[Free transplantation of the fibula with microvascular anastomosis in the substitution of a 21 cm defect in the tibia].
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Biomedical subjects
Publications and source records attributed to I Kartik.
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A case of chronic recurrent trophic ulceration over the heel is presented in which a neurovascular island flap from the first web space was used successfully to repair the calcaneal defect.
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In cases of severe hand injury, if it is possible the final supply and treatment is immediately done. In case of crushed injuries they endeavour to keep the fingers, or in case of amputation they tend to the replantation of those. The replantation of a subtotally amputated right thumb in zone III. was demonstrated in detail.
Details of the advantages of treating trochanteric trophic ulcers with iliofemoral axial pattern flaps are presented.
On the basis of four known cases, authors describe the art. dors. pedis pedicle island flap method (McCraw, Furlow) for replacement of skin defects on the foot. The pedicle of the flap is composed of the art dors. pedis, the vena comitans and the peroneal nerve. The flap is suitable for replacement of skin defects around the external or internal malleolus, on the margin of the sole and heal, over the tendon Achilles as well as on the anterior surface of the lower third leg. Vascular anatomy of the island is described and details of the technics for the formation of island are given. Beside the good vascular supply the importance of innervation is emphasized.
The authors reveiw the anatomy, circulation, planning and techniques of preparing ileofemoral flaps. The possibilities of application of these flaps, advantages and disadvantages of the procedure are discussed. The authors use ileofemoral flaps as a new effective procedure for covering sores of the trochante area.
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