Thumb basal joint arthroplasty using abductor pollicis longus tendon: an average 5.5-year follow-up.

Purpose: The goal of this study was to evaluate the 4-year minimum (5.5-y average) results of trapeziectomy and ligament reconstruction using a modified Thompson technique with the abductor pollicis longus tendon for the primary treatment of advanced-stage basal joint arthritis (Eaton stages III and IV).

Methods: We evaluated 25 thumbs in 18 patients after ligament reconstruction arthroplasty for surgical treatment of advanced thumb basal joint arthritis.

New technologies for the management of major extremity wounds.

Soft tissue reconstruction for large or difficult defects, particularly of distal extremities, may be associated with a variety of problems. Crush injuries and infection are often background settings requiring use of considerable resources, time, and skilled personnel for appropriate treatment. Harvested tissue, known as a flap, is used for transferring healthy, viable tissue from one location to the area of tissue loss.

The effect of postconditioning on the muscle flap survival after ischemia-reperfusion injury in rats.

Background: Timely recognition of vascular compromise of free flaps is crucial to salvaging failing flaps due to the vulnerability of muscle tissues to ischemia. The concept of postconditioning (post-con) that has been introduced as an “after injury" strategy may be beneficial to salvage the failing muscle flaps. We aim to investigate the effect of post-con on the muscle flap survival after ischemia-reperfusion (I/R) injury in rats.