5 results match your criteria: "Uniformed Services University-Walter Reed National Military Medical Center Surgery[Affiliation]"
A Modified Scapular-Parascapular Flap Design for Optimal Coverage of the Residual Limb.
Ann Plast Surg
October 2022
Department of Surgery, Uniformed Services University-Walter Reed National Military Medical Center Surgery, Bethesda, MD.
Article Synopsis
- Large soft tissue defects after major limb amputations are tough for surgeons due to the shape of the residual limb and the stress from prosthetics; using fasciocutaneous flaps based on the circumflex scapular system offers durable coverage without functional issues.
- Researchers reviewed cases from 2018 to 2021 where patients received a modified bilobed flap design for limb reconstruction, resulting in a significant increase in flap area compared to traditional methods.
- The study found that this modified flap design yielded no failures and provided a larger, more adaptable tissue coverage option specifically tailored for residual limbs.
Functional Limb Restoration Through Amputation: Minimizing Pain and Optimizing Function With the Use of Advanced Amputation Techniques.
Ann Surg
March 2021
Department of Orthopaedics, Uniformed Services University - Walter Reed National Military Medical Center Surgery, Bethesda, Maryland.
Objective: To demonstrate the role of advanced orthoplastic techniques in harnessing the full potential of elective amputation as a functionally restorative procedure.
Summary Of Background Data: Once considered the unfortunate consequence of failed reconstructive efforts, recent outcomes studies have prompted a re-evaluation of the role of amputation in the management of complex extremity trauma. However, even as amputation is appropriately afforded greater consideration as part of the reconstructive algorithm, reconstructive techniques that are commonly utilized in pursuit of limb salvage are rarely applied to amputation.
SARS-CoV-2 and limb ischemia: A systematic review.
J Clin Orthop Trauma
January 2021
Department of Orthopaedic Surgery, Uniformed Services University - Walter Reed National Military Medical Center Surgery, Bethesda, MD, 20889, USA.
Background: Recent spread of severe acute respiratory coronavirus syndrome-2 (SARS-CoV-2) has led to the coronavirus disease (COVID-19) pandemic, resulting in new challenges across all medical specialties. Limb and digit ischemia have been associated with COVID-19 infection. This systematic review includes primary studies of COVID-19 limb ischemia to identify risk factors, comorbidities, case characteristics, and treatment strategies to better understand the nature of this disease and its effects on the extremities.
View Article and Find Full Text PDFThe Inverted Free Functioning Gracilis Muscle Transfer For Restoration of Elbow Flexion Following Delayed Presentation or Failed Primary Nerve Reconstruction of Upper Trunk Injuries.
Tech Hand Up Extrem Surg
March 2020
Department of Surgery, Division of Plastic and Reconstructive Surgery.
Free functional gracilis transfer is a well-established technique for restoring active elbow flexion in brachial plexus injuries following delayed presentation or failed nerve reconstruction procedures. In cases of delayed presentation or failed nerve reconstruction following upper trunk injuries, the lower trunk intraplexal median and ulnar nerves are spared, thereby making them available to reinnervate the transferred gracilis. Therefore, we have inverted the conventional free functional gracilis orientation so as to orient the flap's recipient nerve in closer proximity to donor median or ulnar nerve fascicles to enable a short, tension-free coaptation in the middle to distal arm.
View Article and Find Full Text PDFIs the Use of Intraoperative Corticosteroids Harmful in Lumbar Decompression Surgery?
Clin Spine Surg
December 2019
Department of Orthopaedics, Uniformed Services University-Walter Reed National Military Medical Center Surgery, Bethesda, MD.