Bioengineered Approach to the Design of a Fat Graft Based on Mathematical Modeling that Predicts Oxygen Delivery.

Background: Fat grafting is a common procedure in plastic surgery. A major limitation is unpredictable graft retention, in part caused by inadequate oxygen delivery during the early posttransfer period.

Methods: The authors present a bioengineered approach to the design of a fat graft based on mathematical theory, which can estimate the limitations of oxygen delivery.

Scalp reconstruction: a review of the literature and a unique case of total craniectomy in an adult with osteomyelitis of the skull.

Objective: Osteomyelitis of the skull is a rare condition that can lead to systemic illness, bone loss, intracranial complications, and mortality. Osteomyelitis of the skull typically presents as the boney invasion of an overlying infection of the scalp or sinuses, and it is typically treated with antibiotics and proper wound care. Surgical debridement of the affected bone in the form of a craniectomy may be initiated to stop the progression of the infection when antibiotics fail and the underlying bone becomes grossly eroded.

Implications of anomalous pectoralis muscle in reconstructive breast surgery: the oblique pectoralis anterior.

Introduction: Many case reports have described anatomical variants of the pectoralis muscles. However, there is a paucity of published literature on the consequence of such presentations in reconstructive breast surgery.

Methods: A 45-year-old female patient with breast cancer presented for left mastectomy and immediate reconstruction with tissue expander.

CASE REPORT Simultaneous Latissimus Dorsi Myocutaneous Flap Transfer and Revision Total Knee Arthroplasty With Allograft Extensor Mechanism Reconstruction: A Case Report.

Introduction: We present the case of a patient undergoing simultaneous reconstruction of a massive soft tissue deficit of the right knee along with total knee arthroplasty and allograft reconstruction of the extensor mechanism after multiple failed attempts to repair and revise the affected joint.

Methods: A latissimus dorsi myocutaneous flap was transferred to fill the soft-tissue deficit of the right knee. During the same procedure, a previously placed antibiotic-cement spacer was removed and a new total knee prosthesis was implanted.

CASE REPORT Removal of Exposed Titanium Reconstruction Plate After Mandibular Reconstruction With a Free Fibula Osteocutaneous Flap With Large Surgical Pin Cutters: A Case Report and Literature Review.

Locking reconstruction plates have led to significant improvement in osteosynthesis and graft anchorage in mandibular reconstruction following the free fibula osteocutaneous flap. Plate extrusion is the most common complication associated with mandibular reconstruction, occurring in approximately 20% to 48% of cases; often necessitating plate removal once the bone flap has united to the mandible. Radiation therapy is a known risk factor to the development of such a complication and it presents further challenges to the successful removal of the reconstruction plate.