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  1. Article ; Online: Update of surgical treatment of polydactyly.

    Tawfeeq, Yaser / Hendry, J Michael / Wood, Kristi Sue

    Current opinion in pediatrics

    2022  Volume 35, Issue 1, Page(s) 124–130

    Abstract: Purpose of review: Polydactyly presents with variable extent of duplication and may involve preaxial/radial (hand)/medial (foot), postaxial/ulnar (hand)/lateral (foot) or central duplication. This review will summarize recent advancements in the ... ...

    Abstract Purpose of review: Polydactyly presents with variable extent of duplication and may involve preaxial/radial (hand)/medial (foot), postaxial/ulnar (hand)/lateral (foot) or central duplication. This review will summarize recent advancements in the surgical management of this common entity.
    Recent findings: Modifications to classification systems aim to help guide surgical management of polydactyly. Attempts have been made at quantifying preoperative angulation of the duplicated digits to minimize the chance of residual or recurrent deformity after surgical reconstruction. As a result, consideration should be given to the need for soft tissue correction vs. osteotomy to optimize the clinical outcome. On-top plasty is an option that may be beneficial in 'unequal' preaxial polydactyly, where neither duplicate is preferred on its own.
    Summary: Polydactyly is one of the most common congenital anomalies in the hands and feet. Determination of surgical intervention often begins with classification systems that exist, which primarily separate these into preaxial, postaxial, and central. Referral for surgical consideration is indicated, given the management is often surgical.
    MeSH term(s) Humans ; Polydactyly/diagnosis ; Polydactyly/surgery ; Thumb/abnormalities ; Plastic Surgery Procedures ; Osteotomy
    Language English
    Publishing date 2022-11-22
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 1049374-8
    ISSN 1531-698X ; 1040-8703
    ISSN (online) 1531-698X
    ISSN 1040-8703
    DOI 10.1097/MOP.0000000000001204
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Managing Neuroma and Phantom Limb Pain in Ontario: The Status of Targeted Muscle Reinnervation.

    Létourneau, Sasha G / Hendry, J Michael

    Plastic and reconstructive surgery. Global open

    2020  Volume 8, Issue 12, Page(s) e3287

    Abstract: Painful neuromas (PN) and phantom limb pain (PLP) are common following amputation and are unreliably treated, which impacts quality of life. Targeted muscle reinnervation (TMR) is a microsurgical technique that repairs the severed proximal nerve end to a ...

    Abstract Painful neuromas (PN) and phantom limb pain (PLP) are common following amputation and are unreliably treated, which impacts quality of life. Targeted muscle reinnervation (TMR) is a microsurgical technique that repairs the severed proximal nerve end to a redundant motor nerve in the amputated stump. Evidence supports TMR as effective in treating PN and PLP; however, its adoption has been slow. This study aimed to characterize: (1) the populations experiencing post-amputation PN/PLP; (2) current trends in managing PN/PLP; and (3) attitudes toward routine use of TMR to manage PN/PLP.
    Methods: A cross-sectional survey was distributed to all orthopedic surgeons, plastic surgeons, and physiatrists practicing in Ontario, via publicly available emails and specialty associations. Data were collected on demographics, experience with amputation, managing post-amputation pain, and attitudes toward routine use of TMR.
    Results: Sixty-six of 698 eligible participants submitted complete surveys (9.5% response rate). Respondents had a greater experience with surgical management of PN (71% PN versus 10% PLP). However, surgery was considered a 3rd-line option for PN and not an option for PLP in 57% and 59% of respondents, respectively. Thirty participants (45%) were unaware of TMR as an option, and only 8 respondents have currently incorporated TMR into their practice. Many (76%) would be willing to incorporate TMR into their practice as either an immediate or delayed surgical technique.
    Conclusions: Despite its promise in managing post-amputation pain, awareness of TMR as a surgical option is generally poor. Several barriers to the widespread adoption of this technique are defined.
    Language English
    Publishing date 2020-12-21
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2851682-5
    ISSN 2169-7574 ; 2169-7574
    ISSN (online) 2169-7574
    ISSN 2169-7574
    DOI 10.1097/GOX.0000000000003287
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Evaluation of motor and sensory neuron populations in a mouse median nerve injury model.

    Topley, Max / Crotty, Anne-Marie / Boyle, Amy / Peller, Jacob / Kawaja, Michael / Hendry, J Michael

    Journal of neuroscience methods

    2023  Volume 396, Page(s) 109937

    Abstract: Background: Peripheral nerves can regenerate and restore function after injury but this process is hindered by many factors including chronic denervation, motor end-plate resorption and Schwann cell senescence. Forelimb injury models in rodents are ... ...

    Abstract Background: Peripheral nerves can regenerate and restore function after injury but this process is hindered by many factors including chronic denervation, motor end-plate resorption and Schwann cell senescence. Forelimb injury models in rodents are becoming increasingly popular as they more accurately reflect the physiology and biomechanics of upper extremity nerve injuries. However several aspects of this surgical model remain poorly characterized.
    New method: C57Bl/6 mice underwent enumeration of median nerve motor and sensory neuron pools using retrograde labeling with or without nerve transection. Distal histomorphometry of uninjured mouse median nerves was also examined. Baseline reference values of volitional forelimb grip strength measurements were determined and the rate of neural elongation was also estimated.
    Results: We identified 1363 ± 165 sensory and 216 ± 16 motor neurons within the uninjured dorsal root ganglia (DRG) and ventral spinal cord, respectively. Eight days following injury, approximately 34% of motoneurons had elongated a distance of 5 mm beyond the repair site 8 days following injury. Volitional grip strength decreased 50% with unilateral median nerve transection and was negligible with contralateral flexor tendon tenotomy.
    Comparison with existing method: Our spinal cord and DRG harvesting technique presented here was technically straightforward and reliable. Estimates of motor and sensory neuron numbers for the mouse median nerve compared favourably with studies using intramuscular injection of retrograde neurotracer. Histomorphometry data was consistent with and reinforced reference values in the literature.
    Conclusions: This study provides data that further develops an increasingly popular surgical model for studying peripheral nerve injury and repair.
    MeSH term(s) Mice ; Animals ; Median Nerve ; Sensory Receptor Cells ; Peripheral Nerve Injuries ; Motor Neurons/physiology ; Ganglia, Spinal ; Nerve Regeneration/physiology
    Language English
    Publishing date 2023-07-31
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 282721-9
    ISSN 1872-678X ; 0165-0270
    ISSN (online) 1872-678X
    ISSN 0165-0270
    DOI 10.1016/j.jneumeth.2023.109937
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: The Effectiveness of a Self-Directed e-Learning Module on Trainee Knowledge and Confidence during Plastic Surgery Clinical Rotations.

    Akbari, Pedram / Valiquette, Chantal R / Brathwaite, Shakira / Hawley, Greg / Martou, Glykeria / Hendry, J Michael

    Plastic and reconstructive surgery. Global open

    2023  Volume 11, Issue 12, Page(s) e5416

    Abstract: Background: Exposure to plastic surgery is limited during medical school. This makes rotations for clinical clerks and off-service residents challenging. Available resources are often too detailed and overwhelming. Having an accessible, concise, and ... ...

    Abstract Background: Exposure to plastic surgery is limited during medical school. This makes rotations for clinical clerks and off-service residents challenging. Available resources are often too detailed and overwhelming. Having an accessible, concise, and interactive plastic surgery e-learning module reviewing core plastic surgery topics could help prepare incoming trainees for their rotations.
    Methods: An e-learning module was created using text, images, and in-house recorded video recordings. Two cohorts were recruited: control cohort (n = 9), who completed their plastic surgery rotation without use of the module, and an interventional cohort (n = 18), who completed the rotation with use of the module. A demographic survey, a 20-question multiple-choice knowledge test, and self-reported confidence score were completed by both cohorts at the end of their plastic surgery rotations. The intervention cohort also completed the knowledge test at the beginning of their rotation to establish baseline. Knowledge and confidence scores were compared using two-tailed, unpaired, nonparametric analyses (Mann-Whitney test).
    Results: Learners from the intervention cohort reported a 95% module completion rate and found the resource "extremely helpful" (average Likert of 4.8/5). Learners indicated that they were very likely to recommend the resource to others (average Likert 4.9/5). The intervention cohort scored significantly higher on the knowledge test compared with the control cohort (
    Conclusion: An accessible and concise module on core plastic surgery concepts enhances learner knowledge and confidence during plastic surgery clinical rotations.
    Language English
    Publishing date 2023-12-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2851682-5
    ISSN 2169-7574 ; 2169-7574
    ISSN (online) 2169-7574
    ISSN 2169-7574
    DOI 10.1097/GOX.0000000000005416
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Oral Exam Questions: Leg Reconstruction and Scaphoid Nonunion.

    Hendry, J Michael / McKay, D R

    Plastic surgery (Oakville, Ont.)

    2020  Volume 28, Issue 2, Page(s) 127–128

    Language English
    Publishing date 2020-06-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2869727-3
    ISSN 2292-5511 ; 2292-5503
    ISSN (online) 2292-5511
    ISSN 2292-5503
    DOI 10.1177/2292550320927354
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Oral Exam Questions: Perilunate Injuries and Arm Reconstruction.

    Hendry, J Michael / McKay, Douglas R

    Plastic surgery (Oakville, Ont.)

    2020  Volume 28, Issue 1, Page(s) 69–70

    Language English
    Publishing date 2020-02-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2869727-3
    ISSN 2292-5511 ; 2292-5503
    ISSN (online) 2292-5511
    ISSN 2292-5503
    DOI 10.1177/2292550320905214
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Delayed-Type Hypersensitivity Reaction to Red Tattoo Ink Triggered by Ledipasvir/Sofosbuvir for Hepatitis C: A Case Report.

    McPhie, Meghan L / Ren, Kevin Y M / Hendry, J Michael / Molin, Sonja / Herzinger, Thomas

    Case reports in dermatology

    2021  Volume 13, Issue 2, Page(s) 379–383

    Abstract: Tattoos have become increasingly popular worldwide making adverse effects from tattoos a growing concern. In our report, we present a 51-year-old man who developed an unusual allergic reaction to the red ink portions of his tattoos that coincided with ... ...

    Abstract Tattoos have become increasingly popular worldwide making adverse effects from tattoos a growing concern. In our report, we present a 51-year-old man who developed an unusual allergic reaction to the red ink portions of his tattoos that coincided with the initiation of ledipasvir/sofosbuvir treatment for his hepatitis C. Clinical and histological features were consistent with a delayed-type hypersensitivity reaction to red ink.
    Language English
    Publishing date 2021-07-16
    Publishing country Switzerland
    Document type Case Reports
    ZDB-ID 2505300-0
    ISSN 1662-6567
    ISSN 1662-6567
    DOI 10.1159/000513926
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Optimizing the Timing of Peripheral Nerve Transfers for Functional Re-Animation in Cervical Spinal Cord Injury: A Conceptual Framework.

    Castanov, Valera / Berger, Michael / Ritsma, Benjamin / Trier, Jessica / Hendry, J Michael

    Journal of neurotrauma

    2021  Volume 38, Issue 24, Page(s) 3365–3375

    Abstract: Loss of upper extremity function following spinal cord injury (SCI) can have devastating consequences on quality of life. Peripheral nerve transfer surgery aims to restore motor control of upper extremities following cervical SCI and is poised to ... ...

    Abstract Loss of upper extremity function following spinal cord injury (SCI) can have devastating consequences on quality of life. Peripheral nerve transfer surgery aims to restore motor control of upper extremities following cervical SCI and is poised to revolutionize surgical management in this population. The surgery involves dividing an expendable donor nerve above the level of the spinal lesion and coapting it to a recipient nerve arising from the lesional or infralesional segment of the injured cord. In order to maximize outcomes in this complex patient population, refinements in surgical technique need to be integrated with principles of spinal cord medicine and basic science. Deciding on the ideal timing of nerve transfer surgery is one aspect of care that is critical to maximizing recovery and has received very little attention to date in the literature. This complex topic is reviewed, with a focus on expectations for spontaneous recovery within upper motor neuron components of the injury, balanced against the need for expeditious re-innervation for lower motor neuron elements of the injury. The discussion also considers the case of a patient with C6 motor complete SCI in whom myotomes without electrodiagnostic evidence of denervation spontaneously improved by 6 months post-injury, thereby adjusting the surgical plan. The relevant concepts are integrated into a clinical algorithm with recommendations that consider maximal opportunity for spontaneous clinical improvement post-injury while avoiding excessive delays that may adversely affect patient outcomes.
    MeSH term(s) Cervical Cord/injuries ; Humans ; Male ; Nerve Transfer ; Recovery of Function ; Spinal Cord Injuries/surgery ; Time-to-Treatment ; Young Adult
    Language English
    Publishing date 2021-10-26
    Publishing country United States
    Document type Case Reports ; Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 645092-1
    ISSN 1557-9042 ; 0897-7151
    ISSN (online) 1557-9042
    ISSN 0897-7151
    DOI 10.1089/neu.2021.0247
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Neurofilament-histomorphometry comparison in the evaluation of unmyelinated axon regeneration following peripheral nerve injury: An alternative to electron microscopy.

    Hendry, J Michael / Alvarez-Veronesi, M Cecilia / Chiang, Cameron / Gordon, Tessa / Borschel, Gregory H

    Journal of neuroscience methods

    2019  Volume 320, Page(s) 37–43

    Abstract: Background: Currently, assessment of unmyelinated axon regeneration is limited to electron microscopy (EM), which is expensive, time consuming and not universally available. This study presents a protocol to estimate the number of unmyelinated axons in ... ...

    Abstract Background: Currently, assessment of unmyelinated axon regeneration is limited to electron microscopy (EM), which is expensive, time consuming and not universally available. This study presents a protocol to estimate the number of unmyelinated axons in a regenerating peripheral nerve without the need for electron microscopy.
    New method: The common peroneal nerve of Sprague-Dawley rats was transected, repaired and regenerated for 4 weeks. Two distal adjacent segments of the regenerating nerve were then processed for either conventional histomorphometry using toluidine blue or immunolabeling of neurofilament protein. Myelinated axon and total axon counts were obtained, respectively, to generate estimates of unmyelinated axon numbers, which were then compared to unmyelinated axon counts using EM from the same specimens. For comparison, unmyelinated axons were counted in an uninjured rat laryngeal nerve.
    Results: After 4 weeks of regeneration, the estimated number of regenerating unmyelinated axons was 4044 ± 232 using this technique, representing 81.3% of the total axonal population. By comparison, the proportion of unmyelinated axons in the uninjured laryngeal nerve was 55% of the total axonal population.
    Comparison with existing method: These estimates correlate with electron microscopy measurements, both in terms of the proportion of unmyelinated axons and also by linear regression analysis.
    Conclusions: The neurofilament staining method correlates with electron microscopy estimates of the same nerve sections. It is useful for the efficient counting of unmyelinated axons in the regenerating peripheral nerve and can be used by laboratories that do not have access to EM facilities.
    MeSH term(s) Animals ; Axons ; Histological Techniques ; Immunohistochemistry ; Laryngeal Nerves/physiology ; Nerve Fibers, Myelinated ; Nerve Fibers, Unmyelinated ; Nerve Regeneration/physiology ; Neurofilament Proteins ; Peripheral Nerve Injuries/physiopathology ; Peroneal Nerve/injuries ; Peroneal Nerve/physiopathology ; Rats ; Rats, Sprague-Dawley
    Chemical Substances Neurofilament Proteins
    Language English
    Publishing date 2019-03-07
    Publishing country Netherlands
    Document type Comparative Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 282721-9
    ISSN 1872-678X ; 0165-0270
    ISSN (online) 1872-678X
    ISSN 0165-0270
    DOI 10.1016/j.jneumeth.2019.03.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Side-To-Side Nerve Bridges Support Donor Axon Regeneration Into Chronically Denervated Nerves and Are Associated With Characteristic Changes in Schwann Cell Phenotype.

    Hendry, J Michael / Alvarez-Veronesi, M Cecilia / Snyder-Warwick, Alison / Gordon, Tessa / Borschel, Gregory H

    Neurosurgery

    2015  Volume 77, Issue 5, Page(s) 803–813

    Abstract: Background: Chronic denervation resulting from long nerve regeneration times and distances contributes greatly to suboptimal outcomes following nerve injuries. Recent studies showed that multiple nerve grafts inserted between an intact donor nerve and a ...

    Abstract Background: Chronic denervation resulting from long nerve regeneration times and distances contributes greatly to suboptimal outcomes following nerve injuries. Recent studies showed that multiple nerve grafts inserted between an intact donor nerve and a denervated distal recipient nerve stump (termed "side-to-side nerve bridges") enhanced regeneration after delayed nerve repair.
    Objective: To examine the cellular aspects of axon growth across these bridges to explore the "protective" mechanism of donor axons on chronically denervated Schwann cells.
    Methods: In Sprague Dawley rats, 3 side-to-side nerve bridges were placed over a 10-mm distance between an intact donor tibial (TIB) nerve and a recipient denervated common peroneal (CP) distal nerve stump. Green fluorescent protein-expressing TIB axons grew across the bridges and were counted in cross section after 4 weeks. Immunofluorescent axons and Schwann cells were imaged over a 4-month period.
    Results: Denervated Schwann cells dedifferentiated to a proliferative, nonmyelinating phenotype within the bridges and the recipient denervated CP nerve stump. As donor TIB axons grew across the 3 side-to-side nerve bridges and into the denervated CP nerve, the Schwann cells redifferentiated to the myelinating phenotype. Bridge placement led to an increased mass of hind limb anterior compartment muscles after 4 months of denervation compared with muscles whose CP nerve was not "protected" by bridges.
    Conclusion: This study describes patterns of donor axon regeneration and myelination in the denervated recipient nerve stump and supports a mechanism where these donor axons sustain a proregenerative state to prevent deterioration in the face of chronic denervation.
    MeSH term(s) Animals ; Axons/physiology ; Axons/transplantation ; Muscle Denervation ; Nerve Regeneration/physiology ; Nerve Tissue/transplantation ; Peroneal Nerve/physiology ; Peroneal Nerve/surgery ; Phenotype ; Rats ; Rats, Sprague-Dawley ; Rats, Transgenic ; Schwann Cells/physiology ; Tibial Nerve/physiology ; Tibial Nerve/surgery
    Language English
    Publishing date 2015-11
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 135446-2
    ISSN 1524-4040 ; 0148-396X
    ISSN (online) 1524-4040
    ISSN 0148-396X
    DOI 10.1227/NEU.0000000000000898
    Database MEDical Literature Analysis and Retrieval System OnLINE

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