Sural nerve preservation in reverse sural artery fasciocutaneous flap-a case report.

Background: The reverse sural artery flap is a generally accepted means of soft tissue reconstruction for defects of the distal third of the legs. The routine sacrifice of the sural nerve with its consequential temporary loss of sensation on the lateral aspect of the foot can be of concern to early rehabilitation of some patients.

Method: This is a case report of a 24 years old male who had Gustillo and Anderson type IIIB injury involving the upper part of the distal 3rd and the middle 3rd of tibia.

A five-year review of burn injuries in Irrua.

Background: The management of burns remains a challenge in developing countries. Few data exist to document the extent of the problem. This study provides data from a suburban setting by documenting the epidemiology of burn injury and ascertaining outcome of management.

Performance of a trained traditional bonesetter in primary fracture care.

Background: In developing nations traditional bonesetters (TBSs) play a significant role in primary fracture care. However, despite high patronage the TBS remains an untrained quack whose practice is often associated with high morbidity. This study evaluated the performance of a trained TBS in primary fracture care.

Outcome of surgical zipper technique.

In the period between March 2003 and February 2005, we carried out a randomized controlled prospective study to evaluate the outcome of the surgical zipper technique in closing 50 clean surgical skin wounds in our centers. The gender, age and wound distribution were similar for the surgical zipper study group and the conventional nylon suture control group. The outcome of scar was rated as good if the emerging scar was a thin, linear (< 2 mm wide) scar and bad if it was a broad, flat (> 2 mm wide) or a heap-up scar.

Misadventure in traditional medicine practice: an unusual indication for limb amputation.

Limb amputation is a major cause of disability in Nigeria, and inadequate health facilities for limb salvage procedures and rehabilitation have increased the burden of amputation surgery in our environment. The common indication for limb amputation in Nigeria is limb gangrene due to trauma. A road traffic accident is an important cause of the trauma, and the role of the traditional bonesetters in the increasing incidence of limb gangrene has been reported.