BACKGROUND Functional outcomes of lower extremity reconstruction compared with amputation have been evaluated. However, there are little comparative data among the different reconstructive options. With the recent increase in perforator flaps, we compared the functional outcomes of muscle and perforator flaps. METHODS We conducted a retrospective review of 136 lower extremity trauma patients ...

BACKGROUND The thin and pliable skin of the neck is a region with multidirectional activity, and postburn scar contractures tend to form there easily. The supraclavicular flap is used to correct neck scar contractures. Its main vascular supply is the supraclavicular artery, and it can be harvested as either a skin pedicle flap or an island flap (vascular pedicle flap). OBJECTIVE In this artic...

Median sternotomy was first described in 1957 as an access route for cardiac surgery. Dehiscence of that incision has been associated with high indices of morbidity and mortality. In 1976, Lee et al 1 reported the use of the great omentum for covering that mediastinal flaw. A little later, Jurkiewicz et al 2 reported the use of muscular flaps, which favored the earlier repair of raw areas and a...

INTROdUCTION: The concept of freestyle propeller flaps provides a versatile opportunity for wound closure at any part of the body with minimal donor site morbidity. As experience and familiarity with microsurgical procedures has increased interest in identifying-harvesting perforator flaps originating from known major vessels has become more common. The “freestyle” concept developed by Wei and ...

A retrospective review of 50 knees in 46 patients treated by arthroscopic removal of chondral flaps is reported. There was a relationship between the site of the flap and the type of symptoms; patellofemoral flaps produced anterior knee pain, posterior condylar flaps produced instability. At review after 18 to 36 months, after a second arthroscopy in eight cases, 44 of the 50 knees had retained...

background an appropriate and well-timed surgery has great impact on a patient’s treatment and can prevent further damage to partially injured structures which if untreated will be lost leading to severe disability. in the present study we report our experience with early coverage of electrically injured upper extremity vital structures with encouraging results. objectives the aim of this study...

the neck is normally a concave and highly mobile structure. facial and cervical skin is prone to burn scar contracture because of its thin nature. the goal of treatment is to reconstruct this region to achieve a good aesthetic outcome and also normal neck and chin mobilization. this study was conducted to compare the effect of one row of suture and three rows of suture in critical points of the...

Pressure ulcers appear in very ill patients and in states of prolonged immobilization. They are quite frequent in intensive care units and in paraplegic individuals. The expenses for their sanation are huge, due to the complicity of the long-lasting treatment. Shallow and superficial pressure ulcers are treated conservatively. Deep ones, with expressive underlying bone prominence in which no re...

three species of paratylenchus were collected and identified from vineyards and apple orchards in kermanshah province, western iran. descriptions, morphometric data, line drawings and microscopic photographs are provided for these three species. paratylenchus audriellus and paratylenchus straeleni are the two very closely related species, with a stylet longer than 40 µm, four lateral lines and ...

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 ...