Articles
  • Original Article

    Anatomic variability of the vascularized composite osteomyocutaneous flap from the medial femoral condyle: an anatomical study

    Trung-Hau Le Thua , Duc-Phu Bui , Dang-Nhat Pham , Vu-Bao Le , Albert DeMey , Willy Boeckx
    Aim: The anatomical study and clinical application for the vascularized corticoperiosteal flap from the medial femoral condyle have been performed and described previously. Although prior studies have described the composite osteomyocutaneous flap from the medial femoral condyle, a detailed analysis of the vascularity of this region has not yet been fully evaluated. Methods: This anatomical study described the variability of the arteries from the medial femoral condyle in 40 cadaveric specimens. Results: The descending genicular artery (DGA) was found in 33 of 40 cases (82.5%). The...
    Published on: 29 Oct 2014
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  • Original Article

    Superiorly based perforator plus flap for inguinal defects

    Pradeoth Mukundan Korambayil , Prashanth Varkey Ambookan , Vinoth Kumar Dilliraj
    Aim: Inguinal block dissections for metastasis to inguinal lymph nodes and occasionally trauma are always associated with soft tissue loss over the groin region. A clinical study was undertaken to demonstrate the ability to utilize a superiorly-based perforator flap with reliable vascularity and less donor site morbidity to cover defects in the inguinal region. Methods: A prospective study was performed on 7 patients with inguinal soft tissue defects managed in our institution from January 2013 to September 2013. During the study period, a "superiorly-based perforator plus flap" was used...
    Published on: 29 Oct 2014
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  • Original Article

    Autologous bone graft harvested during implant site preparation: histological study

    Mario Santagata , Umberto Tozzi , Rosario V.E. Prisco , Gianpaolo Tartaro , Salvatore D'Amato
    Aim: The bone particles harvested during osteotomy could be used as autogenous bone graft materials to correct a bony defect prior to implant placement. Methods: A simple surgical procedure was described in which autogenous bone was harvested from the drills during the preparation of implant sites. Eleven samples were obtained from bone drilling during fixture installation in 11 patients (5 men and 6 women) with an average age of 57 years. These samples were subjected to histological preparation, in order to evaluate for the presence of viable osteoblasts. Results: Histological evaluation...
    Published on: 29 Oct 2014
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  • Original Article

    The influence of national guidelines on soft tissue sarcoma patient outcome: a single center experience

    Annu Nummi , Taina A Partanen , Ylermi Soini , Leena Berg , Leena Setala , Paula Mustonen
    Aim: The aim was to study the impact of nationwide clinical practice guidelines for soft tissue sarcomas (STS), introduced in 1994 and again in 2005 in North Savo, Finland. Methods: We retrospectively reviewed all the patients whose sarcoma was treated by a multidisciplinary team between the years 2000 and 2009 with mean follow-up time of 68 months. The patients were divided into 2 groups according to years: Group A (2000-2005, 72 patients) and Group B (2006-2009, 64 patients). Primary outcomes were local recurrence, metastases, and overall survival. Results: Fifty-five percent were men...
    Published on: 29 Oct 2014
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  • Original Article

    Differential fat harvesting

    Sebastian Torres Farr , Angelo Trivisonno
    Aim: Volume replacement with fillers is regularly performed with the use of diverse volumetric materials to correct different structures around the face, depending on the volume enhancement required and the thickness of the soft tissue envelope. Differential fat harvesting and posterior grafting is performed to place the correct fat parcel size for each target area, expanding the potential applications of fat. Methods: Sixty patients consecutively recruited on a first come basis undergone a facial fat grafting procedure, in private practice setting between March 2012 and October 2013. Fat...
    Published on: 29 Oct 2014
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  • Case Report

    Craniofacial abnormalities in goldenhar syndrome: a case report with review of the literature

    Ramesh Kumaresan , Balamanikanda Srinivasan , Mohan Narayanan , Navaneetha Cugati , Priyadarshini Karthikeyan
    Goldenhar syndrome (oculo-auriculo-vertebral spectrum) is a rare congenital anomaly of unclear etiology and characterized by craniofacial anomalies such as hemifacial microsomia, auricular, ocular and vertebral anomalies. In many cases, this syndrome goes unnoticed due to a lack of knowledge about its features and because of its associated wide range of overlapping anomalies. Herewith, we present a case of Goldenhar syndrome in a 21-year-old male, who presented all the classical signs of this rare condition. This article also summarizes the characteristic features of patients with Goldenhar...
    Published on: 29 Oct 2014
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  • Case Report

    Isolated sporadic bilateral split hand malformation: a case report and review of the literature

    Manjit Singh , Sukhminder Jit Singh Bajwa , Harsimarjit Kaur , Ravinder Singh
    Typical cleft hand is a rare disorder usually inherited in an autosomal-dominant manner. We report a case of bilateral typical cleft hand in a 6-year-old male. There was no positive family history of such presentation, and no systemic manifestations were associated with this entity. Preanesthetic evaluation revealed no systemic or airway challenges and parents were counseled for routine surgical and anesthetic risks. The hands underwent successful surgical reconstruction with no peri-operative complications. To the best of our knowledge, this is the first report of an operated case of an...
    Published on: 29 Oct 2014
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  • Case Report

    Lipoma causing Guyon's canal syndrome: a case report and review

    Narayanathu Chellappantilla Sreekumar , Panambur Laxminarayan Bhandari , Lalitha Sreedharan Sreelesh , Krishnankutty Rajamma Thushara
    Compression of the ulnar nerve in Guyon's canal leads to Guyon's canal syndrome. Lipoma is a rare cause of such compressions with only 12 cases reported previously. We report a 55-year-old man who presented with swelling in the left hand with decreased sensation in the ring and little fingers. Magnetic resonance imaging revealed high signals in T1-weighted and T2-weighted images with suppression of the short T1 inversion recovery signal, suggestive of lipoma. On exploration a well-encapsulated, dumbbell-shaped, fatty tumor was seen in the hypothenar space and Guyon's canal. The tumor was...
    Published on: 29 Oct 2014
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  • Letters to Editor

    Unburied K-wire induced injuries: taking the edge off

    Ravi Kumar Chittoria , Devi Prasad Mohapatra , Friji Meethale Thiruvoth , Dinesh Kumar , Arjun Asokan , Nandhagopal Vijayaraghavan
    Published on: 29 Oct 2014
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  • Letters to Editor

    A unique late complication with the use of calcium hydroxylapatite filler in facial lipoatrophy rehabilitation

    Raffaele Rauso
    Published on: 29 Oct 2014
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