Free functional muscle transfers restore voluntary motion in extremities following the loss of local muscle-tendon units. Surgeons, at various levels of expertise, need to consider several technical aspects when performing this procedure. Successful and consistent outcomes can be attained by applying a combination of basic principles, drawing from techniques developed for successful tendon transfers and microsurgical free tissue transfers.
View Article and Find Full Text PDFActa Orthop Traumatol Turc
July 2019
Angioleiomyoma is a solitary form of leiomyoma which is typically encountered in the subcutis. They are mostly seen in lower extremities, and the upper extremity is the second most common location for these lesions. There are only a few reports about the presence of an angioleiomyoma within a peripheral nerve in the upper extremity.
View Article and Find Full Text PDFScaphoid fracture is the most common carpal fracture of the upper extremity and a significant proportion of these can eventually progress to nonunion. Excision of pseudoarthrosis and fibrous scar tissue at the nonunion site is regarded as one of the important steps in management of scaphoid nonunions. We describe a technique of internal bone grafting, where curettage of the nonunion site was performed through a drill hole in the scaphoid and bone graft was packed through this same hole before fixation with a headless compression screw.
View Article and Find Full Text PDFJ Craniofac Surg
July 2012
A wide variety of autologous grafts have been used for the coverage of contour deformities in rhinoplasty. Mastoid fascia tissue (MFT) grafts are easy to harvest and very versatile, and the resulting donor site scar is not visible. Natural looking results can be obtained with MFT grafts when used for the coverage of dorsal irregularities, for dorsal augmentation, for camouflaging abnormalities related to skin atrophy, and even for tip-of-nose coverage and tip augmentation.
View Article and Find Full Text PDFAesthetic Plast Surg
December 2010
Background: Secondary revisions due to deflation, flattening, and ptosis have been the major concerns after free-nipple breast reduction procedures. This study used a new modification of the standard technique known as the "bipedicled dermoglandular flap method" to reduce reoperation rates.
Methods: A total of 24 patients were treated with the bipedicled dermoglandular free-nipple method between the years 2004 and 2008.