keyword
https://read.qxmd.com/read/35426285/-application-of-perforator-propeller-flap-sequential-transfer-technique-in-repair-of-soft-tissue-defect-of-distal-lower-extremity
#21
JOURNAL ARTICLE
Xiaoye Ran, Yuanbo Liu, Ruomeng Yang, Mengqing Zang
Objective: To explore the feasibility and effectiveness of perforator propeller flap sequential transfer technique in repair of soft tissue defect of distal lower extremity. Methods: Between July 2015 and July 2021, 10 patients with soft tissue defect of distal lower extremity were treated with perforator propeller flap sequential transfer technique. There were 8 males and 2 females, with a median age of 47 years (range, 6-71 years). The etiologies included malignant tumor in 5 cases, trauma in 3 cases, postburn scar contracture in 1 case, and diabetic foot ulcer in 1 case...
April 15, 2022: Chinese Journal of Reparative and Reconstructive Surgery
https://read.qxmd.com/read/35047323/long-term-follow-up-of-composite-flaps-for-single-stage-reconstruction-of-concomitant-tendon-and-soft-tissue-defects
#22
JOURNAL ARTICLE
Jenna C Bekeny, Elizabeth G Zolper, Paige K Dekker, Kevin G Kim, Jessica Wang, Manas Nigam, Christopher E Attinger, Kenneth L Fan, Karen K Evans
Tendon rupture in the setting of significant soft tissue loss poses a challenging reconstructive situation, which requires (1) recreating a stable gait cycle, (2) reducing shear forces and re-rupture risk, and (3) providing adequate soft tissue coverage. In this study, we outline our experience with composite flaps in single-step reconstruction of various lower extremity tendinous injuries with soft tissue loss. Methods: A retrospective review of all patients requiring free tissue transfer at our tertiary wound care center between 2011 and 2020 was performed...
January 2022: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/35022431/mechanical-work-accounts-for-most-of-the-energetic-cost-in-human-running
#23
JOURNAL ARTICLE
R C Riddick, A D Kuo
The metabolic cost of human running is not well explained, in part because the amount of work performed actively by muscles is largely unknown. Series elastic tissues such as tendon can save energy by performing work passively, but there are few direct measurements of the active versus passive contributions to work in running. There are, however, indirect biomechanical measures that can help estimate the relative contributions to overall metabolic cost. We developed a simple cost estimate for muscle work in humans running (N = 8) at moderate speeds (2...
January 12, 2022: Scientific Reports
https://read.qxmd.com/read/35020680/traumatic-peroneal-nerve-injuries-a-systematic-review
#24
JOURNAL ARTICLE
Matthew J Mackay, Jack M Ayres, Ian P Harmon, Armin Tarakemeh, Jacob Brubacher, Bryan G Vopat
BACKGROUND: The common peroneal nerve (CPN) is the most commonly injured peripheral nerve of the lower extremity in patients with trauma. Traumatic CPN injuries have historically been associated with relatively poor outcomes and patient satisfaction, although improved surgical technique and novel procedures appear to improve outcomes. Given the variety of underlying injury modalities, treatment options, and prognostic variables, we sought to evaluate and summarize the current literature on traumatic CPN injuries and to provide recommendations from an analysis of the included studies for treatment and future research...
January 12, 2022: JBJS Reviews
https://read.qxmd.com/read/34864216/upper-limb-function-in-brachial-plexus-birth-palsy-does-the-pediatric-outcomes-data-collection-instrument-correlate-with-the-brachial-plexus-outcome-measure
#25
JOURNAL ARTICLE
M Tanrıverdi, Z Hoşbay, A Aydın
Functional outcome assessment for children with brachial plexus birth palsy (BPBP) is essential. We aimed to investigate the association between the Brachial Plexus Outcome Measure (BPOM) and the Pediatric Outcomes Data Collection Instrument (PODCI) in children with BPBP and healthy matched controls, and to explore upper-limb function and the discriminative properties of the two tests. Thirty children, aged 6-14 years, diagnosed with BPBP and undergoing shoulder tendon transfer and 20 age-matched healthy controls were included...
April 2022: Hand Surgery and Rehabilitation
https://read.qxmd.com/read/34809788/clubfoot
#26
REVIEW
Mark A Rieger, Matthew B Dobbs
Clubfoot or talipes equinovarus deformity is one of the most common anomalies affecting the lower extremities. This review provides an update on the outcomes of various treatment options used to correct clubfoot. The ultimate goal in the treatment of clubfoot is to obtain a fully functional and pain-free foot and maintain a long-term correction. The Ponseti method is now considered the gold standard of treatment for primary clubfoot. Relapse is common after primary treatment with the Ponseti method, and other interventions are discussed that are used to provide for long-term successful outcomes...
January 2022: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/34546826/comparative-analysis-of-clinical-outcome-and-quality-of-life-between-amputations-and-combined-bone-and-flap-reconstructions-at-the-lower-leg
#27
JOURNAL ARTICLE
Björn Behr, Sebastian Lotzien, Marcel Flecke, Christoph Wallner, J Maximillian Wagner, Mehran Dadras, Adrien Daigeler, Thomas A Schildhauer, Marcus Lehnhardt, Jan Geßmann
PURPOSE: At the lower leg, soft tissue defects with exposed bones, tendons, or hardware require flap coverage. In this retrospective study, we analyzed combined bone and soft tissue reconstructions compared to amputations of the lower leg in a civilian setting. MATERIALS AND METHODS: Patients who underwent combined bone and flap reconstruction (LR) or amputation (LA) of the lower leg were eligible for the study. Bone conditions included fractures and bony defects due to posttraumatic osteomyelitis and non-union...
September 21, 2021: Disability and Rehabilitation
https://read.qxmd.com/read/34366179/patterns-of-upper-extremity-reconstruction-for-patients-with-tetraplegia-across-the-united-states-a-retrospective-study
#28
JOURNAL ARTICLE
Kristine A Huynh, Hoyune E Cho, Molin Yue, Lu Wang, Kevin C Chung, Jennifer F Waljee
PURPOSE: The rates of upper extremity reconstruction for patients with tetraplegia remain low. We performed a retrospective study to assess recent reconstruction rates and delineate factors associated with the occurrence of reconstruction. METHODS: We examined the National Inpatient Sample database (2012-2017) for the rate of reconstruction for patients with tetraplegia. The details of provider distribution characteristics and neighborhood attributes were obtained from the American Medical Association Physician Masterfile and based on the area deprivation index, respectively...
November 2021: Journal of Hand Surgery
https://read.qxmd.com/read/34297700/transfer-of-the-posterior-tibial-tendon-for-chronic-peroneal-nerve-palsy
#29
JOURNAL ARTICLE
Connor J Wakefield, Kamran S Hamid, Simon Lee, Johnny Lin, George B Holmes, Daniel D Bohl
»: The common peroneal nerve (CPN) is one of the most frequently injured nerves of the lower extremity. »: One-third of patients who develop CPN palsy proceed to chronic impairment without signs of recovery. »: Ankle-foot orthoses can provide improvement with respect to gait dysfunction and are useful as a nonsurgical treatment option. »: Severe cases of CPN palsy demonstrating no signs of recovery may require operative intervention with tendon transfer...
July 23, 2021: JBJS Reviews
https://read.qxmd.com/read/34148834/adductor-magnus-muscle-transfer-to-restore-knee-extension-anatomical-studies-and-clinical-applications
#30
JOURNAL ARTICLE
Elspeth J R HIll, Nirbhay S Jain, Thomas H Tung
BACKGROUND: Loss of knee extension causes significant impairment. Though nerve-based reconstruction is preferable in cases of femoral nerve palsy or injury, these surgeries are not always appropriate if the pathology involves the quadriceps muscles or presentation too late for muscle reinnervation. Muscle transfers are another option that has been underutilized in the lower extremity. We describe the successful restoration of knee extension by adductor magnus muscle transfer without functional donor morbidity, along with anatomical considerations...
April 8, 2021: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://read.qxmd.com/read/33927168/surgical-technique-lower-trapezius-transfer-in-paediatric-paralytic-shoulder
#31
JOURNAL ARTICLE
Philippe Valenti, Julieta Puig Dubois, Jean-David Werthel, Efi Kazum
The therapeutic management of the paralytic shoulder after an obstetric brachial plexus injury is complex. When nerve repair or neurotization fail, or if the biological times for nerve reconstruction is over, tendon transfer to restore active external rotation of the shoulder becomes the main surgical alternative. The purpose of this manuscript is to describe the surgical technique of the lower trapezius muscle transfer to the infraspinatus muscle, to restore active shoulder external rotation in the child with paralytic shoulder, step by step with details and pearls...
April 27, 2021: Techniques in Hand & Upper Extremity Surgery
https://read.qxmd.com/read/33833153/fibroadipose-vascular-anomaly-of-the-upper-extremity-case-report-of-extensive-resection-and-secondary-tendon-transfer
#32
JOURNAL ARTICLE
Felix Strübing, Maliha Sadick, Stefan Porubsky, Leila Harhaus, Amir Bigdeli, Ulrich Kneser
Alomari and colleagues described in 2014 for the first time a distinct combination of vascular malformation, fibrofatty muscular infiltration and contracture which was termed fibroadipose vascular anomaly (FAVA) (J Pediatr Orthoped 34, 109-117 (2014). So far only few publications (J Pediatr Orthoped (2014) 34, 109-117; J Hand Surg (2020). 45, 68.e1, 68.e13; Ann Vasc Dis (2014) 7, 316-319; Pediatr Radiol 46, 1179-1186 (2016)) concerning this newly described disease have been published, covering only a limited number of cases...
November 1, 2021: Annals of Plastic Surgery
https://read.qxmd.com/read/33674050/functional-restoration-in-lower-extremity-reconstruction
#33
REVIEW
Chih-Hung Lin
Daily walking stance benefits the health, whereas lower extremity reconstruction aims to accomplish balanced walking and posture control. If local flap or tendon transfer cannot provide the basic function, microsurgical reconstruction is indicated for bony, soft tissue, and sensation restoration. Wound repair can use every modality and can achieve varying wound coverage results. However, all reconstruction should have functional goals using either local flap or free flap to restore the lost function. With less recipient site secondary damage, microsurgery can provide healthy composite tissue with like-replaces-like approach to create more stable long-term results...
April 2021: Clinics in Plastic Surgery
https://read.qxmd.com/read/33674046/the-medial-sural-artery-perforator-flap-in-lower-extremity-reconstruction
#34
REVIEW
Cheng-Hung Lin, Yun-Huan Hsieh, Chih-Hung Lin
Medial sural artery perforator (MSAP) flap is a thin, pliable, and versatile flap. It is a fasciocutaneous flap with chimeric design capacity. The donor site permits the synchronous harvesting of nonvascularized tendons and nerves. Free MSAP flap is suitable for foot, ankle, and distal one-third of the leg reconstructions. Pedicled MSAP flap is an alternative flap for knee and proximal two-thirds of leg defects, covering classical lower limb reconstruction territories of soleus, medial, and lateral gastrocnemius muscle flap...
April 2021: Clinics in Plastic Surgery
https://read.qxmd.com/read/33545776/resilience-self-efficacy-social-support-and-quality-of-life-in-patients-with-skin-defects-of-the-lower-extremity-after-flap-transplantation
#35
JOURNAL ARTICLE
Lijuan Yuan, Zhiying Zhao
BACKGROUND: Lower extremity trauma is one of the most common emergency presentations. It may cause skin and muscle tissue defects, and in severe cases, it may also be accompanied by bone, tendon, and neurovascular exposure. Pedicled flap transfer is the most important treatment for this type of lower extremity trauma. The purpose of the study is to investigate the relevant factors affecting resilience and provide a theoretical basis of improving resilience in patients after skin flap transplantation...
January 2021: Annals of Palliative Medicine
https://read.qxmd.com/read/33419695/surgical-outcome-of-a-post-traumatic-dystonic-foot-case-report-and-literature-review
#36
REVIEW
João R Afonso, Daniel B Lopes, Diogo Soares, Rui M Matos, Rui P Pinto
Post-traumatic dystonia is an underrecognized condition that can present with bizarre symptoms after trauma, usually out of proportion to the trigger event. We describe the case of a 31-year-old man with a severe lower extremity deformity, gradually developed after minor trauma. An interdisciplinary treatment was tried without any improvement and surgery was performed as a rescue approach. Tibialis anterior tendon transfer and hindfoot triple arthrodesis were carried out, successfully achieving a plantigrade foot and a functional gait...
December 2021: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/33220743/a-surgical-approach-to-location-specific-neuropathic-foot-ulceration
#37
REVIEW
Michael D Liette, Peter A Crisologo, Lance J Johnson, Jordan A Henning, Edgardo R Rodriguez-Collazo, Suhail Masadeh
The management of pedal ulcerations is often challenging because of a failure to correct underlying biomechanical deformities. Without correcting the biomechanical driving force creating the increased plantar pressures, it is unlikely for routine wound care to provide lasting solutions to pedal ulcerations. Patients with diabetes often experience glycosylation of their tendons, leading to contracture and pursuant deformity, creating imbalanced pressure distributions and eventual plantar ulceration. This article evaluates the efficacy of various lower extremity tendon transfers to balance the foot and redistribute plantar pressures to prevent or heal ulceration...
January 2021: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/32961004/partial-tibial-nerve-transfer-for-foot-drop-from-deep-peroneal-palsy-lessons-from-three-pediatric-cases
#38
Christopher S Crowe, Vincent S Mosca, Marisa B Osorio, Sarah P Lewis, Raymond W Tse
Peroneal nerve palsy with resultant foot drop has significant impacts on gait and quality of life. Traditional management includes ankle-foot-orthosis, tendon transfer, and arthrodesis-each with certain disadvantages. While nerve transfers for peroneal nerve injury have been reported in adults, with variable results, they have not been described in the pediatric population. We report the use of partial tibial nerve transfer for foot drop from deep peroneal nerve palsy in three pediatric patients. The first sustained a partial common peroneal nerve laceration and underwent transfer of a single tibial nerve branch to deep peroneal nerve 7 months after injury...
January 2022: Microsurgery
https://read.qxmd.com/read/32919599/the-reverse-sural-artery-flap-a-reliable-and-versatile-flap-for-wound-coverage-of-the-distal-lower-extremity-and-hindfoot
#39
REVIEW
Lance Johnson, Michael D Liette, Chris Green, Pedro Rodriguez, Suhail Masadeh
The reverse sural artery flap is a distally based fasciocutaneous or adipofascial flap used for wound coverage of the distal one-third of the lower extremity, ankle, and posterior heel. The flap harvest can be performed without sacrificing major arteries of the lower extremity. It can be elevated and mobilized with relative ease and a short operative time. It provides a good alternative to free tissue transfer in complex lower-extremity wounds with exposed bone, tendon, or hardware. The surgeon must be familiar with the management of venous congestion to improve the success of the flap...
October 2020: Clinics in Podiatric Medicine and Surgery
https://read.qxmd.com/read/32892799/compound-or-specially-designed-flaps-in-the-lower-extremities
#40
REVIEW
Bruno Battiston, Davide Ciclamini, Jin Bo Tang
Novel and combined tissue transfers from the lower extremity provide new tools to combat soft tissue defects of the hand, foot, and ankle, or fracture nonunion. Flaps can be designed for special purposes, such as providing a gliding bed for a grafted or repaired tendon or for thumb or finger reconstruction. Propeller flaps can cover soft tissue defects of the leg and foot. In repairing severe bone and soft tissue defects of the lower extremity, combined approaches, including external fixators, one-stage vascularized bone grafting, and skin or muscle flap coverage of the traumatized leg and foot, have become popular...
October 2020: Clinics in Plastic Surgery
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