Predictors of Proximal Interphalangeal Joint Flexion Contracture After Homodigital Island Flap.

• Material Type: 博士論文
• Title: Predictors of Proximal Interphalangeal Joint Flexion Contracture After Homodigital Island Flap.
• Author/Editor: Nakanishi, Akito; Omokawa, Shohei; Iida, Akio; Kaji, Daisuke; Tanaka, Yasuhito
• Author Heading: Nakanishi, Akito; Omokawa, Shohei; Iida, Akio; Kaji, Daisuke; Tanaka, Yasuhito
• Publication, Distribution, etc.: Elsevier
• Publication Date: 2015-11
• Publication Date (W3CDTF): 2015-11
• Alternative Title: 指尖部切断に対する動脈島状皮弁をもちいた再建術後のPIP関節屈曲拘縮の予見因子の検討
• Periodical title: The Journal of hand surgery
• No. or year of volume/issue: 40 11
• Volume: 40
• Issue: 11
• Pages: 2155-2159
• ISSN (Periodical Title): ISSN : 0363-5023
• Degree grantor/type: 奈良県立医科大学
• Date Granted: 2016-07-08
• Dissertation Number: 乙第1377号
• Degree Type: 博士（医学）
• Text Language Code: eng
• Subject Heading: Homodigital island flap; advancement flap; flexion contracture; proximal interphalangeal joint; predictor
• Target Audience: 一般
• Note (General): type:Thesis; PURPOSE: To identify independent predictors of postoperative proximal interphalangeal (PIP) joint contracture after direct-flow homodigital island flap transfer. METHODS: Forty-four fingertip amputations in 39 patients treated with oblique triangular flaps were evaluated at a minimum of 1 year after surgery. Five variables were examined: patient age, injured finger, mechanism of injury, flap advancement distance, and time required for wound healing. Univariate and multivariate linear regression analyses were performed to identify the extent to which these variables affected the flexion contracture of the PIP joint. RESULTS: The average reduction in the passive extension angle of the PIP joint was 16° at final follow-up. Univariate analysis indicated significant correlations of PIP joint flexion contracture with age, injured finger, and time for wound healing, but no significant correlation with the distance the flap was advanced. Multivariate analysis indicated that the age and duration of wound healing were independent predictors of the flexion contracture of the PIP joint. CONCLUSIONS: Elderly people and cases with delayed wound healing are at risk for postoperative PIP joint contracture after homodigital flap transfer. Intervention with early hand therapy and orthotics may be useful in elderly patients with delayed wound healing.; 博士（医学）・乙第1377号・平成28年7月8日; Copyright © 2015 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.; identifier:The Journal of hand surgery Vol.40 No.11 p.2155-2159 (2015 Nov); identifier:03635023; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/3256; identifier:The Journal of hand surgery, 40(11): 2155-2159
• Source: fulltext; http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3256/1/01_%e4%b9%991377%e6%9c%ac%e6%96%87%e3%81%ae%e8%a6%81%e6%97%a8.pdf; http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3256/2/02_%e4%b9%991377%e5%af%a9%e6%9f%bb%e8%a6%81%e6%97%a8.pdf; http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3256/3/03_%e4%b9%991377%e6%9c%ac%e6%96%87.pdf
• Access Restrictions: インターネット公開
• Related Material (DOI): 10.1016/j.jhsa.2015.08.008
• Periodical Title (NCID): AA10522529; https://ci.nii.ac.jp/ncid/AA10522529
• Data Provider (Database): 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• Original Data Provider (Database): 奈良県立医科大学 : 奈良県立医科大学機関リポジトリ GINMU