Journal of plastic surgery and hand surgery
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J Plast Surg Hand Surg · Apr 2018
A core undergraduate curriculum in plastic surgery - a Delphi consensus study in Scandinavia.
In recent years, undergraduate medical education has undergone a transition from a speciality-based to a more competence-based training system. Consequently, whilst medical knowledge is rapidly expanding, time for teaching of the surgical specialties is decreasing. Thus, there appears to be a need to define the core competences that are to be taught. The aim of this study was to establish a Scandinavian core undergraduate curriculum of competences in plastic surgery, using scientific methods. ⋯ This study proposes the first scientifically developed undergraduate core curriculum in plastic surgery. It comprises of a consensus of competences a recently graduated medical doctor should be expected to possess.
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J Plast Surg Hand Surg · Apr 2018
The use of innervated radial artery superficial palmar branch perforator free flap for complex digital injuries reconstruction.
Loco-regional flaps have been widely used for the reconstruction of digital injuries without requiring microvascular anastomosis, however, they result in scarring and compromised functional outcomes. This study demonstrates our experience utilizing the innervated radial artery superficial palmar branch (RASPB) perforator free flap for complex digital injury reconstruction. From May 2007 to March 2014, the innervated RASPB perforator free flap was used to reconstruct 79 distal complex hand and digital soft tissue defects of which 14 were used to re-vascularise the distal digit in a flow-through fashion. ⋯ All patients were satisfied with the aesthetic results. The innervated RASPB perforator free flap is a feasible and effective option for the reconstruction of complex digital defects and the flow-through concept, when utilized in cases with compromised vascularity, provides reliable re-vascularization. Level III, therapeutic study.
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J Plast Surg Hand Surg · Feb 2018
Comparative StudySelf-citation rate and impact factor in the field of plastic and reconstructive surgery.
Journal ranking based on the impact factor (IF) can be distorted by self-citation. The aim of this study is to investigate the present status of self-citation in the plastic surgery journals and its effect on the journals' IFs. ⋯ The self-citation rate positively affects the IF in plastic surgery journals. A high concentration of self-citation of some journals could distort the ranking among plastic surgery journals in general.
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J Plast Surg Hand Surg · Dec 2017
ReviewAssessment of burn size in obese adults; a literature review.
Obesity causes changes in the total body surface area as well as the distribution of skin surfaces. In burn management, three methods are commonly used to determine the surface area burned: the patient's palm, the rule of nines, and the Lund-Browder chart. These methods rely on the distribution of skin surface, although none of these methods consider differences in body mass. This study investigates the relationship between body surfaces and body mass in the assessment of burn size to determine the validity of the conventional methods when applied to obese individuals. ⋯ The commonly used methods for assessment of burns should be used with caution when applied to obese burn patients, and the clinical parameters observed even more systematically.
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J Plast Surg Hand Surg · Dec 2017
Reoperations and postoperative complications after osteosynthesis of phalangeal fractures: a retrospective cohort study.
The aim of the study was to describe the reoperation rates and postoperative complications associated with different methods of osteosynthesis in all extra-articular, closed fractures of the proximal and middle phalanges operated on in the Department of Hand Surgery at Södersjukhuset beween 2010-2014, and to describe the associated patient demographics. ⋯ Open reduction with plate fixation was associated with a higher reoperation rate, but this method was also used for the more complex fractures. Plate fixation for phalangeal fractures often entails a need for later tenolysis and plate removal. More aggressive mobilisation regimes might be indicated to prevent adhesion problems.