissimus dorsi free flap. ALT flap is the most versatile perforator flap today available, but the SCIP flap is gaining the favor of a growing number of surgeons. Local flaps will be always performed with success but their indications should not be pushed beyond the medium-size defects. The best cosmetic outcome for each patient cannot necessarily be obtained neither with the easiest techniques nor with the most technically demanding ones. It is necessary to develop validated tools to assess the cosmetic outcome of lower limb reconstruction.
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Affiliation(s)
- A Bulla
- Department of Plastic and Reconstructive Surgery, Hand Surgery, Burns Unit, F.X.-Michelet Center, University Hospital Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux, France.
| | - A Delgove
- Department of Plastic and Reconstructive Surgery, Hand Surgery, Burns Unit, F.X.-Michelet Center, University Hospital Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux, France
| | - L De Luca
- Department of Plastic and Reconstructive Surgery, Hand Surgery, Burns Unit, F.X.-Michelet Center, University Hospital Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux, France
| | - P Pelissier
- Department of Plastic and Reconstructive Surgery, Hand Surgery, Burns Unit, F.X.-Michelet Center, University Hospital Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux, France
| | - V Casoli
- Department of Plastic and Reconstructive Surgery, Hand Surgery, Burns Unit, F.X.-Michelet Center, University Hospital Bordeaux, place Amélie-Raba-Léon, 33076 Bordeaux, France
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Athlani L, Delgove A, Dautel G, Casoli V. Anatomy of the ulnar nerve in the posterior compartment of the upper arm: Relationships with the triceps brachii muscle. Morphologie 2020; 104:85-90. [PMID: 32305208 DOI: 10.1016/j.morpho.2019.11.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2019] [Revised: 11/12/2019] [Accepted: 11/12/2019] [Indexed: 11/26/2022]
Abstract
The aim of our descriptive anatomical study was to clarify the relationships between the ulnar nerve and the triceps brachii muscle in the posterior compartment of the upper arm. This study involved 30 fresh adult upper limbs. In all specimens, the ulnar nerve crossed from the anterior to posterior compartment in a space formed by the medial intermuscular septum and muscle fibers of the triceps' medial head. This transition zone was located an average of 126mm (115-135mm) proximal to the start of the ulnar groove. In the posterior compartment, the nerve descended vertically, and its anterior side was attached to the posterior side of the septum. Its posterior and lateral sides were covered by muscle fibers from the medial head. Its medial side was always free meaning that the nerve did not penetrate through the medial head. The other heads of the triceps muscle had no direct interactions with the ulnar nerve within this compartment. During its posterior course, the nerve was accompanied by the superior ulnar collateral artery. The ulnar nerve did not give off any branches in the upper arm.
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Affiliation(s)
- L Athlani
- Service de chirurgie de la main, chirurgie plastique et reconstructrice de l'appareil locomoteur, Centre Chirurgical Emile-Gallé, CHU de Nancy, 49, rue Hermite, 54000 Nancy, France.
| | - A Delgove
- Service de chirurgie plastique et reconstructrice, chirurgie de la main, centre François-Xavier-Michelet, CHU de Pellegrin-Bordeaux, place Amélie-Raba-Léon, 33000 Bordeaux, France.
| | - G Dautel
- Service de chirurgie de la main, chirurgie plastique et reconstructrice de l'appareil locomoteur, Centre Chirurgical Emile-Gallé, CHU de Nancy, 49, rue Hermite, 54000 Nancy, France.
| | - V Casoli
- Département d'anatomie, faculté de médecine, université Victor-Segalen, 146, rue Léo-Saignat, 33000 Bordeaux, France.
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Delgove A, Weigert R, Casoli V. Evaluation of donor site morbidity after medial triceps brachii free flap for lower limb reconstruction. Arch Orthop Trauma Surg 2017; 137:1659-1666. [PMID: 28887648 DOI: 10.1007/s00402-017-2780-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/28/2017] [Indexed: 10/18/2022]
Abstract
INTRODUCTION The medial head of the triceps brachii muscle (MTB)-free flap is an attractive solution to cover small-to-medium defects of the lower limb. This muscular head has no well-identified function, suggesting minimal impact of its removal on elbow mobility. The aim of this study was to evaluate the safety and reliability of the harvest procedure and the functional and cosmetic morbidity of this donor site. MATERIALS AND METHODS Twenty-four consecutive MTB-free flaps were performed for reconstructive surgery of the lower limb between 2011 and 2015. Patients and their records were retrospectively examined. Functional results were evaluated by assessing elbow extension strength using a dynamometer and with a QuickDASH questionnaire. Cosmetic results were assessed using the POSAS observer and patient scales. RESULTS Twenty-four patients were followed up postoperatively for an average of 33.9 [min 12-max 59] months. No major complication (in particular, no ulnar or radial nerve injury) occurred during harvest. No patient complained of elbow pain or reduction in strength. Elbow extension was complete in all patients and the mean strength was calculated at 89 [61.1-112.5] % of the opposite arm. The POSAS scale scored an average 8.6 [7-21] for the observer and 10 [7-26] for the patient. Cosmetic results using the POSAS scale were satisfactory in all patients. CONCLUSIONS Objective evaluation of patients who underwent an MTB-free flap for limb reconstruction shows no impact of the harvesting procedure on elbow extension. Patient satisfaction with the donor site was high. From this retrospective study, it appears that this surgery is safe, aesthetically acceptable, and has minimal impact on donor site elbow function.
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Affiliation(s)
- A Delgove
- Plastic Surgery and Burns Unit, University Hospital of Bordeaux, FX Michelet Center, Place Amelie Raba Leon, 33076, Bordeaux, France.
| | - R Weigert
- Plastic Surgery and Burns Unit, University Hospital of Bordeaux, FX Michelet Center, Place Amelie Raba Leon, 33076, Bordeaux, France
| | - V Casoli
- Plastic Surgery and Burns Unit, University Hospital of Bordeaux, FX Michelet Center, Place Amelie Raba Leon, 33076, Bordeaux, France
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Angelliaume A, Harper L, Lalioui A, Delgove A, Lefèvre Y. Tailor-made management of thoracic scoliosis with cervical hyperextension in muscular dystrophy. Eur Spine J 2017; 27:264-269. [DOI: 10.1007/s00586-017-5113-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/21/2017] [Accepted: 04/25/2017] [Indexed: 11/29/2022]
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Delgove A, Detaille D, Retortillo Garcia J, Magat J, Loyer V, Diolez P. Protective role of ischemic conditioning procedures against skeletal muscle ischemia-reperfusion injury via improving in vivo energy metabolism and mitochondrial function. Archives of Cardiovascular Diseases Supplements 2017. [DOI: 10.1016/s1878-6480(17)30466-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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