A soft-tissue defect over an infected total knee replacement (TKR) presents a difficult technical problem that can be treated with gastrocnemius flap, which is rotated the during first-stage of revision procedure. This facilitates wound healing and safe introduction prosthesis at second stage. We describe outcome mean follow-up 4.5 years (1 to 10) in 24 patients TKR who underwent this 22 (92%) eventually obtained satisfactory result. The Knee Society score improved from 53 pre-operatively...

Background: NovoSorb biodegradable temporizing matrix (BTM) is a novel, bilayer, synthetic skin substitute made of polyurethane foam covered with sealing membrane. BTM has demonstrated excellent outcomes in burn literature; however, few studies have been published for hand and extremity soft tissue reconstruction. Methods: All patients who underwent reconstruction from 2018 to 2023 were reviewed. Demographics, presentations, clinical recorded. Results: A total 86 cases 54 (53.7% pediatric;...

Aggressive digital papillary adenocarcinoma (ADPA) is a rare skin adnexal tumor with predilection for the hand. The presentation, treatment, and outcomes of ADPA remain poorly defined due to scarcity reports low-level evidence published findings. We performed meta-analysis following Preferred Reporting Items Systematic reviews Meta-Analyses guidelines intent provide hand surgeons better understanding diagnosis treatment disease. Three additional cases from our institution were combined...

Introduction: The glass ceiling in academic medicine has resulted lower pay and fewer career advancement opportunities for women. Creating change relies on preparing early-career women positions of leadership, but most leadership programs focus faculty, not trainees. present exploratory qualitative study investigates how to prepare medical students be leaders medicine. Methods: Focus groups with faculty who identify as were conducted at an center the West. A total 25 individuals (10 15...

Summary: Traumatic dog bites of the face and head are common among pediatric population, although injuries resulting in total or subtotal scalp avulsions rare life-threatening. Standard treatment these cases includes attempts at replantation free tissue transfer; however, procedures may not always be possible. An alternative option involves use dermal substitutes, such as Integra (Integra LifeScience Corporation), with subsequent skin grafting. More recently, an substitute called NovoSorb...

Introduction: Leadership positions occupied by women within academic emergency medicine have remained stagnant despite increasing numbers of with faculty appointments. We distributed a multi-institutional survey to and residents evaluate categorical characteristics contributing success differences between the two groups. Methods: An institutional review board-approved electronic was at eight institutions were completed anonymously. created questions assess multiple categories: determination;...

Introduction Vascular malformations (VMs) typically appear at birth and grow commensurately with patients. They can vary broadly in vessel type tissue involvement, upper extremity (UE) VMs pose unique functional aesthetic challenges children. Given the advent of operative nonoperative technologies like sclerotherapy medications, a contemporary review surgical management UE is warranted. Methods We performed retrospective all patients who had from 2010 to 2021 The Children's Hospital...

A case of fatal midline lymphoma in a young woman is described and the pathology discussed.The gross nasopharyngeal necrosis led to nasolacrimal duct obstruction acute dacrocystitis.

Background: The Breast Reconstruction Evaluation of Acellular Dermal Matrix as a Sling Trial is single-center, blinded, prospective, randomized, controlled trial established to compare outcomes using two popular types acellular dermal matrices, AlloDerm and DermaMatrix, in tissue expander breast reconstruction. This study used the matrix biopsy specimens from evaluate how adjuvant therapy influences inflammation, neovascularization, capsule formation matrix. Methods: Punch were taken at time...

Numerous effective techniques for primary tendon coaptations exist. However, these are complex and require a substantial amount of training to become proficient. Recently, novel stapler device (TSD) was developed that could potentially diminish the discrepancies among surgeons varying levels training. We hypothesized TSD would be easier learn demonstrate improved learning curve efficiencies across participants differing repair experience compared with traditional suture methods. Participants...

Hand surgery is a competitive fellowship that draws applicants from orthopedic, plastic, and general surgery. In 2010, recommendations the American Academy of Orthopaedic Surgeons (AAOS) Board Specialty Societies Match Oversight Committee Society Plastic (ASPS) Surgery Workforce Task Force led to significant reforms their respective workforces training. This study characterizes trends in hand programs since these (2010-2023). We queried applicant program data for (ASSH), National Resident...

Background: Hand and distal forearm allotransplantation has advanced over the last 20 years from experimental to a viable treatment option for bilateral upper extremity amputation. Despite widespread growth of this field, there are few technical reports that elaborate details donor arm procurement. This article technique rapid procurement through elbow mid forearm-level hand allograft Methods: Nine procurements were performed on deceased tissue-only donors provided by local organ...

Summary: Congenital amniotic band syndrome (ABS) is a complex disorder characterized by spectrum of rare congenital anomalies, with constriction bands as their hallmark manifestation. Constriction about the thorax, abdomen, or pelvis are rare. There no consensus in classification criterion for literature. We present first true pelvic newborn female ABS. This case adds valuable information to literature on The authors propose further classify and using accepted reliable anatomical landmarks.

Rates of mutilating hand injuries are increasing from accidents caused by all-terrain vehicles (ATVs) and the recently popularized side-by-side utility terrain (UTVs). Increasing surgeon familiarity with upper extremity (UE) injury patterns, severity, outcomes following ATV UTV may improve patient care advocacy.Retrospective comparisons UE hospital intensive unit (ICU) admission lengths, number operations were made between ATVs UTVs. Findings analyzed Fisher exact tests, multivariate...

Partial hand amputations have profound effects on individuals and are frequently associated with stigma, disability, perceptions of inadequacy. When reconstructive measures inadequately restore form function, partial prostheses may greatly improve independence identity. Historically, were limited to iron hooks hands, which largely assistive rather than restorative. However, since the close World War II, technological advances dramatically increased versatility availability prosthetic...