Long-term donor-site morbidity after thumb reconstruction with twisted-toe technique
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F21%3A00074523" target="_blank" >RIV/00159816:_____/21:00074523 - isvavai.cz</a>
Alternative codes found
RIV/65269705:_____/21:00074523
Result on the web
<a href="https://www.prolekare.cz/casopisy/acta-chirurgiae-plasticae/2021-2-23/long-term-donor-site-morbidity-after-thumb-reconstruction-with-twisted-toe-technique-127737" target="_blank" >https://www.prolekare.cz/casopisy/acta-chirurgiae-plasticae/2021-2-23/long-term-donor-site-morbidity-after-thumb-reconstruction-with-twisted-toe-technique-127737</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.48095/ccachp202146" target="_blank" >10.48095/ccachp202146</a>
Alternative languages
Result language
angličtina
Original language name
Long-term donor-site morbidity after thumb reconstruction with twisted-toe technique
Original language description
BACKGROUND: Traumatic thumb loss is a serious injury affecting patient's ability to work and participate in activities of daily life. The main goal for a plastic surgeon is to restore hand grip, often by microsurgical methods. However, patients should be informed of all effects associated with tissue harvesting. The aim of the study was to assess the impact on donor foot and gait cycle in patients who have undergone thumb reconstruction using twisted-toe technique modified by Kempný. MATERIAL AND METHODS: Twelve patients participated in the study: all suffered a thumb loss between the years 2003 and 2011 and the twisted-toe technique for thumb reconstruction was utilized. The changes in foot pressure distribution and lower extremity joint loading were evaluated. RESULTS: The differences in total maximal plantar pressure, pressure time integral, contact area, and maximum force between the affected and non-affected foot were statistically significant (P 0.1). No significant differences of temporal gait parameters between the affected and non-affected extremity were observed; however, statistically significant differences in kinetics parameters, frontal ankle and knee moments were detected. CONCLUSION: Donor limb functionality and anatomical disability were assessed using pedobarography systems and 3D-gait analysis. The recorded differences in plantar pressure distribution (increased pressure in I., IV. and V. metatarsal areas) and overload of the medial compartment of the knee joint were the most significant findings. Therefore, wearing individually adapted shoe insoles as prevention of osteoarthrosis might be beneficial for patients after thumb reconstruction by a twisted-toe technique.
Czech name
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Czech description
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Classification
Type
J<sub>SC</sub> - Article in a specialist periodical, which is included in the SCOPUS database
CEP classification
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OECD FORD branch
30212 - Surgery
Result continuities
Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2021
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Acta chirurgiae plasticae
ISSN
0001-5423
e-ISSN
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Volume of the periodical
63
Issue of the periodical within the volume
2
Country of publishing house
CZ - CZECH REPUBLIC
Number of pages
6
Pages from-to
46-51
UT code for WoS article
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EID of the result in the Scopus database
2-s2.0-85114407449