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Accepted management of diaphyseal fractures associated with significant tissue loss is rigid intramedullary stabilisation with free or rotational musculocutaneous flap coverage. Circular external fixation is a powerful tool in the management of limb trauma and with recent advances has been developed to provide multiple techniques for which even massive tissue loss can be addressed without the need for free tissue transfer. Gradual and acute shortening, acute fracture deformation and gradual lengthening with restoration of deformity combined with distraction tissue histiogenesis can provide the surgeon with an array of options which can be precisely tailored to the particular personality of a severe open diaphyseal fracture.

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Undifferentiated embryonal sarcoma (UES) of the liver is a primitive mesenchymal, malignant neoplasm occurring in children. The link between UES and mesenchymal hamartoma (MH) is controversial. Whether they share the same histiogenesis, representing 2 ends of a spectrum, or are distinct entities is unclear.

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Background: The treatment of rigid equinocavovarus foot deformities caused by neurologic disorders is often difficult and relapse is common.

Questions/purposes: We asked whether the Ilizarov technique could be used for correction of neurologic equinocavovarus foot deformities resulting in improved foot and ankle function and patient satisfaction.

Patients And Methods: The neurologic equinocavovarus foot deformities of 26 patients (mean age, 18.

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Article Synopsis
  • Gustilo grade III B-C open tibia shaft fractures involve significant damage to both bone and soft tissues, particularly severe cases requiring flap reconstruction.
  • A study from 1992 to 2008 at a Level One Trauma Center analyzed 76 patients with GIII B tibia fractures treated using the Ilizarov method, documenting a successful combination of multiple debridements, flap application, and delayed reconstruction protocols.
  • The results showed that 89% of flap reconstructions were successful, with 18 out of 19 fractures achieving union without major complications, highlighting the effectiveness of using antibiotic spacers and flaps in managing these complex injuries.
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Congenital epulis (CE) is a rare tumor of the newborn, also known as granular cell tumor or congenital gingival granular cell tumor because of its histologic features. Neumann first described CE in 1871. Epulis is seen only in the newborn and is a different entity from other granular cell tumors.

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