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Background: Complicated wrist amputation caused by severe trauma poses a real challenge for orthopedic and hand surgeons. This study aimed to evaluate a procedure of ulnoradial-metacarpal reconstruction as a rescue option in this challenging situation.

Methods: In total, 12 patients with complicated wrist amputation induced by serious injury were selected from 2015 to 2020 and followed up for 1∼6 years at a level 1 trauma center.

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Open axillary arterial injury is life-threatening, and upper-extremity reperfusion must be performed within approximately 6 h. We present the case of a patient who underwent reperfusion of the upper limb and nerve reconstruction of the post-ganglionic brachial plexus injury in one stage while maintaining stable vital signs. The injury was an avulsion with no fracture.

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Objective: Severe limb amputation trauma often results in bone and soft tissue defects after debridement. Traditional replantation aims to save the limb by shortening the ischemic period and using autologous transplantation for repair, but it can lead to surgical trauma, donor site damage, and prolonged operation time. Due to contusion, pollution, and complex injury, there is no unified standard for replantation and fixation.

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Article Synopsis
  • Fungal periprosthetic joint infection (FPJI) is a rare but serious problem for patients who have joint surgeries, and there is no best treatment agreed upon yet.
  • Researchers looked at 24 studies and gathered info on 489 joints, focusing on the type of fungi, infections with bacteria, and different treatment methods.
  • They found that the most common fungus was Candida albicans, and the two-stage surgery approach worked best, with lower infection rates compared to other methods.
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Background: Pedicled groin flap is a reliable reconstructive method for digits. However, problems with the contour, mobility, and sensation, especially while providing strict thin skin coverage still exist.

Patients And Methods: A total of 17 cases with 36 digits injured by trauma were identified.

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