By Yuichi Hirase
This ebook used to be written for orthopedic and plastic surgeons who desire to know about reconstructive surgical procedure of the extremities and trunk. For reconstructions of the extremities and trunk, surgeons want details on either orthopedic and cosmetic surgery. even though, orthopedic surgeons are typically now not conversant in the reconstruction of soppy tissue, and plastic surgeons have little event with osseo-tendinous method reconstructions. For these purposes, there's a yes want for a e-book detailing either fields of surgical procedure.
Because many latest books specialise in in simple terms the kind of flap, it's tough for medical professionals to tell apart which flap is healthier for his or her sufferers wanting reconstructive surgical procedure. during this e-book, chapters are established no longer at the flap however the damage website. within the each one bankruptcy, pitfalls and candidate flaps are defined for the reconstruction of every web site. also, the operative steps are defined with the aid of a number of fine quality pictures, supplying a distinct helpful source for orthopedic and plastic surgeons confronted with those demanding situations.
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Extra info for Practical Techniques in Flap Surgery
22 Procedure 2. The flap is designed after first conducting an Allen test to determine if the ulnar artery is patent, but the pivot point is placed distal of the snuff box, with the skin flap designed using the distance from there Refer to Section of “Degloving injury/Reverse flow radial forearm flap” in Chap. 4 Fig. 23 Procedure 3. The flap is elevated from the ulnar side, however the proper fascia of the forearm group of muscles is retained, and the forearm fascia is included in the flap 47 48 3 Fig.
4 Fig. 23 Procedure 3. The flap is elevated from the ulnar side, however the proper fascia of the forearm group of muscles is retained, and the forearm fascia is included in the flap 47 48 3 Fig. 24 Procedure 4. Confirmation is made that multiple perforators are included in the flap from the radial blood vessels Fig. 25 Procedure 5. Next, the flap is elevated from the radial side. The cephalic vein and the superficial branch of the radial nerve are retained, and care taken to avoid damaging them Note The cutaneous nerve of the forearm is included in the flap.
17 (a, b) Procedure 1: Scar tissue is resected from the dorsal part of the forearm and the ruptured extensor tendon group are dissected and identified a b Reconstruction of Forearm Region Free Groin Flap (Level of Difficulty: 4) Fig. 18 (a, b) Procedure 2: The fascia latae is harvested, and wrapped and connected to the ruptured muscle group 23 a b Fig. 5 cm distally from the inguinal ligament on the skin above the femoral artery, indicating the head of the superficial circumflex iliac artery. A line is drawn from here to the anterior superior iliac spine indicating the path of the superficial circumflex iliac artery, and this is used as the central axis of the flap design 24 2 Fig.