Riccardo E. Giunta
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View article: Improving Volumetric Symmetry in Reduction Mammoplasty Using Intraoperative 3-Dimensional Photogrammetry
Improving Volumetric Symmetry in Reduction Mammoplasty Using Intraoperative 3-Dimensional Photogrammetry Open
Background Achieving breast symmetry represents a critical endpoint in reduction mammoplasty. Historically, surgeons have been predominantly depended on anthropometric parameters, such as linear measurements and tactile evaluation, to guid…
View article: Successful Surgical Therapy of a Chronically Infected Thoracic Fistula After Repeated Cardiovascular High‐Risk Procedures
Successful Surgical Therapy of a Chronically Infected Thoracic Fistula After Repeated Cardiovascular High‐Risk Procedures Open
Chronic thoracic fistulas after transapical TAVI are rare but serious complications. A 67‐year‐old male with prior aortic dissection and two transapical valve implantations developed a chronically infected fistula due to retained apical cl…
View article: Quantifying Morphological Change in Stage III Lipedema: A 3D Imaging Study of Population Trends and Individual Treatment Courses
Quantifying Morphological Change in Stage III Lipedema: A 3D Imaging Study of Population Trends and Individual Treatment Courses Open
Background/Objectives: Lipedema is a chronic disorder characterized by disproportionate fat accumulation in the extremities, causing pain, bruising, and reduced mobility. When conservative therapy fails, liposuction is considered an effect…
View article: Quality indicators for breast reconstruction following cancer—an international Delphi consensus study supported by the European Society of Plastic, Reconstructive and Aesthetic Surgery
Quality indicators for breast reconstruction following cancer—an international Delphi consensus study supported by the European Society of Plastic, Reconstructive and Aesthetic Surgery Open
Background Quality indicators (QIs) are essential for assessing and improving healthcare delivery. Existing QIs for breast reconstruction are limited and do not comprehensively reflect clinical complexity or patient-centred outcomes. This …
View article: The Influence of GLP-1 Agonists on Human Mesenchymal Stem Cells: A Systematic Review
The Influence of GLP-1 Agonists on Human Mesenchymal Stem Cells: A Systematic Review Open
Background Glucagon-like peptide-1 receptor agonists, originally developed for managing type 2 diabetes, have gained attention for their weight-reducing and broader biological effects. Among these, their influence on human mesenchymal stem…
View article: Cartilage reconstruction using Chondrofiller in intra-articular distal radius fractures
Cartilage reconstruction using Chondrofiller in intra-articular distal radius fractures Open
Introduction Intra-articular distal radius fractures (DRF) frequently result in post-traumatic cartilage defects, which can lead to early osteoarthritis, particularly when residual step-offs or gaps ≥ 2 mm remain after fracture reduction. …
View article: Augmenting Patient Education in Hand Surgery—Evaluation of ChatGPT as an Informational Tool in Carpal Tunnel Syndrome
Augmenting Patient Education in Hand Surgery—Evaluation of ChatGPT as an Informational Tool in Carpal Tunnel Syndrome Open
Background and Objectives: Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy caused by chronic compression of the median nerve within the carpal tunnel. Patient education is a cornerstone of informed consent and postope…
View article: Microsurgical Lymphatic Vessel Transplantation for Chronic Lymphedema: Long-Term Evaluation of Volume Reduction and Lymphatic Transport Kinetics
Microsurgical Lymphatic Vessel Transplantation for Chronic Lymphedema: Long-Term Evaluation of Volume Reduction and Lymphatic Transport Kinetics Open
This study investigates long-term volume reduction after microsurgical autologous lymphatic vessel transplantation (LVT) in patients with chronic lymphoedema. Lymphoedema is caused by inadequate lymphatic drainage and leads to swelling, pa…
View article: Can artificial intelligence pass the written European Board of Hand Surgery exam?
Can artificial intelligence pass the written European Board of Hand Surgery exam? Open
Various artificial intelligence-based applications have emerged as transformative tools across numerous domains. Among these, ChatGPT has earned global recognition with its capacity for dynamic user interaction and holds significant potent…
View article: Platelet‐Rich Fibrin Mediates Beneficial Effects on Adipose‐Derived Stem Cells via Increased Levels of Key Cytokines
Platelet‐Rich Fibrin Mediates Beneficial Effects on Adipose‐Derived Stem Cells via Increased Levels of Key Cytokines Open
Recent studies showcased the regenerative potential of Platelet‐Rich Fibrin (PRF) combined with Adipose‐Derived Stem Cells (ASC). PRF enhances cellular proliferation through sustained growth factor secretion which are continuously released…
View article: Arthroscopic-Assisted vs. Fluoroscopic-Only ORIF of Distal Radius Fractures: Clinical and Economic Perspectives
Arthroscopic-Assisted vs. Fluoroscopic-Only ORIF of Distal Radius Fractures: Clinical and Economic Perspectives Open
Background and Objectives: Distal radius fractures (DRFs) are among the most common fractures globally, with a lifetime incidence of around 9%. They typically present in two age peaks: high-impact trauma in patients under 40 and low-energy…
View article: More than Just Type 1 or Type 2: Radiologically and Anatomically Refined Lunate Classification Correlating Ulnar Carpal Alignment and Hamate-Lunate Osteoarthrosis
More than Just Type 1 or Type 2: Radiologically and Anatomically Refined Lunate Classification Correlating Ulnar Carpal Alignment and Hamate-Lunate Osteoarthrosis Open
Background: Hamate-lunate impingement or osteoarthritis can be a cause of ulnar-sided wrist pain. In the literature, the lunate has commonly been classified according to the configuration of its distal articular surface into type 1 and typ…
View article: Personalized Joint Replacement: Landmark-Free Morphometric Analysis of Distal Radii
Personalized Joint Replacement: Landmark-Free Morphometric Analysis of Distal Radii Open
Background: Fractures of the distal radius are common, particularly among young men and elderly women, often leading to painful wrist arthritis, especially if the joint surface has been affected. Traditional treatments of the wrist, such a…
View article: Aspirin Inhibits the In Vitro Adipogenic Differentiation of Human Adipose Tissue-Derived Stem Cells in a Dose-Dependent Manner
Aspirin Inhibits the In Vitro Adipogenic Differentiation of Human Adipose Tissue-Derived Stem Cells in a Dose-Dependent Manner Open
Aspirin (ASA) is one of the most used medications worldwide and has shown various effects on cellular processes, including stem cell differentiation. However, the effect of ASA on adipogenesis of adipose tissue-derived stem cells (ASCs) re…
View article: Generation Z in Plastic Surgery: Challenges, Solutions and New Horizons – A European and transatlantic overview
Generation Z in Plastic Surgery: Challenges, Solutions and New Horizons – A European and transatlantic overview Open
Introduction The entrance of Generation Z (born 1997–2012) into professional life, including the practice of medicine, marks a transformational shift in priorities and values. This generation, shaped by digital immersion and a strong focus…
View article: Changes in the Microcirculation and Physiologic Perfusion Dynamics of Free DIEP Flaps in the First 72 h After Breast Reconstruction
Changes in the Microcirculation and Physiologic Perfusion Dynamics of Free DIEP Flaps in the First 72 h After Breast Reconstruction Open
Background/Objectives: The autologous reconstruction of the female breast using a microsurgical DIEP flap is a reliable and safe method. To detect impairments early and preserve the microvascular flap through timely revision, a better unde…
View article: Therapy for Dupuytren’s Disease (II): Collagenase Therapy vs. Limited Fasciectomy—A Long-Term Comparative Study
Therapy for Dupuytren’s Disease (II): Collagenase Therapy vs. Limited Fasciectomy—A Long-Term Comparative Study Open
Background: Dupuytren’s disease (DD) is a systemic connective tissue disorder of the palm, predominantly affecting men of Northern European or Caucasian origin over 55. In addition to conventional surgery, Dupuytren’s contracture can be tr…
View article: Bioactivated scaffolds promote angiogenesis and lymphangiogenesis for dermal regeneration in vivo
Bioactivated scaffolds promote angiogenesis and lymphangiogenesis for dermal regeneration in vivo Open
Chronic wounds represent an unresolved medical challenge with significant impact for patients’ quality of life and global healthcare. Diverse in origin, ischemic-hypoxic and inflammatory conditions play central roles as pathological featur…
View article: Impact of Postoperative Norepinephrine Administration on Free Flap Flow
Impact of Postoperative Norepinephrine Administration on Free Flap Flow Open
Background/Objectives: The perioperative interplay between blood pressure, vasopressors, and macrocirculation is well established. However, in the context of free flap surgery, the potential impact of these factors on microvascular flow re…
View article: What about the donor site morbidity – how invasive is the free latissimus dorsi flap?
What about the donor site morbidity – how invasive is the free latissimus dorsi flap? Open
Aims The free latissimus dorsi muscle (LDM) flap represents a workhorse procedure in the field of trauma and plastic surgery. However, only a small number of studies have examined this large group of patients with regard to the morbidity o…
View article: Clavicle height asymmetry: A common problem for planning reduction mammoplasties – A correlational study
Clavicle height asymmetry: A common problem for planning reduction mammoplasties – A correlational study Open
The distance between the mid-clavicle and nipple (MCN) is crucial in planning reduction mammoplasties. MCN has been shown to be superior in achieving nipple-areola complex symmetry. However, there is great variability in clavicle anatomy. …
View article: Clinical results of autologous fat transfer for basal thumb arthritis with a minimum of three years’ follow-up
Clinical results of autologous fat transfer for basal thumb arthritis with a minimum of three years’ follow-up Open
Aims In the treatment of basal thumb osteoarthritis (OA), intra-articular autologous fat transplantation has become of great interest within recent years as a minimally invasive and effective alternative to surgical intervention with regar…
View article: Therapy for Dupuytren’s Disease: Collagenase Therapy—A Long-Term Follow-Up Study
Therapy for Dupuytren’s Disease: Collagenase Therapy—A Long-Term Follow-Up Study Open
Background: Dupuytren’s disease (DD) is a systemic connective tissue disorder of the palm. It particularly affects men of Northern European or Caucasian origin over the age of 55. In addition to the classical surgical therapy via limited f…
View article: In Vivo Biocompatibility of Synechococcus sp. PCC 7002-Integrated Scaffolds for Skin Regeneration
In Vivo Biocompatibility of Synechococcus sp. PCC 7002-Integrated Scaffolds for Skin Regeneration Open
Cyanobacteria, commonly known as blue-green algae, are prevalent in freshwater systems and have gained interest for their potential in medical applications, particularly in skin regeneration. Among these, Synechococcus sp. strain PCC 7002 …
View article: Impact of Negative Pressure Wound Therapy on Perfusion Dynamics in Free Latissimus Dorsi Muscle Flaps
Impact of Negative Pressure Wound Therapy on Perfusion Dynamics in Free Latissimus Dorsi Muscle Flaps Open
Background: Free muscle flaps can develop significant postoperative edema and wound exudation, thereby increasing interstitial pressure and potentially compromising microcirculation. While concerns exist regarding negative pressure wound t…
View article: Reconstruction of Chronic Soft Tissue Mallet Fingers: Outcomes of Step-Plasty vs. Purse-String Suture
Reconstruction of Chronic Soft Tissue Mallet Fingers: Outcomes of Step-Plasty vs. Purse-String Suture Open
After failed conservative therapy or in the absence of any intervention, a rupture of the digital subcutaneous extensor tendon at the distal interphalangeal (DIP) joint, known as mallet finger, may lead to a chronic extension deficit due t…
View article: To Shrink or Not to Shrink? An Objective Assessment of Free Gracilis Muscle Volume Change in Lower-Extremity Defect Reconstruction
To Shrink or Not to Shrink? An Objective Assessment of Free Gracilis Muscle Volume Change in Lower-Extremity Defect Reconstruction Open
Background: The use of free gracilis muscle flaps in reconstructive surgery of the lower leg is common practice to cover defects. However, there is still a lack of understanding of the morphometric changes that occur in the transferred mus…