International Journal of Orthoplastic Surgery最新文献

The Spare Parts Concept in Sarcoma Surgery: A Systematic Review of Surgical Strategies 肉瘤手术中的备件概念:手术策略的系统回顾

International Journal of Orthoplastic Surgery Pub Date : 2019-09-25 DOI: 10.29337/ijops.44

A. Sánchez-García, A. Pérez-García, Enrique Salmerón-González, A. Thione, Elena García-Vilariño, M. Salom, F. Baixauli, Eduardo Simón-Sanz

引用次数: 3

Posterior Tibial Artery Perforator Flap Series of Cases 胫后动脉穿支皮瓣系列

International Journal of Orthoplastic Surgery Pub Date : 2019-07-22 DOI: 10.29337/IJOPS.39

G. Carabelli, F. D. De Cicco, J. Barla, D. Taype, C. Sancineto

{"title":"Posterior Tibial Artery Perforator Flap Series of Cases","authors":"G. Carabelli, F. D. De Cicco, J. Barla, D. Taype, C. Sancineto","doi":"10.29337/IJOPS.39","DOIUrl":"https://doi.org/10.29337/IJOPS.39","url":null,"abstract":"Coverage defects in the leg, are a difficult problem to confront due to the characteristics of the anatomical region. For this reason, different reconstruction strategies have been developed, being the fasciocutaneous perforator flaps the most frequently used. The aim of this manuscript is to present the therapeutic alternative, to describe the surgical technique, the results and the complications of the posterior tibial artery perforator flap (CPATP) for the treatment of coverage defects. We performed a retrospective review of patients treated with a fasciocutaneous flap at the level of the leg operated at our center. We analyzed preoperative demographic variables. The surgical technique and the indications in each patient are described. Finally, the postoperative variables such as complications and the survival of the flap were analyzed. Twelve patients treated with CPATP were included. All male. The average age at the time of surgery was 52 years (range 29–77 years). The maximum follow-up of 55 months, with a minimum of 5 months (average 18 months). There were two flaps with suffering that reverted spontaneously, a partial failure and a total failure. The posterior tibial artery perforator flap should be considered a valid option in the treatment of wounds of small and medium size of the leg. They provide similar tissue in thickness, texture and color in the recipient site with good clinical and aesthetic results.","PeriodicalId":297072,"journal":{"name":"International Journal of Orthoplastic Surgery","volume":"187 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128640888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

The Only Way is Ethics: Obtaining Approvals for NHS Clinical Research Projects 唯一的方法是伦理:获得批准的NHS临床研究项目

International Journal of Orthoplastic Surgery Pub Date : 2019-07-05 DOI: 10.29337/IJOPS.42

S. Hendrickson, S. McKeown-Keegan, T. Wright, D. Carpenter

引用次数: 0

Definition and History of Orthoplastic Surgery 整形外科的定义和历史

International Journal of Orthoplastic Surgery Pub Date : 2019-06-24 DOI: 10.29337/IJOPS.43

Z. Arnež

引用次数: 3

Definition of Bone Transport from an Orthoplastic Perspective 从骨科角度定义骨运输

International Journal of Orthoplastic Surgery Pub Date : 2019-06-20 DOI: 10.29337/IJOPS.33

M. El-Rosasy, A. Mahmoud, O. El-Gebaly, E. Rodriguez-Collazo, A. Thione

{"title":"Definition of Bone Transport from an Orthoplastic Perspective","authors":"M. El-Rosasy, A. Mahmoud, O. El-Gebaly, E. Rodriguez-Collazo, A. Thione","doi":"10.29337/IJOPS.33","DOIUrl":"https://doi.org/10.29337/IJOPS.33","url":null,"abstract":"Reconstruction of traumatic composite bone and soft tissue loss (TCBSTL) employs several approaches among which is the bone transport (BT). In this procedure a healthy bone segment is mobilized by means of an external fixator to bridge a bone gap. Mobilization of the bone segment entails advancement of the overlying soft tissue envelop altogether. Between the year 2000 and 2017 the authors have treated 150 cases of TBSTL using distraction histogenesis and external skeletal fixation in all cases. The procedure was performed in two modes, in the first group the transport was performed gradually by distraction-compression of the osteotomy and bone defect sites respectively. In the second group, the procedure was performed by acute shortening and re-lengthening (ASRL) technique. Skin grafts(STSG)were used in six cases (4%) and iliac crest bone graft(ICBG) in 42 cases (28%). No free vascularized tissue grafts were used in any case. No internal fixation was attempted in any case. A few problems have been met with during gradual bone transport, and were manageable without effect on the treatment course or final outcome. Based on our observations in this series, BT was defined as “Bone transport is an instrumented advancement of a local vascularized osteomyocutaneous flap to bridge bone and soft tissue defect either gradual or acute.” When perceived as an osteomyocutaneous flap, bone transport extends the umbrella of the reconstruction ladder to include cases where other procedures could not be safely employed. Bone transport, either gradual or acute, is a powerful tool in the armamentarium of Orthoplastic limb reconstruction.","PeriodicalId":297072,"journal":{"name":"International Journal of Orthoplastic Surgery","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131126951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Practical Management of the Orthofix Truelok External Circular Fixator in Deformity Correction and Lower Limb Salvage 矫形器Truelok外圆固定器在畸形矫正和下肢保留中的实用管理

International Journal of Orthoplastic Surgery Pub Date : 2019-06-07 DOI: 10.29337/IJOPS.38

E. Rodriguez-Collazo, M. Cummins, Bruce Bever, M. Samchukov

引用次数: 3

Pedicle Muscle Flap Coverage as an Adjunct to Internal Neurolysis of the Chronically Scarred Lower Extremity Nerve 带蒂肌瓣覆盖在慢性瘢痕下肢神经内松解术中的辅助作用

International Journal of Orthoplastic Surgery Pub Date : 2019-04-30 DOI: 10.29337/IJOPS.30

E. Rodriguez-Collazo, M. Cummins, A. Thione, Roberto P. Segura

引用次数: 0

Regenerative Surgery & Intra-Operative Protocols Utilizing Bone Marrow Aspirate Concentrate in Microsurgical & Limb Reconstruction 在显微外科和肢体重建中使用骨髓浓缩物的再生外科和术中方案

International Journal of Orthoplastic Surgery Pub Date : 2019-04-26 DOI: 10.29337/IJOPS.29

T. Miller, E. Rodriguez-Collazo, Stephen J. Frania, A. Thione

引用次数: 2

Orthoplastic Surgery – the Need for a Specialist Journal 整形外科-需要一本专家杂志

International Journal of Orthoplastic Surgery Pub Date : 2019-03-18 DOI: 10.29337/IJOPS.31

Umraz Khan

引用次数: 0

Debridement Technique and Dead Space Management For Infected Non-Union of the Tibia 胫骨感染性骨不连的清创技术及死腔处理

International Journal of Orthoplastic Surgery Pub Date : 2019-03-14 DOI: 10.29337/IJOPS.34

M. El-Rosasy, A. Mahmoud, O. El-Gebaly, A. Lashin, E. Rodriguez-Collazo

{"title":"Debridement Technique and Dead Space Management For Infected Non-Union of the Tibia","authors":"M. El-Rosasy, A. Mahmoud, O. El-Gebaly, A. Lashin, E. Rodriguez-Collazo","doi":"10.29337/IJOPS.34","DOIUrl":"https://doi.org/10.29337/IJOPS.34","url":null,"abstract":"Infected non-union of the tibia represents a major challenge to orthopaedic surgeons. Wide resection of infected tissues decreases the recurrence rate of infection in post-osteomyelitis reconstruction. Such radical debridement results in bone and soft tissue defects making the challenge more difficult with creation of a dead space. Elimination of the dead space is a necessity using antibiotic-impregnated cement as a staged technique for further reconstruction of bone and soft tissue. The objective of this series is to assess the efficacy of our integrated protocol for management of infected non-union of the tibia. This prospective study included 23 patients with infected non-union of the tibia with medullary contamination managed by staged debridement and insertion of antibiotic-impregnated cement spacer with later distraction histogenesis using Ilizarov frame for bone and soft tissue reconstruction. The mean age of the patients was 24 years (19 to 52). The mean size of the defect after debridement was 6 cm (range 4–10 cm). The average follow up period was 28 months (range 16–36 months). Successful reconstruction with no recurrence of infection was achieved in all cases (100%) without the need for bone or soft tissue grafts. External fixator index ranged from 35 to 60 days/cm (average 45 days/cm). The functional results were satisfactory in 20 cases (86.9%) and unsatisfactory in 3 cases (13.1%) due to residual leg length discrepancy, joint stiffness, and persistent pain. The proposed staged protocol represents a valid option for successful bone and soft tissue reconstruction and elimination of the infection without the need of bone grafting nor soft tissue procedures.","PeriodicalId":297072,"journal":{"name":"International Journal of Orthoplastic Surgery","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114686590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4