@article{SchmidtJakubietzGilbertetal.2021,
  author    = {Schmidt, Karsten and Jakubietz, Michael Georg and Gilbert, Fabian and Fenwick, Annabel and Meffert, Reiner Heribert and Jakubietz, Rafael Gregor},
  title     = {Muscle cuff in distal pedicled adipofascial sural artery flaps: a retrospective case control study},
  series = {PRS Global Open},
  volume    = {9},
  journal   = {PRS Global Open},
  number    = {3},
  doi       = {10.1097/GOX.0000000000003464},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-259875},
  year      = {2021},
  abstract  = {Background: Amputation after open tibial fracture occurs in 3\% of cases. The rate increases when flap reconstruction is required. The standard care involves microsurgical tissue transfer although the pedicled reverse sural artery adipofascial flap (PRSAF) is a local alternative in patients endangered by a prolonged operative time. Incorporation of a gastrocnemius muscle cuff in this flap can be used to fill dead space and increase healing potential. Literature shows superior survival rates for both PRSAF and inclusion of a muscle cuff in comparison with the cutaneous version. The aim of the study was to compare the outcome of the PRSAF and the musculoadipofascial version (PRSMAF). We hypothesize that the PRSMAF provides similar lap viability and flap-related complication rates as does the adipofascial version. The muscle component may reduce the long-term osteomyelitis rate. Methods: Patients were evaluated retrospectively after reconstruction with either PRSAF or PRSMAF. Preoperative osteomyelitis, flap survival, complications and osteomyelitis clearance were analyzed. Results: The study shows preliminary results supporting the potential use of the PRSMAF. We compare either 23 PRSMAF or 20 PRSAF flaps. We found no statistically significant differences in flap survival or in complication rate. Conclusions: Although the anatomical situation may sometimes dictate the use of a free flap, a technically less-complicated option may in some cases offer a viable alternative. This study shows that the PRSMAF can serve as an alternative for complex bone defects in the limb, though it does not provide statistical improvement to the PRSAF.},
  language  = {en}
}
@article{JakubietzJakubietzSchmidtetal.2021,
  author    = {Jakubietz, Michael Georg and Jakubietz, Danni Felicitas and Schmidt, Karsten and Jakubietz, Rafael Gregor},
  title     = {Blepharoplastik bei asiatischen Augen},
  series = {Journal f{\"u}r {\"A}sthetische Chirurgie},
  volume    = {14},
  journal   = {Journal f{\"u}r {\"A}sthetische Chirurgie},
  number    = {4},
  issn      = {1867-4313},
  doi       = {10.1007/s12631-021-00276-8},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-270189},
  pages     = {161-165},
  year      = {2021},
  abstract  = {Die operative Verj{\"u}ngung des Auges stellt einen der am h{\"a}ufigsten nachgefragten Eingriffe im {\"a}sthetischen Spektrum dar. Die multikulturelle Bev{\"o}lkerungsstruktur bedingt, dass auch „asiatisch" imponierende Augen behandelt werden. „Asiatische" Augen sind aber nicht nur bei Asiaten anzutreffen, sondern in unterschiedlicher Auspr{\"a}gung auch bei Patienten aus dem Nahen und Mittleren Osten. Das asiatische Auge stellt in Bezug auf Verj{\"u}ngungsm{\"o}glichkeiten eine eigene Entit{\"a}t dar. W{\"a}hrend die klassische „Korrektur" des asiatischen Auges eine etablierte und durch eine Vielzahl von verschiedenen Techniken mit vorhersehbaren Ergebnissen verbundene Methode ist, ist eine „verj{\"u}ngende" Blepharoplastik des asiatischen Auges komplexer zu bewerten [1, 3, 5, 10]. Die Operationsmethoden f{\"u}r das „asiatische" Auge sind f{\"u}r j{\"u}ngere Patienten intendiert, bei denen es {\"u}berwiegend um die Korrektur des Epikanthus geht. Diese Techniken ziehen eine gew{\"u}nschte Ver{\"a}nderung des periorbitalen Erscheinungsbildes nach sich, wobei das asiatische Aussehen teilweise zugunsten eines vermehrt „europ{\"a}ischen" Aussehens beeinflusst wird. Fraglich bleibt, ob eine Ver{\"a}nderung zu einem europ{\"a}ischen Aussehen hin auch bei einem alternden Patienten einer Verj{\"u}ngung gleichkommt. Prinzipiell imponiert ein derart operiertes asiatisches Auge „k{\"u}nstlich", eine Tatsache die bei alternden Patienten als noch st{\"o}render als der Alterungsprozess selbst empfunden werden d{\"u}rfte. Daher ist der Wunsch nach einer Verj{\"u}ngung ohne Verlust des typischen asiatischen Erscheinungsbildes des Auges chirurgisch nicht mit der klassischen Technik bei Europ{\"a}ern umzusetzen. W{\"a}hrend die Behandlung durch eine klassische Blepharoplastik ein unnat{\"u}rliches Aussehen zur Folge hat, kann unter Respektierung der asiatischen anatomischen Besonderheiten eine nat{\"u}rlich wirkende Verj{\"u}ngung erreicht werden.},
  language  = {en}
}
@article{HuflageKarstenKunzetal.2021,
  author    = {Huflage, Henner and Karsten, Sebastian and Kunz, Andreas Steven and Conrads, Nora and Jakubietz, Rafael Gregor and Jakubietz, Michael Georg and Pennig, Lenhard and Goertz, Lukas and Bley, Thorsten Alexander and Schmitt, Rainer and Grunz, Jan-Peter},
  title     = {Improved diagnostic accuracy for ulnar-sided TFCC lesions with radial reformation of 3D sequences in wrist MR arthrography},
  series = {European Radiology},
  volume    = {31},
  journal   = {European Radiology},
  number    = {12},
  issn      = {1432-1084},
  doi       = {10.1007/s00330-021-08024-3},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-266512},
  pages     = {9399-9407},
  year      = {2021},
  abstract  = {Objectives Triangular fibrocartilage complex (TFCC) injuries frequently cause ulnar-sided wrist pain and can induce distal radioulnar joint instability. With its complex three-dimensional structure, diagnosis of TFCC lesions remains a challenging task even in MR arthrograms. The aim of this study was to assess the added diagnostic value of radial reformatting of isotropic 3D MRI datasets compared to standard planes after direct arthrography of the wrist. Methods Ninety-three patients underwent wrist MRI after fluoroscopy-guided multi-compartment arthrography. Two radiologists collectively analyzed two datasets of each MR arthrogram for TFCC injuries, with one set containing standard reconstructions of a 3D thin-slice sequence in axial, coronal and sagittal orientation, while the other set comprised an additional radial plane view with the rotating center positioned at the ulnar styloid. Surgical reports (whenever available) or radiological reports combined with clinical follow-up served as a standard of reference. In addition, diagnostic confidence and assessability of the central disc and ulnar-sided insertions were subjectively evaluated. Results Injuries of the articular disc, styloid and foveal ulnar attachment were present in 20 (23.7\%), 10 (10.8\%) and 9 (9.7\%) patients. Additional radial planes increased diagnostic accuracy for lesions of the styloid (0.83 vs. 0.90; p = 0.016) and foveal (0.86 vs. 0.94; p = 0.039) insertion, whereas no improvement was identified for alterations of the central cartilage disc. Readers' confidence (p < 0.001) and assessability of the ulnar-sided insertions (p < 0.001) were superior with ancillary radial reformatting. Conclusions Access to the radial plane view of isotropic 3D sequences in MR arthrography improves diagnostic accuracy and confidence for ulnar-sided TFCC lesions.},
  language  = {en}
}