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| http://dx.doi.org/10.2337/dc10-1666 | DOI Listing |
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Unstable Ankle Fractures in Neuropathic Diabetics.
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From the Loyola University Health System, Loyola University Medical Center, Maywood, IL.
Connolly recognized as early as 1998 that a displaced ankle fracture in a neuropathic diabetic puts that patient at risk for an amputation. It is well appreciated that the risk of a poor clinical outcome secondary to failure of the surgical construct, deep wound infection and osteomyelitis or a combination of both, is greatly increased in neuropathic diabetic patients, that is, those that are insensate to the Semmes-Weinstein 5.07 (10 g) monofilament, as compared with sensate diabetics or similar non-diabetic patients.
View Article and Find Full Text PDFA study of the pattern of sensory return in various flaps in different body areas.
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Department of Pulmonary Medicine, All India Institute of Medical Sciences, Phulwarisharif, Patna, India.
Insensate flaps are used in several reconstructions. A search of the literature showed that most studies are limited to particular flaps in specific body areas. There is a lack of uniform scientific data on the pattern of sensory recovery in various body parts for different kinds of flaps.
View Article and Find Full Text PDFRelationship between peripheral neuropathy and cognitive performance in the elderly population.
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View Article and Find Full Text PDFImmediate targeted nipple-areolar complex re-innervation: Improving outcomes in immediate autologous breast reconstruction.
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Division of Plastic and Reconstructive Surgery, Stanford University, 770 Welch Road, Suite, Palo Alto, CA 94304, United States. Electronic address:
Breast reconstruction often renders the chest skin and nipple areolar complex (NAC) insensate. We propose a new technique of preserving the intercostal nerves during mastectomy and using them to reinnervate the NAC following mastectomy and immediate autologous tissue reconstruction. The technique involves preservation of the lateral intercostal nerves during mastectomy, dissection of the lateral intercostal nerves to length, coaptation of the intercostal nerves to a nerve graft which is then tunneled through the free flap and the distal nerve graft is then coapted to the nerve stumps at the base of the NAC.
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