Journal of plastic, reconstructive & aesthetic surgery : JPRAS
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J Plast Reconstr Aesthet Surg · Jan 2007
Current concepts of microvascular reconstruction for limb salvage in electrical burn injuries.
Microvascular reconstruction is rarely indicated in burn injuries. As the versatility and variability of free flaps have increased significantly during recent years so, the indications for this procedure have been expanded for limb salvage after electrical injuries. ⋯ Our data demonstrate that electrical burn injuries are distinct entities requiring individual reconstructive solutions for limb salvage. Even if our flap failure rate is relatively high it should not be forgotten that this type of reconstruction represents an opportunity for limb salvage as opposed to early amputation.
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J Plast Reconstr Aesthet Surg · Jan 2007
Case ReportsThe reverse posterior interosseous flap and its composite flap: experience with 201 flaps.
To introduce our experiences of using the reverse posterior interosseous flap and its composite flap. ⋯ The reverse posterior interosseous flap is a reliable method to cover skin defects over the distal 1/3rd of the forearm, the wrist and hand. The composite flap with a vascularised tendon graft is an optimal reconstructive option for any extensor tendon loss (III zone) associated with a skin defect. Using the composite flap with a vascularised bone graft or combined with the digital neurovascular flap is another way to reconstruct the thumb.
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J Plast Reconstr Aesthet Surg · Jan 2007
Use of a non-contact 3D digitiser to measure the volume of keloid scars: a useful tool for scar assessment.
Keloid scars often fail to respond to treatment, so research into new therapeutic regimes is important. However, research is limited by a scarcity of reliable, objective scar assessment tools. The volume of a keloid scar should decrease with successful treatment. ⋯ Therefore it was possible to predict the scar score from the measured volume. This technique could allow monitoring of a patient on treatment, or comparison of treatments in a research setting. It overcomes previous problems with the measurement of scar volume as it is quantitatively objective and well-tolerated.
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The architecture of European Plastic Surgery was published in 1996 [Nicolai JPA, Scuderi N. Plastic surgical Europe in an organogram. Eur J Plast Surg 1996; 19: 253-256.] It is the objective of this paper to update information of that article. Continuing medical education (CME), science, training, examination, quality assurance and relations with the European Commission and Parliament all are aspects covered by the organisations to be discussed.