Background: In case of large burn injuries, split-thickness skin graft (STSG) is limited by donor skin availability. It is not possible to achieve an expansion of more than 1:9 using conventional STSG. Here we introduce Xpansion micrografting technique, which allows a substantially larger expansion ratio enabling adequate coverage of large wounds. Methods: Pre-clinical and clinical studies usin...

OBJECTIVE To evaluate the use of subatmospheric pressure therapy in the treatment of acute traumatic injuries of the soft tissues, especially in the limbs. METHODS One hundred and seventy-eight patients with traumatic wounds were treated by the Center for Complex Wounds in the period from January 2010 to December 2011, and submitted to subatmospheric pressure therapy (SPT). RESULTS Of the 1...

This paper presents an interactive 3D graphical system which allows the user to visualize different bullet path hypotheses and stab wound paths and computes the probability that an anatomical structure associated with a given penetration path is injured. Probabilities can help to identify those anatomical structures which have potentially critical damage from penetrating trauma and differentiat...

OBJECTIVE To evaluate the incidence of hypermobility in young female netball players and to determine the relation between hypermobility, previous injuries sustained in netball or other sports, and the use of protective equipment. METHODS Under 16 year old female netball players from a local suburban netball association were assessed for joint hypermobility using the validated Beighton score ...

TRAUMATIC amputation of the thumb is a particularly severe hand injury, because of the unique functional role of the thumb, and several methods exist for reconstruction of the thumb, all of which have disadvantages. Microvascular technique allows the transfer of a block of tissue from one site to another, by anastomosis of vessels with a known vascular territory to the vessels in the recipient ...

BACKGROUND Our previous experience with colon injuries suggested that operative decisions based on a defined algorithm improve outcomes. The purpose of this study was to evaluate the validity of this algorithm in the face of an increased incidence of destructive injuries observed in recent years. STUDY DESIGN Consecutive patients with full-thickness penetrating colon injuries over an 8-year p...

BACKGROUND The purpose of this study was to describe pelvic fractures and their associated injuries in service members who either died of wounds or were killed in action during Operation Iraqi Freedom and Operation Enduring Freedom and define any differences in associated injuries between penetrating versus blunt injury to the pelvis. METHODS A review of all service members who sustained a pe...