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http://dx.doi.org/10.1055/s-0034-1370338 | DOI Listing |
JPRAS Open
September 2025
Department for Plastic Surgery, Hand Surgery-Burn Center, Division for Plexus Surgery, University Hospital RWTH Aachen, Pauwelsstraße 30, Aachen, 52074 North Rhine-Westphalia, Germany.
We present the case of a physically active 50-year-old patient who underwent an arthroscopic release of the iliopsoas tendon due to a snapping hip. Postoperatively, active hip flexion was severely weakened. As a consequence patient had no stable gait pattern and was unable to continue her sports and physical activities.
View Article and Find Full Text PDFJ Reconstr Microsurg
September 2025
Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington, District of Columbia, United States.
The use of vasopressors during microsurgical reconstruction is debated. Their effect on the comorbid lower extremity (LE) wound population is unstudied. This study characterizes the impact of intraoperative vasopressor use in LE free tissue transfer (FTT) for limb salvage.
View Article and Find Full Text PDFAnn Plast Surg
September 2025
From the Department of Plastic Surgery, Section of Surgical Sciences, Vanderbilt University Medical Center, Nashville, TN.
Background: Loss of breast sensation following mastectomy and reconstruction significantly impacts quality of life, influencing body image, intimacy, and overall emotional well-being. Despite advances in reconstructive techniques, sensory outcomes remain inconsistent, limiting broader clinical adoption of reinnervation strategies. This educational review synthesizes the current scope of sensory restoration in breast reconstruction, examining approaches to reinnervation, sensory outcome measures, and management of patient expectations.
View Article and Find Full Text PDFCureus
August 2025
General Surgery, Larkin Community Hospital, Miami, USA.
We present a case of a 67-year-old male who sustained a complex glass injury to the right palm involving Zone 3. Intraoperative exploration revealed full-thickness lacerations of the flexor digitorum profundus (FDP) and flexor digitorum superficialis (FDS) tendons to all four fingers, a 22 mm median nerve gap requiring cabled nerve allograft repair, laceration of the deep motor branch of the ulnar nerve and fourth common digital nerve requiring conduit-assisted repairs, and a segmental laceration of the ulnar artery requiring microsurgical reconstruction. The patient underwent staged reconstruction over two operations, including tendon repairs, nerve grafting with cabled decellularized frozen nerve allograft, vascular repair, and soft tissue coverage with adjacent tissue transfer.
View Article and Find Full Text PDFMicrosurgery
September 2025
Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington, DC, USA.
Background: Patients with only peroneal artery blood supply to the foot, known as peronea arteria magna (PAM), represent a rare cohort and a unique challenge in the setting of complex lower free (LE) tissue transfer (FTT). The present study aims to leverage a high volume lower extremity reconstruction center to determine the incidence and microsurgical considerations in PAM.
Methods: A retrospective cohort study was conducted at a single tertiary limb salvage center, reviewing all patients who underwent lower LE FTT from July 2011 to January 2024.