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Abstract Background Fournier’s gangrene is an acute soft tissue necrotizing infection involving the perineum and external genitalia which can result in a major loss of scrotal wall with exposure testicles. Reconstruction such defect quite challenging; use pedicled gracilis muscle flap helps to create aesthetically acceptable scrotum minimal donor site morbidity. Case presentation We described c...

Surgery for the management of hallux rigidus aims to relieve pain and improve function. Arthrodesis, though reliable in terms of pain relief may encounter some resistance from patients reluctant to have a fusion. Results of other techniques, such as silastic implants, may give poor long-term results. Excisional arthroplasty and cheilectomy are also routinely used. Interposition arthroplasty has...

background: despite the importance of hamstring tendon autograft, one major disadvantage in applying this technique in the surgical reconstruction of anterior cruciate ligament is individual variability in the tendon diameter. hence, the purpose of the present study was to use anthropometric parameters such as gender, height and body mass index to predict 4-strand (quadruple) hamstring tendons ...

Background Quadrupled (4-strand) hamstring tendon autografts are commonly used in anterior cruciate ligament (ACL) reconstruction, but there is significant variability in their diameter. The 5-strand hamstring autograft has been used as a means of increasing the graft diameter in patients with undersized hamstring grafts. Purpose To report the outcomes of primary ACL reconstruction using 5-st...

+MacLeod, T D; Snyder-Mackler, L; Axe, M J; Buchanan, T S + Center for Biomedical Engineering Research, University of Delaware, DE [email protected] ABSTRACT INTRODUCTION: Anterior cruciate ligament (ACL) reconstruction is commonly performed with a cadaveric allograft (ALLO) or a hamstring semitendinosus-gracilis (STG) autograft. Knee flexor strength deficits following STG reconstruction are a g...

The purpose of this study was to evaluate the predictive value MRI in determining hamstring autograft size preoperatively for pediatric ACL reconstructions. Children and adolescents from 10-20 years old that had undergone reconstruction using were identified 2017-2018. Semitendinosus gracilis cross-sectional area diameter measured on preoperative knee MRIs field interest (FOI) distance measurem...

IMPORTANCE Free muscle transfer innervated by a cross-facial nerve graft represents the criterion standard for smile reconstruction in facial paralysis. If primary reconstruction fails, a second muscle transfer is usually needed. Herein, we investigated the possibility of avoiding a second free muscle transfer by in situ coaptation of the gracilis muscle to the masseteric nerve. OBSERVATIONS ...

©2005 British Editorial Society of Bone and Joint Surgery doi:10.1302/0301-620X.87B5. 15803 $2.00 J Bone Joint Surg [Br] 2005;87-B:593-603. Methods of reconstruction of the anterior cruciate ligament (ACL) have developed considerably over the last 15 years. Primary repair and extra-articular procedures have failed to reproduce satisfactory stability of the knee 1 and the use of prosthetic ligam...