The development of flap surgery parallels the increasing complexity of soft-tissue defects needing reconstruction. Random and pedicled flaps as well as free muscle and fasciocutaneous flaps have helped to reconstruct single soft-tissue defects. The multiplicity of defects needing reconstruction and donor-site morbidity in addition to tailored reconstruction have called for a revision of flap concepts in favor of perforator flaps. Unfortunately, we are faced with increasingly complex reconstructive issues. New reconstructive techniques, such as the Ilizarov method, have made orthopedic reconstruction after high energy and complex trauma possible. Revision surgeries after tumor resection and plastic surgery have brought about soft-tissue defects associated with extensive fibrosis and necrosis. As a result, previously nonsalvageable limbs have been salvaged. The reconstructive surgeons are faced with the following situations: multiple soft-tissue defects, extensive fibrosis, possibility of major vessel loss, and possibility of damage of several perforators.
Standards for the Management of Open Fractures provides an evidence-based approach for the management of open fractures, focussing on lower limb injuries. It builds on and expands the NICE Guidelines to provide a practical approach with supporting evidence. The new edition has been extensively updated and expanded to include key aspects of management, ranging from setting up an orthoplastic service, through to dealing with the bone and soft tissue injures, complications such as infection, and patient rehabilitation and psychological care. The book is primarily aimed at trainee plastic, orthopaedic and trauma surgeons (particularly for expanding knowledge and examination revision) but would also appeal to established surgeons to improve patient care. Standards for the Management of Open Fractures is an open access title. It is available to read and download as a free PDF version on Oxford Medicine Online. It has been made available under a Creative Commons Attribution-Non Commercial No Derivatives 4.0 International licence.
This abundantly illustrated guide, based on work at the renowned Rancho Los Amigos National Rehabilitation Center, describes and depicts operative techniques for the treatment of the devastating wounds caused by pressure ulcers. Comprehensive information is provided on the surgical anatomy and the variety of wounds that may be encountered. In addition, interventions in patients with complicated ulcers are discussed. Pressure ulcer is a topic of growing importance in the fields of plastic surgery, surgical education, and physical therapy – and also has important psychosocial, medicolegal, and cost management implications. Readers will find Reconstructive Plastic Surgery of Pressure Ulcer to be an ideal aid to appropriate selection of flap surgery in the individual patient. It will help in the achievement of satisfactory outcomes and will especially assist surgeons who lack the requisite specialized training and experience.
With coverage of nearly twice the number of flaps as the previous edition, Flaps and Reconstructive Surgery, 2nd Edition provides trainees and practicing surgeons alike with the detailed, expert knowledge required to ensure optimal outcomes. It includes chapters and expert commentaries from more than 100 authors and world-renowned leaders in the field, while brand-new cases and high-quality illustrations focused on flap harvest, markings, and reconstruction keep you abreast of today's latest developments. - Includes high-quality illustrations of regional anatomy, flap anatomy, and step-by-step flap dissections, as well as clear photographs demonstrating successful reconstructions. - Detailed case studies illustrate how to optimize every aspect of care for the reconstructive surgery patient, including the postoperative period and long-term follow-up. - Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, videos, and references from the book on a variety of devices. - Expanded video library of narrated surgical procedures covers most of the flaps used in reconstructive surgery. - Brand-new section on reconstruction takes an algorithmic approach to the reconstruction of defects around the body. - Features chapters covering the entire spectrum of reconstructive surgery, including head and neck reconstruction, chest wall reconstruction, abdominal wall, upper and lower extremity, and facial reanimation. - Content focuses on both local and free flaps. - New section on reconstructive transplant surgery highlights major topics such as face and hand transplantations, abdominal wall transplantation, uterus transplantation, and nerve allotransplantation.
This book is truly a classic, beloved by plastic surgeons throughout the world. Its strength lies in its simple, elegant approach to solving common reconstructive problems encountered by plastic surgeons at all levels of training. Its appeal transcends specialty interests, with aesthetic and reconstructive surgeons alike finding this book to be an invaluable resource for daily practice. Its comprehensive coverage makes it an essential addition to any surgeon's library. Totally revised and updated with color throughout, this new edition has been totally revised and updated with over 150 additional pages, two new chapters, and numerous new cases, flaps, and problems. Additionally, there are color illustrations, summary tables highlighting the best flaps for various clinical situations, annotated bibliographies, and much, much more. Throughout these pages, the reader benefits from Dr. Jackson's enormous experience and wisdom as he makes note of special tips, critical maneuvers, and important principles that warrant emphasis. Each flap is accompanied by a description of potential problems, and each anatomic area for reconstruction ends with a technique of choice so that the reader can understand the decision-making process that is involved in flap selection. The book begins with a chapter on basic principles, which reviews the important oncologic concerns that must precede any reconstructive-surgery procedure. Principles of tissue movement and flap design are accompanied by drawings that aid the reader in planning. The next seven chapters address each anatomic region. Alternate methods for closing defects in each region are presented. Both simple and complex solutions are detailed. Each reconstructive option is presented in great detail with operative photos as well as beautiful illustrations to depict flap design, elevation, and closure, and to more clearly explicate complex flap reconstructions for difficult problems. Common mistakes and the limitations of each flap are clearly delineated. Chapters on each anatomic region conclude with new summary tables that help the reader quickly identify the best reconstructive options for specific problems. Two Totally New Chapters The final two chapters are new to this edition-Tissue Expansion and Problems and Complication. The chapter on tissue expansion fully details the advantages to be gained from tissue expansion and the applications in each area of the head and neck when local flaps are planned. The Problems and Complications chapter covers common problems encountered in head and neck reconstruction as well as avoidance and treatment of complications should they occur. It concludes with a section on tricks and innovations, which discusses diverse topics such as the use of scarlet red for wound healing, the aesthetic repair of torn earlobes, and the repair of cocaine-induced palatal fistula. There is clearly a wealth of information and much to be learned and applied by surgeons at all levels of expertise.
Part of the best-selling Operative Techniques series, Operative Techniques in Plastic Surgery provides superbly illustrated, authoritative guidance on operative techniques along with a thorough understanding of how to select the best procedure, how to avoid complications and what outcomes to expect. This stand-alone book offers focused, easy-to-follow coverage of flaps for all anatomic regions, taken directly from the larger text. It covers nearly all flap techniques hat are in current use, and is ideal for residents and physicians in daily practice.
Primary knee arthroplasty (PKA) has a long history and modern mobile bearing knee implants are successfully implanted worldwide since 1977. Primary Knee Arthroplasty focuses on basic science, personal surgical experiences, clinical, functional and radiographic outcomes of PKA, with special focus on challenging knees such as severe varus and valgus deformities with associated bone defects, fixed flexion deformities, soft tissue contractures, and arthrodesed knees. Patella treatment with or without resurfacing is addressed in great detail. Early criterion-based rehabilitation and the patient’s return to participating in sports are discussed as is the management of prosthetic or surgery related complications. Lavishly illustrated to complement the text, Primary Knee Arthroplasty is a ‘must-have’ for all practicing knee replacement surgeons, orthopedic surgeons in training, orthopedic nurses, and physiotherapists with a special interest in knee arthroplasty. Tips and tricks provided by experienced knee surgeons are indispensable for daily clinical practice.
James V. Bono, MD, and Richard D. Scott, MD, two leading authorities in the field, edited this invaluable how-to book on corrective surgery for failed total knee arthroplasty. The text has an in-depth, comprehensive approach geared for orthopedic surgeons, sports medicine specialists, and residents. All fundamental aspects of revision total knee arthroplasty and its complications are covered. More than 350 illustrations–60 in full color–complement well-written explanations of general principles, surgical procedures, and special considerations. Top experts in orthopedics offer clinical pearls on topics such as diagnosis and evaluation, pre-op planning and component selection, surgical approach, revision technique, post-op complications, and salvage. Radiologists also detail the use of imaging for evaluation. Economics and reimbursement are addressed as well. Readers will find that this thorough and accurate book is an unprecedented guide that unravels the complexity of revision total knee arthroplasty.
Local Flaps in Facial Reconstruction brings you the detailed visual guidance and unmatched expertise you need to achieve the best results for the full range of facial flap procedures. Full-color clinical photographs and line drawings—along with high-quality surgical video clips—capture the latest facial reconstruction practices and effective methods like reconstruction of skin defects on the head and neck following tumor removal or trauma. Perspectives from facial plastic surgeons, dermatologists, ophthalmologists, and otolaryngologists help you take all of these considerations into account in treatment planning. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Make the most effective clinical decisions with a better understanding of the anatomy, physiology, and biomechanics of the skin Understand skin flap anatomy and physiology—vital to the performance of successful local flap reconstruction for facial defects. Implement the latest techniques with updated coverage of new wound closure techniques and materials (including glues and adhesives), scar revision, complications, and vascular abnormalities. Watch clips of key surgical procedures, including reconstructive surgery of the nose and lip. Avoid pitfalls and achieve the best outcomes thanks to a step-by-step approach to each procedure, complete with tips and tricks of the trade from leading experts. Minimize flap ischemia and other complications with proper preoperative planning and surgical techniques. Visualize what to look for and how to proceed with high-quality illustrations of rotation flaps, transposition flaps, advancement flaps, bilobe flaps, melolabial flaps, paramedian forehead flaps, and rhombic flaps. Access the full text, image collection, and video clips online at Expert Consult.
