4,869 results match your criteria Lower Extremity Reconstruction Foot


Impairments and Compensations of Static Balance and Plantar Load Distribution in Patients With Chronic Stroke: An Observational Study.

J Manipulative Physiol Ther 2022 Jun 22. Epub 2022 Jun 22.

Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China; Shanghai Clinical Medical Center for Limb Function Reconstruction, Shanghai, China; Shanghai Clinical Medical Center for Limb Function Reconstruction, Shanghai, China; Research Unit of Synergistic Reconstruction of Upper and Lower Limbs After Brain Injury, Chinese Academy of Medical Sciences, Shanghai, China; Research Unit of Synergistic Reconstruction of Upper and Lower Limbs After Brain Injury, Chinese Academy of Medical Sciences, Shanghai, China.

Objectives: The purpose of this study was to explore impairment and compensation characteristics of static balance and plantar load distribution in patients with chronic stroke.

Methods: We recruited 68 patients who had chronic stroke who could stand independently (stroke group) and 30 healthy individuals (control group) with the Zebris FDM platform. Static balance parameters, including center of pressure (COP) ellipse sway area, COP path length, and angle-θ between y and major axis, were compared between 2 groups under standard standing posture. Read More

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Limb Salvage with Multiple Modalities: A Case Report of a Diabetic Heel Ulcer Associated with Peripheral Arterial Disease.

Adv Skin Wound Care 2022 Jul;35(7):1-5

Kyoichi Matsuzaki, MD, PhD, is Professor, Department of Plastic and Reconstructive Surgery, International University of Health and Welfare, School of Medicine, Chiba, Japan. Akira Miyamoto, MD, PhD, is Advisor, Cardiovascular Center, Takatsu General Hospital, Kanagawa, Japan. The authors have disclosed no financial relationships related to this article. Submitted June 2, 2021; accepted in revised form September 7, 2021.

Abstract: A large diabetic heel ulcer with peripheral arterial disease is an independent predictor of limb loss; below-knee amputation is not uncommon in such cases. One treatment is multimodal therapy, which includes partial calcanectomy. Because there is a limit to the ulcer surface area that can be sutured after partial calcanectomy, the remaining raw surface is treated with another method. Read More

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A Critical Biomechanical Evaluation of Foot and Ankle Soft Tissue Repair.

Clin Podiatr Med Surg 2022 Jul;39(3):521-533

Department of Podiatric Surgery, Temple University School of Podiatric Medicine, Philadelphia, PA, USA. Electronic address:

The objective of this article is to review the biomechanical stresses that occur during normal physiologic function of lower extremity soft tissue anatomic structures and to use this as a baseline for a critical analysis of the medical literature because it relates to surgical reconstruction following injury. The Achilles tendon, anterior talofibular ligament, plantar plate, and spring ligament are specifically evaluated. Read More

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[Application of free transverse gracilis myocutaneous flap for soft tissue defects of foot and ankle].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2022 Jun;36(6):766-769

Department of Trauma and Microreconstructive Surgery, Orthopaedic Center, the First Affiliated Hospital of Xinjiang Medical University, Urumqi Xinjiang, 830054, P. R. China.

Objective: To investigate the effectiveness of free transverse gracilis myocutaneous flap for soft tissue defects of foot and ankle.

Methods: Between January 2017 and December 2020, 16 cases (17 feet) of soft tissue defects of foot and ankle were repaired with free transverse gracilis myocutaneous flaps. There were 10 males and 6 females, with an average age of 38 years (range, 23-60 years). Read More

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Ankle Instability.

Foot Ankle Clin 2022 Jun 11;27(2):371-384. Epub 2022 May 11.

Hospital for Special Surgery, 523 East 72nd st, New York, NY 10021, USA.

Ankle sprains are a common injury among physically active populations and occur with an incidence of around 2.15 per 1000 person-years. This article discusses various surgical procedures used to treat chronic lateral ankle instability, including direct ligament repair, anatomic reconstruction, and nonanatomic reconstruction. Read More

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Managing Complications of Foot and Ankle Surgery: Reconstruction of the Progressive Collapsing Foot Deformity.

Foot Ankle Clin 2022 Jun 11;27(2):303-325. Epub 2022 May 11.

Department of Orthopaedic Surgery, Washington University in St. Louis, 660 S Euclid Ave CB8233 St. Loiuis, MO 63110, USA. Electronic address:

Our understanding of the cause and principles of treatment of progressive collapsing foot deformity (PCFD) has significantly evolved in recent decades. The goals of treatment remain improvement in symptoms, correction of deformity, maintenance of joint motion, and return of function. Although notable advancements in understanding the deformity have been made, complications still occur and typically result from (1) poor decision making, (2) technical errors, and (3) patient-related conditions. Read More

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Predictors of metalwork failure and nonunion after hindfoot Charcot reconstruction.

Bone Joint J 2022 Jun;104-B(6):703-708

Department of Trauma and Orthopaedic Surgery, King's College Hospital, London, UK.

Aims: Surgical reconstruction of deformed Charcot feet carries a high risk of nonunion, metalwork failure, and deformity recurrence. The primary aim of this study was to identify the factors contributing to these complications following hindfoot Charcot reconstructions.

Methods: We retrospectively analyzed patients who underwent hindfoot Charcot reconstruction with an intramedullary nail between January 2007 and December 2019 in our unit. Read More

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Combined great toe dorsal nail-skin flap and medial plantar flap for one-stage reconstruction of degloved finger.

Injury 2022 Jul 19;53(7):2588-2594. Epub 2022 May 19.

Department of Orthopedic Hand Surgery, the Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Chunhui Avenue, Longma Tan District, Luzhou 646000, People's Republic of China. Electronic address:

Background: Historically, the degloved finger with the total loss of nail and skin had been resurfaced with an expanded great toe wrap-around flap transfer for better outcomes. The purpose of this study aims to present our experience with a related modified design, with total preservation of a weight-bearing plantar skin.

Method: From April 2016 to September 2019, nine fingers (5 index and 4 middle fingers) in nine cases, with skin loss to the base of the proximal phalangeal or metacarpophalangeal (MCP) joint level, were reconstructed with combined great toe dorsal nail-skin flap and medial plantar artery perforator (MPAP) flap. Read More

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Reconstruction of the thumb interphalangeal joint from the second toe proximal interphalangeal joint combined with artificial dermis covering: A case report.

Medicine (Baltimore) 2022 May 20;101(20):e29043. Epub 2022 May 20.

Affiliated Dongguan Hospital, Southern Medical University, Dongguan, Guangdong Province, China.

Rationale: Thumb function is one of the most fundamental components of hand function, and a vast majority of hand functions are derived from thumb motion. Injury of the thumb interphalangeal joint has a tremendous impact on the function of the thumb, and damage to the thumb interphalangeal joint (IPJ) caused by trauma is usually accompanied by dislocation of the surrounding skin; therefore, it is particularly important to restore the thumb anatomy and skin coverage.

Patient Concerns: A 41-year-old woman presented with IPJ disfigurement accompanied by a local skin defect caused by machine compression of her right thumb. Read More

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[Application of anterolateral thigh bridge flap with free skin graft wrapping vascular bridge in complex calf soft tissue defects].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2022 May;36(5):619-624

The Microscopic Repair and Reconstruction Department of Hand and Foot, the First Affiliated Hospital of Anhui Medical University, Hefei Anhui, 230022, P. R. China.

Objective: To explore the effectiveness of anterolateral thigh bridge flap with free skin graft wrapping vascular bridge in repairing complex calf soft tissue defects.

Methods: The clinical data of 11 patients with complex calf soft tissue defects between April 2018 and October 2021 were retrospectively analyzed, including 9 males and 2 females, aged 11-60 years, with a median age of 39 years. There were 8 cases of calf soft tissue defect caused by traffic accident, and 3 cases of calf skin infection caused by chronic osteomyelitis. Read More

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Comparisons between ankle distraction arthroplasty and supramalleolar osteotomy for treatment of post-traumatic varus ankle osteoarthritis.

BMC Surg 2022 May 14;22(1):178. Epub 2022 May 14.

Department of Orthopaedic Surgery, The Third Hospital of Hebei Medical University, Hebei, 050051, Shijiazhuang, People's Republic of China.

Background: Ankle distraction arthroplasty and supramalleolar osteotomy were both options for post-traumatic varus ankle arthritis (VAA), but their comparative effectiveness was scarcely reported. This study aimed to compare the outcomes of two operative methods for treatment of Takakura-Tanaka stage 3 post-traumatic VAA.

Methods: This was a retrospective study, comprising 73 consecutive patients who presented with Takakura-Tanaka stage 3 post-traumatic VAA treated by either ankle distraction arthroplasty (n = 32) or supramalleolar osteotomy (n = 41) from January 2016 to December 2019. Read More

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Migration of Subtalar Implants in Paediatric Flatfoot Correction: A Pilot Study in Synthetic Bone Models.

Ortop Traumatol Rehabil 2022 Apr;24(2):121-132

Klinika Chirurgii i Urologii Dziecięcej, Uniwersytet Medyczny w Białymstoku, Polska / Department of Pediatric Surgery and Urology, Medical University of Białystok, Poland.

Background: Subtalar implant migration as a complication following subtalar arthroeresis has been described in the scientific literature. However, clinical studies do not allow for unequivocally determining the underlying causes. The aim of the study is to determine the risk of migration of two geometric types of subtalar implants. Read More

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Terminology for osteochondral lesions of the ankle: proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle.

J ISAKOS 2022 04 14;7(2):62-66. Epub 2022 Jan 14.

Department of Orthopaedics, Sahlgrenska University Hospital, Sahlgrenska Academy, Gothenburg University, Göteborg, Sweden.

Background: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle is based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively advance toward consensus opinions based on the best available evidence on key topics within cartilage repair of the ankle. The purpose of this article is to report the consensus statements on "terminology for osteochondral lesions of the ankle" developed at the 2019 International Consensus Meeting on Cartilage Repair of the Ankle. Read More

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Surgical outcomes of reconstruction of soft tissue defects of the heel using various free flaps.

Acta Biomed 2022 05 11;93(2):e2022048. Epub 2022 May 11.

Department of Plastic and Reconstructive Surgery of Seoul National University Bundang Hospital, Republic of Korea.

Background: The goals of heel reconstruction are functional and aesthetic. Primarily due to the particular function of the heel in supporting the entire weight of the body while standing, these goals can be achieved by providing the heel with a durable and weight-bearing surface with adequate contour. Various methods such as skin graft, fasciocutaneous, and musculocutaneous local flaps have been reported for reconstructing this area. Read More

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Outcome comparison of sural neurofasciocutaneous flap for reconstructing soft tissue defects in forefoot and around ankle.

Zhong Nan Da Xue Xue Bao Yi Xue Ban 2022 Jan;47(1):79-85

Department of Orthopedics, Second Xiangya Hospital, Central South University, Changsha 410011, China.

Objectives: To summarize our experience with the sural neurofasciocutaneous flap for reconstructing the soft tissue defects over the forefoot distal to the connecting line of midpoints in the metatarsal bones, and to compare the outcomes between the flap for resurfacing the defects distal and proximal to the connecting line.

Methods: The clinical data of 425 sural neurofasciocutaneous flaps for repairing the soft tissue defects in the middle and lower leg, ankle, and foot between Apr. 2002 and Apr. Read More

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January 2022

Survival of primary ankle replacements: data from global joint registries.

J Foot Ankle Res 2022 May 7;15(1):33. Epub 2022 May 7.

School of Health Sciences, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UK.

Background: Ankle arthroplasty, commonly known as ankle replacement, is a surgical procedure for treating end-stage ankle osteoarthritis. Whilst evidence shows good clinical results after surgery, little is known of the long-term survival of ankle replacements and the need for ankle revision. Using more recent implant data and long-term data, there is now opportunity to examine at a population-level the survival rate for ankle implants, to examine between-country differences in ankle revision surgery, and to compare temporal trends in revision rates between countries. Read More

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Characteristics and surgical treatment of recurrence melanoma of the foot: a case report and brief literature review.

Authors:
X-L Liu H Li G-Z Wu

Eur Rev Med Pharmacol Sci 2022 04;26(8):2918-2925

Department of Hand Surgery, Department of Emergency Medicine, China-Japan Union Hospital, Jilin University, Jilin, China.

Objective: Despite advances in plastic and reconstructive surgery, repairing soft tissue defects of the foot remains a complex surgical challenge when conventional methods cannot cover defects. We presented a case in which a free flap was used for reconstruction and reviewed the literature.

Patients And Methods: A 75-year-old woman with an acral melanoma history had a large exophytic mass on her right foot. Read More

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Favorable Outcome Twenty-Two Months after Delbet Type Ib Capital Femoral Transepiphyseal Fracture and Posterior Column Acetabular Fracture in a Fifteen-Year-Old Male.

Case Rep Orthop 2022 21;2022:1843367. Epub 2022 Apr 21.

Westchester Medical Center, Department of Orthopaedic Surgery, 100 Woods Road, Valhalla, NY 10595, USA.

Case: A fifteen-year-old male patient sustained a posteriorly dislocated right capital femoral Delbet type Ib epiphyseal fracture-separation and a right acetabular posterior column fracture after a low-energy trip and fall. The capital femoral epiphysis was closed reduced and fixed with cannulated screws on an urgent basis. He underwent acetabular osteosynthesis via a Kocher-Langenbeck approach two days thereafter. Read More

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An Innovative Approach to Calcaneal Decubitus Ulcerations Through Calcaneal Decorticalization with Use of Localized Bone Marrow and Negative-Pressure Wound Therapy: A Case Study.

J Am Podiatr Med Assoc 2022 Apr 27;112(2). Epub 2022 Apr 27.

†Haycock Foot and Ankle Center, Lima, OH.

Heel decubitus ulcerations are relatively common occurrences that can be limb threatening. There are many options to treat these ulcerations, ranging from conservative wound care to serial debridement with flap reconstruction. However, not all patients are good candidates for major reconstructive surgery. Read More

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Successful Conservative Treatment of an Acute Arterial Occlusion After Total Knee Arthroplasty: Report of 2 Cases and Review of the Literature.

Am J Case Rep 2022 Apr 24;23:e936295. Epub 2022 Apr 24.

Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan.

BACKGROUND Acute arterial occlusion after total knee arthroplasty (TKA) is a rare but occasionally limb-threatening complication. Successful outcomes of surgical treatment for acute arterial occlusion after TKA have been frequently reported in the literature; however, few reports have described conservative treatment. This case report describes the successful conservative treatment of popliteal artery occlusion after TKA. Read More

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Patient reported outcome measures in ankle replacement versus ankle arthrodesis - A systematic review.

Foot (Edinb) 2022 May 29;51:101874. Epub 2021 Oct 29.

University College London, Institute of Orthopaedics & Musculoskeletal Science, Division of Surgery, Royal Free Hospital, 9th Floor (East), 2QG, 10 Pond St, London NW3 2PS, United Kingdom; MSK Lab, Imperial College London, Sir Michael Uren Hub Imperial College London White City Campus, 86 Wood Lane, London W12 0BZ, United Kingdom; The London Ankle & Arthritis Centre, The Platinum Medical Centre, The Wellington Hospital, London NW8 7JA, United Kingdom.

Objectives: Compare the functional outcomes of comparative studies of ankle arthrodesis (AA) and total ankle replacements (TAR).

Design: Systematic review using PRISMA guidelines.

Data Sources: Medline, Cochrane and EMBASE databases in July 2020. Read More

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The Bridged Digital Artery Perforator Flap as an Alternative Reconstructive Option for Dorsal Digital or Toe Soft Tissue Defects.

Ann Plast Surg 2022 05;88(5):507-512

Department of Plastic Surgery, Centre Francois-Xavier Michelet, CHU-Bordeaux, France.

Background: Dorsal digital soft tissue defects are considered among the most challenging to reconstruct. Numerous treatment options are proposed, including advancement flaps, antegrade, retrograde flow flaps, adipofascial flaps, and digital artery perforator flaps. However, the optimal treatment remains controversial. Read More

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[Application of wrap-around great toe flap combined with medial plantar artery perforator flap for completely degloved fingers].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2022 Apr;36(4):456-460

Department of Hand Surgery, the Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou Sichuan, 646000, P. R. China.

Objective: To investigate the effectiveness of the wrap-around great toe flap combined with medial plantar artery perforator flap (MPAP) for repairing the completely degloved fingers.

Methods: Between February 2018 and December 2019, 12 patients with the completely degloved fingers caused by machine strangulation were admitted. There were 9 males and 3 females with a median age of 32 years (range, 18-42 years). Read More

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[Application of perforator propeller flap sequential transfer technique in repair of soft tissue defect of distal lower extremity].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2022 Apr;36(4):451-455

Scar Comprehensive Treatment Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100144, P. R. China.

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). Read More

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[Application of percutaneous transcalcaneal reconstruction technique for acute Achilles tendon insertion avulsion].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2022 Apr;36(4):415-419

The First Department of Foot and Ankle, Sichuan Province Orthopedic Hospital, Chengdu Sichuan, 610041, P. R. China.

Objective: To introduce a percutaneous transcalcaneal reconstruction technique for the treatment of acute Achilles tendon insertion avulsion, and to assess its short-term effectiveness.

Methods: Between January 2014 and June 2020, 25 patients with acute Achilles tendon insertion avulsion were treated with the percutaneous transcalcaneal reconstruction technique. There were 24 males and 1 female, with an average age of 44. Read More

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ARACAM: A RGB-D Multi-View Photogrammetry System for Lower Limb 3D Reconstruction Applications.

Sensors (Basel) 2022 Mar 22;22(7). Epub 2022 Mar 22.

Tecnologico de Monterrey, Escuela de Ingenieria y Ciencias, Av. General Ramon Corona 2514, Zapopan 45138, Mexico.

In the world, there is a growing need for lower limb prostheses due to a rising number of amputations caused primarily, by diabetic foot. Researchers enable functional and comfortable prostheses through prosthetic design by integrating new technologies applied to the traditional handcrafted method for prosthesis fabrication that is still current. That is why computer vision shows to be a promising tool for the integration of 3D reconstruction that may be useful for prosthetic design. Read More

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Reconstruction of complex plantar forefoot defects using free tissue flaps combined with contralateral instep thick skin grafts.

J Orthop Surg (Hong Kong) 2022 Jan-Apr;30(1):10225536221094258

Department of Foot and Ankle, 74735Wuxi NO.9 People's Hospital Affiliated to Soochow University, Wuxi, P. R. China.

Purpose: To evaluate the clinical efficacy of using free tissue flap combined with contralateral instep thick plantar skin in reconstructing complex plantar forefoot defects.

Methods: During the past 8 years, 15 patients, aged 25-60 years, with defects in the soft-tissue and composite bone of the forefoot were treated. Their defects were caused by trauma. Read More

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A Preliminary Study to Assess the Relevance of Shear-Wave Elastography in Characterizing Biomechanical Changes in the Deltoid Ligament Complex in Relation to Ankle Position.

Foot Ankle Int 2022 Jun 2;43(6):840-849. Epub 2022 Apr 2.

Department of Pediatric Orthopedic surgery, Armand Trousseau Hospital, APHP, Sorbonne University, Paris, France.

Background: The purpose of this study was (1) to evaluate the biomechanical properties of the different bundles of the deltoid ligament in various ankle positions in a cohort of healthy adult volunteers; (2) describe the impact of demographic and hindfoot morphology characteristics on their stiffness; (3) to assess the reliability and reproducibility of these measurements.

Methods: Deltoid ligament complex of both ankles were assessed by shear-wave elastography (SWE) in 20 healthy patients resting on hinge support. The propagation shear-wave speed (SWS) in ligaments was measured, which is related to the tissue's elastic modulus. Read More

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Wound repair, safety, and functional outcomes in reconstructive lower extremity foot and ankle surgery using a dehydrated amnion/chorion allograft membrane.

Int Wound J 2022 Apr 3. Epub 2022 Apr 3.

Professional Education and Research Institute, Roanoke, Virginia, USA.

Amniotic membranes are known to be rich in growth factors, cytokines, and matrix proteins, which can help support wound closure and may improve patient outcomes in foot and ankle surgical interventions. In this Institutional Review Board (IRB) approved clinical study, 21 consecutive patients undergoing lower extremity soft tissue and bone reconstruction surgery received dehydrated human amnion and chorion allograft (dHACA) placed as a covering over the deep layers of the surgical wound during closure. Wound healing complications were assessed and American Orthopaedic Foot and Ankle Society (AOFAS) scores were compiled from over a 1-year follow-up period. Read More

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Calf Augmentation.

Authors:
Paul N Chugay

Clin Plast Surg 2022 Apr;49(2):313-328

Private Practice - Chugay Cosmetic Surgery, 4210 Atlantic Avenue, Long Beach, CA 90807, USA. Electronic address:

Calf augmentation is a very gratifying procedure with immediate and reproducible results. The procedure can be successfully performed by novice and expert surgeons alike, making sure to respect anatomic boundaries and avoiding over dissection. Major complications can be avoided with meticulous closure of the wound and restriction of activity postoperatively as well as use of compression stockings until sufficient scar tissue has developed. Read More

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