Arthroscopic Correction of a Supracondylar Malunion in a Child.

Malunions are a well-recognized complication of pediatric supracondylar humeral fractures. Results of corrective osteotomies vary, and complication rates have been reported to be as high as 40%. Considering the high rate of complications for malunion correction, we investigated the feasibility of arthroscopy.

Arthroscopic Repair of Collateral Ligaments in Metacarpophalangeal Joints.

Although typically reported in thumb and small fingers, collateral ligament ruptures of the metacarpophalangeal (MCP) joints have been described in all digits. Traditional open repair requires a dissection that violates the sagittal band and may result in increased scarring and decreased hand function. Arthroscopic repair of MCP collateral ligaments has not been previously described.

The use of urinary bladder matrix in the treatment of complicated open wounds.

Background: Management of complicated open wounds represents a challenge when reconstructive options are not applicable. Urinary bladder matrix (UBM) provides a biocompatible material that allows inductivetissue remodeling.

Methods: The use of urinary bladder matrix inthe treatment of 5 patients with complicated open wounds that failed toheal with conventional therapy is presented.

The use of skin substitutes in the treatment of the hand and upper extremity.

The introduction of skin substitutes in the last decade has dramatically changed how we think about the concept of "non-healing" wounds. Their use has improved prognosis and reduced morbidity in the treatment of open wounds. This article aims to summarize the development of tissue-engineered skin substitutes, discuss their use, and highlight some specific applications in different clinical settings.

Unexpected encounter with painless endometriosis during abdominoplasty.

Unlabelled: Subcutaneous endometriomas are cystic lesions that are rarely described. During the course of abdominoplasty surgery, a "surprise" encounter with a cyst containing brown material brought up the possibility that an atypical incarcerated hernia was entered. Dissection revealed no connection between the cyst and the rectus fascia and subsequent pathologic evaluation revealed an endometrioma.

Examination of possible predictors of complications after free tissue transfer to the head and neck for oncologic defects.

Introduction: The advent of vascularized free tissue transfer marked an incredible addition to the breadth of options available to the reconstructive surgeon when treating head and neck defects. The goal of this study is to determine if readily available laboratory tests may be used to stratify the risk for developing complications after free tissue transfer in specific patients.

Methods: Institutional review board approval was obtained for a retrospective chart review of all patients who underwent free tissue transfer for reconstruction of oncologic head and neck defects between 2001 and 2010 by the senior author (R.