Long-Term Hand Function Outcomes of the Surgical Management of Complete Brachial Plexus Birth Injury.

Purpose: Hand function outcomes of primary nerve reconstruction for total brachial plexus birth injury (BPBI) are confounded by nerve roots left in continuity, inclusion of secondary procedures, and no assessment of the ability to perform activities of daily living. The purpose of this study was to evaluate the long-term hand function outcomes in a cohort of patients with a complete BPBI who had no nerve root in continuity prior to primary nerve reconstruction targeting the lower trunk.

Methods: This single-center retrospective case series of complete BPBI included patients who underwent primary nerve reconstruction.

An integrated multidisciplinary team approach to the management of vascular anomalies: challenges and benefits.

Background: Vascular anomalies comprise highly variable pathophysiology and commonly pose diagnostic and management dilemmas. Consequently, patients often benefit from input from multiple specialists. This study describes the inception of a multidisciplinary team (MDT) Vascular Anomaly Clinic (VAC) in a tertiary paediatric centre, and the subsequent experience managing this complex patient group.

The draft genome sequence of European pear (Pyrus communis L. 'Bartlett').

We present a draft assembly of the genome of European pear (Pyrus communis) 'Bartlett'. Our assembly was developed employing second generation sequencing technology (Roche 454), from single-end, 2 kb, and 7 kb insert paired-end reads using Newbler (version 2.7).

Classification of congenital anomalies of the hand and upper limb: development and assessment of a new system.

The Oberg, Manske, and Tonkin (OMT) classification of congenital hand and upper limb anomalies was proposed in 2010 as a replacement for the Swanson International Federation of Societies for Surgery of the Hand classification system, which has been the accepted system of classification for the international surgical community since 1976. The OMT system separates malformations from deformations and dysplasias. Malformations are subdivided according to the axis of formation and differentiation that is primarily affected and whether the anomalies involve the whole limb or the hand plate.

The Apert hand--angiographic planning of a single-stage, 5-digit release for all classes of deformity.

Purpose: To demonstrate the utility of computed tomography angiographic planning of a single-stage, complete release of syndactyly in Apert syndrome.

Methods: Computed tomography angiograms were performed as a preoperative planning tool in 6 patients. Five came to surgery.

The use of quilted full thickness skin grafts in the lower limb--reliable results with early mobilization.

Quilted full thickness skin grafts were used to cover surgical defects in the lower limb following excision of skin lesions in 92 cases. Patients were mobilised early and discharged home. 93.