Publications by authors named "Danilo Rivas-Nicolls"

Article Synopsis
  • A study highlights the effectiveness of vascularized periosteal transplants in speeding up bone healing in children with complex non-unions, particularly using free tibial and fibular grafts when needed.* -
  • The case presented involves a six-year-old boy with congenital pseudarthrosis of the tibia, treated with a vascularized femoral myo-periosteal graft (VFMPG) which involved a flap from the femur's muscle and periosteum, achieving successful healing.* -
  • The boy restored his mobility and sports activities within 10 weeks post-surgery, with no complications noted after 17 months, suggesting VFMPG as a viable alternative for treating pediatric bone non-unions.*
View Article and Find Full Text PDF

Background: In deep burns, the gold standard of treatment is surgical debridement and coverage, but in hands, this may lead to poor aesthetic and functional results due to the complexity of this anatomical area. Enzymatic debridement (Nexobrid) allows for the preservation of the dermal remnant and reduces the number of skin grafts when compared with surgical excision. The study aimed to analyze the patients with intermediate second-degree or deeper burns in hands who required surgical treatment after Nexobrid and those who avoided it.

View Article and Find Full Text PDF

Background: The pure skin perforator (PSP) flap is gaining popularity for its remarkable thinness. The subdermal dissection technique was recently introduced, allowing for a quicker elevation of a PSP flap. In this report, we present our two-year experience utilizing subdermal dissection for harvesting PSP flaps.

View Article and Find Full Text PDF

Introduction: Reconstructing severe first web contractures often involves using either pedicled forearm flaps, which can cause extensive scarring, or free flaps, which can be highly complex. In this study, we present a local palmar hand flap that overcomes both of these challenges.

Methods: Ten fresh upper limbs were examined after arterial injection with colored latex.

View Article and Find Full Text PDF

Introduction: Mass burn casualty disasters present with a big challenge due to the complex multidisciplinary management of severely burned patients and the limited capacity of the specialized centers. Literature is scarce, and so is the management of these disasters with enzymatic debridement (ED).

Methods: Retrospective observational analysis of nine patients admitted to the Vall d'Hebron University Hospital Burn Center (Barcelona, Spain), as a consequence of a bell tower explosion on December 30, 2019.

View Article and Find Full Text PDF

Background: Current scientific evidence on the effect of Extracorporeal Shock Wave Therapy (ESWT) as adjunctive treatment for burn scars is scarce. However preliminary evidence, indicates it might prove a useful tool.

Materials And Methods: A prospective, randomized, controlled study was conducted from February 2017 to February 2019.

View Article and Find Full Text PDF

Background: The worldwide coronavirus disease 2019 (COVID-19) epidemic, caused by the SARS-CoV-2 coronavirus, is the defining global health crisis of our time. Spain has had one of the highest burdens of COVID-19 worldwide. During this period, Vall d'Hebron University Hospital Burn Center (Barcelona) has faced a unique challenge: supporting the hospital response against COVID whilst continued offering an optimal care to the burn patient.

View Article and Find Full Text PDF
Article Synopsis
  • - The article discusses the complex reconstructive challenges faced when salvaging lower limbs in severely burned patients with exposed bone or tendon, especially when standard therapies are inadequate.
  • - Microsurgical reconstruction using distant flaps is often the most effective approach for these cases, despite lower success rates due to the severity of the burns.
  • - An illustrative case is presented where a patient with extensive electrical injuries underwent multiple surgical interventions, ultimately achieving limb salvation and regaining mobility and quality of life after 3 years.
View Article and Find Full Text PDF

Introduction: In the last years, limb salvage has become the gold standard treatment over amputation. Today, 90% of extremity osteogenic sarcomas can be treated with limb salvage surgery. However, these reconstructions are not exempt from complications.

View Article and Find Full Text PDF