Journal of Hand Surgery - June 2022 - S105
Abstract
S105
exercise has not been described before. We believe
this exercise has some strong points which are
useful for the microsurgical training. To start with,
the difficulty of the aorto-cava dissection that needs
to be performed with extremely caution, first using
cotton swabs for the blunt dissection of the retroperitoneal
fat, then a combination of sharp ad blunt dissection
to separate the aorta artery from the cava
and managing the posterior branches of the aorta.
Moreover, 3 arterio-venous microanastomosis need
to be performed. Studies indicate that the external
jugular vein has an average diameter of 1.9mm
(range: 1.6 to 2.1mm), which is very useful because
the diameter of veins in free flaps is usually above
2mm. The external jugular vein can be dissected for
an average segment of 45mm after which it divides.
The average diameter of aorta artery in Wistar rats is
1.60.2mm and mean diameter of iliac arteries
1.00.1 mm. That is why it is a good diameter
match. Regarding the sutures, Nylon 8.0, 9.0 or
10.0 can be used for the microanastomosis of this
exercise, depending on the experience and ability of
the surgeon. The application of this practice in hand
surgery could be the reconstruction of the palmar
arterial arch of the hand or the simultaneous revascularization
of 2 adjacent fingers with a Y-shape
venous bypass for 2 digital arteries as an alternative
to performing 2 venous bypasses for revascularizing
one digital artery of each finger.
Results: In 3 Wistar rats we performed an aortobifemoral
bypass with an autograft from the external
jugular vein and the 2 largest of its divisions. Nylon
10.0 was used for the arterio-venous microanastomosis.
This exercise was performed by the same
junior hand surgeon as part of her advanced microsurgical
training. The success rate was 100% obtaining
a positive patency test.
Conclusions: We consider the reconstruction of the
aorto-iliac division with a venous autograft of external
jugular vein and 2 of its divisions a good microsurgical
exercise and we suggest it could be included
in advanced microsurgical trainings.
A-0789 Hand wounds: an analysis of topography and
damage to underlying structures
Louis-Charles Castel1, Simon A Hurst1,
Emmanuel Masmejean2 and Thomas Gregory1
1Hoˆpital Avicenne, Assistance Publique-Hoˆpitaux de Paris,
Universite Sorbonne-Paris-Nord, Bobigny, France
2Hoˆpital Europeen Georges Pompidou, Paris, France
Objective: Hand wounds account for 35 to 51% of
hand trauma. Damage to underlying relevant anatomical
structures depends on the location of the
wound. The objective of this study is to describe the
topographic distribution of hand wounds allowing for
subsequent evaluation of the link between affected
surface area and underlying lesion.
Methods: We retrospectively reviewed the medical
records of 1058 patients with a total of 1319
wounds over a period of 2 years in a busy tertiary
hand centre in metropolitan France. Wound location
was described according to the cutaneous projection
of IFSSH zones for flexors and extensors. Any tendinous,
arterial, nervous, articular or ligamentary
injury or a lesion affecting anatomical structure
requiring surgical repair were considered as representing
major structural lesions. The topographical
distribution was modeled graphically using a heatmap.
Kruskal-Wallis test was used to compare the
proportion of lesions between each cutaneous zone.
Sub-group analysis for lesions' rate regarding zone
groups were performed with v2 and Fischer's exact
test. The significance level was adjusted with
Bonferroni correction for multiple comparisons.
Results: 58.9% of wounds were located on the
palmar surface and 41.1% on the dorsal surface. In
total, 71% of wounds affected only the digits. The
index finger was the most affected finger (20.93%).
The most affected cutaneous region was the cutaneous
projections of zone 2 for palmar wounds and
zone 3 for dorsal wounds. 45.5% of wounds resulted
in injury to a significant underlying anatomical structure.
This frequency was 36.4% and 58.5% for palmar
and dorsal wounds respectively. A lesion of major
structure was more frequently found in palmar
zone 5 compared to zones 1, 2 and 3 (p<0.001).
Dorsally, no zone predominated. Subgroup analysis
for dorsal wounds revealed that wounds overlying
joints had more major lesions (p<0.001) including
more tendons injuries and more articular violations.
Conclusion: This study provides the first graphical
representation showing the topographical distribution
of wounds affecting the hand. Dorsal wounds
have a higher association with injury to major underlying
structures. The high overall frequency of
damage to significant anatomical structures from
wounds generally strongly supports the surgical
exploration of all wounds of the hand regardless of
their location.
Journal of Hand Surgery - June 2022
Table of Contents for the Digital Edition of Journal of Hand Surgery - June 2022
Journal of Hand Surgery - June 2022 - Cover1
Journal of Hand Surgery - June 2022 - Cover2
Journal of Hand Surgery - June 2022 - S1
Journal of Hand Surgery - June 2022 - S2
Journal of Hand Surgery - June 2022 - S3
Journal of Hand Surgery - June 2022 - S4
Journal of Hand Surgery - June 2022 - S5
Journal of Hand Surgery - June 2022 - S6
Journal of Hand Surgery - June 2022 - S7
Journal of Hand Surgery - June 2022 - S8
Journal of Hand Surgery - June 2022 - S9
Journal of Hand Surgery - June 2022 - S10
Journal of Hand Surgery - June 2022 - S11
Journal of Hand Surgery - June 2022 - S12
Journal of Hand Surgery - June 2022 - S13
Journal of Hand Surgery - June 2022 - S14
Journal of Hand Surgery - June 2022 - S15
Journal of Hand Surgery - June 2022 - S16
Journal of Hand Surgery - June 2022 - S17
Journal of Hand Surgery - June 2022 - S18
Journal of Hand Surgery - June 2022 - S19
Journal of Hand Surgery - June 2022 - S20
Journal of Hand Surgery - June 2022 - S21
Journal of Hand Surgery - June 2022 - S22
Journal of Hand Surgery - June 2022 - S23
Journal of Hand Surgery - June 2022 - S24
Journal of Hand Surgery - June 2022 - S25
Journal of Hand Surgery - June 2022 - S26
Journal of Hand Surgery - June 2022 - S27
Journal of Hand Surgery - June 2022 - S28
Journal of Hand Surgery - June 2022 - S29
Journal of Hand Surgery - June 2022 - S30
Journal of Hand Surgery - June 2022 - S31
Journal of Hand Surgery - June 2022 - S32
Journal of Hand Surgery - June 2022 - S33
Journal of Hand Surgery - June 2022 - S34
Journal of Hand Surgery - June 2022 - S35
Journal of Hand Surgery - June 2022 - S36
Journal of Hand Surgery - June 2022 - S37
Journal of Hand Surgery - June 2022 - S38
Journal of Hand Surgery - June 2022 - S39
Journal of Hand Surgery - June 2022 - S40
Journal of Hand Surgery - June 2022 - S41
Journal of Hand Surgery - June 2022 - S42
Journal of Hand Surgery - June 2022 - S43
Journal of Hand Surgery - June 2022 - S44
Journal of Hand Surgery - June 2022 - S45
Journal of Hand Surgery - June 2022 - S46
Journal of Hand Surgery - June 2022 - S47
Journal of Hand Surgery - June 2022 - S48
Journal of Hand Surgery - June 2022 - S49
Journal of Hand Surgery - June 2022 - S50
Journal of Hand Surgery - June 2022 - S51
Journal of Hand Surgery - June 2022 - S52
Journal of Hand Surgery - June 2022 - S53
Journal of Hand Surgery - June 2022 - S54
Journal of Hand Surgery - June 2022 - S55
Journal of Hand Surgery - June 2022 - S56
Journal of Hand Surgery - June 2022 - S57
Journal of Hand Surgery - June 2022 - S58
Journal of Hand Surgery - June 2022 - S59
Journal of Hand Surgery - June 2022 - S60
Journal of Hand Surgery - June 2022 - S61
Journal of Hand Surgery - June 2022 - S62
Journal of Hand Surgery - June 2022 - S63
Journal of Hand Surgery - June 2022 - S64
Journal of Hand Surgery - June 2022 - S65
Journal of Hand Surgery - June 2022 - S66
Journal of Hand Surgery - June 2022 - S67
Journal of Hand Surgery - June 2022 - S68
Journal of Hand Surgery - June 2022 - S69
Journal of Hand Surgery - June 2022 - S70
Journal of Hand Surgery - June 2022 - S71
Journal of Hand Surgery - June 2022 - S72
Journal of Hand Surgery - June 2022 - S73
Journal of Hand Surgery - June 2022 - S74
Journal of Hand Surgery - June 2022 - S75
Journal of Hand Surgery - June 2022 - S76
Journal of Hand Surgery - June 2022 - S77
Journal of Hand Surgery - June 2022 - S78
Journal of Hand Surgery - June 2022 - S79
Journal of Hand Surgery - June 2022 - S80
Journal of Hand Surgery - June 2022 - S81
Journal of Hand Surgery - June 2022 - S82
Journal of Hand Surgery - June 2022 - S83
Journal of Hand Surgery - June 2022 - S84
Journal of Hand Surgery - June 2022 - S85
Journal of Hand Surgery - June 2022 - S86
Journal of Hand Surgery - June 2022 - S87
Journal of Hand Surgery - June 2022 - S88
Journal of Hand Surgery - June 2022 - S89
Journal of Hand Surgery - June 2022 - S90
Journal of Hand Surgery - June 2022 - S91
Journal of Hand Surgery - June 2022 - S92
Journal of Hand Surgery - June 2022 - S93
Journal of Hand Surgery - June 2022 - S94
Journal of Hand Surgery - June 2022 - S95
Journal of Hand Surgery - June 2022 - S96
Journal of Hand Surgery - June 2022 - S97
Journal of Hand Surgery - June 2022 - S98
Journal of Hand Surgery - June 2022 - S99
Journal of Hand Surgery - June 2022 - S100
Journal of Hand Surgery - June 2022 - S101
Journal of Hand Surgery - June 2022 - S102
Journal of Hand Surgery - June 2022 - S103
Journal of Hand Surgery - June 2022 - S104
Journal of Hand Surgery - June 2022 - S105
Journal of Hand Surgery - June 2022 - S106
Journal of Hand Surgery - June 2022 - S107
Journal of Hand Surgery - June 2022 - S108
Journal of Hand Surgery - June 2022 - S109
Journal of Hand Surgery - June 2022 - S110
Journal of Hand Surgery - June 2022 - S111
Journal of Hand Surgery - June 2022 - S112
Journal of Hand Surgery - June 2022 - S113
Journal of Hand Surgery - June 2022 - S114
Journal of Hand Surgery - June 2022 - S115
Journal of Hand Surgery - June 2022 - S116
Journal of Hand Surgery - June 2022 - S117
Journal of Hand Surgery - June 2022 - S118
Journal of Hand Surgery - June 2022 - S119
Journal of Hand Surgery - June 2022 - S120
Journal of Hand Surgery - June 2022 - S121
Journal of Hand Surgery - June 2022 - S122
Journal of Hand Surgery - June 2022 - S123
Journal of Hand Surgery - June 2022 - S124
Journal of Hand Surgery - June 2022 - S125
Journal of Hand Surgery - June 2022 - S126
Journal of Hand Surgery - June 2022 - S127
Journal of Hand Surgery - June 2022 - S128
Journal of Hand Surgery - June 2022 - S129
Journal of Hand Surgery - June 2022 - S130
Journal of Hand Surgery - June 2022 - S131
Journal of Hand Surgery - June 2022 - S132
Journal of Hand Surgery - June 2022 - S133
Journal of Hand Surgery - June 2022 - S134
Journal of Hand Surgery - June 2022 - S135
Journal of Hand Surgery - June 2022 - S136
Journal of Hand Surgery - June 2022 - S137
Journal of Hand Surgery - June 2022 - S138
Journal of Hand Surgery - June 2022 - S139
Journal of Hand Surgery - June 2022 - S140
Journal of Hand Surgery - June 2022 - S141
Journal of Hand Surgery - June 2022 - S142
Journal of Hand Surgery - June 2022 - S143
Journal of Hand Surgery - June 2022 - S144
Journal of Hand Surgery - June 2022 - S145
Journal of Hand Surgery - June 2022 - S146
Journal of Hand Surgery - June 2022 - S147
Journal of Hand Surgery - June 2022 - S148
Journal of Hand Surgery - June 2022 - S149
Journal of Hand Surgery - June 2022 - S150
Journal of Hand Surgery - June 2022 - S151
Journal of Hand Surgery - June 2022 - S152
Journal of Hand Surgery - June 2022 - S153
Journal of Hand Surgery - June 2022 - S154
Journal of Hand Surgery - June 2022 - S155
Journal of Hand Surgery - June 2022 - S156
Journal of Hand Surgery - June 2022 - S157
Journal of Hand Surgery - June 2022 - S158
Journal of Hand Surgery - June 2022 - S159
Journal of Hand Surgery - June 2022 - S160
Journal of Hand Surgery - June 2022 - S161
Journal of Hand Surgery - June 2022 - S162
Journal of Hand Surgery - June 2022 - S163
Journal of Hand Surgery - June 2022 - S164
Journal of Hand Surgery - June 2022 - S165
Journal of Hand Surgery - June 2022 - S166
Journal of Hand Surgery - June 2022 - S167
Journal of Hand Surgery - June 2022 - S168
Journal of Hand Surgery - June 2022 - S169
Journal of Hand Surgery - June 2022 - S170
Journal of Hand Surgery - June 2022 - S171
Journal of Hand Surgery - June 2022 - S172
Journal of Hand Surgery - June 2022 - S173
Journal of Hand Surgery - June 2022 - S174
Journal of Hand Surgery - June 2022 - S175
Journal of Hand Surgery - June 2022 - S176
Journal of Hand Surgery - June 2022 - S177
Journal of Hand Surgery - June 2022 - S178
Journal of Hand Surgery - June 2022 - S179
Journal of Hand Surgery - June 2022 - S180
Journal of Hand Surgery - June 2022 - S181
Journal of Hand Surgery - June 2022 - S182
Journal of Hand Surgery - June 2022 - S183
Journal of Hand Surgery - June 2022 - S184
Journal of Hand Surgery - June 2022 - S185
Journal of Hand Surgery - June 2022 - S186
Journal of Hand Surgery - June 2022 - S187
Journal of Hand Surgery - June 2022 - S188
Journal of Hand Surgery - June 2022 - S189
Journal of Hand Surgery - June 2022 - S190
Journal of Hand Surgery - June 2022 - S191
Journal of Hand Surgery - June 2022 - S192
Journal of Hand Surgery - June 2022 - S193
Journal of Hand Surgery - June 2022 - S194
Journal of Hand Surgery - June 2022 - S195
Journal of Hand Surgery - June 2022 - S196
Journal of Hand Surgery - June 2022 - S197
Journal of Hand Surgery - June 2022 - S198
Journal of Hand Surgery - June 2022 - S199
Journal of Hand Surgery - June 2022 - S200
Journal of Hand Surgery - June 2022 - S201
Journal of Hand Surgery - June 2022 - S202
Journal of Hand Surgery - June 2022 - S203
Journal of Hand Surgery - June 2022 - S204
Journal of Hand Surgery - June 2022 - S205
Journal of Hand Surgery - June 2022 - S206
Journal of Hand Surgery - June 2022 - S207
Journal of Hand Surgery - June 2022 - S208
Journal of Hand Surgery - June 2022 - S209
Journal of Hand Surgery - June 2022 - S210
Journal of Hand Surgery - June 2022 - S211
Journal of Hand Surgery - June 2022 - S212
Journal of Hand Surgery - June 2022 - S213
Journal of Hand Surgery - June 2022 - S214
Journal of Hand Surgery - June 2022 - S215
Journal of Hand Surgery - June 2022 - S216
Journal of Hand Surgery - June 2022 - S217
Journal of Hand Surgery - June 2022 - S218
Journal of Hand Surgery - June 2022 - S219
Journal of Hand Surgery - June 2022 - S220
Journal of Hand Surgery - June 2022 - S221
Journal of Hand Surgery - June 2022 - S222
Journal of Hand Surgery - June 2022 - S223
Journal of Hand Surgery - June 2022 - S224
Journal of Hand Surgery - June 2022 - S225
Journal of Hand Surgery - June 2022 - S226
Journal of Hand Surgery - June 2022 - S227
Journal of Hand Surgery - June 2022 - S228
Journal of Hand Surgery - June 2022 - S229
Journal of Hand Surgery - June 2022 - S230
Journal of Hand Surgery - June 2022 - S231
Journal of Hand Surgery - June 2022 - S232
Journal of Hand Surgery - June 2022 - S233
Journal of Hand Surgery - June 2022 - S234
Journal of Hand Surgery - June 2022 - S235
Journal of Hand Surgery - June 2022 - S236
Journal of Hand Surgery - June 2022 - S237
Journal of Hand Surgery - June 2022 - S238
Journal of Hand Surgery - June 2022 - S239
Journal of Hand Surgery - June 2022 - S240
Journal of Hand Surgery - June 2022 - S241
Journal of Hand Surgery - June 2022 - S242
Journal of Hand Surgery - June 2022 - S243
Journal of Hand Surgery - June 2022 - S244
Journal of Hand Surgery - June 2022 - S245
Journal of Hand Surgery - June 2022 - S246
Journal of Hand Surgery - June 2022 - S247
Journal of Hand Surgery - June 2022 - S248
Journal of Hand Surgery - June 2022 - S249
Journal of Hand Surgery - June 2022 - S250
Journal of Hand Surgery - June 2022 - S251
Journal of Hand Surgery - June 2022 - S252
Journal of Hand Surgery - June 2022 - S253
Journal of Hand Surgery - June 2022 - S254
Journal of Hand Surgery - June 2022 - S255
Journal of Hand Surgery - June 2022 - S256
Journal of Hand Surgery - June 2022 - S257
Journal of Hand Surgery - June 2022 - S258
Journal of Hand Surgery - June 2022 - S259
Journal of Hand Surgery - June 2022 - S260
Journal of Hand Surgery - June 2022 - S261
Journal of Hand Surgery - June 2022 - S262
Journal of Hand Surgery - June 2022 - S263
Journal of Hand Surgery - June 2022 - S264
Journal of Hand Surgery - June 2022 - S265
Journal of Hand Surgery - June 2022 - S266
Journal of Hand Surgery - June 2022 - S267
Journal of Hand Surgery - June 2022 - S268
Journal of Hand Surgery - June 2022 - S269
Journal of Hand Surgery - June 2022 - S270
Journal of Hand Surgery - June 2022 - S271
Journal of Hand Surgery - June 2022 - S272
Journal of Hand Surgery - June 2022 - S273
Journal of Hand Surgery - June 2022 - S274
Journal of Hand Surgery - June 2022 - S275
Journal of Hand Surgery - June 2022 - S276
Journal of Hand Surgery - June 2022 - S277
Journal of Hand Surgery - June 2022 - S278
Journal of Hand Surgery - June 2022 - S279
Journal of Hand Surgery - June 2022 - S280
Journal of Hand Surgery - June 2022 - S281
Journal of Hand Surgery - June 2022 - S282
Journal of Hand Surgery - June 2022 - S283
Journal of Hand Surgery - June 2022 - S284
Journal of Hand Surgery - June 2022 - S285
Journal of Hand Surgery - June 2022 - S286
Journal of Hand Surgery - June 2022 - S287
Journal of Hand Surgery - June 2022 - S288
Journal of Hand Surgery - June 2022 - S289
Journal of Hand Surgery - June 2022 - S290
Journal of Hand Surgery - June 2022 - S291
Journal of Hand Surgery - June 2022 - S292
Journal of Hand Surgery - June 2022 - S293
Journal of Hand Surgery - June 2022 - S294
Journal of Hand Surgery - June 2022 - S295
Journal of Hand Surgery - June 2022 - S296
Journal of Hand Surgery - June 2022 - S297
Journal of Hand Surgery - June 2022 - S298
Journal of Hand Surgery - June 2022 - S299
Journal of Hand Surgery - June 2022 - S300
Journal of Hand Surgery - June 2022 - S301
Journal of Hand Surgery - June 2022 - S302
Journal of Hand Surgery - June 2022 - S303
Journal of Hand Surgery - June 2022 - S304
Journal of Hand Surgery - June 2022 - S305
Journal of Hand Surgery - June 2022 - S306
Journal of Hand Surgery - June 2022 - S307
Journal of Hand Surgery - June 2022 - S308
Journal of Hand Surgery - June 2022 - S309
Journal of Hand Surgery - June 2022 - S310
Journal of Hand Surgery - June 2022 - S311
Journal of Hand Surgery - June 2022 - S312
Journal of Hand Surgery - June 2022 - S313
Journal of Hand Surgery - June 2022 - S314
Journal of Hand Surgery - June 2022 - S315
Journal of Hand Surgery - June 2022 - S316
Journal of Hand Surgery - June 2022 - S317
Journal of Hand Surgery - June 2022 - S318
Journal of Hand Surgery - June 2022 - S319
Journal of Hand Surgery - June 2022 - S320
Journal of Hand Surgery - June 2022 - S321
Journal of Hand Surgery - June 2022 - S322
Journal of Hand Surgery - June 2022 - S323
Journal of Hand Surgery - June 2022 - S324
Journal of Hand Surgery - June 2022 - S325
Journal of Hand Surgery - June 2022 - S326
Journal of Hand Surgery - June 2022 - S327
Journal of Hand Surgery - June 2022 - S328
Journal of Hand Surgery - June 2022 - S329
Journal of Hand Surgery - June 2022 - S330
Journal of Hand Surgery - June 2022 - S331
Journal of Hand Surgery - June 2022 - S332
Journal of Hand Surgery - June 2022 - S333
Journal of Hand Surgery - June 2022 - S334
Journal of Hand Surgery - June 2022 - S335
Journal of Hand Surgery - June 2022 - S336
Journal of Hand Surgery - June 2022 - S337
Journal of Hand Surgery - June 2022 - S338
Journal of Hand Surgery - June 2022 - S339
Journal of Hand Surgery - June 2022 - S340
Journal of Hand Surgery - June 2022 - S341
Journal of Hand Surgery - June 2022 - S342
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Journal of Hand Surgery - June 2022 - S344
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Journal of Hand Surgery - June 2022 - S349
Journal of Hand Surgery - June 2022 - S350
Journal of Hand Surgery - June 2022 - S351
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Journal of Hand Surgery - June 2022 - S353
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Journal of Hand Surgery - June 2022 - S357
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Journal of Hand Surgery - June 2022 - S372
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Journal of Hand Surgery - June 2022 - S377
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Journal of Hand Surgery - June 2022 - S381
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Journal of Hand Surgery - June 2022 - S386
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Journal of Hand Surgery - June 2022 - Cover3
Journal of Hand Surgery - June 2022 - Cover4
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