An algorithm for limb salvage for diabetic foot ulcers.

abstract：:For the treatment of bone gaps of less than 4 cm, cancellous autografting remains the treatment of choice. But for gaps exceeding 4 cm, the distraction osteogenesis is a viable option. The following conditions should be satisfied: (1) patient selection; (2) stable fixation; (3) osteotomy by corticotomy; (4) 7- to 14-d...

journal_title：Clinics in plastic surgery

authors： Alonso JE,Regazzoni P

更新日期：1991-07-01 00:00:00

abstract：:Ring avulsion injury is classically believed to be one of the most challenging for the reconstructive surgeon. Injury patterns include a spectrum from laceration to complete amputation, with differential magnitude of injury to soft tissue, tendon, joint complex, and bone. Although ring avulsion injury can result in de...

journal_title：Clinics in plastic surgery

authors： Brooks D,Buntic RF,Kind GM,Schott K,Buncke GM,Buncke HJ

更新日期：2007-04-01 00:00:00

abstract：:In response to facial skeletal differences across race, and cultural differences in what patients feel to be aesthetically desirable, surgical procedures continue to evolve. Mandibular angle reduction and zygoma reduction are powerful procedures for affecting facial skeletal change to achieve a softer, less angular, f...

journal_title：Clinics in plastic surgery

authors： Morris DE,Moaveni Z,Lo LJ

更新日期：2007-07-01 00:00:00

abstract：:Routine standardized periorbital planning prior to blepharoplasty and brow lifting facilitates optimal outcome and minimizes the need for reoperation. It should be an essential companion to blepharoplasty in all instances. ...

journal_title：Clinics in plastic surgery

authors： Flowers RS,Flowers SS

更新日期：1993-04-01 00:00:00

abstract：:Wetting solutions play a crucial role in traditional lipoplasty by reducing blood loss in the aspirate and diminishing postoperative ecchymosis and edema. From the inception of ultrasound-assisted lipoplasty a "wet environment" has been considered essential for efficient fat emulsification and for control of thermal s...

journal_title：Clinics in plastic surgery

authors： Fodor PB,Watson JP

更新日期：1999-04-01 00:00:00

abstract：:Our investigations suggest that polyurethane coating of implants prevents longitudinal fibrosis, circumferential capsule formation, and contracture as long as the underlying smooth silicone surface remains firmly and completely covered. Although not studied extensively, our experimental observations give no indication...

journal_title：Clinics in plastic surgery

authors： Brand KG

更新日期：1988-10-01 00:00:00

abstract：:The authors discuss how, in performing an endoscopic brow lift, meticulous surgical technique, adherence to anatomic dissection planes, and direct visualization used at key points in the procedure enable a safer, more-complete dissection and a better outcome. Anatomy as it relates to the procedure is discussed. Patien...

journal_title：Clinics in plastic surgery

authors： Terella AM,Wang TD

更新日期：2013-01-01 00:00:00

abstract：:Advances in the management of the pediatric hypospadias patient have greatly improved his outcome. This article discusses the many facets of nursing care of the pediatric hypospadias patient. Preoperative teaching and postoperative care are defined and explored. ...

journal_title：Clinics in plastic surgery

authors： Buckholz VW

更新日期：1988-07-01 00:00:00

abstract：:Simultaneous breast augmentation and mastopexy is a common procedure often considered to be one of the most difficult cosmetic breast surgeries. One-stage augmentation mastopexy was initially described more than 50 years ago. The challenge lies in the fact that the surgery has multiple opposing goals: to increasing th...

journal_title：Clinics in plastic surgery

authors： Spring MA,Hartmann EC,Stevens WG

更新日期：2015-10-01 00:00:00

abstract：:Techniques to improve the chance of successful replantation of digits are well established. Indications and contraindications for replantation are generally agreed on, but they continue to evolve as excellent outcomes are achieved at centers with experience and expertise. Form and function can be restored with avulsio...

journal_title：Clinics in plastic surgery

authors： Bueno RA Jr,Battiston B,Ciclamini D,Titolo P,Panero B,Tos P

更新日期：2014-07-01 00:00:00

abstract：:Diabetes mellitus is a complex metabolic disorder whose components have several direct and indirect effects on the healing of wounds. This article examines how diabetes affects wound healing from the standpoint of alterations in the microvasculature, nerve function, and the immune system. ...

journal_title：Clinics in plastic surgery

authors： Morain WD,Colen LB

更新日期：1990-07-01 00:00:00

abstract：:Face transplantation can provide improved quality of life to patients with extensive burn injuries. Facial vascularized composite allotransplantation (VCA) offers a new paradigm of treatment options, serving as a powerful reconstructive tool to restore facial form and function. Although currently facial VCA patients m...

journal_title：Clinics in plastic surgery

authors： Bharadia D,Sinha I,Pomahac B

更新日期：2017-10-01 00:00:00

abstract：:This article supplies an introduction to the structure and purpose of managed care financial incentives, with particular attention to those affecting referrals to specialists. It then addresses some of the ethical problems attending such incentive schemes and discusses the characteristics that make some financial ince...

journal_title：Clinics in plastic surgery

authors： Latham SR

更新日期：1999-01-01 00:00:00

abstract：:In summary, the commonest late physical complications of the burn injury have been reviewed and an approach to their management described. An understanding of the pathophysiology of the conditions is invaluable in planning one's approach to these problems. The techniques to control and correct chronic wound and hypert...

journal_title：Clinics in plastic surgery

authors： Parks DH

更新日期：1977-10-01 00:00:00

abstract：:The aesthetic and functional reconstruction of the orbital and periorbital anatomy poses a complex challenge to the reconstructive surgeon. Four clinical cases are illustrated regarding the restoration of contour, and coverage of vital structures following tumor resections. ...

journal_title：Clinics in plastic surgery

authors： Colen SR

更新日期：1988-04-01 00:00:00

abstract：:Over the past several years, there has been a tremendous growth and interest in buttocks augmentation in the United States. Surgical techniques have evolved over time to correct anatomical deficiencies and fulfill patient requests, including silicone implant placement (subcutaneous, intramuscular, submuscular, and sub...

journal_title：Clinics in plastic surgery

authors： Bruner TW,Roberts TL 3rd,Nguyen K

更新日期：2006-07-01 00:00:00

abstract：:The two inferiorly based rectus abdominis myocutaneous flaps are the most versatile and accessible flaps for high pelvic defects. Their primary contribution is in the obliteration of the pelvic "deadspace." At the present time, these useful flaps are generally considered only for massive defects of the perineum, groin...

journal_title：Clinics in plastic surgery

authors： McCraw J,Kemp G,Given F,Horton CE

更新日期：1988-07-01 00:00:00

abstract：:The authors contend that the conventional flap (LAF) and the ELAF should be considered among the best choices of all possible fasciocutaneous flaps for head and neck reconstruction. Easy and quick dissection under tourniquet, design variability, and potential sensory innervation make these flaps superior to other fasc...

journal_title：Clinics in plastic surgery

authors： Ninkovic M,Harpf C,Schwabegger AH,Rumer-Moser A,Ninkovic M

更新日期：2001-04-01 00:00:00

abstract：:Recent developments in the management of breast cancer, including axillary sentinel lymph-node biopsy, as well as the inability to reliably detect micrometastatic disease in the axillary lymph nodes either preoperatively or intraoperatively, and the increasing use of both postmastectomy radiation therapy and neoadjuva...

journal_title：Clinics in plastic surgery

authors： Kronowitz SJ

更新日期：2007-01-01 00:00:00

abstract：:The early experience of hand transplantation has yielded a mixture of successes and failures. No life-threatening adverse effects have been encountered from immunosuppression, yet additional medications were required in some cases with unknown long-term efficacy or side effects. Limited functional returns have been ob...

journal_title：Clinics in plastic surgery

authors： Andrew Lee WP,Nguyen VT

更新日期：2005-10-01 00:00:00

abstract：:Traumatic nerve injuries are common conditions treated by hand surgeons, and the optimal treatment of a severed nerve requires providing a healthy wound bed, generous trimming to healthy nerve substance, and a minimal-tension approximation. The gold standard for repair of a critical nerve gap has been the nerve autogr...

journal_title：Clinics in plastic surgery

authors： Rinker B,Vyas KS

更新日期：2014-07-01 00:00:00

abstract：:This article describes the surgical procedures used for the aesthetic improvements of the flanks and abdomen. A clinical classification for patient selection regarding when to use liposuction, surgery, or both, is included. Isolated flankplasty, isolated abdominoplasty, and combined flanks with abdominoplasty performe...

journal_title：Clinics in plastic surgery

authors： Baroudi R,Ferreira CA

更新日期：1996-10-01 00:00:00

abstract：:Assessing risk and avoiding complications in breast reduction requires a meticulous history, systematic physical examination, management of expectations, and careful consideration and execution of operative technique. Attention should be paid to comorbidities. Shape, symmetry, contours, scar location, skin quality, ni...

journal_title：Clinics in plastic surgery

authors： Shestak KC,Davidson EH

更新日期：2016-04-01 00:00:00

abstract：:Cancer of the nose is very common and lesions seen by reconstructive surgeons are often recurrent and extensive. Surgical removal of cancer of the nasal skin can usually be accomplished under local anesthesia, and in most instances frozen section histologic examination should be used to confirm the adequacy of excisio...

journal_title：Clinics in plastic surgery

authors： Bennett JE,Thurston JB

更新日期：1976-07-01 00:00:00

abstract：:Osteoradionecrosis (ORN) of the mandible is a severe complication that follows ionizing radiation therapy in patients undergoing treatment for head and neck cancers. The occurrence of ORN usually implies other coexisting problems and should not be thought of as a "bone only" defect. For treatment to be effective, all ...

journal_title：Clinics in plastic surgery

authors： Sanger JR,Matloub HS,Yousif NJ,Larson DL

更新日期：1993-07-01 00:00:00

abstract：:Dermabrasion utilizing wire brushes and Fluro-Ethyl refrigerant anesthesia is an effective way of ameliorating a variety of epidermal and dermal defects. Familiarization with proper equipment and technique is imperative. The overall incidence of troublesome complications is relatively low and is offset by the consider...

journal_title：Clinics in plastic surgery

authors： Kirschbaum JO

更新日期：1977-04-01 00:00:00

abstract：:The key to the correction of severely deviated noses is straightening the nasal septum. An emphasis is placed on conservative management of the external nasal framework while being prepared to perform extensive surgery on the deviated septum. If the septum can be modified and repositioned in the midline without losing...

journal_title：Clinics in plastic surgery

authors： Gunter JP,Rohrich RJ

更新日期：1988-01-01 00:00:00

abstract：:The double free-muscle transfer technique has restored prehension in patients following complete avulsion of the brachial plexus. This achievement was almost inconceivable as recently as several years ago and has now given new hope for these patients to be able to use their otherwise useless limbs. ...

journal_title：Clinics in plastic surgery

authors： Doi K

更新日期：1997-01-01 00:00:00

abstract：:Fundamental principles of management of breast burns begin with recognition and preservation of any viable breast bud tissue. Reconstruction begins when the burned breast envelope is insufficient to allow unrestricted breast development. Complete contracture release is obtained by incision or excision of the restricti...

journal_title：Clinics in plastic surgery

authors： MacLennan SE,Wells MD,Neale HW

更新日期：2000-01-01 00:00:00

abstract：:An 18-month experience with an endoscopically assisted "closed" technique of modified transblepharoplasty lower lid and midface rejuvenation is presented. In the modified approach, preseptal dissection in the body of the lower lid is eliminated to decrease the incidence of septal scarring and lower lid retraction. The...

journal_title：Clinics in plastic surgery

authors： Hester TR Jr

更新日期：2001-10-01 00:00:00