Publications by authors named "Leonardo Brambilla"

Background: Open fractures of the lower limb represent a common challenge for trauma centers. Even where national guidelines are available, these standards are frequently missing. Our study evaluates the influence of polytrauma on the adherence to the timing and management required in an orthoplastic approach.

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Background: Reconstruction of soft tissue defects of the acromioclavicular region represents a relatively uncommon but challenging event. Many muscular, fasciocutaneous, and perforator flaps have been described, including the posterior circumflex humeral artery perforator (PCHAP) flap based on the direct cutaneous perforator of the PCHA. This study aims to describe a variant of the PCHAP flap, based on a constant musculocutaneous perforator, by means of a cadaveric study and a case series.

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Article Synopsis
  • - The thoracodorsal vessels offer various flap techniques for reconstructive surgery, including the thoracodorsal artery perforator (TDAP) flap and muscle-sparing latissimus dorsi (MSLD) options, which aim to preserve surrounding muscle and nerve structures while addressing limitations of the traditional latissimus dorsi flap.
  • - A systematic review and meta-analysis were conducted to evaluate complications associated with different reconstructive options using thoracodorsal vessels, focusing on early complications like hematoma, seroma, and flap loss.
  • - Findings indicate that all three techniques—MSLD, descending branch latissimus dorsi (DB-LD), and TDAP—are generally safe, though MSL
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Background:  In breast surgery, an autologous flap combined with implant may reduce the risk or repair the soft-tissue defects in several cases. Traditionally, the preferred flap is the myocutaneous latissimus dorsi (LD) flap. In the perforator flap era, the evolution of LD flap is the thoracodorsal artery perforator (TDAP) flap.

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Background: Patients affected by coxarthrosis may be treated surgically with total hip arthroplasty (THA). During the surgical intervention, the hip joint capsule can be completely removed, performing a capsulectomy. Otherwise it's possible to perform a capsulotomy, which allows for capsular conservation.

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