Free vascularized metacarpal bone graft combined with extended dorsal metacarpal artery flap for phalangeal bone and soft tissue loss: case report

Isolated dislocations of the middle cuneiform are uncommon. There have been four reported previously. Significant force is required to produce these injuries, and they can have serious neurovascular consequences. In this case report and review of the literature, we present an isolated middle cuneiform dislocation in a 69-year-old farmer with impending skin and soft tissue loss over the dislocated bone.

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Reconstruction of a phalangeal bone using a vascularised metacarpal bone graft nourished by a dorsal metacarpal artery

Injury ◽

10.1016/j.injury.2008.08.036 ◽

2008 ◽

Vol 39 ◽

pp. 25-28 ◽

Cited By ~ 12

Author(s):

Ryosuke Kakinoki ◽

Ryosuke Ikeguchi ◽

Taiichi Matsumoto ◽

Takashi Nakamura

Keyword(s):

Bone Graft ◽

Metacarpal Bone ◽

Dorsal Metacarpal Artery ◽

Phalangeal Bone

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Early Implant Placement with Delayed Loading in Anterior Aesthetic Zone - A Case Report

Journal of Nepalese Society of Periodontology and Oral Implantology ◽

10.3126/jnspoi.v4i2.34304 ◽

2020 ◽

Vol 4 (2) ◽

pp. 89-92

Author(s):

Manoj Humagain ◽

Simant Lamichhane ◽

Mahima Subba ◽

Manisha Neupane ◽

Asmita Dawadi

Keyword(s):

Case Report ◽

Soft Tissue ◽

Tooth Extraction ◽

Tissue Loss ◽

Bone Augmentation ◽

Numbering System ◽

Implant Placement ◽

Tissue Healing ◽

Natural Dentition ◽

Soft Tissue Loss

To prevent the sequelae of hard and soft tissue loss after tooth extraction, future need of bone augmentation procedures and utilisation of benefits during early stages of tissue healing, early implant promises to be an armoury for dental implantologists to perfectly simulate the natural dentition in anterior aesthetic areas. Here, a case of 30 years old male with a missing #11 (according to two-digit numbering system) planned for early implant placement and immediate temporisation with delayed loading is presented.

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Aesthetic Rehabilitation of the Severe Bone Loss on Anterior Region Using Andrew’s Bridge: A Case Report

Acta Medica Philippina ◽

10.47895/amp.v53i6.673 ◽

2019 ◽

Vol 53 (6) ◽

Author(s):

Reni Puspa Daniati ◽

Rostiny ◽

Nike Hendrijantini

Keyword(s):

Case Report ◽

Soft Tissue ◽

Bone Loss ◽

Female Patient ◽

Soft Tissue Defect ◽

Anterior Region ◽

Tissue Loss ◽

Missing Teeth ◽

Severe Bone Loss ◽

Soft Tissue Loss

A patient with several missing teeth in the anterior region usually experiences severe hard and soft tissue loss, posing a greater challenge for the prosthodontist to treat. This is a case of a 50-year-old female patient who came to the RSGMP UNAIR department of prosthodontics needing to replace the old denture that felt loose and had a change of color to rehabilitate the loss of large residual ridges involving hard and soft tissue. The patient has lost the central and lateral right maxillary incisors with severe hard and soft tissue defect after cyst removal in the region. The patient considered to restore an anterior region with severe hard and tissue loss. Andrew’s Bridge successfully restores an anterior region with severe hard and soft tissue loss.

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Negative Pressure Wound Therapy With Flap Reconstruction for Extensive Soft Tissue Loss in the Foot: A Case Report

Cureus ◽

10.7759/cureus.10116 ◽

2020 ◽

Author(s):

Kishore Vellingiri ◽

NAGAKUMAR J S ◽

DEEPAK HONGAIAH

Keyword(s):

Case Report ◽

Soft Tissue ◽

Negative Pressure ◽

Negative Pressure Wound Therapy ◽

Tissue Loss ◽

Flap Reconstruction ◽

Wound Therapy ◽

Soft Tissue Loss

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Pedicled Lingual Flap to Provide Keratinized Tissue Regeneration Over Dental Implants: A Description of the Technique and a Case Report

Journal of Oral Implantology ◽

10.1563/aaid-joi-d-12-00218 ◽

2015 ◽

Vol 41 (2) ◽

pp. 196-199 ◽

Cited By ~ 3

Author(s):

Alan S. Herford ◽

Rahul Tandon ◽

Luca Pivetti ◽

Marco Cicciù

Keyword(s):

Case Report ◽

Soft Tissue ◽

Case Reports ◽

Tissue Loss ◽

Pedicle Flap ◽

Collagen Matrices ◽

Keratinized Tissue ◽

Patient Reported ◽

Implant Dentistry ◽

Soft Tissue Loss

The aim of this study is to report the efficacy of a lingual pedicle flap for soft tissue pre-prosthetic surgery in implant rehabilitation. While it has been demonstrated that keratinized gingiva is an important factor for implant success, there remains a dearth of case reports concerning the use of a lingual pedicle flap to achieve this desired outcome in such a large reconstructive effort. For this case report, the patient underwent an anterior mandibular resection of an ameloblastoma and subsequent reconstruction, resulting in soft tissue loss. To satisfy the patient's desires, both functionally and esthetically, a bilateral rotated pedicled lingual flap was performed to augment keratinized tissue on the anterior mandibular ridge. An additional vestibuloplasty with two collagen matrices was also performed, and an acrylic splint was then applied to achieve better stabilization. The primary outcome was to evaluate the efficacy of this technique, which, until now, was used only for exposed root coverage. The site demonstrated excellent healing over time, even resulting in an excess of healthy and pink soft tissue, which later had to be corrected with a small gingivectomy. Although the patient reported slight discomfort for a few days after surgery, she was nonetheless pleased both with her ability to function and her appearance. The results of this study show that the bilateral rotated pedicled lingual flap is a viable technique for the correction of soft tissue defects in implant dentistry, providing a good amount of keratinized gingiva.

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First dorsal metacarpal artery islanded flap: A useful flap for reconstruction of thumb pulp defects

Indian Journal of Plastic Surgery ◽

10.1055/s-0039-1699309 ◽

2009 ◽

Vol 42 (01) ◽

pp. 032-035

Author(s):

Chetan Satish ◽

Sunit Nema

Keyword(s):

Soft Tissue ◽

Local Anesthesia ◽

Donor Site ◽

Donor Site Morbidity ◽

Tissue Loss ◽

Flap Necrosis ◽

Secondary Procedure ◽

Dorsal Metacarpal Artery ◽

Soft Tissue Loss ◽

First Dorsal Metacarpal Artery

ABSTRACTThumb pulp defects are commonly due to avulsion injuries. It is very important to reconstruct these defects using sensate flaps as the thumb pulp needs to be sensate for implementing the various functions of the thumb. A very good option for coverage of these defects is the islanded first dorsal metacarpal artery flap. Our study was done over a period of 2 years and involved 9 consecutive cases of thumb pulp defects treated at our institution. The patients included 8 males and 1 female, ranging in age from 16 to 51 years old. The flap size ranged from 2 × 1.5 cm to 5 × 3 cm. We had only one complication in the form of partial flap necrosis, which fortunately healed following debridement without the need for a secondary procedure. All our cases were done under local anesthesia with tourniquet control. All the patients had good fine touch and average two-point discrimination of 6 mm, which was satisfactory. Our good results further reinforce the islanded first dorsal metacarpal artery flap as one the best flaps for sensate reconstruction of thumb pulp defects. It replaces the soft tissue loss at the thumb pulp with minimal donor site morbidity and with good return of thumb pulp sensation.

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Circumferential skin defect - Ilizarov technique in plastic surgery

Indian Journal of Plastic Surgery ◽

10.1055/s-0039-1699033 ◽

2004 ◽

Vol 37 (01) ◽

pp. 55-59

Author(s):

Vrisha Madhuri ◽

R Shankar Kurpad ◽

Manasseh Nithyananth ◽

S Thilak Jepegnanam ◽

V. T.K. Titus ◽

...

Keyword(s):

Case Report ◽

Soft Tissue ◽

Distal Part ◽

Open Fracture ◽

Tissue Loss ◽

Skin Defect ◽

Ilizarov Technique ◽

Limb Reconstruction ◽

Skin Staples ◽

Soft Tissue Loss

ABSTRACTA young man had an open fracture of the tibia with bone and soft tissue loss in the distal part of the left leg following a crush injury. The circumferential skin defect was successfully treated with controlled lengthening of the distal skin by the Ilizarov technique using nylon wires and skin staples to apply traction. This was combined with limb reconstruction done simultaneously using orthofix external fixator. This case report highlights the use of an orthopaedic technique to provide skin cover in distal leg.

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