Lateral tibial condyle reconstruction by pedicled vascularized fibular head graft: long-term result

The technique of pedicled vascularized fibular graft for lateral tibial condyle reconstruction after en bloc resection of aggressive giant cell tumours was described by SP Chow et al. Early follow-up of two patients was presented in 1986. We present the 25 years follow-up of one patient with a literature review of alternative present day treatment options. The patient maintained community ambulant status despite developing late stage osteoarthritis. Although this procedure is performed rarely, it remains an alternative to the more sophisticated treatment options making it a useful method in centres with limited facilities and expertise

"A Free thenar flap – A case report"

We present a case report of a free thenar flap surgery done for a volar right hand middle finger, distal and middle phalanx degloving injury. A free thenar flap is a fasciocutaneous sensate flap supplied by a constant branch of the superficial radial artery and its variable nerve supply. It has a distinct advantage of low donor site morbidity, better cosmesis and texture of the flap. No immobilization is required postop. The donor site can be closed primiarily

Evaluation of deformity and hand function in cerebral palsy patients

<p>Abstract</p> <p>Background</p> <p>A cross-sectional study was performed to describe the upper limb deformity and function in cerebral palsy patients and to determine the correlation of deformity, spasticity, motor control, and sensation to hand function in the said population.</p> <p>Materials and methods</p> <p>Thirty patients satisfying our inclusion criteria underwent physical, sensory, and functional assessment using a standard protocol. Physical assessment included documentation of the degree of spasticity, deformity and muscle control. Sensation was tested using static two-point discrimination test and stereognosis test. Melbourne Assessment of the Unilateral Upper Limb Function Test (MAULF), Functional Hand Grip Test (FHGT), and Functional Independence Measure for children (WeeFIM) were used to evaluate hand function. Deformity, spasticity, motor control, and sensation were analyzed for correlation with hand function using Pearson Correlation analysis. A p-value of less than 0.05 was considered statistically significant.</p> <p>Results</p> <p>Functional deficits of the hand increased with increasing severity of deformity and spasticity. Tetraplegics were most affected by spasticity, deformity, poor motor control, sensory and functional deficits. Triplegics, followed by diplegics had more functional upper limbs in terms of the MAULF and FHGT scores. Unilaterally affected patients (triplegics and hemiplegics) scored better in performance of activities of daily living. The MAULF and FHGT had a stronger correlation to deformity, spasticity and motor control compared to the WeeFIM.</p> <p>Conclusion</p> <p>The degree of deformity, spasticity, sensory deficit, and motor control affected the hand function of a cerebral palsy patient significantly. The MAULF and FHGT more accurately represents hand function deficit in cerebral palsy patients.</p

Factors affecting the patency in microvascular anastomosis

published_or_final_versionSurgeryMasterMaster of Surger

The versatile reverse flow sural artery neurocutaneous flap: A case series and review of literature-1

He heel. . After debridement, area of skin loss can be seen, optimal for flap coverage.<p><b>Copyright information:</b></p><p>Taken from "The versatile reverse flow sural artery neurocutaneous flap: A case series and review of literature"</p><p>http://www.josr-online.com/content/3/1/15</p><p>Journal of Orthopaedic Surgery and Research 2008;3():15-15.</p><p>Published online 18 Apr 2008</p><p>PMCID:PMC2373287.</p><p></p

The versatile reverse flow sural artery neurocutaneous flap: A case series and review of literature-2

E flow sural artery neurocutaneous flap is being rotaed through an arc 180 degrees on its pedicle. . The flap inset into the defect after rotation with excellent coverage.<p><b>Copyright information:</b></p><p>Taken from "The versatile reverse flow sural artery neurocutaneous flap: A case series and review of literature"</p><p>http://www.josr-online.com/content/3/1/15</p><p>Journal of Orthopaedic Surgery and Research 2008;3():15-15.</p><p>Published online 18 Apr 2008</p><p>PMCID:PMC2373287.</p><p></p

The versatile reverse flow sural artery neurocutaneous flap: A case series and review of literature-0

G diabetes mellitus leading to peripheral neuropathy. Sural artery flap was utilized; its elevation is seen from the proximal aspect of the posterior calf area, modified by the inclusion of midline gastrocnemius muscle cuff around the sural pedicle. . Adequate coverage seen in the immediate post operative period. The pedicle was kept wide and not passed through subcutaneous tunnel. It required split thickness skin grafting for coverage. The flap developed mild distal congestion which resolved spontaneously with foot elevation without any problems.<p><b>Copyright information:</b></p><p>Taken from "The versatile reverse flow sural artery neurocutaneous flap: A case series and review of literature"</p><p>http://www.josr-online.com/content/3/1/15</p><p>Journal of Orthopaedic Surgery and Research 2008;3():15-15.</p><p>Published online 18 Apr 2008</p><p>PMCID:PMC2373287.</p><p></p