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[German Translation and Validation of the Patient-Oriented Questionnaire "Thumb Disability Examination" (TDX) for Specific Diagnosis and Follow-Up of Thumb Carpometacarpal Joint Osteoarthritis]. [以患者为导向的 "拇指残疾检查"(TDX)问卷的德文翻译和验证,用于拇指掌腕关节骨关节炎的具体诊断和随访]。
IF 0.6 4区 医学 Q3 Medicine Pub Date : 2023-12-01 Epub Date: 2023-12-07 DOI: 10.1055/a-2192-9410
Sinan Mert, Iana Emelianova, Nicholas Möllhoff, Moritz Christian Bader, Riccardo Giunta, Elisabeth Maria Haas-Lützenberger

Background: Patient-reported outcome measures (PROMs) are becoming increasingly important in today's patient care. Unfortunately, the most common PROMs in hand surgery are very time-consuming and usually do not cover the actual, diagnosis-specific complaints of the patients. For diagnosis and follow-up of thumb carpometacarpal joint osteoarthritis, Noback et al. developed and validated the Thumb Disability Examination (TDX) questionnaire. This 20-item questionnaire specifically assesses daily living limitations and pain as well as patient-reported satisfaction of thumb function. The aim of this study is to validate the German translation of the TDX, the Thumb Disability Examination - German (TDX-G), and to compare it with the German-language versions of the MHQ and qDASH, which are currently used as gold standard.

Material und methods: Translation and back-translation were performed in accordance with accepted guidelines. For statistical validation of the TDX-G, 30 consecutive patients with thumb carpometacarpal joint osteoarthritis were interviewed under standardised conditions. Internal consistency was calculated using Cronbach's alpha. Test-retest reliability was determined in 10 patients who completed the TDX-G twice at an interval of 2 weeks. The validity of the TDX-G was determined by calculating the correlation coefficients of the TDX-G with the MHQ and qDASH, subjective pain sensation (NRS), and hand strength levels (coarse and pinch strength). In addition, the time to collect each questionnaire was compared.

Results: The TDX-G has high internal consistency (Cronbach's alpha 0.932) and test-retest reliability (intraclass correlation coefficient 0.963 [0.850-0.991]). There is a significant correlation between TDX-G and MHQ (- 0.782; p<0.001) and qDASH (0.833; p<0.001). All questionnaires correlate significantly with pain on exertion and pinch force, with the TDX-G having the highest correlation in each case. Significantly less time is needed to record the TDX-G (110±28 s) than to record the MHQ (413±98 s).

Conclusion: The TDX-G is a reliable tool for diagnosing and monitoring the progression of thumb carpometacarpal joint osteoarthritis. It can be used in both patient care and clinical research and accurately mirrors the symptoms.

背景:患者报告结果测量(PROMs)在当今的患者护理中变得越来越重要。遗憾的是,手外科最常见的 PROM 非常耗时,而且通常不包括患者实际的、特定诊断的主诉。为了诊断和随访拇指腕掌关节骨关节炎,Noback 等人开发并验证了拇指残疾检查 (TDX) 问卷。该问卷共有 20 个项目,专门评估日常生活限制、疼痛以及患者对拇指功能的满意度。本研究的目的是验证 TDX 的德语翻译版本--拇指残疾检查-德语(TDX-G),并将其与目前作为金标准的德语版 MHQ 和 qDASH 进行比较:材料和方法:翻译和回译均按照公认的准则进行。为了对 TDX-G 进行统计验证,在标准化条件下对 30 名连续的拇指腕掌关节骨关节炎患者进行了访谈。采用克朗巴赫α计算内部一致性。10 名患者两次完成了 TDX-G 的测试,每次间隔 2 周。通过计算 TDX-G 与 MHQ 和 qDASH、主观疼痛感觉(NRS)和手部力量水平(粗力和捏力)的相关系数,确定了 TDX-G 的有效性。此外,还对收集每份问卷的时间进行了比较:结果:TDX-G 具有较高的内部一致性(Cronbach's alpha 0.932)和测试-再测可靠性(类内相关系数 0.963 [0.850-0.991])。TDX-G 与 MHQ 之间存在明显的相关性(- 0.782;p 结论:TDX-G 是诊断和监测拇指腕掌关节骨关节炎进展的可靠工具。它可用于患者护理和临床研究,并能准确反映症状。
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引用次数: 0
[The split turnover pectoralis muscle flap: an easy and safe method for sternal wound coverage]. [分割翻转胸肌瓣:一种简单安全的胸骨伤口覆盖方法]。
IF 0.6 4区 医学 Q3 Medicine Pub Date : 2023-12-01 Epub Date: 2023-06-27 DOI: 10.1055/a-2060-0814
Claas Spengler, Frank Masberg, Roland Mett

The conventional pectoralis muscle flap is well known for the reconstruction of sternal defects after deep sternal wound infection. The pectoralis muscle flap can be harvested as an advancement flap based on the thoracoacromial artery, or it can be harvested as a turnover flap based on intercostal perforators of the internal thoracic artery. A disadvantage of the advancement flap can be seen in its limited reach, especially for covering the lower third of the sternum. The turnover flap is well suited for coverage of the lower and middle sternal third, but then lacks the length for coverage of the cranial third. The authors describe a new method for splitting up the pectoralis turnover muscle flap along its muscle fibres in order to gain additional length. Between 2017 and 2022, we treated 12 patients with this method. Total wound coverage and closure have been achieved in all 12 patients. Thus, the split turnover pectoralis flap is a safe and effective method for sternal wound treatment.

传统的胸肌瓣在胸骨深部伤口感染后重建胸骨缺损方面广为人知。胸肌瓣可以胸锁乳突动脉为基础,以推进瓣的形式获取,也可以胸内动脉肋间穿孔器为基础,以翻转瓣的形式获取。推进皮瓣的缺点在于其覆盖范围有限,尤其是在覆盖胸骨下三分之一时。翻转皮瓣非常适合覆盖胸骨中下1/3,但缺乏覆盖颅骨1/3的长度。作者描述了一种沿胸肌肌纤维分割胸肌翻转肌皮瓣以获得额外长度的新方法。在 2017 年至 2022 年期间,我们用这种方法治疗了 12 名患者。所有 12 名患者都实现了伤口的完全覆盖和闭合。因此,分割翻转胸肌皮瓣是一种安全有效的胸骨伤口治疗方法。
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引用次数: 0
[Choice of flaps for phalloplasty: what is the contemporary standard? Consensus Statement of the German-Speaking Society for Microsurgery of Peripheral Nerves and Vessels]. [阴茎成形术皮瓣的选择:当代标准是什么?德语外周神经和血管显微外科学会的共识声明]。
IF 0.6 4区 医学 Q3 Medicine Pub Date : 2023-12-01 Epub Date: 2023-10-02 DOI: 10.1055/a-2134-5891
Lara Küenzlen, Jens Christian Wallmichrath, Markus V Küntscher, Jens Rothenberger, Christian Laback, Dirk Johannes Schaefer, Jürgen Schaff, Ahmet Bozkurt, Gabriel Djedovic, Stefan Langer, Tobias Hirsch, Ulrich Rieger

The ever-expanding number of transmen as well as their surgeons share an increasing interest in the construction of a neophallus. While the indication for surgery and the positive effect of a phalloplasty on the quality of life, mental health and sexual function has already been thoroughly analysed, there is a lack of data comparing and evaluating the surgical steps. During the consensus conference on the "choice of flaps for phalloplasty" at the annual meeting of the German-Speaking Society for Microsurgery of Peripheral Nerves and Vessels, the current literature was discussed and a consensus on the surgical technique of a phalloplasty was reached. This manuscript publishes jointly developed recommendations on the following topics: choice of flaps for phalloplasty, preoperative diagnostic tests before phalloplasty, urethral construction in the radial forearm flap and anterior lateral thigh flap, preformation of the urethra at the forearm or thigh, venous drainage of the radial forearm flap, innervation of the phallus, staged phalloplasty, coronaplasty and managing the donor site of a radial forearm flap.

越来越多的跨性别者和他们的外科医生对新阴茎的构建越来越感兴趣。虽然手术指征和阴茎成形术对生活质量、心理健康和性功能的积极影响已经得到了彻底的分析,但缺乏比较和评估手术步骤的数据。在德国外周神经和血管显微外科学会年会上关于“阴茎成形术皮瓣的选择”的共识会议上,讨论了当前的文献,并就阴茎成形术的手术技术达成了共识。这份手稿发表了关于以下主题的联合建议:阴茎成形术皮瓣的选择、阴茎成形术前的术前诊断测试、前臂桡侧皮瓣和大腿前外侧皮瓣的尿道结构、前臂或大腿尿道的预成形、前臂桡状皮瓣的静脉引流、阴茎的神经支配、阶段性阴茎成形术,冠状动脉成形术和前臂桡侧皮瓣的供区管理。
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引用次数: 0
[Changes of the Impact Factor 2022]. [影响因子2022的变化]。
IF 0.6 4区 医学 Q3 Medicine Pub Date : 2023-12-01 Epub Date: 2023-11-15 DOI: 10.1055/a-2023-3845
Riccardo E Giunta
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引用次数: 0
[HaMiPla Best Paper Award - Your Favourites in 2022]. [HaMiPla 最佳论文奖--2022 年您的最爱]。
IF 0.6 4区 医学 Q3 Medicine Pub Date : 2023-12-01 Epub Date: 2023-12-07 DOI: 10.1055/a-2202-6243
Daria Gose, Sonja Schmid
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引用次数: 0
[Searching for Evidence: A Systematic Review of the Pathology of Lipoedema]. [寻找证据:脂水肿病理的系统综述]。
IF 0.6 4区 医学 Q3 Medicine Pub Date : 2023-12-01 Epub Date: 2023-11-20 DOI: 10.1055/a-2183-7414
Sarah Funke, Constanze Kuhlmann, Sara Taha, Benedikt Fuchs, Paul Severin Wiggenhauser, Riccardo E Giunta

Background: Lipoedema is a symmetrically localised, painful hypertrophy of subcutaneous adipose tissue in the extremities with marked disproportion to the trunk, and almost exclusively affects females. Despite being first described over 80 years ago, the aetiology and pathogenesis of the disease are largely unknown and are currently the subject of intensive research efforts.

Methods: To summarise the current evidence-based literature on the cellular pathologies and aetiology of lipoedema, a PRISMA-based systematic review was conducted within the National Library of Medicine and Cochrane databases.

Results: A total of 53 studies were identified and included in this review. The results were classified and summarised into categories.

Conclusion: Although there has been a significant increase in research activity and recent publication of extensive studies with a histological and molecular genetic focus, the fundamental aetiology and pathology of lipoedema remains largely unclear. The current data shows discrepancies across studies, particularly with regard to the "oedematous" component of lipoedema. The frequently present comorbidities "lymphoedema" and "obesity", primarily in advanced stages of lipoedema, complicate the diagnostic differentiation and clear definition of study cohorts in scientific research.

背景:脂肪水肿是四肢皮下脂肪组织的一种局部对称、疼痛性肥大,与躯干明显不成比例,几乎只发生在女性身上。尽管在80多年前首次被描述,但该病的病因和发病机制在很大程度上是未知的,目前是深入研究的主题。方法:为了总结目前关于脂肪水肿的细胞病理学和病因学的循证文献,我们在美国国家医学图书馆和Cochrane数据库中进行了基于prisma的系统综述。结果:本综述共纳入53项研究。结果被分类和总结成几类。结论:尽管在组织学和分子遗传学方面的研究活动和最近发表的大量研究显著增加,但脂肪水肿的基本病因和病理在很大程度上仍不清楚。目前的数据显示了不同研究之间的差异,特别是关于脂水肿的“水肿”成分。常出现的合并症“淋巴水肿”和“肥胖”,主要发生在脂水肿的晚期,使科学研究中的诊断鉴别和研究队列的明确定义复杂化。
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引用次数: 0
Danksagung an die Gutachter. 向审稿人致谢。
IF 0.6 4区 医学 Q3 Medicine Pub Date : 2023-12-01 Epub Date: 2023-12-07 DOI: 10.1055/a-2194-3069
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引用次数: 0
An Oroauricular Fistula After Mandibular Osteosarcoma Resection. 下颌骨骨肉瘤切除术后的耳廓瘘管
IF 0.6 4区 医学 Q3 Medicine Pub Date : 2023-12-01 Epub Date: 2023-09-07 DOI: 10.1055/a-2125-0407
Mehmet Tapan, Vedat Can İsler, Ramazan Furkan Akman, Özlenen Özkan, Ömer Özkan

Bone tumors are rare malignancies and osteosarcoma is the most common malignant bone tumor. However, only 6% of all osteosarcomas occur in the mandible and maxilla 1. The location of these tumors also presents a unique set of challenges during resection and repair when compared to long bone tumors.

骨肿瘤是一种罕见的恶性肿瘤,而骨肉瘤是最常见的恶性骨肿瘤。然而,只有 6% 的骨肉瘤发生在下颌骨和上颌骨 1。与长骨肿瘤相比,这些肿瘤的位置也给切除和修复带来了一系列独特的挑战。
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引用次数: 0
[Multidrug-resistant bacterial colonisation in Ukrainian war injuries: a need for multimodal therapy]. [乌克兰战争创伤中的多药耐药细菌定植:需要多模式治疗]。
IF 0.6 4区 医学 Q3 Medicine Pub Date : 2023-12-01 Epub Date: 2023-10-09 DOI: 10.1055/a-2108-8978
Wolfram Demmer, Irene Mesas Aranda, Paul Severin Wiggenhauser, David Braig, Fabian Gilbert, Riccardo Giunta

This case report describes the interdisciplinary treatment of a complex shrapnel injury to the right femur of an 18-year-old Ukrainian soldier. This open multifragmentary fractur of the femur with a large bone defect, soft tissue damage and osteomyelitis was complicated by several multidrug-resistant bacteria, including Acinetobacter baumanii, which could not be eradicated by antibiotic treatment. Sterility was only achieved by multiple radical debridement and by negative pressure wound therapy with instillation (NPWTi) using hypochlorous acid. The femur was then reconstructed with a chimeric double-barrel fibula free flap. This report highlights the importance of multimodal antimicrobial wound treatments in an era of increasing antibiotic resistance to enable a successful und functional reconstruction of complex and infected fractures.

本病例报告描述了一名18岁乌克兰士兵右股骨复杂弹片损伤的跨学科治疗。这种股骨开放性多碎片骨折伴有大的骨缺损、软组织损伤和骨髓炎,并伴有多种多重耐药细菌,包括鲍曼不动杆菌,这些细菌无法通过抗生素治疗根除。无菌只能通过多次彻底清创和使用次氯酸滴注(NPWTi)的负压伤口治疗来实现。然后用嵌合体双管腓骨游离皮瓣重建股骨。本报告强调了在抗生素耐药性不断增加的时代,多模式抗菌伤口治疗的重要性,以成功重建复杂和感染性骨折的und功能。
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引用次数: 0
DGH-Delegationsreise nach Hong Kong im März 2023. DGH代表团将于2023年3月访问香港。
IF 0.6 4区 医学 Q3 Medicine Pub Date : 2023-09-01 Epub Date: 2023-09-21 DOI: 10.1055/a-2118-7098
Meine handchirurgischen Freunde aus Hong Kong fragten mich vor einigen Jahren, ob ich mich nicht bei der DGH für einen Austausch der Fachgesellschaften auf unseren Jahreskongressen einsetzen wolle. Nach Zustimmung durch den Vorstand und nach Corona hatte ich die Gelegenheit die HKSSH (Hong Kong Society for Surgery of The Hand) mit einer Delegation und dem Buck-Gramcko-Lecturer Pr. PC HO im Herbst 2022 in Garmisch-Partenkirchen zu empfangen. Bei bestem Wetter durften wir sehr schöne gemeinsame Tage erleben mit einem intensiven Erfahrungsaustausch.
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引用次数: 0
期刊
Handchirurgie Mikrochirurgie Plastische Chirurgie
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