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Pedicled Latissimus Dorsi Flap and Gracilis Free Flap for Restoration of Elbow Flexion: Systematic Review and Indirect Comparative Meta-Analysis of Functional Outcomes.
[INTRODUCTION] Pedicled latissimus dorsi flap (PLDF) and gracilis free flap (GFF) are techniques for restoration of elbow flexion after brachial plexus injuries with late presentation or poor outcomes following nerve surgery, as well as aft…
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First Palmar Intermetacarpal Flap for Congenital First Web Contracture: A Case Series.
[BACKGROUND] Pediatric first web space contractures of the hand can lead to disability in hand function. Several techniques have been proposed for treating this condition. Recently, a new technique involving the first palmar cutaneous flap …
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Lateral Humeral Pure Periosteal Flap for Nonunion of Humerus Pathologic Fracture in an Elderly Patient: A Case Report.
Pathological fractures associate a complex tumoral microenvironment that can culminate in a complex bone nonunion. Surgical treatment with vascularized periosteal flaps has resulted into an excellent option in children because of their angi…
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Vascularized Proximal Radius Bone Graft for a Massive Elbow Bone Defect: An Anatomic Study and Case Report.
From an anatomic perspective, this paper delineates the proximal radial bone branches of the radial artery (RA). We also report the successful clinical use of a vascularized proximal radius bone graft (VPRBG), supplied by the RA, in a compl…
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Shoulder extension impairment with residual neonatal brachial plexus injury.
[BACKGROUND] Impairment of both shoulder extension and behind-the-back function are common in patients with residual neonatal brachial plexus injury (NBPI), but have scarcely been studied or reported in the literature. Behind-the-back funct…
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Microsurgery in pediatric upper limb reconstructions: An overview.
The use of microsurgery has spread during the last decades, making resolvable many complex defects considered hitherto inapproachable. Although the small vessel diameter in children was initially considered a technical limitation, the incre…
- Reconstruction of COVID-19 vasculitis-related thumb necrosis with a microsurgical free flap.
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Studying nerve transfers: Searching for a consensus in nerve axons count.
Axonal count is the base for efficient nerve transfer; despite its capital importance, few studies have been published on human material, most research approaches being performed on experimental animal models of nerve injury. Thus, standard…
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Bone nonunion management in children with a vascularized tibial periosteal graft.
[BACKGROUND] Vascularized periosteal graft have demonstrated a tremendous bone healing capacity in children. The objective is to report outcomes on the use of vascularized tibial periosteal graft (VTPG) during bone reconstruction in a serie…