Ludwigshafen, Germany Background: As the versatility and variability of free flaps have significantly increased during recent years, so have the indications for free tissue transplantation in burn reconstruction expanded. Methods: The authors report retrospectively the results of 42 free flaps for upper extremity reconstruction in 35 severely burned patients using 13 different free flaps. This ...

BACKGROUND Scalp defects may be caused by various etiological factors, and they represent a significant surgical and aesthetic concern. Various surgical techniques can be applied for reconstructive work such as primary closure, skin grafting, pedicled or free flaps. In this article, the authors share their clinical experience with scalp operations using the technique of local flaps and discuss ...

BACKGROUND It has been reported that systemic administration of allopurinol improves cell survival. This study was aimed to evaluate effects of allopurinol on skin flaps in dogs. METHODS Twenty dogs underwent one skin flap surgery with a 2-week interval. The first procedure was performed according to the standard protocols. The second phase was started by a 1-week pretreatment with all...

Engineered Vascularized Flaps In article number 2008687, Shulamit Levenberg and co-workers fabricate composite neo-tissue flaps by combining polymeric matrices decellularized bone. These are perfused in vivo using hosts via a potent neo-vascular network. imaging is utilized to show how support long-term bone repair vascularization. This methodology may one day replace autologous tissue harvest ...

We have recently investigated the safety and effectiveness of extrinsic compression on lower limb free flaps 1 Berner J.E. Will P. Geoghegan L. Troisi Nanchahal J. Jain A Safety early following reconstruction: a systematic review. J Plast Reconstr Aesthetic Surg. 2020; 0https://doi.org/10.1016/j.bjps.2020.05.011 Abstract Full Text PDF Scopus (2) Google Scholar in this literature review explored...

Infected tibial nonunions with bone loss pose an extremely challenging problem for the orthopaedic surgeon. A comprehensive approach that addresses the infection, bone quality, and overlying soft-tissue integrity must be considered for a successful outcome. Acute shortening with an Ilizarov frame has been shown to be helpful in the treatment of open tibia fractures with simultaneous bone and so...

BACKGROUND Reconstruction of orofacial soft tissue defects is often challenging due to functional and aesthetic demands. Despite advances in orofacial soft tissue defect reconstruction using free flaps, locoregional flaps still remain an important option, especially in health resource-depleted environments. This retrospective study highlights our experiences in oral and maxillofacial soft tissu...

BACKGROUND The goal of this study was to investigate the anatomy of the peroneal artery and its perforators, and to report the clinical results of reconstruction with peroneal artery perforator flaps. METHODS The authors dissected 4 cadaver legs and investigated the distribution, course, origin, number, type, and length of the perforators. Peroneal artery perforator flap surgery was performed...

BACKGROUND Large soft tissue defects of ankle and foot always have been challenging to reconstruct. Reverse sural flaps, free flaps have been used for this problem with variable success. Reverse peroneal artery flap is an option to use with reliability without microvascular repair. Connections of peroneal artery around talus and ankle joint are deep and reliable with anterior tibial and posteri...

Perforator flaps represent the latest in the evolution of soft tissue flaps. They allow the transfer of the patient’s own skin and fat in a reliable manner with minimal donor-site morbidity. The powerful perforator flap concept allows transfer of tissue from numerous, well-described donor sites to almost any distant site with suitable recipient vessels. The inferior gluteal artery perforator (I...