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Reconstruction of the Hand Defects by Pedicled Abdominal Thin Skin Flaps

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Reconstruction of the Hand Defects by Pedicled     Abdominal Thin Skin Flaps Authored by Ricardo Monreal To present a random-pattern flap technique using pedicle ultra-thin abdominal flap used in the reconstruction of soft tissue defects of the hand in an attempt to avoid the bulky abdominal flap, and minimizing the donor site morbidity of abdominal flap. To view More... Full Text   JuniperPublishers
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Obturator to Femoral Nerve Transfer for Femoral Nerve Palsy Using a Modified Technique-Juniper-Publisher

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Juniper Online Journal of Orthopedic & Orthoplastic Surgery Introduction Though uncommon, femoral nerve palsies are potentially devastating injuries which can occur as a result of penetrating trauma or malignancies, however the most common cause is inadvertent iatrogenic injury following intra abdominal surgery such as gynaecological/vascular surgery or total hip replacement [ 1 ]. We present a case of iatrogenic femoral nerve injury with a delayed presentation resulting in an 8.5cm nerve defect, which was managed with both traditional cable grafting and a contemporary nerve transfer utilising a modification of an existing technique. Case Report In September 2015 a 49 year old female presented to our institution 6 months following a laparoscopic inguinal hernia repair which had resulted in a complete transection of the right femoral nerve. There was a 6 month delay in diagnosis of the iatrogenic injury. The patient had an extraperit...
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Microsurgical Reconstruction of Receded Gingiva Using Alloderm In Esthetic Zone-Juniper-Publisher

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Juniper Online Journal of Orthopedic & Orthoplastic Surgery  Case History Patient aged 34 years reported to the department of Periodontology with the complaint of long corner tooth with sensitivity. On clinical examination, gingival recession was observed on maxillary right canine ( Figure 1 ). Diagnosis was made as Miller's Class I gingival recession with 13. Coronally advanced flap with alloderm with microsurgical approach was planned. Patient's consent as well as ethical clearance was obtained prior to the surgical intervention. Following administration of local anesthesia, the tooth with the recession was root planed. A split-thickness flap with two vertical releasing incisions with micro scalpels was raised with microelevaters, and the papillae were de-epithelialized ( Figure 2 ). Alloderm was measured, cut and rehydrated before suturing it with chromic gut 5-0 covering the defect as shown in Figure 3 . The flap was coronally moved and secured...
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