Abstract
Expedited healing of skin wounds is essential regardless of surgical specialty. Any skin deficiency will thwart this basic intent, and an alternative must be sought. The autogenous skin graft or local flap has long had a major role in satisfying this objective. Various forms of autogenous skin graft...
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PMID: 21200192
PDF is available here.
Abstract
Tibial plateau fractures with associated compartment syndrome are severe injuries with elevated infection rates. The objective of this article was to analyze whether there is an association between infection and the timing of definitive fracture fixation in relation to fasciotomy closure or coverage...
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PMID: 20495494
PDF is available here.
Abstract
We discuss the anatomy, risk factors, examination findings, and treatment for this condition, as well as the unique benefits that ultrasound offers over magnetic resonance imaging. It is important to consider plantar fascia rupture in patients with hindfoot pain and medioplantar ecchymosis, particul...
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PMID: 20962604
PDF is available here.
Abstract
As artistry has been refined in body contouring surgery, streamlining wound closure is the next advance on the horizon. Absorbable barbed suture is one potential solution. The authors present their experience with this suture in wound closure for different body regions.
A review of operative and cli...
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PMID: 21042132
PDF is available here.
Abstract
The vertical rectus abdominis musculocutaneous (VRAM) flap has numerous uses in pelvic reconstruction; however, flap harvest can result in abdominal wall morbidity. The authors hypothesized that combining component separation with fascial advancement closure would result in acceptable surgical donor...
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PMID: 20639803
PDF is available here.
Abstract
One hundred and thirty-three patients underwent 308 temporary abdominal closure placements, including 16 patients who had a FASTAC placed for open abdomen management. FASTAC remained in place for a significantly greater time with more frequent reassessment. Fascial closure techniques were not differ...
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PMID: 20727561
PDF is available here.
Abstract
We present a case of CA-MRSA necrotizing fasciitis in a previously healthy 11-year-old male with no risk factors....
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PMID: 20957926
PDF is available here.
Abstract
Musculotendinous variations around the medial epicondyle can contribute to subluxation of the ulnar nerve at the elbow. This article reviews the presenting symptoms, operative findings, and results of surgery for subluxation of the ulnar nerve at the elbow. A retrospective evaluation was performed o...
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PMID: 20839711
PDF is available here.
Abstract
This prospective study reports treatment by neurolysis then wrapping the nerves in vascularized forearm fascia and, when necessary, adjunctive procedures of twelve median and two ulnar nerves in continuity in the distal forearm with neurogenic pain. Preoperatively, all 14 patients had severe pain in...
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PMID: 20494918
PDF is available here.
Abstract
Indomethacin may preserve tissue viability in compartment syndrome. The mechanism of improved tissue viability is unclear, but the anti-inflammatory effects may alter the relative contribution of tissue necrosis versus apoptosis to cellular injury. Existing studies have only considered indomethacin...
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PMID: 20736787
PDF is available here.
Abstract
We observed an anatomical structure not described in the literature. It is a loop-like structure under the ductus deferens or ligamentum teres uteri anchored laterally and medially to the peritoneum. Relatively constant in distance to the inner inguinal ring and individual in the grade of prominence...
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PMID: 20213455
PDF is available here.
Abstract
We had described a prefabricated superficial temporal fascia island flap and used this technique in >50 enucleation patients with severe socket contraction ending in excellent or good results for 28 years (Altindas- 1 procedure). However, the flap was not suitable for the exenteration patients with...
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PMID: 20606580
PDF is available here.
Abstract
We believe that the best way to prevent incisional hernia is to preserve the integrity of the abdominal wall using minimally invasive techniques....
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PMID: 20716270
PDF is available here.
Abstract
We report a case of an elderly woman who had an uncontrolled, high Internationalised Normalized Ratio (INR) level and had incurred a large haematoma on the left upper arm after a fall. After two days, the patient developed a massive oedema and clinical compartment syndrome. It is essential to be awa...
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PMID: 20670592
PDF is available here.
Abstract
The temporoparietal fascia has been used extensively for vascularized tissue coverage, augmentation, and facial contouring. The temporoparietal fascial graft provides thin, broad, pliable, easily neovascularized, adequate coverage, contour, and bulk, as well as a hidden donor site.A 19-year-old woma...
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PMID: 20613620
PDF is available here.
Abstract
Plantar fasciitis is a common cause of heel pain. The diagnosis is made clinically and validated with different diagnostic modalities ranging from ultrasound to magnetic resonance imaging. Treatments vary from stretching exercises to different surgical options. No single treatment is guaranteed to a...
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PMID: 20691370
PDF is available here.
Abstract
Acute compartment syndrome is a known possible complication of calcaneal fractures and few case reports have documented a recurrent event after initial surgical fasciotomies. This article describes a rare case demonstrating a recurrence of acute compartment syndrome within days of initial fasciotomi...
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PMID: 20691378
PDF is available here.
Abstract
In addition to the myotendinous junctions, muscle fibers also are connected to the extracellular matrix along their full peripheral length. Moreover, within the in vivo context, muscle is not an isolated entity. Instead, myofascial tissues connect muscles mechanically to neighboring muscular and non...
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PMID: 20577061
PDF is available here.
Abstract
We review current diagnostic strategies and question whether screening tools can make rapid diagnosis more accurate. Furthermore, in the absence of a standardized tool, we analyze the practice of a sample of vascular surgeons with the aim of moving toward a management consensus useful to junior doct...
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PMID: 20462891
PDF is available here.
Abstract
To study the efficiency of using autogenous temporalis fascia which was formed and shaped by formaldehyde cross-linking with special fasciaform molds in the repair of large tympanic membrane perforations.
Base on machine technique and published data, the molds was designed according to the shape of...
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PMID: 21055331
PDF is available here.
Abstract
Arterial embalming method, using rat sciatic nerves, was employed to observe fascicular micro-vascularisation. Rich vascular network systems were observed within and outside the rat island nerve flaps. Four cases with digital and facial nerves gaps were repaired with fascicular turnover flap without...
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PMID: 19395329
PDF is available here.
Abstract
An earlier peak in IL-1beta levels and a consistent decrease in TNF-alpha were seen in healing intestinal tissues; but no clear pattern of increased anti-inflammatory or regulatory cytokines was seen, which might explain the earlier healing of intestinal tissues. Additional studies are required to d...
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PMID: 19697130
PDF is available here.
Abstract
This study showed that patients who have labral deficiency or advanced labral degeneration had good outcomes and high patient satisfaction after arthroscopic intervention with acetabular labral reconstruction. Lower satisfaction was associated with joint space narrowing and increased age. Patients w...
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PMID: 20511032
PDF is available here.
Abstract
We report a case of a 52-year-old male who presented with acute leg ischemia and underwent successful femoral embolectomy and fasciotomies. Investigations revealed a pedunculated mass in the aortic arch, floating under the innominate and left common carotid arteries. Urgent resection was performed t...
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PMID: 20308165
PDF is available here.
Abstract
We describe a case of MMF which is associated with rheumatoid arthritis. A 53-year-old Japanese rheumatoid arthritis (RA) patient presented with focal tenderness of lower extremities. Magnetic resonance imaging showed evidence of myofascitis involving fascias of anterior tibialis muscle. Muscle biop...
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PMID: 19543730
PDF is available here.
Abstract
We examined the potential benefits in children of early fascial closure of the damage control abdomen using human acellular dermal matrix (HADM). We reviewed our experience with five consecutive children sustaining intra-abdominal catastrophe and managed with damage control celiotomy. To accomplish...
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PMID: 20506879
PDF is available here.
Abstract
A negative CT result reliably excludes the diagnosis of NSTI. A positive CT result correctly identifies the disease with a high likelihood....
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PMID: 20479343
PDF is available here.
Abstract
Two different fibrous structures with different histological characteristics are present in the volar wrist: the more superficial one is in continuity with the antebrachial fascia and could be considered its reinforcement; the deeper one is composed of strong lamina, with histological features simil...
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PMID: 20346594
PDF is available here.
Abstract
The subpectoral fascia flap is a novel and safe option for providing vascularized lateral or inferior coverage of prosthesis in expander-based breast reconstruction. Its harvest and use are not associated with adverse clinical outcomes....
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PMID: 20440153
PDF is available here.
Abstract
To the authors' knowledge, no case of bilateral Baxter's neuropathy secondarily to plantar fasciitis has been reported. Baxter's neuropathy and causative disorders are easily recognized with help of typical MRI findings. Selective fatty atrophy of the abductor digiti minimi muscle is the unique sign...
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PMID: 20357723
PDF is available here.
Abstract
A total of 208 full abdominoplasties were performed (group A, 143 patients; group B, 65 patients). There was no statistically significant difference between groups with respect to body mass index, previous abdominal operations, comorbid medical conditions, or weight of the surgical specimen (p > 0.0...
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PMID: 20072084
PDF is available here.
Abstract
Postmastectomy partial submuscular tissue expander placement can prevent the upper pole fullness commonly seen with complete submuscular prosthesis placement. The resultant inferior and lateral margins require coverage to prevent prosthesis exposure. The fascial layer overlying the serratus anterior...
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PMID: 20335858
PDF is available here.
Abstract
The frontal branch of the facial nerve is protected by a deep layer of fascia, termed the parotid-temporal fascia, which is separate from the SMAS as it travels over the zygomatic arch. Division of the SMAS above the arch in a high-SMAS face lift is safe using the technique described in this study....
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PMID: 20335873
PDF is available here.
Abstract
The posterior brachial fascia was thin, with a broad surface area and easily separable from the subcutaneous and muscular plane. Its average surface size is 115-mm length and 54-mm width. It was richly vascularised by two major pedicles: the cutaneous posterior brachial pedicule and the fascial bran...
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PMID: 19826751
PDF is available here.
Abstract
The muscle-sparing latissimus dorsi flap, pedicled on descending branch, is versatile and reproducible. It results in minimal functional deficit of the donor site, absence of seroma, large freedom of orientation of the skin paddle, low rate of flap complications, and a cosmetically acceptable scar....
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PMID: 19682783
PDF is available here.
Abstract
Patients in both groups had temporary facial nerve injury that was primarily related to retraction of the nerve. There were no hematomas observed in any of the groups. As compared to the modified lateral orbitotomy approach, swelling was observed on more occasions with the modified hemicoronal appro...
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PMID: 20097107
PDF is available here.
Abstract
The operation was successfully performed in all the 18 cases, with no urethral false passage, urethral perforation or urethra tearing. Sixteen of the patients were cured, and the other 2 received urethroplasty for stenosis recurrence. The maximum flow rate was increased to 13.6-30.2 (18.1 +/- 3.5) m...
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PMID: 20626162
PDF is available here.
Abstract
The goals in surgical treatment of unilateral long-standing facial paralysis are individual concepts restoring mimetic function, aesthetic facial symmetry at rest and protection of the eye by complete eyelid closure. Facial reanimation with free neuromuscular flaps is the actual standard treatment....
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PMID: 20352574
PDF is available here.
Abstract
In all 4 patients a dermatofasciotomy with opening of the lower leg compartments could -avoid considerable secondary damage of the limb. A long-duration lithotomy position in connection with obesity, a low positioning of the head as well as nicotine abuse are only some of the risk factors contributi...
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PMID: 20379946
PDF is available here.
Abstract
Histologically, large round cells in group 3 were scattered in the core portion of the meniscus-shaped tissue, and the matrix around these cells was positively stained by safranin O and toluisin blue at 12 weeks. The histological score of group 3 was significantly higher than that of group 1 and gro...
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PMID: 20139330
PDF is available here.
Abstract
Postoperative stress incontinence following operative treatment of prostate cancer represents a considerable percentage of overall male incontinence. Postoperative incontinence following radical prostatectomy ranges between 2.9 and 87% depending on author and patient characteristics. Especially pati...
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PMID: 20376651
PDF is available here.
Abstract
The approach has the advantages of leaving the muscular bed of the ulna nerve undisturbed, whilst still providing excellent exposure of the distal humerus. The triceps mechanism is not divided or split allowing rapid recovery of extensor function. Additionally, because of the natural carrying angle...
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PMID: 20412674
PDF is available here.
Abstract
Acute compartment syndrome can complicate fractures of the tibial plateau and must be recognized early so that timely fasciotomy can be performed. The presence of the open fasciotomy wound complicates management of the underlying proximal tibial fracture, which ideally needs early anatomic reconstru...
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PMID: 20812575
PDF is available here.
Abstract
Compartment syndrome is an orthopaedic emergency that can be challenging to diagnose and manage when associated with a tibial plateau fracture. This technique article discusses one- and two-incision fasciotomy surgical techniques, and the surgical decision making and technique modifications when the...
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PMID: 20812574
PDF is available here.
Abstract
Lower limb compartment syndrome following coronary artery bypass surgery is a rare complication that is easily overlooked. Here we report a case of lower limb compartment syndrome that was diagnosed and treated promptly in a 53-year-old man, thereby preventing a potentially lethal outcome.
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PMID: 20349302
PDF is available here.
Abstract
The purpose of this study was to determine whether preoperative contracture and the amount of intraoperative correction can be used to predict the postoperative outcome of fasciectomy for Dupuytren's disease. A prospective study of 52 patients undergoing primary fasciectomy during an 18 month period...
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PMID: 20007420
PDF is available here.
Abstract
Tumors, usually basal cell carcinoma, originate mainly in the lower eyelid and medial canthus. Surgery should be performed as soon as possible after onset of the primary tumors and should include resection and reconstructive therapy. The highest risk of recurrence is in case of squamous cell and bas...
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PMID: 20216443
PDF is available here.
Abstract
The purpose of this study was to evaluate outcomes of simultaneous correction of the hard- and soft-tissue facial asymmetry with face lift procedure using a resorbable fixation device (Endotine Ribbon; Coapt Systems, Palo Alto, CA) during bimaxillary orthognathic surgery in cases with severe facial...
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PMID: 20186082
PDF is available here.
Abstract
We have modified this technique into a single-stage procedure for the reconstruction of acquired segmental auricular defects. A prospective analysis was made of the senior author's first 20 consecutive cases over a 4-year period (February 2004 to February 2008). The mean age of patients in our serie...
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PMID: 20216437
PDF is available here.
Abstract
We present 2 cases of recurrent compartment syndrome after previous fasciotomy. These reports illustrate a previously unreported at-risk population and demonstrate that compartment syndrome can recur in a previously released compartment. Therefore, prior fasciotomy should not be considered protectiv...
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PMID: 20463987
PDF is available here.