Evidence map›Paper›PMID 35141388›Full record

ArticleTrauma case reports2022

A case report of upper limb loss of substance: Use of functional gracilis free flap, brachioradialis transposition and bioglass for bone regeneration.

Pasquale Gravina, Francesco De Francesco, Pier Paolo Pangrazi, Andrea Marchesini, Alexander D Neuendorf, Andrea Campodonico, Antonio Gigante, Michele Riccio

Open access · goldAbstract readCase Reports
In one paragraph

Article in Trauma case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. New insights in lower limb reconstruction strategies.Therapeutic advances in musculoskeletal disease · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Pasquale GravinaClinical Orthopaedics, Department of Clinical and Molecular Science, polytechnic University of Marche, Ancona, Italy.
Francesco De FrancescoDepartment of Reconstructive and Hand Surgery, AOU "Ospedali Riuniti", 60126 Ancona, Italy.
Pier Paolo PangraziDepartment of Reconstructive and Hand Surgery, AOU "Ospedali Riuniti", 60126 Ancona, Italy.
Andrea MarchesiniDepartment of Reconstructive and Hand Surgery, AOU "Ospedali Riuniti", 60126 Ancona, Italy.
Alexander D NeuendorfDepartment of Reconstructive and Hand Surgery, AOU "Ospedali Riuniti", 60126 Ancona, Italy.
Andrea CampodonicoDepartment of Reconstructive and Hand Surgery, AOU "Ospedali Riuniti", 60126 Ancona, Italy.
Antonio GiganteClinical Orthopaedics, Department of Clinical and Molecular Science, polytechnic University of Marche, Ancona, Italy.
Michele RiccioDepartment of Reconstructive and Hand Surgery, AOU "Ospedali Riuniti", 60126 Ancona, Italy.
Azienda Ospedaliero Universitaria Ospedali Riuniti · ITMarche Polytechnic University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Complex trauma of the upper limb is a common consequence of involvement in serious accidents. Loss of substance including nerve, bone, tendons and vascular defects are challenging surgical issues. A 27- year-old male presented with complex upper limb trauma and loss of a proximal third of the posterior forearm structure as well as loss of active finger extension, ulnar and radial nerve territory anesthesia and ulnar fracture. A composite nerve-tendon-muscle-skin gracilis free flap was retrieved from the contralateral leg, related to tendon transfer of BR to ELP, to supply active hand extension. The patient was required to adhere to intensive post-surgical rehabilitation and monitored for a 3-year follow-up period. Our assessment revealed adequate skin trophism and sufficient muscle strength recovery against resistance (M5). The functional flap associated with tendon transfer was considered an efficient procedure for the management of a complex trauma with loss of posterior interosseous nerve and bone exposition. The free re-innervated gracilis flap may be used to repair complex soft tissue defects with exposed bone and to restore finger extension following severe forearm injuries.

Indexed as

BioglassComposite flapGracilis free flapMicrosurgeryTendon transfer

Identifiers

PMID35141388
PMCPMC8814901
OpenAlexW4210774399

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.