4,147 results match your criteria Lower Extremity Reconstruction Foot


A local anesthesia without tourniquet for distal fibula hardware removal after open reduction and internal fixation: the safe use of epinephrine in the foot. A randomized clinical study.

J Biol Regul Homeost Agents 2018 Nov-Dec;32(6 Suppl. 1):57-63

Intensive Unit Care, University of Pisa, Italy.

Hardware removal after surgical treatment fracture is one of the most common procedures in orthopaedic daily activity. A percentage from 14.5 to 21 of total removal involves the ankle joint. Read More

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January 2019

[Data analysis of 8 113 cases of limb deformities corrected by external fixation].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Oct;32(10):1241-1248

Department of Orthopaedics, Rehabilitation Hospital of the National Research Center for Rehabilitation Technical Aids, Beijing, 100176, P.R.China.

Objective: To analyze the data of external fixation instruments (including Ilizarov instruments) used by QIN Sihe orthopaedic surgical team in the treatment of limb deformities in the past 30 years, and to explore the indications for the application of modern external fixation techniques in the correction of limb deformities and individual device configuration selection strategy.

Methods: According to QIN Sihe orthopaedic surgical team, the use of external fixator between January 1988 and December 2017 was analyzed retrospectively. The total use of external fixation and the proportion of different external fixators were analyzed in gender, different operation time, different age, different parts, and different diseases. Read More

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http://dx.doi.org/10.7507/1002-1892.201807055DOI Listing
October 2018
1 Read

[Application of femoral-femoral artery bypass grafting combined with transverse tibial bone transporting for lower extremity arteriosclerosis obliterans or combined with diabetic foot].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Dec;32(12):1576-1580

Department of Hand Surgery, Repair and Reconstruction Surgery, Lower Limb Vascular Disease, the Second Hospital of Tangshan (the Affiliated Hospital of North China Polytechnic University), Tangshan Hebei, 063000, P.R.China.

Objective: To discuss the effectiveness of femoral-femoral artery bypass grafting combined with transverse tibial bone transporting in treatment of lower extremity arteriosclerosis obliterans (ASO) or combined with diabetic foot.

Methods: Between March 2014 and June 2016, 9 patients with lower extremity ASO or combined with diabetic feet were treated with femoral-femoral artery bypass grafting and transverse tibial bone transporting. All patients were male, aged from 63 to 82 years with an average of 74. Read More

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http://dx.doi.org/10.7507/1002-1892.201806124DOI Listing
December 2018

Experimental comparisons of passive and powered ankle-foot orthoses in individuals with limb reconstruction.

J Neuroeng Rehabil 2018 Nov 21;15(1):111. Epub 2018 Nov 21.

Center for the Intrepid, Department of Rehabilitation Medicine, Brooke Army Medical Center, JBSA Ft, Sam Houston, TX, USA.

Background: Ankle-foot orthoses (AFO) are commonly prescribed to provide functional assistance for patients with lower limb injuries or weakness. Their passive mechanical elements can provide some energy return to improve walking ability, but cannot restore plantar flexor push-off. Powered AFOs provide an assistive torque about the ankle to address the limitations of passive devices, but current designs have yet to be implemented on a large scale clinically. Read More

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http://dx.doi.org/10.1186/s12984-018-0455-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6249722PMC
November 2018
3 Reads

Tissue Expansion for Severe Foot and Ankle Deformities: A 16-Year Review.

Plast Surg (Oakv) 2018 Nov 9;26(4):244-249. Epub 2018 Jan 9.

Division of Plastic Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada.

Background: Tissue expansion in the lower extremity is controversial, with studies reporting complication rates as high as 83%. Few studies have looked at tissue expansion prior to orthopaedic correction of severe foot and ankle deformities, and those available are restricted to clubfoot in the pediatric population. Here, we report the largest case series on the use of tissue expanders for the reconstruction of severe foot and ankle deformity and the only report in adults. Read More

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http://dx.doi.org/10.1177/2292550317749510DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6236506PMC
November 2018
6 Reads

Passive-dynamic ankle-foot orthosis improves medium-term clinical outcomes after severe lower extremity trauma.

J R Army Med Corps 2018 Nov 9. Epub 2018 Nov 9.

Academic Department of Military Rehabilitation, Defence Medical Rehabilitation Centre (DMRC) Headley Court, Surrey, UK.

Introduction: Individuals with delayed below-knee amputation have previously reported superior clinical outcomes compared with lower limb reconstruction. The UK military have since introduced a passive-dynamic ankle-foot orthosis (PDAFO) into its rehabilitation care pathway to improve limb salvage outcomes. The aims were to determine if wearing a PDAFO improves medium-term clinical outcomes and what influence does multidisciplinary team (MDT) rehabilitation have after PDAFO fitting? Also, what longitudinal changes in clinical outcomes occur with MDT rehabilitation and how do these results compare with patients with previous lower extremity trauma discharged prior to PDAFO availability?

Methods: We retrospectively evaluated levels of mobility, activities of daily living, anxiety, depression and pain in a heterogeneous group of 23 injured UK servicemen 34±11 months after PDAFO provision. Read More

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http://jramc.bmj.com/lookup/doi/10.1136/jramc-2018-001082
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http://dx.doi.org/10.1136/jramc-2018-001082DOI Listing
November 2018
7 Reads

Repair of soft tissue defects of the fingers with medial plantar venous flap.

Rev Assoc Med Bras (1992) 2018 Jun;64(6):501-508

Department of hand and foot surgery, Yiwu Central Hospital, Jiangdong Road 699#, Yiwu city, Zhejiang province, China.

Objective: To report the surgical procedures and efficacy of using medial plantar venous flap for the repair of soft tissue defects of the fingers.

Methods: From March 2010 to April 2012, medial plantar venous flaps were harvested to repair the wounds of 31 fingers in 29 cases. Among them, there were 13 middle fingers with defects at the tips in 11 cases, 7 fingers with defects in the dorsal part in 7 cases, and 11 fingers with defects in the finger pulp in 11 cases. Read More

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http://dx.doi.org/10.1590/1806-9282.64.06.501DOI Listing
June 2018
4 Reads

Complex Ankle and Hindfoot Arthrodesis Using Circular External Fixation.

Authors:
Andrew R Hsu

Am J Orthop (Belle Mead NJ) 2018 Sep;47(9)

Department of Orthopaedic Surgery, University of California-Irvine, Orange, CA.

Surgical reconstruction of the ankle and hindfoot in patients with diabetes, Charcot neuroarthropathy, osteomyelitis, deformity, and/or bone loss can be challenging and often results in amputation. In these patients, conventional internal fixation with plates, screws, and intramedullary nails is often not feasible because of ongoing infection or poor bone stock and soft tissue quality. The Ilizarov method of ankle and hindfoot arthrodesis is a well-established technique for limb reconstruction that uses circular external fixation to achieve solid bony fusion, optimal leg length, and eradication of infection in cases of complex pathology. Read More

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http://dx.doi.org/10.12788/ajo.2018.0081DOI Listing
September 2018
1 Read

[Analysis of clinicopathological characteristics and prognostic factors of foot and ankle soft tissue and bone tumors].

Zhonghua Zhong Liu Za Zhi 2018 Sep;40(9):685-689

Department of Orthopaedics, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.

To evaluate the clinicopathological characteristics of foot and ankle soft tissue and bone tumor, and to analyze the prognosis and the related factors of malignant tumors in this site. 74 patients with soft tissue and bone tumors of foot and ankle from January 2006 to February 2017 were retrospectively analyzed. The clinicopathological characteristics, the treatment and survival status of malignant tumors were followed up, and the clinical and therapeutic factors related to prognosis were analyzed. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0253-3766.2018.09.010DOI Listing
September 2018
1 Read

Pain Reduction with Negative Pressure on Surgical Site Incisions.

Surg Technol Int 2018 Nov;33:47-51

Board Certified Foot and Ankle Reconstruction, American Board of Foot and Ankle Surgery, Scripps Mercy Hospital, San Diego, CA.

Postoperative pain management for surgery in the lower extremities has historically been managed mechanically through the use of elevation, ice, compression and drains. Pharmacological management includes the use of nerve blocks and analgesics. Due to the current opioid crisis, new methods are being sought to reduce post-operative pain so that patients are at lower risk for opioid addiction. Read More

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November 2018
1 Read

Treatment of infected Achilles tendinitis and overlying soft tissue defect using an anterolateral thigh free flap in an elderly patient: A case report.

Medicine (Baltimore) 2018 Aug;97(35):e11995

The Research Center for Advanced Image and Information Technology, School of Electronics and Information Engineering, Chonbuk National University, Jeonju, Chonbuk, Republic of Korea.

Introduction: Infected segmental loss of the Achilles tendon with overlying soft tissue and skin defect remains a more complex reconstructive challenge. Here, we present a functional reconstruction of infected Achilles tendinitis with combined soft tissue defects using a free composite anterolateral thigh (ALT) flap with vascularized fascia lata in an elderly patient.

Case Presentation: A 71-year-old male patient was transferred to our department due to soft tissue defect of the left lower leg and infected Achilles tendinitis. Read More

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http://dx.doi.org/10.1097/MD.0000000000011995DOI Listing
August 2018
3 Reads

Ankle Arthrodesis with Free Vascularized Fibula Autograft Using Saphenous Vein Grafts: A Case Series.

Plast Reconstr Surg 2018 09;142(3):806-809

Philadelphia, Pa. From the University of Pennsylvania.

Background: In select high-risk cases of ankle arthrodesis, conventional techniques may lead to a high incidence of failure because of a combination of multiple operations; high risk of infection; avascular, often bulky allografts; and poor soft-tissue quality. In high-risk distal limb salvage, the authors have performed ankle arthrodesis using a free vascularized fibula graft from the ipsilateral limb with saphenous vein grafts.

Methods: The authors present data from six patients. Read More

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http://Insights.ovid.com/crossref?an=00006534-201809000-0004
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http://dx.doi.org/10.1097/PRS.0000000000004671DOI Listing
September 2018
6 Reads

[Effectiveness of wide fascial and doubly vascularized pedicle posterior cnemis flap in repair of soft tissue defect of forefoot].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 09;32(9):1192-1195

Orthopaedic Trauma of Orthopaedic Center, Lanzhou General Hospital of Chinese PLA, Lanzhou Gansu, 730050, P.R.China.

Objective: To investigate the effectiveness of wide fascial and doubly vascularized pedicle posterior cnemis flap in repair of the soft tissue defect of forefoot.

Methods: Between March 2011 and March 2017, 18 cases with severe soft tissue defects of forefeet were repaired with the wide fascial and doubly vascularized pedicle posterior cnemis flaps. There were 13 males and 5 females with an average age of 33 years (range, 11-49 years). Read More

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http://www.rrsurg.com/article/10.7507/1002-1892.201803111
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http://dx.doi.org/10.7507/1002-1892.201803111DOI Listing
September 2018
5 Reads

[Effectiveness of posterior intercostal artery perforator flap in repair of donor defect after latissimus dorsi myocutaneous flap transfer].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 09;32(9):1187-1191

Department of Burn &  Plastic and Hand &  Foot Surgery, the Second Hospital of Yulin City , Yulin Shaanxi, 719000, P.R.China.

Objective: To investigate the feasibility and effectiveness of the latissimus dorsi myocutaneous flap in repair of large complex tissue defects of limb and the relaying posterior intercostal artery perforator flap in repair of donor defect after latissimus dorsi myocutaneous flap transfer.

Methods: Between January 2016 and May 2017, 9 patients with large complex tissue defects were treated. There were 8 males and 1 female with a median age of 33 years (range, 21-56 years). Read More

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http://dx.doi.org/10.7507/1002-1892.201803046DOI Listing
September 2018
2 Reads

[New progress in the treatment of chronic wound of diabetic foot].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Jul;32(7):832-837

Department of Orthopaedics, Beijing Shijitan Hospital, CMU, Beijing, 100038, P.R.China.

Diabetic foot is one of the serious complications of diabetic patients. It is caused by diabetes combined with different degrees of lower extremity vascular lesions and neuropathy, and the wound can not heal for a long time. The serious results can cause bone marrow infection, bone destruction, and have high disability and death rate. Read More

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http://www.rrsurg.com/article/10.7507/1002-1892.201806058
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http://dx.doi.org/10.7507/1002-1892.201806058DOI Listing
July 2018
16 Reads

Successful nonsurgical therapy of a diabetic foot osteomyelitis in a patient with peripheral artery disease with almost complete radiological restoration.

BMC Res Notes 2018 Aug 13;11(1):579. Epub 2018 Aug 13.

Radiology Department, Amalia Fleming Hospital Unit, Athens, Greece.

Background: Diabetic foot ulcer (DFU) is a common complication in patients with diabetes mellitus (DM) and can consequently lead to soft tissue infection and osteomyelitis.

Case Presentation: We present a case of a 68-year-old man with a history of Type 2 DM and symptomatic peripheral artery disease, referred to our hospital due to an infected lower extremity DFU. Cultures revealed methicillin-resistant Staphylococcus aureus and Stenotrophomonas maltophilia. Read More

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http://dx.doi.org/10.1186/s13104-018-3694-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6090687PMC
August 2018
1 Read

Limb Salvage and Functional Outcomes following Free Tissue Transfer for the Treatment of Recalcitrant Diabetic Foot Ulcers.

J Reconstr Microsurg 2018 Aug 12. Epub 2018 Aug 12.

Department of Plastic Surgery, Center for Wound Healing, MedStar Georgetown University Hospital, Washington, DC.

Background:  Recent evidence documenting high success rates following microvascular diabetic foot reconstruction has led to a paradigm shift in favor of more aggressive limb preservation. The primary aim of this study was to examine reconstructive and functional outcomes in patients who underwent free tissue transfer (FTT) for recalcitrant diabetic foot ulcers (DFUs) at our tertiary referral center for advanced limb salvage.

Methods:  Between June 2013 and June 2016, 29 patients underwent lower extremity FTT for diabetic foot reconstruction by the senior author (K. Read More

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http://dx.doi.org/10.1055/s-0038-1667363DOI Listing
August 2018
2 Reads

Peripheral Blood Mononuclear Cells Therapy for Treatment of Lower Limb Ischemia in Diabetic Patients: A Single-Center Experience.

Ann Vasc Surg 2018 Nov 25;53:190-196. Epub 2018 Jul 25.

Department of Vascular Surgery, Istituto Dermopatico Dell'Immacolata IDI - IRCCS, Rome, Italy.

Background: The aim of this study is to analyze the effects of peripheral blood mononuclear cells (PBMNCs) therapy in diabetic patients with critical limb ischemia (CLI), with particular regard to its application, as adjuvant therapy in patients underwent endovascular revascularization.

Methods: Fifty diabetic patients affected by CLI were enrolled. All patients underwent PBMNCs therapy. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08905096183050
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http://dx.doi.org/10.1016/j.avsg.2018.05.036DOI Listing
November 2018
13 Reads

Free-style puzzle flap as a cross-leg pedicled flap: the concept of re-using a flap in acute burns, a case report.

Burns Trauma 2018 2;6. Epub 2018 Feb 2.

Department of Plastic Reconstructive Surgery, Burn Center, Hôpital Saint Louis, AP-HP 1 Avenue Claude Vellefaux, 75010 Paris, France.

Background: In well-selected cases, flaps can play a pivotal role in optimizing outcomes in the acute phase of burns. A previous redundant flap could be reused or recycled as a donor site from which a new flap could be raised.

Case Presentation: We report the case of a patient with full thickness burns on both legs, leading to the exposure of joints of the right ankle and the right foot and left patellar tendon. Read More

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http://dx.doi.org/10.1186/s41038-018-0107-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6040606PMC
February 2018

Clinical Characteristics of Lower Extremity Surgical Site Infections in Dermatologic Surgery Based Upon 24-Month Retrospective Review.

J Drugs Dermatol 2018 Jul;17(7):766-771

Dermatologic surgery performed on the lower extremities has an increased risk for surgical site infections (SSI). Our objective was to evaluate the clinical characteristics associated with SSI following Mohs micrographic surgery (MMS) and wide local excisions (WLE) performed below the knee. We performed a single-center retrospective chart review of patients (n=271) that underwent these procedures. Read More

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July 2018
6 Reads

The appropriate management algorithm for diabetic foot: A single-center retrospective study over 12 years.

Medicine (Baltimore) 2018 Jul;97(27):e11454

Department of Plastic and Reconstructive Surgery, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Korea.

Background: Diabetic foot management is a challenge for reconstructive surgeons because it combines dramatically decreased circulation and chronic infection. The goal of managing this condition is to maximize viable tissue; however, unsatisfactory results, such as extremity amputation, are unavoidable in some cases. For appropriate management, thorough understanding of diabetic foot and the phased approach to its management is needed. Read More

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http://dx.doi.org/10.1097/MD.0000000000011454DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6076129PMC
July 2018
12 Reads

Whole-body biomechanical differences between limbs exist 9 months after ACL reconstruction across jump/landing tasks.

Scand J Med Sci Sports 2018 Dec 6;28(12):2567-2578. Epub 2018 Aug 6.

Department of Life Sciences, Roehampton University, London, UK.

Introduction: Previous studies examining jump tasks after anterior cruciate ligament reconstruction (ACLR) have focused on performance measures without examining joint kinematic and kinetic variables. The aim of this study was to identify differences in biomechanical and performance measures between limbs across tests 9 months after surgery.

Methods: Four jump tests (double-leg drop jump (DLDJ), single-leg drop jump (SLDJ), single-leg hop for distance (SLHD) and hurdle hop (HH)) were carried out on 156 male subjects in a 3D motion capture laboratory 9 months after surgery. Read More

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http://dx.doi.org/10.1111/sms.13259DOI Listing
December 2018
22 Reads

Reply: Reconstruction of the Heel, Middle Foot Sole, and Plantar Forefoot with the Medial Plantar Artery Perforator Flap: Clinical Experience with 28 Cases.

Plast Reconstr Surg 2018 09;142(3):422e-423e

Department of Plastic and Hand Surgery, University Hospital Zurich, Zurich, Switzerland.

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http://dx.doi.org/10.1097/PRS.0000000000004668DOI Listing
September 2018

Reconstruction of the Heel, Middle Foot Sole, and Plantar Forefoot with the Medial Plantar Artery Perforator Flap: Clinical Experience with 28 Cases.

Plast Reconstr Surg 2018 09;142(3):421e-422e

Department of Plastic and Reconstructive Surgery Department of Plastic and Reconstructive Surgery, Department of Biological Science and Technology Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.

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http://dx.doi.org/10.1097/PRS.0000000000004667DOI Listing
September 2018

Surgical management of chronic lateral ankle instability: a meta-analysis.

J Orthop Surg Res 2018 Jun 25;13(1):159. Epub 2018 Jun 25.

Department of Orthopedics, Ruijin Hospital North, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Background: A key point to surgical treatment of chronic lateral ankle instability is choosing a suitable surgical procedure. The purpose of this meta-analysis was to compare different surgical techniques for management of chronic lateral ankle instability.

Methods: We searched the Cochrane Library, MEDLINE, and EMBASE. Read More

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http://dx.doi.org/10.1186/s13018-018-0870-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6019311PMC
June 2018
18 Reads

Plantar Reconstruction Using a Dermal Substitute: Description of 2 Cases.

Int J Low Extrem Wounds 2018 Jun 25;17(2):120-124. Epub 2018 Jun 25.

1 Complejo Hospitalario Universitario de Pontevedra, EOXI Pontevedra-Salnés, Pontevedra, España.

Acral lentiginous melanoma is the most common subtype among melanomas on the foot. Reconstruction of a wide surgical defect once it is excised may result in a challenge that requires replacing the lost tissue with another tissue having similarly unique physical characteristics. Although reconstructive options such as skin grafts and either local or distant flaps offer adequate coverage, they often are subject of contraction, muscle atrophy, and contour abnormalities. Read More

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http://dx.doi.org/10.1177/1534734618782830DOI Listing
June 2018
1 Read

Metatarsus Primus Elevatus Resolution After First Metatarsophalangeal Joint Arthroplasty.

J Am Podiatr Med Assoc 2018 May;108(3):200-204

Background: Hallux limitus (HL) is the second-most common pathology associated with the first metatarsophalangeal joint. A common etiology believed to be associated with HL is metatarsus primus elevatus (MPE), although causation has been unsubstantiated by evidence. Historically, correction of MPE is surgically addressed with an osteotomy. Read More

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http://www.japmaonline.org/doi/10.7547/16-176
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http://dx.doi.org/10.7547/16-176DOI Listing
May 2018
25 Reads

Recurrent skin ulcer cross-repair and sensory reconstruction in a WRN gene mutational patient.

An Bras Dermatol 2018 Jun;93(3):443-446

Xiangya Hospital, Central South University, Changsha, China.

A 37-year-old man complained of a refractory posterior malleolar ulceration on his left ankle. He was diagnosed with Werner syndrome according to the progeroid clinical features and genetic testing. To approach the ulceration, a free flow-through right anterolateral thigh perforator flap with anterolateral thigh cutaneous nerve was harvested. Read More

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http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
Publisher Site
http://dx.doi.org/10.1590/abd1806-4841.20187517DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6001081PMC
June 2018
3 Reads

Reliability of StepWatch Activity Monitor to Measure Locomotor Activity in Youth With Lower Limb Salvage.

Pediatr Phys Ther 2018 07;30(3):217-221

Department of Kinesiology (Dr Braun), University of Wisconsin-Eau Claire, Eau Claire, Wisconsin; Seattle Children's Research Institute (Dr Bjornson), Seattle, Washington; Department of Psychiatry (Dr Dillon-Naftolin), University of Washington and Seattle Children's Hospital, Seattle, Washington; Northwest Pediatric Gastroenterology (Dr Sheiko), Portland, Oregon; UCLA Geffen School of Medicine (Dr Song), Los Angeles, California; Health, Exercise Science, and Recreation Management (Dr Kang), University of Mississippi, University, Mississippi.

Purpose: The study purpose was to determine the minimum number of monitoring days necessary to reliably capture walking among individuals with lower limb salvage.

Methods: Nineteen participants with lower limb salvage wore an ankle-mounted motion sensor over a 7-day period to obtain step counts. Generalizability theory was used to examine the variance components in step counts (G study) and to determine the appropriate length of activity monitoring using various combinations of days (D study). Read More

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http://dx.doi.org/10.1097/PEP.0000000000000518DOI Listing
July 2018
18 Reads

The Gracilis Free Flap Is a Viable Option for Large Extremity Wounds.

Ann Plast Surg 2018 Sep;81(3):322-326

Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD.

Background: Traditionally, the gracilis free flap is used for coverage of small- to medium-sized wounds (<50 cm) or as a functional muscle transfer. The purpose of this study is to examine the use of the gracilis free flap in the reconstruction of large extremity wounds (>100 cm).

Methods: We retrospectively reviewed records of 34 patients who underwent extremity soft-tissue reconstruction using gracilis free flaps for wounds larger than 100 cm from 1998 to 2016. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001523DOI Listing
September 2018
4 Reads

Mohs micrographic surgery for digital melanoma and nonmelanoma skin cancers.

Cutis 2018 May;101(5):346-352

Private practice, Chevy Chase, Maryland, and Department of Dermatology, Georgetown University Hospital, Washington, DC, USA.

Treatment of digital skin cancers is challenging due to various functional and cosmetic implications. Traditionally, routine treatment includes radical amputation, but digital skin cancers are increasingly being treated with more conservative, tissue-sparing methods such as Mohs micrographic surgery (MMS), which provides excellent tissue conservation and margin control when used to treat melanoma and nonmelanoma skin cancers (NMSCs). In this study, we conducted a retrospective chart review to evaluate clinical outcomes following MMS for treatment of digital melanoma and NMSCs. Read More

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May 2018
1 Read

Lower Extremity Salvage with Thoracodorsal Artery Perforator Free Flap in Condition of Symmetrical Peripheral Gangrene.

Biomed Res Int 2018 8;2018:6508607. Epub 2018 May 8.

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

Symmetrical peripheral gangrene (SPG) is rare but devastating complication which is characterized by symmetrical ischemic change of the distal extremities. In this report, we describe our management protocol for SPG, focusing on surgical approaches. Between January 2007 and February 2016, 10 thoracodorsal artery perforator (TDAP) free flaps were performed in 6 patients with SPG. Read More

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http://dx.doi.org/10.1155/2018/6508607DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5964422PMC
October 2018
4 Reads

[Effectiveness of Ilizarov technique in treatment of clubfoot after burns].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Feb;32(2):178-181

National Research Center for Rehabilitation Technical Aids Rehabilitation Hospital, Beijing, 100176, P.R.China;Beijing Key Laboratory of Rehabilitation Technical Aids for Old-Age Disability, Beijing, 100176, P.R.China;Key Laboratory of Intelligent Control and Rehabilitation Technology of the Ministry of Civil Affairs, Beijing, 100176,

Objective: To investigate the effectiveness of Ilizarov technique in treatment of the clubfoot after burns.

Methods: Between March 2012 and February 2017, 12 patients (17 feet) with clubfoot after burns were treated with Ilizarov technique. There were 10 males (14 feet) and 2 females (3 feets) with an average age of 38 years (range, 18-52 years). Read More

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http://dx.doi.org/10.7507/1002-1892.201709052DOI Listing
February 2018
16 Reads

[Clinical application of anterolateral thigh polyfoliate perforator flap for vascular pedicle protection].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Aug;31(10):1245-1249

Department of Burns and Plastic Surgery, the Affiliated Hospital of Zunyi Medical College, Zunyi Guizhou, 563000, P.R.China.

Objective: To evaluate the effectiveness of anterolateral thigh polyfoliate perforator flap plus pedicle with one foliate flap for repairing extremities soft tissue defect.

Methods: Between January 2014 and January 2017, 24 patients with extremities soft tissue defects were treated by anterolateral thigh polyfoliate perforator flap plus pedicle with one foliate flap. There were 15 males and 9 females, with a median age of 33. Read More

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http://dx.doi.org/10.7507/1002-1892.201703048DOI Listing
August 2017
9 Reads

[Modified anterolateral thigh perforator flap pedicled by cross-bridge microvascular anastomosis for repairing soft tissue defects in middle and lower segments of leg].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Oct;31(10):1240-1244

Department of Hand and Foot Microsurgery, Clinical Medicine College of Yangzhou University, Subei People's Hospital of Jiangsu Province, Yangzhou Jiangsu, 225001, P.R.China.

Objective: To explore the effectiveness of modified anterolateral thigh perforator flap pedicled by cross-bridge microvascular anastomosis in treatment of soft tissue defects in the middle and lower segments of the leg.

Methods: Between March 2011 and June 2015, 15 cases with skin and soft tissue defects in the middle and lower segments of the legs were treated. There were 9 males and 6 females, aged 22-48 years (mean, 32. Read More

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http://dx.doi.org/10.7507/1002-1892.201705022DOI Listing
October 2017
1 Read

[Clinical application of ultrasound guided Fogarty balloon catheter in arterial crisis].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Oct;31(10):1220-1224

Department of Vascular Surgery, Chengde Medical College Affiliated Hospital, Chengde Hebei, 067000, P.R.China.

Objective: To explore the effectiveness of arterial crisis after replantation of limb treated by ultrasound guided Fogarty balloon catheter.

Methods: Between January 2012 and July 2016, 27 patients suffered from arterial crisis after replantation of limb were treated with ultrasound guided Fogarty balloon catheter combined with thrombolytic anticoagulant. There were 18 males and 9 females with the age of 19-51 years (mean, 32 years). Read More

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http://dx.doi.org/10.7507/1002-1892.201705057DOI Listing
October 2017
4 Reads

[Application of selectively thinning of free anterolateral thigh flap in repair of heel skin and soft tissue defect].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Mar;32(3):350-353

Department of Burn and Plastic Surgery, West China Hospital, Sichuan University, Chengdu Sichuan, 610041,

Objective: To investigate the effectiveness of selectively thinning of the free anterolateral thigh flap in repair of the heel skin and soft tissue defect.

Methods: Between April 2013 and August 2015, 8 patients with tissue defect of heel caused by different reasons were recruited. There were 6 males and 2 females with an average age of 31. Read More

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http://dx.doi.org/10.7507/1002-1892.201710074DOI Listing
March 2018
1 Read

[Biomechanical study on repair and reconstruction of talar lesion by three-dimensional printed talar components].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Mar;32(3):306-310

Department of Orthopedics, Shanghai Ruijin Hospital, Medicine School of Shanghai Jiaotong University, Shanghai, 200025, P.R.China.

Objective: To explore the feasibility of the repair and reconstruction of large talar lesions with three-dimensional (3D) printed talar components by biomechanical test.

Methods: Six cadaveric ankle specimens were used in this study and taken CT scan and reconstruction. Then, 3D printed talar component and osteotomy guide plate were designed and made. Read More

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http://dx.doi.org/10.7507/1002-1892.201705068DOI Listing
March 2018
1 Read

[Research progress of three-dimensional printing technique in foot and ankle surgery].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 Aug;31(7):880-884

Department of Bone and Joint Surgery, Affiliated Hospital of Southwest Medical University, Luzhou Sichuan, 646000,

Objective: To review the current research progress of three-dimensional (3-D) printing technique in foot and ankle surgery.

Methods: Recent literature associated with the clinical application of 3-D printing technique in the field of medicine, especially in foot and ankle surgery was reviewed, summarized, and analyzed.

Results: At present, 3-D printing technique has been applied in foot and ankle fracture, segmental bone defect, orthosis, corrective surgery, reparative and reconstructive surgery which showed satisfactory effectiveness. Read More

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http://dx.doi.org/10.7507/1002-1892.201611044DOI Listing
August 2017
13 Reads

Venous Anastomoses in Anterolateral Thigh Flaps for the Lower Extremity: Vessel Selection In Lieu of Obligatory Number.

Ann Plast Surg 2018 May 14. Epub 2018 May 14.

From the Department of Surgery, Division of Plastic and Reconstructive Surgery, and.

Background: Dual venous drainage for anterolateral thigh flaps has been proposed to protect against flap-related complications in head and neck applications. Here we report our experience with single vs dual venous anastomosis during lower extremity free-tissue transfer.

Methods: All free anterolateral thigh flaps for lower extremity reconstruction from 2011 to 2017 were retrospectively reviewed. Read More

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http://Insights.ovid.com/crossref?an=00000637-900000000-9737
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http://dx.doi.org/10.1097/SAP.0000000000001431DOI Listing
May 2018
5 Reads

Elevated International Normalized Ratio Is Not Associated With Increased Perioperative Morbidity in Podiatric Limb Salvage Surgery: A Retrospective Analysis.

J Foot Ankle Surg 2018 Jul - Aug;57(4):761-765. Epub 2018 May 8.

Assistant Clinical Professor, Departments of Surgery, Anesthesia, and Orthopedics and Rehabilitation, Yale School of Medicine, New Haven, CT.

The risk of hemorrhage always exists in anticoagulated patients with an elevated international normalized ratio (INR), a risk that must be measured against the necessity for surgical procedures. The objective of the present retrospective medical record study was to assess the safety with which limb salvage procedures can be conducted in patients with an INR >1.4. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.02.013DOI Listing
December 2018

Emerging Concepts in Treating Cartilage, Osteochondral Defects, and Osteoarthritis of the Knee and Ankle.

Adv Exp Med Biol 2018 ;1059:25-62

Ripoll y De Prado Sports Clinic: Murcia - Madrid FIFA Medical Centre of Excellence, Madrid, Spain.

The management and treatment of cartilage lesions, osteochondral defects, and osteoarthritis remain a challenge in orthopedics. Moreover, these entities have different behaviors in different joints, such as the knee and the ankle, which have inherent differences in function, biology, and biomechanics. There has been a huge development on the conservative treatment (new technologies including orthobiologics) as well as on the surgical approach. Read More

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http://dx.doi.org/10.1007/978-3-319-76735-2_2DOI Listing
November 2018
2 Reads

Synergism of Therapies After Postoperative Autograft Failure in a Patient With Melanoma of the Foot Misdiagnosed as a Pressure Ulcer.

Wounds 2018 Apr;30(4):E41-E43

Wound Healing Research Unit, Department of Dermatology, University of Pisa, Pisa, Italy.

Introduction: Amelanotic melanoma of the foot is a diagnostic challenge for physicians as it often appears as a benign lesion. In order to make the correct diagnosis at early stages, it is recommended to perform a biopsy of worsening lesions that are refractory to standard treatments, particularly nonhealing wounds.

Case Report: The authors describe the case of a 57-year-old man with amelanotic melanoma of the foot that had been treated as a pressure ulcer for 3 months. Read More

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April 2018
7 Reads

Deepithelialized flaps and grafts: applications in dermatologic surgery.

Cutis 2018 Mar;101(3):213-216

Department of Dermatology, University of Texas Medical Branch, Galveston, USA.

Deepithelialized flaps and grafts have been widely used by reconstructive surgeons in a diverse array of surgical specialties and have more recently made an appearance in dermatologic surgery. These techniques may be advantageous in their enabling of contour preservation of deep defects, reconstructions in areas of high mechanical tension, single-stage repairs, auricle reconstruction requiring tissue transfer, and reconstruction requiring free margins in areas with a paucity of local soft tissue. This article provides a review of the literature on deepithelialized flaps and grafts. Read More

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March 2018
4 Reads

Routine Use of Low-Molecular-Weight Heparin For Deep Venous Thrombosis Prophylaxis After Foot and Ankle Surgery: A Cost-Effectiveness Analysis.

J Foot Ankle Surg 2018 May - Jun;57(3):543-551

Associate Professor, Department of Medicine and Radiology, Scholl College of Podiatric Medicine, Rosalind Franklin University of Medicine and Science, North Chicago, IL; Director of Research, Weil Foot and Ankle Institute, Chicago, IL.

The purpose of the present study was to determine whether certain foot/ankle surgeries would benefit from the routine use of low-molecular-weight heparin (LMWH) as postoperative deep venous thrombosis prophylaxis. We conducted a formal cost-effectiveness analysis using a decision analytic tree to explore the healthcare costs and health outcomes associated with a scenario of no prophylaxis and a scenario of routine LMWH prophylaxis for 4 weeks. The 2 scenarios were compared for 5 procedures: (1) Achilles tendon repair (ATR), (2) total ankle arthroplasty (TAA), (3) hallux valgus surgery (HVS), (4) hindfoot arthrodesis (HA), and (5) ankle fracture surgery (AFS). Read More

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http://dx.doi.org/10.1053/j.jfas.2017.12.001DOI Listing
October 2018
5 Reads

Superficial Peroneal Nerve to Deep Peroneal Nerve Transfer With Allograft Conduit for Neuroma in Continuity.

J Foot Ankle Surg 2018 May - Jun;57(3):514-517

Chief Resident, Podiatry Section, Presence St. Joseph Hospital, Chicago, IL.

The anterior approach to the ankle for surgery can result in injury to the superficial peroneal nerve, resulting in a painful neuroma and significant patient morbidity. A paucity of data is available evaluating the role of the superficial peroneal nerve to deep peroneal nerve transfer as a method of treatment of neuromas in continuity after ankle arthrodesis. We describe 11 patients who underwent nerve transfer with nerve allograft and conduit repair to treat recalcitrant painful neuromas after ankle arthrodesis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10672516173065
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http://dx.doi.org/10.1053/j.jfas.2017.11.022DOI Listing
October 2018
1 Read

Treatment of pincer nail deformity using dental correction principles.

J Am Acad Dermatol 2018 05;78(5):1002-1004

Department of Dermatology, Chonnam National University Hospital, Yeongam, Republic of Korea. Electronic address:

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http://dx.doi.org/10.1016/j.jaad.2017.08.014DOI Listing
May 2018
1 Read

Outcomes of using a modified anteromedial thigh perforator flap for repairing the anterolateral thigh free flap donor site: A retrospective clinical review.

Medicine (Baltimore) 2018 Apr;97(16):e0491

Department of Hand Surgery, Wuxi No. 9 People's Hospital Affiliated to Soochow University, Wuxi, Jiangsu, P.R. China.

The anterolateral thigh (ALT) flap plays an essential part in plastic and reconstructive surgery. However, repair of the anterolateral donor site has not been the focus of the clinicians.To assess the clinical value and feasibility of using a modified anteromedial thigh (AMT) perforator flap for repairing the ALT free flap donor site. Read More

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http://dx.doi.org/10.1097/MD.0000000000010491DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5916666PMC
April 2018
3 Reads

Free versus Pedicled Perforator Flaps for Lower Extremity Reconstruction: A Multicenter Comparison of Institutional Practices and Outcomes.

J Reconstr Microsurg 2018 Oct 16;34(8):572-580. Epub 2018 Apr 16.

Division of Plastic Surgery, Sacred Heart Hospital, Allentown, Pennsylvania.

Background:  Of all body regions, lower extremity wounds have been and remain the greatest challenge. Perforator free flaps have been accepted as a reasonable option to solve this dilemma but require the complexity of microsurgery. As a consequence, the possibility that pedicled perforator flaps could supplant even perforator free flaps has recently gained intense enthusiasm. Read More

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http://dx.doi.org/10.1055/s-0038-1639576DOI Listing
October 2018
23 Reads
1.010 Impact Factor

Surgical Management of Plantar Melanoma: A Retrospective Study in One Center.

J Foot Ankle Surg 2018 Jul - Aug;57(4):689-693. Epub 2018 Apr 6.

Associate Professor, Department of Plastic Surgery, Jinling Hospital, Nanjing School of Clinical Medicine, Southern Medical University, Nanjing, China. Electronic address:

Cutaneous melanoma is a highly malignant skin tumor, and in China, the planta pedis is a commonly involved site. The sites of plantar melanomas are a challenge to reconstruct after wide excision. Our experience with surgical management of melanomas was based on the 4 different anatomic subunits of the planta pedis. Read More

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http://dx.doi.org/10.1053/j.jfas.2017.12.004DOI Listing
December 2018
1 Read