Kazufumi Sano

..Mobilisation of the joints, including the metacarpophalangeal joint of the index finger, can also be maintained during the immobilisation period between two stages...

..Congenital ectopic nails are rare and are characterized by the presence of nail-like tissue mainly at the tip of a finger or toe...

..To reduce immobilization discomfort between the 2 stages of the palmar flap operation, a "relaxed flexion position" immobilization technique devised by the authors is also introduced...

..Oblique triangular flaps often need extensive advancement for fingertip coverage. The purpose of this report is to retrospectively investigate the relationship between sensory recovery and advancement distance of oblique triangular flaps...

..The tophus was severely infiltrating the tendon, and a tenotomy of the FDS tendon was performed. Preoperatively, the lesion could not be distinguished from a neoplasm...

..This technique only demands simple skill like conventional K-wire fixation. Furthermore, removal of fixation material is not necessary...

..The descending branch of the lateral circumflex femoral vessels can be harvested up to 20 cm, and its diameter is suitable for interposition between conventional free flaps and recipient vessels in the head and neck region...

..Nodular fasciitis with its feature of rapid growth and aggressive histological appearance is often mistaken for a malignant neoplasm and rarely involves fingers...

..A ganglion grew from the volar carpal joint at the same time and caused sensory disturbance of the dorsal sensory branch of the ulnar nerve...

..Multiple-island combined flaps based on the subscapular axis can provide three-dimensional reconstruction of destructive knee defects...

..102). The clinical implication is that arterial division is critical for TRAM flap delay and that arbitrary venous interruption is unnecessary...

..Venous supercharging can be accomplished by inclusion of the ipsilateral dominant deep vein, and should be a consideration in the clinical planning of delay maneuvers and for treatment of the compromised TRAM flap...

..Since this thin and pliable flap can be harvested as a small vascularized unit, it is ideal for the treatment of phalangeal pseudoarthrosis...

..These findings corroborate the clinical observation that only a unilateral TRAM flap would be reliable in the presence of a vertical midline abdominal scar...

..This flap preserves the muscular strength and aesthetic contour of the anterior axillary line, and is attractive for reconstruction of the mid-sternum...

..The evolutionary changes of skeletal muscles should be investigated to explain this congenital phenomenon and might be classified in a different entity from the present categories...

..This would allow the other vascular system to be retained intact for later potential salvage maneuvers as needed...

..This is further proof that the perforator-based chimeric free flap may be an option for any muscle perforator flap donor site, so that potential donor territories for conjoint flaps have become virtually unlimited...

..This approach has been used in 5 clinical cases, with success except once when the flap was aborted as a result of anatomic anomalies, which is always a concern with muscle perforator flaps...