Skin Coverage (Subscribe)  

John C. Kelleher writes from a life of experience in reconstructive surgery, helping surgeons dealing with difficult soft tissue coverage problems of the upper extremity.
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"McCraw & Arnold's Atlas Of Muscle And Musculocutaneous Flaps" is a full-color volume showing the reconstructive options for specific anatomical areas. Each flap is demonstrated in cadaver dissection and clinical case photographs, and the text is in an easy-to-read outline format to serve as a ready reference for the anatomical...

Whether it is a fresh acute wound or a chronic longstanding wound, the basic treatment is the same, only your initial approach to the wound changes.
This HELP publication will present the basic information for evaluating both acute and chronic wounds and then providing the appropriate care.

Laceration repair includes all the steps required to treat a wound in order to promote healing and minimize the risks of infection, premature splitting of sutures (dehiscence), and poor cosmetic result.

Soft tissue defects of the knee that require reconstructive surgery occur after trauma or following a surgical procedure. A common procedure that may require reconstructive surgery to achieve adequate soft tissue coverage of the knee is total knee arthroplasty (TKA). Wound breakdown with exposure of the prosthesis is rare and...

NPWT Using Common Household/Medical Materials
Orthopods working in developing countries usually don't have supplies of commercial topical negative pressure dressings, pumps, and accessories lying around. But a clever and resourceful one can still apply NPWT on his patients using common, indigenous, and dirt-cheap materials.
Orthopaedic blog detailing technique for negative pressure wound...

Anticoagulant + IV related dorsal metacarpal hematoma with necrosis of the overlying skin

The dorsal metacarpal flaps are based on the dorsal metacarpal arteries. They may be transferred as an island, on a long pedicle such as a flag flap, or as a "supercharged" transposition flap, as in this case.

This two stage flag flap was to cover a distal dorsal thumb defect. The flap is based on branches of the first dorsal metacarpal artery, included in the subcutaneous tissues of the pedicle. The pedicle can be made narrow enough to close the pedicle donor site directly, as was done here.

High voltage electrical burn to the thumb and distal forearm. The distal thumb and thenar musles were burned beyond salvage.

This gentleman had a chronic recurring ulceration over the dorsal aspect of the middle finger metacarpal head after treatment for extensive burn injuries. Because of the limited availability of dorsal skin flap donor sites, the area in question was resurfaced using a digital artery island flap from the same finger.

This gentleman had undergone 5 prior explorations for recurrent infection and inflammation following a palm thorn puncture injury two years ago. In this case, the scar and fibrotic dorsal metacarpal head skin was excised in addition to a radical joint debridement, and an island first dorsal metacarpal artery flap was...

Management of a router injury resulting in partial amputation and open comminuted fractures of thumb proximal and distal phalanges

Images only

A demo of how the epidermis in hair follicles and sweat glands migrates out to re-epithelialize adjacent skin in the healing of partial thickness burns, sometimes resulting in a "leopard skin" appearance. These spots coalesced almost entirely with further healing.