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Case Series Summary: Medical records of two cats with chronic calcaneal wounds, managed using a single pedicle advancement flap combined with transarticular external skeletal fixation (TESF), were reviewed. Clinical presentation, surgical technique, and short- and long-term follow-up were documented. Both cats presented with chronic, non-healing wounds over the calcaneal tuberosities. After surgical debridement, a single pedicle advancement flap was harvested from the lateral distal tibia and sutured over the wound. A type I TESF using epoxy resin as the connecting bars was applied medially to stabilize the joint. In both cases, complete wound healing was achieved.
Relevance And Novel Information: These two cases demonstrate the successful use of a single pedicle advancement flap combined with a type I TESF for managing chronic calcaneal wounds in cats. The technique reduces flap tension and may enhance healing outcomes in anatomically difficult regions. This approach may be beneficial for treating chronic wounds over bony prominences in cats.
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http://dx.doi.org/10.1177/20551169251357801 | DOI Listing |
Spine Deform
September 2025
Spine Unit, Department of Orthopedic Surgery, Rigshospitalet, Inge Lehmanns Vej 6, 2100, Copenhagen, Denmark.
Study Design: This is a retrospective single-center study.
Purpose: The purpose is to investigate the incidence of distal junctional kyphosis (DJK) when fused proximal to the stable sagittal vertebra (SSV) in adolescent idiopathic scoliosis (AIS) patients undergoing selective thoracic fusion.
Methods: We retrospectively reviewed a consecutive cohort of surgically treated AIS patients with Lenke 1-2 A/B curves between 2011 and 2022 with a minimum of 2 years of follow-up.
Medicine (Baltimore)
September 2025
Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
The cervicothoracic junction (CTJ) presents a surgical challenge due to its transitional nature from mobile to rigid segments. Therefore, the biomechanical characteristics of this transitional zone must be taken into consideration during instrumentation. This study aimed to determine the efficacy of the cervical pedicle screw placement (CPS) combined with 5.
View Article and Find Full Text PDFJPRAS Open
June 2025
Department of Hand Surgery, Lausanne University Hospital and University of Lausanne, Avenue Pierre-Decker 5, 1011 Lausanne, Switzerland.
Reconstructing multi-tissue defects in the finger remains a significant challenge in hand surgery. We present the case of a 37-year-old man with segmental loss of bone, skin and extensor apparatus on the dorsal aspect of the index finger. A single stage reconstruction was successfully performed using a pedicled chimeric flap based on the second dorsal metacarpal artery combining skin paddle, second metacarpal base bone and the extensor indicis proprius.
View Article and Find Full Text PDFJ Neurosurg Spine
September 2025
1Clinical College of Orthopedics, Tianjin Medical University, Tianjin.
Objective: The aim of this study was to compare the predictive efficacy of quantitative CT (QCT)-based endplate volumetric bone mineral density (EP-vBMD) and MRI-based endplate vertebral bone quality (EBQ) score for cage subsidence (CS) after lateral lumbar interbody fusion (LLIF).
Methods: A retrospective study was conducted on patients who underwent single-level LLIF in conjunction with pedicle screw fixation at the authors' institution between January 2019 and April 2023. The volumetric bone mineral density (vBMD) was measured based on preoperative CT using phantom-less QCT software.
Cureus
September 2025
Centre for Spinal Studies and Surgery, Queen's Medical Centre, Nottingham University Hospitals, NHS Trust, Nottingham, GBR.
The purpose of this study is to propose a standardized classification of minimally invasive cervical pedicle screw (MICEPS) fixation according to the levels instrumented and the extent of the construct, thereby facilitating reproducible surgical planning and technique. We developed a three-tiered MICEPS classification with a specific surgical algorithm based on anatomic levels and construct length: Type 1, subaxial cervical fixation; Type 2, subaxial cervical to proximal thoracic fixation; and Type 3, subaxial cervical to T3/4 cervicothoracic stabilization. All techniques employ O-arm intraoperative navigation and preserve posterior tension-band integrity.
View Article and Find Full Text PDF