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Walking Ability After Microsurgical Reconstruction of Pediatric Popliteal Pterygium Syndrome-A Case Report.
J Pers Med
November 2024
Department of Hand Surgery, Peripheral Nerve Surgery and Rehabilitation, Clinic of Plastic and Reconstructive Surgery, Burn Center, BG Trauma Center Ludwigshafen, Department of Hand- and Plastic Surgery, University of Heidelberg, 69117 Heidelberg, Germany.
Background: Popliteal pterygium syndrome (PPS) is a rare congenital disorder characterized by orofacial, cutaneous, musculoskeletal, and genital anomalies. Surgical interventions are necessary to address the severe knee flexion contracture and equinovarus deformity, but there are no established treatment guidelines.
Methods: We present the case of a one-year-old patient with PPS and discuss the challenges in managing the knee deformity.
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.
View Article and Find Full Text PDFLimb Preservation and Functional Reconstruction after Complete Amputation and Replantation of the Upper Arm and Thigh.
Plast Reconstr Surg Glob Open
August 2024
Department of Bone & Joint Surgery, Peking University Shenzhen Hospital, Shenzhen, China.
A 26-year-old man was admitted to our hospital due to the replantation of the severed right upper arm and right thigh injury 6 days before. The patient received emergency treatment at a local hospital. He underwent amputation and replantation for the right upper arm and right thigh.
View Article and Find Full Text PDFInfection After Lower-Limb Osseointegration: A Single-Center Retrospective Evaluation of Pathogens, Management, and Outcomes.
Ann Plast Surg
April 2024
From the Division of Plastic and Reconstructive Surgery, Weill Cornell Medicine.
Purpose: Osseointegration (OI) is a novel alternative to traditional socket-suspended prostheses for lower-limb amputees, eliminating the socket-skin interface and allowing for weight bearing directly on the skeletal system. However, the stoma through which the implant attaches to the external prosthesis creates an ingress route for bacteria, and infection rates as high as 66% have been reported. The aims of this study are to classify infection management and long-term outcomes in this patient population to maximize implant salvage.
View Article and Find Full Text PDFTechniques to Remove Press-Fit Osseointegration Implants.
JBJS Essent Surg Tech
March 2024
Limb Reconstruction Centre, Macquarie University Hospital, Macquarie University, Macquarie Park, New South Wales, Australia.
Background: Transcutaneous osseointegration for amputees (TOFA) has proven to consistently, significantly improve the quality of life and mobility for the vast majority of amputees, as compared with the use of a socket prosthesis. As with any implant, situations such as infection, aseptic loosening, or implant fracture can occur, which may necessitate hardware removal. Although it may eventually occur, to date no osseointegration implant has ever required removal in the setting of periprosthetic fracture.
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