Plastic and reconstructive surgery
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Plast. Reconstr. Surg. · Mar 2012
Comparative StudyPatient-related keloid scar assessment and outcome measures.
Keloid scars cause pain, itching, functional limitation, and disfigurement, leading to psychological distress. Progress in treatment regimens is hindered by the lack of a universally accepted outcome measure. The Patient and Observer Scar Assessment Scale is a tool for the assessment of scars, incorporating an assessment by both clinician and patient. This study evaluates its application to keloids and compares it to the widely used Vancouver Scar Scale, which is considered the standard mode of assessment for scars. ⋯ Diagnostic, II.
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Plast. Reconstr. Surg. · Mar 2012
Epidermal regeneration by micrograft transplantation with immediate 100-fold expansion.
Major loss of skin following burns or trauma requires skin grafting for repair. In addition, chronic wounds frequently require skin grafts. Current treatments are either cumbersome, limited in possible expansion ratio, costly, or require extensive time for treatment. This study investigates a new way of regenerating skin after major burns and other trauma, providing 100-fold expansion of a split-thickness skin graft. ⋯ Minced skin micrografts are very effective in wound repair and can provide 100-fold expansion of a skin graft. Early clinical results confirm the utility of this technique.
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Plast. Reconstr. Surg. · Mar 2012
Multicenter Study Clinical TrialProspective multicenter trial of modified retrograde percutaneous intramedullary Kirschner wire fixation for displaced metacarpal neck and shaft fractures.
The purpose of this prospective multicenter study was to assess the clinical and radiographic outcome of a newly devised technique of retrograde intramedullary fixation with multiple Kirschner wires in metacarpal neck and shaft fractures. ⋯ Therapeutic, IV.
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Plast. Reconstr. Surg. · Mar 2012
Breast reconstruction using a staged nipple-sparing mastectomy following mastopexy or reduction.
To address those patients who do not meet anatomical criteria for nipple-sparing mastectomy, the authors use a staged approach: (1) mastopexy or breast reduction, (2) nipple-sparing mastectomy through the mastopexy incisions after a minimum of 3 to 4 weeks, and (3) the final reconstruction. ⋯ Therapeutic, IV.