1 Tissue of amputated or nonsalvageable limbs may be used for reconstruction of complex defects. Fillet flaps can be used to treat traumatic, oncologic, or pressureinduced wounds. The classical fillet flap is defined as an axial-pattern flap harvested from amputated, discarded or otherwise nonfunctioning or nonsalvageable areas of the body that can be used as a pedicled, island, or microvascula...

Thumb reconstruction requires accurate functional and esthetic approximation to the original. Accepted methods generally have some deficiencies, particularly in appearance, and frequently the secondary morbidity is unacceptable. A method of thumb reconstruction with the use of an iliac crest bone graft and a free neurovascular "wrap-around" flap from the big toe is described that combines the a...

BACKGROUND The purposes of this article are to introduce and assess the results of a long-term follow-up of using anterograde pedicle flap based on the dorsal branches of proper digital neurovascular bundles from the dorsum of the middle phalanx for the fingertip defect. METHODS Between February 2011 and December 2012, 31 patients underwent reconstruction of fingertip defects using a homodigi...

INTRODUCTION AND OBJECTIVES Micro-neurovascular free muscle flap transfer is currently the procedure of choice for long-standing facial paralysis. We present a case series of patients treated with gracilis muscle free flap with motor innervation by the masseteric nerve. We discuss the surgical technique and quantify the movement granted by the muscle, the improvement in quality of life and aest...

The extensor digitorum brevis muscle flap is reliable, safe, and can be used either as a pedicle or as a free flap with minimal donor site morbidity. To increase the existing knowledge of this flap and to establish further anatomic basis for the design and elevation of the extensor digitorum brevis flap, 26 specimens from 13 fresh cadavers were dissected under 3.5x loupes. The lateral tarsal ar...

BACKGROUND The aim of this study was to describe the relationship between the deep peroneal nerve and the dorsalis pedis artery to help ensure a safer surgical approach in flap surgery. METHODS The dissection of 36 cadaver lower limbs was undertaken to describe the relationship of the deep peroneal nerve to the dorsalis pedis artery in the anterior tarsal tunnel and on the dorsum of the foot....

After orbital exenteration for neoplasia the remaining bony socket is usually lined with skin and the deformity covered with a prosthesis; in many cases this is acceptable to the patient. However, in certain circumstances, especially in younger patients, a request for some form of reconstruction is made. In the past this has involved multistaged local or distant flaps, lined by skin grafts (Mey...