TY - JOUR
T1 - A review on the safety of one-stage circumferential ring constriction release
AU - Prasetyono, Theddeus O.H.
AU - Sitorus, Ade S.N.
PY - 2015/2/1
Y1 - 2015/2/1
N2 - The study was undertaken to investigate the use of one-stage circumferential ringconstriction release with Z-plasties regarding the safety, aesthetic appearance, and limb function. A thorough review was conducted on all English publications in PubMed during the period of 2001 through 2011. Titles and abstracts were identified using online search engine from National Library of Medicine's PubMed database under the keywords "limb constriction ring," "limb constriction band," "amniotic band," "annular constriction," and "circumferential constriction." We used Boolean operator and field of title. Evaluation was done to search indications, timing of the first surgical intervention, time interval between surgeries, patients' gender, anatomic location of the ring, wound healing problems, and scar quality. Fourteen publications met the criteria. There were 17 patients with 25 ring constrictions in total. Sixteen ring constrictions (64%) were circumferential; nine (36%) were semi-circumferential. Mean age of 14 patients treated with one-stage release was 4.8 years. Six articles mentioned about normal development of postoperative limb function. Mean age of three patients treated with staged release was 10.5 months. Two articles mentioned regained distal muscle function postoperatively. It is confirmed that surgeons may continue the practice to release circumferential CRS in one stage.
AB - The study was undertaken to investigate the use of one-stage circumferential ringconstriction release with Z-plasties regarding the safety, aesthetic appearance, and limb function. A thorough review was conducted on all English publications in PubMed during the period of 2001 through 2011. Titles and abstracts were identified using online search engine from National Library of Medicine's PubMed database under the keywords "limb constriction ring," "limb constriction band," "amniotic band," "annular constriction," and "circumferential constriction." We used Boolean operator and field of title. Evaluation was done to search indications, timing of the first surgical intervention, time interval between surgeries, patients' gender, anatomic location of the ring, wound healing problems, and scar quality. Fourteen publications met the criteria. There were 17 patients with 25 ring constrictions in total. Sixteen ring constrictions (64%) were circumferential; nine (36%) were semi-circumferential. Mean age of 14 patients treated with one-stage release was 4.8 years. Six articles mentioned about normal development of postoperative limb function. Mean age of three patients treated with staged release was 10.5 months. Two articles mentioned regained distal muscle function postoperatively. It is confirmed that surgeons may continue the practice to release circumferential CRS in one stage.
KW - Amniotic band syndrome
KW - Constriction ring
KW - Pediatrics
KW - Surgical procedures
UR - http://www.scopus.com/inward/record.url?scp=84974603237&partnerID=8YFLogxK
U2 - 10.9738/INTSURG-D-13-00230.1
DO - 10.9738/INTSURG-D-13-00230.1
M3 - Review article
C2 - 25692440
AN - SCOPUS:84974603237
VL - 100
SP - 341
EP - 349
JO - International Surgery
JF - International Surgery
SN - 0020-8868
IS - 2
ER -