External fixator immobilisation of a pedicled groin flap

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External fixator immobilisation of a pedicled groin flap

BACKGROUND Pedicled fl aps can still be a useful part of the reconstructive surgical toolbox. Their stabilisation is crucial to prevent shearing forces causing fl ap failure. This can be challenging using traditional dressings so different stabilisation methods have been described including plaster of Paris and topical negative pressure dressings. These are disadvantaged by limiting fl ap obser...

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Tips to orient pedicled groin flap for hand defects.

A groin flap is an axial-patterned cutaneous flap based on the superficial circumflex iliac arteriovenous system, which can provide soft-tissue coverage to defects on any aspect of the hand and the distal two thirds of the forearm. One of the presumed disadvantages of the pedicled groin flap is the discomfort experienced by the patient during the time required before flap division. These disadv...

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Pedicled Anterior Lateral Thigh Flap in Managing a Bilateral Groin Contracture

A fifteen-year-old female patient presented with a severe bilateral groin contracture for the last 8 years. She had sustained burns at the age of seven years. Three attempts to release the contracture with split thickness skin grafts had been done without success. A pedicled anterior lateral thigh flap was raised and advanced into the defect after the contracture had been released. Postoperativ...

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Innervated Free Groin Flap

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The pedicled anterolateral thigh (ALT) flap based on septocutanous or musculocutanous perforators of the lateral circumflex femoral system is a reliable flap. The use of ALT flap as a pedicled flap is relatively unpopular if compared with its use as a free flap. The flap can be raised as a fasciocutaneous or muscle flap or myocutaneous flap. The pedicled flap has got a lengthy pedicle with a li...

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ژورنال

عنوان ژورنال: The Annals of The Royal College of Surgeons of England

سال: 2014

ISSN: 0035-8843,1478-7083

DOI: 10.1308/rcsann.2014.96.1.75