Pedro C Cavadas

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..All flaps and limbs survived...

..The use of this flap to treat distal tibial nonunions is reported in the present article...

..Temporary catheter arterial perfusion reduces ischaemia time and permits an artery-last sequence. This may reduce blood loss, permits an accurate repair of non-vascular structures, and shortens operative time...

..A series of 41 patients with major segmental defects of the tibia treated with vascularized bone reconstruction is presented...

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..The patient regained independent walking capacity with a left BK prosthesis at 8 months postoperatively...

..The authors provide the first report of a significant improvement in disabilities of the upper limb as a result of hand allotransplantation...

..A functional facial subunit was successfully transplanted and sensorimotor function recovery could be demonstrated in rats...

..Massive bone loss of the elbow in young patients is a complex injury. A series of five cases of massive loss of the elbow joint reconstructed with single or double vascularized bone transfers is reported...

..Perforator flaps are an important development in reconstructive surgery. The description of new perforator flaps is an open field in anatomical and surgical research...

..6 and intrinsic musculature returned to both allografts. The patient was able to work 2 years after transplantation. This is the first report of an ischemic injury related to the successful allotransplantation of a composite tissue...

..Overall results have been considered poor and the procedure is usually discouraged. It is the opinion of the authors that infrapopliteal replantation may be indicated...

..New therapies are being introduced in reconstructive transplant surgery to enhance composite tissue allograft survival...

..Ectopic transfer has been described as a salvage procedure in failing replants. The experience in three cases of infected failing replantations treated with secondary temporary ectopic transfer of the replanted part is presented...

..The functional result was similar to that of a standard transhumeral replantation, with 30 degrees to 120 degrees of active range of elbow motion, basic grip pattern, and S3 sensibility...

..We conclude that bone surgery can be performed safely in recipients of hand allografts who are receiving sirolimus-based immunosuppressive therapy...

..The proinflammatory stimulus of the surgery can theoretically precipitate an acute rejection. The pharmacologic interference of some immunosuppressive drugs with wound healing should also be considered...

..Soft-tissue complications after using the lateral approach for internal fixation of calcaneal fractures are relatively frequent, even in skilled hands. The global management of these wounds has never been standardized...

..The extended-pedicle free vastus lateralis muscle flap has previously been described for head and neck cancer, and it fulfills these requirements...

..The functional and cosmetic result was satisfactory for the patient, allowing him to regain independence in activities of daily living...

..Vein grafts can be used to lengthen the vascular pedicles to reach healthy distant vessels but with an increased complication rate...

..These free flaps allowed for covering and preserving a functional elbow and a more useful stump...

..Postoperative, prostaglandin E1 (PGE1) was given. The replant was 100 percent successful, and no venous congestion developed...

..Current options for treatment of urethral stenoses in female-to-male transsexuals are discussed...

..Reconstruction of chronic composite defects of the Achilles region is difficult, and many techniques have been proposed, most of which are technically complex. A simple and effective technique has not yet been described...

..The ulnar artery was reconstructed with an end-to-end anastomosis, and the free flap was connected to the superficial palmar arch. The functional result was satisfactory...

..At 16 months posttransplantation the patient is swallowing, without evidence of malignancy recurrence or HIV replication...

..We conclude that abdominal wall defects of large sizes can be successfully reconstructed using an appropriately designed ALT flap; a simple, single-stage effective reconstruction...

..We included the mystacial region in the hemifacial flap of the rat, and our aim was to study its functional recovery after transplant...

..The postoperative evolution was uneventful, with successful prosthetic adaptation...

..This combination of the thoracodorsal artery perforator (TAP) and the latissimus dorsi (LD) muscle flap expands the surface of the flap without increasing donor morbidity...

..This flap should be considered a viable option when a small, straightforward free flap is needed...