Reconstruction of large post-traumatic segmental femoral defects using vascularised bone flaps: a retrospective case series.

Background: Large femoral defects after trauma, femoral non-unions, fractures complicated by osteomyelitis or defects after bone tumour resection present high burden and increased morbidity for patient and are challenging for reconstructive surgeons. Defects larger than 6 cm and smaller defects after failed spongioplasty are suitable for reconstruction using a free, eventually a pedicled vascularised bone flap. The free fibular flap is preferred but an iliac crest free flap or a pedicled medial femoral condyle flap can be also used.

[Ulnar Carpus Translation - our Experience].

The ulnar translation (UT) of the wrist is a rare but often missed injury. We report about our experiences in the treatment of 8 patients with an imminent (5), established (1), and chronic UT (2).

Selective Carpus Denervation - One of Treatment Options of Madelung Deformity.

Case presentation of 7 years follow up of female patient with wrist arthritis caused by Madelung deformity. As causal treatment remains unknown, the pain reduction by means of selective wrist denervation is one possible option.

Early results of reconstruction of the dorsal scapholunate ligament.

We present the clinical results of a study of chronic dynamic scapholunate (SL) dissociation treated by reconstruction of the dorsal SL ligament. A total of 35 patients who presented with chronic dynamic SL instability had the scapholunate ligament reconstructed with a tendon graft. Twenty-nine patients were available for follow-up evaluation after a minimal interval of 17 months (range 17-72).

Possible restorations of the upper extremity motion in tetraplegic patients - 5-year clinical experience.

Aim: The aim of the work is to objectify the functional effectiveness of these operations and their influence on the quality of life of handicapped patients.

Method: The authors evaluate the results of reconstructive surgery restoring hand grip in a group of 15 tetraplegic patients (3 women and 12 men) with complete spinal cord lesion of C5-C7 segments. The average age of patients in the group is 33 (22-50) years old.