The Homodigital Propeller Flap: A New Tool for Fingertip Reconstruction. Surgical Technique, Anatomical Study, and Clinical Relevance

Topic: Empress Eugénie (1826–1920), the widow of Emperor Napoléon III of France, developed mature cataracts late in life. In 1920, at age 94, she underwent surgery to one eye by Ignacio Barraquer (1884–1965), a member of the famous dynasty of ophthalmologists originally from Barcelona, Spain. Clinical relevance: Barraquer used his new instrument which employed a vacuum cup to hold the lens for intracapsular extraction. Methods: Research of historical documents. Results: The surgery was a success; the Empress was pleased that she could read again although she did not have long to live. She was his first famous cataract patient and his fame spread internationally. Barraquer spoke at the International Congress of Ophthalmology held in Washington, DC, in 1922 and demonstrated his technique on patients in Washington, DC, New York, Boston, Philadelphia and Richmond, VA. Conclusion: Barraquer's surgery on Éugenie, who was the most powerful woman in Europe during her husband's reign, influenced the course of development of cataract surgical technique.

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Arthroscopic ligamentoplasty (bone–tendon–tenodesis). A new surgical technique for scapholunate instability: preliminary cadaver study

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193411412868 ◽

2011 ◽

Vol 36 (8) ◽

pp. 682-689 ◽

Cited By ~ 20

Author(s):

F. Corella ◽

M. Del Cerro ◽

R. Larrainzar-Garijo ◽

T. Vázquez

Keyword(s):

Surgical Technique ◽

Tissue Injury ◽

Arthroscopic Surgery ◽

Anatomical Study ◽

Scar Tissue ◽

Cadaver Study ◽

Posterior Interosseous Nerve ◽

Anatomic Dissection ◽

New Surgical Technique

We present an anatomical study and description of a new surgical technique for arthroscopic treatment of scapholunate ligament injuries. Five cadaver specimens were used to perform the technique. After arthroscopic surgery, anatomic dissection was performed to measure the distances to critical wrist structures such as the posterior interosseous nerve and the radial artery, and the size and position of the plasty. This arthroscopic technique offers three advantages: soft tissue damage is reduced (avoiding an extensive approach and injury to the secondary stabilizers and reducing scar tissue); injury to the posterior interosseous nerve is avoided (maintaining wrist proprioception and the role of the dynamic stabilizers); and a biotenodesis is made that ensures proper placement, tension and functionality of the flexor carpi radialis ligament reconstruction.

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An Anatomical Study of Triangle of Brocq & Mouchet in Human Cadaveric Heart & Its Clinical Relevance

IOSR Journal of Dental and Medical Sciences ◽

10.9790/0853-0821215 ◽

2013 ◽

Vol 8 (2) ◽

pp. 12-15

Author(s):

Bharathi D ◽

Keyword(s):

Clinical Relevance ◽

Anatomical Study

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Anatomical Study of the Popliteal Artery Perforator–Based Propeller Flap and Its Clinical Application

Plastic & Reconstructive Surgery ◽

10.1097/prs.0000000000004585 ◽

2018 ◽

Vol 142 (2) ◽

pp. 548-551

Author(s):

Tadanobu Onishi ◽

Takamasa Shimizu ◽

Shohei Omokawa ◽

Kanit Sananpanich ◽

Akira Kido ◽

...

Keyword(s):

Clinical Application ◽

Popliteal Artery ◽

Anatomical Study ◽

Propeller Flap ◽

Artery Perforator

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Perforator‐based propeller flap for fibula free flap donor site repair: A novel surgical technique

The Laryngoscope ◽

10.1002/lary.28232 ◽

2019 ◽

Vol 130 (5) ◽

pp. 1233-1235 ◽

Cited By ~ 2

Author(s):

Patrick F. Morgan ◽

Joshua D. Hornig ◽

Suhael R. Momin ◽

William G. Albergotti ◽

Robert M. Brody ◽

...

Keyword(s):

Surgical Technique ◽

Free Flap ◽

Donor Site ◽

Propeller Flap ◽

Fibula Free Flap

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Double-pedicle propeller flap for reconstruction of the foot and ankle: anatomical study and clinical applications

Journal of International Medical Research ◽

10.1177/0300060519865625 ◽

2019 ◽

Vol 47 (10) ◽

pp. 4775-4786 ◽

Cited By ~ 1

Author(s):

Jianxiong Zheng ◽

Hua Liao ◽

Jie Li ◽

Lingjian Zhuo ◽

Gaohong Ren ◽

...

Keyword(s):

Soft Tissue ◽

Blood Supply ◽

Sural Nerve ◽

Anatomical Study ◽

Peroneal Artery ◽

Foot And Ankle ◽

Soft Tissue Defects ◽

Nerve Bundle ◽

Propeller Flap ◽

Tissue Defects

Objective Reconstruction of soft tissue defects in the foot and ankle remains challenging. This study was performed to investigate the technical points and clinical effects of a double-pedicle propeller flap for repair of foot and ankle soft tissue defects. Methods We used five fresh calf specimens to investigate the anatomical and operative aspects of a double-pedicle propeller flap. Eighteen patients with soft tissue defects in the foot and ankle subsequently underwent defect repair with double-pedicle propeller flaps. Results The anatomical study showed that the peroneal artery perforators and the sural nerve bundle (two blood supply systems) provided the theoretical anatomical basis for the double-pedicle propeller flap. The relative positions of the peroneal artery perforators and the sural nerve bundle differ according to the peroneal artery perforating level. Flap rotation in different directions can reduce or prevent the pedicles from compressing each other. All flaps survived, and three flaps developed local epidermal necrosis at the proximal end; these flaps healed after 1 to 2 weeks of dressing changes. The other 15 patients healed well. Conclusions The double-pedicle propeller flap can enhance the blood supply and venous return in the “big paddle” region of the flap, reducing the distal necrosis rate.

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