Ivica Ducic

..Typically, affected patients experience a high degree of frustration in addition to persistent pain. Surgical options for management of this pain are not widely reported...

..To identify the optimal sequence of techniques and resources, we reviewed our cases of upper extremity peripheral nerve reconstruction...

..Both patients and surgeons recognize the value of procedures that minimize scarring and tissue dissection. No previous reports have described a minimally invasive technique for peroneal nerve neurolysis, or evaluated its safety...

..The authors present the largest reported series of surgical neurolysis of the greater occipital nerve in the management of occipital neuralgia...

..Classic anatomical descriptions of their paths have differed from some recent published reports...

..To our knowledge, this is the first study applying the extended-dissection technique as described by Hasen et al. to pedicled gracilis flaps...

..The authors used a novel approach to manage this difficult clinical situation, by addressing the sensory nerve supply to the affected wound region...

..This may ensue following a traumatic or surgical insult to the supraorbital or supratrochlear nerve. Surgical management of these patients is only sporadically discussed in the available literature...

..A management approach is proposed and the surgical technique is described for treatment of these patients...

..The authors review the anatomy of the sural nerve, biopsy techniques described in the literature, and potential complications. A modified approach, based on a more proximal incision, and its outcomes are described...

..Little attention has been given to the role of peripheral nerve surgery as an early treatment option...

..Nerve reconstruction with available conduits or allografts should be attempted to restore anatomic integrity to any killed fascicles, thereby minimizing possible deficits...

..Using microvascular reconstructive techniques, it can be performed successfully and with the majority of patients regaining an ambulatory status...

..The authors evaluated the possibility of unrecognized vasculitis of the occipital artery as a potential mechanism of occipital neuralgia arising from the occipital artery/greater occipital nerve junction...

..Many studies have validated the efficacy of these devices for venous anastomosis. To date, there have been no large reports of their success in the anatomical region with the highest free flap failure rate, the lower extremity...

..Breast pain interferes with sexual activity, as reported by 48 percent of patients, exercise (36 percent), social activity (13 percent), and employment (6 percent)...

..This study looks at complication rates in all types of peripheral nerve surgery, develops a complication classification system, and defines the most common variables associated with failures and complications...

..As peripheral nerve specialists can have a wide variety of training backgrounds, few standards of care exist with respect to necessary incision length, amount of dissection, and operative technique for common nerve decompressions...

....

..Therefore, the authors conducted a retrospective review of their cases to evaluate this association...

..This study reports the largest series of surgically-corrected saphenous neuropathy in the literature...

..We present seven patients whose intractable pain lasted longer than 6 months and was not due to gynecologic disease or other obvious pathology...

..1%) of the specimens, the SPN traveled only within the anterior compartment. These results confirm 4 anatomic variants of the SPN, which will aid surgeons in locating the nerve in the lateral aspect of the leg...

..In each case, symptomatic and objective improvement was achieved with femoral neurolysis. We suggest guidelines for the management of those patients who fail to respond to conservative therapy and indications for surgical intervention...

..The objective of this review is to define the role of peripheral nerve surgery in the treatment of diabetic patients with upper or lower extremity symptomatic peripheral neuropathy and/or chronic postoperative pain...

..This study examined the effect of obesity on complications in patients undergoing pedicled TRAM flap breast reconstruction...

..The purpose of this study was to examine the effect of smoking on flap, donor-site, and other individual and multiple complications in pedicled transverse rectus abdominis myocutaneous (TRAM) flap breast reconstruction...

..In this article, the authors examine whether skin graft coverage of the exposed Achilles tendon is a viable option for reconstruction and whether the comorbidity of diabetes affects the outcome...

..Although many factors must be considered in choosing the target artery for revascularization, consideration should be given to revascularization of the artery directly feeding the ischemic angiosome...

..Although an attempt at implant salvage may be offered to a patient, device removal and delayed reinsertion will always remain a more conservative and predictable option...

..The authors recommend that TRAM flap breast reconstruction be postponed in those patients known or expected to receive postmastectomy radiation...

..An anatomical study was undertaken to develop a greater understanding of the potential entrapment sites along the course of this nerve...

..Eight surgical procedures, in various combinations, were performed during revision, with repeat mastopexy being the most common...

..As a novel solution, we report our use of the anterior branch of the obturator nerve as a large segment motor nerve graft with minimal functional morbidity...

..The effectiveness of pedicled muscle flaps versus microsurgical free flaps in patients with diabetes mellitus for complex foot and ankle reconstruction has not been well defined...

..This second decade "look-back" on pedicled TRAM flap breast reconstruction emphasizes the need for appropriate patient selection to achieve successful results with pedicled TRAM breast reconstruction...

..Until such studies are done, this survey recommends avoiding tourniquet use in this patient population...

..LFCN neurolysis alone had better results, compared to combined LFCN neurolysis and nerve resection. The conclusion is that neurolysis of the LFCN is an effective treatment for MP in properly selected patients...

..Local muscle flaps should remain on the forefront of possible reconstructive options when treating small foot and ankle wounds that have exposed bone, tendon, or joint...

..The key to subsequently achieving high salvage rates is the quality of perioperative wound care (e.g., serial debridements, antibiotics, dressings) and the timing and selection of appropriate soft-tissue coverage...

....

....

..Reinnervating a muscle flap with a sensory nerve will permit reinnervation of the muscle and the overlying skin, but whether this provides a superior result in durability and gait remains to be seen...

..This study evaluated the safety and reliability of the superomedial pedicle with various skin reduction patterns and compared the surgical time with the inferior pedicle technique...

..75 if sepsis is present). The awareness of the importance of these covariates, and their early recognition as risk factors, should offer a focused approach to the patients' management and improve their outcome...

..One such potential trigger point is the superficial temporal artery's interaction with the auriculotemporal nerve. A cadaveric investigation was performed to advance this anatomical understanding of this relationship...

..Use of this technique will significantly reduce the insensate time in patients with this unfortunate injury...

..The goal of this article is to review the pathophysiology, diagnosis, and treatment options of this complaint. Medical and surgical interventions are discussed, with a clinical emphasis on patient selection and prevention...

....

..These measurements can now be used prospectively to evaluate whether restoration of sensation to patients with neuropathy, through peripheral nerve decompression, can improve balance and reduce falls/fractures in this patient population...

..The interpretation of this article is that the Tinel sign may be used with validity to identify the site of a peripheral nerve compression in the upper extremity in the patient with fibromyalgia...

..One of the 3 patients reported here had a coexisting meralgia paresthetica that was treated by the same operative approach. The orthopedic surgeon should include the LFC nerve as an origin of persistent pain after total hip arthroplasty...

..We also describe a patient with both fibromyalgia and tarsal tunnel syndrome. Tinel's sign in the lower extremity is a valid technique for assessing peripheral nerve compression in the patient with fibromyalgia...