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...

Introduction: Soft tissue defect at ankle and foot region are very common following road traffic accident. Reconstruction in this is challenging to surgeon because of poor vascularity paucity available surrounding tissue. Purpose study evaluate various defect, advantage disadvantages different methods management, future prospective suitable method according defect.Materials Methods: Retrospecti...

  Abstract   The leg is a complex district with functions of weightbearing support, stability,   and motility. The management of extensive and complex defects is more challenging   and often results in leg amputation or shortening. Leg amputation is a severe   mutilation that alters the patient’s work and social life by limiting ambulation and   self-sufficiency. During a 3 years period we trea...

The purpose of this article is to describe the use of shortening and angulation to manage composite bone and soft tissue loss associated with combat-related type IIIB open tibia fractures. Four patients underwent placement of a software-driven circular fixator with acute shortening and angulation to manage composite bone and soft tissue loss. Frames were applied using the Rings First Method, an...

statement of the problem: most of the soft tissue calcifications within the head and neck region might not be accompanied by clinical symptoms but may indicate some pathological conditions. purpose: the aim of this research was to determine the prevalence of soft tissue calcifications in cone beam computed tomography (cbct) images of mandibular region. materials and method: in this cross sectio...

Limb salvage after loss of bone and soft tissue may require many operations to obtain soft-tissue cover and bony continuity. We describe a fibula-flexor hallucis longus osteomuscular flap which can provide both soft tissue and bone in a single stage. The flap is based on the peroneal vessels and is covered by a split-thickness skin graft. We report the results in five patients with an average b...

This case report describes a modified connective tissue graft wall technique with enamel matrix derivative proposed to treat vertical bony defects. The surgical procedure consisted of coronally advanced flap porcine-derived acellular dermal placed below, acting as buccal soft the defect. patient showed defect between #12 and #13 horizontal bone loss deep infrabony component at mesial area canin...

The soft tissue at the tip of the olecranon is very thin, leading to the frequent occurrence of wound complications after total elbow arthroplasty. To cover a soft tissue defect of the elbow, the flexor carpi ulnaris muscle flap is thought to be appropriate for reconstruction of the elbow with regard to its size, location, and blood supply. We got positive clinical results, so we report our exp...

OBJECTIVE It is difficult to cover a large skin and soft tissue defect with exposure of the ilium. We therefore performed a new reconstruction technique, using a reverse latissimus dorsi muscle flap fed by perforating branches of only the 10th intercostal artery. METHODS A 45-year-old man had a large traumatic defect located on the hip with exposure of the iliac crest. After confirming and pr...