Background:The first web space not only plays an integral role in hand functionality,but also holds an important aesthetic function for patients with cicatricial contractures,which hinders the ability to move joints,t...Background:The first web space not only plays an integral role in hand functionality,but also holds an important aesthetic function for patients with cicatricial contractures,which hinders the ability to move joints,thereby restricting the performance of everyday activities.Therefore,a wide variety of reconstruction options are available.In this study,our main aim was to have a clear surgical plan prior to surgery according to preoperative findings and the degree of thumb abduction span.Methods:This study was conducted at Kasr Al-Ainy Hospital.This cohort study included 33 patients with cicatricial first web space contractures who underwent reconstructive procedures to restore the first web space.Patients were assessed preoperatively and categorized according to the degree of contracture,and the reconstruction procedure was chosen accordingly.They were assessed using both objective and subjective methods.Results:In this study,33 cases of cicatricial contracture of the first web space due to physical or thermal trauma were included.Measurements of the change in the span of abduction were performed for all patients included in the study preoperatively and postoperatively.Skin grafting and skin substitutes had an average change in abduction span of 32.5°(±14.4°),Z-plasty release had a mean of 30.59°(±8.82°)increase in abduction span,regional flaps had an increase of 40.71°(±12.39°),while distant flaps had an increase of 35°(±3.54°).Conclusion:No single reconstruction method can be used in all cases.When viewing a patient,one must consider that each individual has a unique representation.However,if we follow a systematic method for the initial evaluation,the most efficient flap can be chosen for each case,thus reducing the need for secondary procedures.Categorizing the cases according to the abduction span into mild,moderate,or severe forms is the first building block of this algorithm.Adjacent tissue condition,patient occupation,compliance,and the need to return to work are important factors.展开更多
联合应用ESI和Web of Science数据库(WOS),以中西部地方“双一流”重点建设大学---太原理工大学为研究对象,通过对其2007~2016年wOs发文量、被引频次、学科领域分布进行分析,同时结合ESI数据,对其进入ESI全球前1%学科及其排名、高被引...联合应用ESI和Web of Science数据库(WOS),以中西部地方“双一流”重点建设大学---太原理工大学为研究对象,通过对其2007~2016年wOs发文量、被引频次、学科领域分布进行分析,同时结合ESI数据,对其进入ESI全球前1%学科及其排名、高被引论文情况等进行研究,进一步对太原理工大学的科研绩效和学科竞争力进行了深入探讨。结果表明,太原理工大学2007~2016年科研产出呈增长趋势,但学术影响力较低;进入ESI全球前1%的3个学科论文总量排名靠前,但学科竞争力较弱。建议通过实施高端人才汇聚工程,强化考核奖励机制改革,加强国际合作与交流,提高太原理工大学的学术影响力和竞争力。展开更多
文摘Background:The first web space not only plays an integral role in hand functionality,but also holds an important aesthetic function for patients with cicatricial contractures,which hinders the ability to move joints,thereby restricting the performance of everyday activities.Therefore,a wide variety of reconstruction options are available.In this study,our main aim was to have a clear surgical plan prior to surgery according to preoperative findings and the degree of thumb abduction span.Methods:This study was conducted at Kasr Al-Ainy Hospital.This cohort study included 33 patients with cicatricial first web space contractures who underwent reconstructive procedures to restore the first web space.Patients were assessed preoperatively and categorized according to the degree of contracture,and the reconstruction procedure was chosen accordingly.They were assessed using both objective and subjective methods.Results:In this study,33 cases of cicatricial contracture of the first web space due to physical or thermal trauma were included.Measurements of the change in the span of abduction were performed for all patients included in the study preoperatively and postoperatively.Skin grafting and skin substitutes had an average change in abduction span of 32.5°(±14.4°),Z-plasty release had a mean of 30.59°(±8.82°)increase in abduction span,regional flaps had an increase of 40.71°(±12.39°),while distant flaps had an increase of 35°(±3.54°).Conclusion:No single reconstruction method can be used in all cases.When viewing a patient,one must consider that each individual has a unique representation.However,if we follow a systematic method for the initial evaluation,the most efficient flap can be chosen for each case,thus reducing the need for secondary procedures.Categorizing the cases according to the abduction span into mild,moderate,or severe forms is the first building block of this algorithm.Adjacent tissue condition,patient occupation,compliance,and the need to return to work are important factors.
文摘联合应用ESI和Web of Science数据库(WOS),以中西部地方“双一流”重点建设大学---太原理工大学为研究对象,通过对其2007~2016年wOs发文量、被引频次、学科领域分布进行分析,同时结合ESI数据,对其进入ESI全球前1%学科及其排名、高被引论文情况等进行研究,进一步对太原理工大学的科研绩效和学科竞争力进行了深入探讨。结果表明,太原理工大学2007~2016年科研产出呈增长趋势,但学术影响力较低;进入ESI全球前1%的3个学科论文总量排名靠前,但学科竞争力较弱。建议通过实施高端人才汇聚工程,强化考核奖励机制改革,加强国际合作与交流,提高太原理工大学的学术影响力和竞争力。
