Journal of plastic, reconstructive & aesthetic surgery : JPRAS
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J Plast Reconstr Aesthet Surg · Sep 2018
Review Historical ArticleHistorical review of Dakin's solution applications.
Dakin's solution and the Carrel-Dakin method were developed and integrated into clinical practice in the early 20th century, which were found to aid in effective wound healing and infection. This historical review briefly outlines highlights with regard to the history of infection management, wartime amputation, and wound treatment dating back to Galen through the early 20th century. ⋯ Additionally, we discuss the history of wound care with the emphasis on the Carrel-Dakin method. Finally, this review discusses and presents contemporary application and utilization of Dakin's solution in two large tertiary care centers.
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J Plast Reconstr Aesthet Surg · Sep 2018
Comparative StudyComparative study of phrenic and partial ulnar nerve transfers for elbow flexion after upper brachial plexus avulsion: A retrospective clinical analysis.
The widely used nerve transfer sources for elbow flexion in patients with upper brachial plexus avulsion (UBPA) include partial ulnar nerve, phrenic nerve, and intercostal nerves. A retrospective review of 21 patients treated with phrenic and partial ulnar nerve transfers for elbow flexion after UBPA was carried out. In the phrenic nerve transfer group, the phrenic nerve was transferred to the anterolateral bundle of the anterior division of the upper trunk; in the partial ulnar nerve transfer group, one fascicle of the ulnar nerve was transferred to the biceps branch. ⋯ The DASH scores after surgery were significantly lower than those before surgery in the two groups. There was no statistical difference between the two groups in the changes of DASH scores before and after surgery. Both of phrenic and partial ulnar nerve transfers had good prognosis for elbow flexion in patients with UBPA.
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J Plast Reconstr Aesthet Surg · Sep 2018
Use of dual-skin paddle anterolateral thigh perforator flaps in the reconstruction of complex defect of the foot and ankle.
Complex soft tissue defect around the ankle and foot remains a reconstructive challenge for orthopedic and plastic surgeons. This study describes our clinical experience with the application of dual-skin paddle anterolateral thigh perforator (ALTP) flap for reconstruction of complex defects around the ankle and foot. ⋯ Our experience showed that the dual-skin paddle ALTP flap can provide two independent skin paddles for complex defect reconstruction while minimizing donor site morbidity. It is a reliable option for the reconstruction of complex defects in the ankle and foot.