results: we performed reverse sural flaps in eight gunshot patients, to cover the defects of the lower leg and foot. surgical site infection observed in one patient (12.5%) was treated successfully with antibiotic therapy. the reverse sural flap provided a satisfactory coverage for gunshot defects in all the patients. objectives: the purpose of this prospective case series study was explore the...

1. background amputation and pain may have considerable impact on health-related quality of life. 2. objectives the purpose of this study was to assess the impact of pain on health-related quality of life in a population of war related bilateral lower limb amputees. 3. materials and methods the veterans and martyrs affairs foundation (vmaf) database documented 578 patients with bilateral lower ...

gorlin-goltz syndrome (ggs) consists of ectodermal and mesodermal abnormalities. in this case report we will investigate lower extremity lesions of ggs. a 52-year-old man with ggs underwent skull and lower extremity computer tomography. radiographic findings included cervical spondylosis, transparent areas with slurred margins, and cerebral falx calcification. tibial and fibular specific cortic...

BACKGROUND The aim of lower-extremity reconstruction has focused on wound coverage and functional recovery. However, there are limitations in the use of a local flap in cases of extensive defects of the lower-extremities. Therefore, free flap is a useful option in lower-extremity reconstruction. METHODS We performed a retrospective review of 49 patients (52 cases) who underwent lower-extremit...

Objectives The complications associated with iliac crest bone-graft harvest have resulted in the development of alternative harvest sites. Lower extremity alternative sites that have been reported for foot and ankle procedures include greater trochanter, proximal tibia, distal tibia, and calcaneus. These sites have been studied in terms of complications, postoperative pain, and quality of the h...

HYPOTHESIS Despite the success of infrainguinal arterial bypass in diabetic limb and foot salvage, optimism remains guarded because of purported high late mortality and limb loss in patients with diabetes. DESIGN Inception cohort, with minimum 5-year follow-up. SETTING Tertiary referral center. PATIENTS Eight hundred forty-three consecutive patients undergoing lower extremity arterial rec...

The purpose of the present study is to present the results of anterior cruciate ligament (ACL) augmentation for patients having rotational instability despite an intact vertical graft in lieu of conventional revision ACL reconstruction. ACL augmentation surgery with a horizontal graft was performed to augment a healed vertical graft on five patients and an accelerated rehabilitation protocol wa...

BACKGROUND Refractory nonunions of the tibia or femur are physically and mentally devastating conditions for the patients, and the treatment is challenging for orthopedic surgeons. The goal of this study was to assess the feasibility and outcome of surgical treatment in recalcitrant nonunions of a lower extremity with bone graft enriched with autologous platelet gel (APG). METHODS Twelve pati...

Lower extremity ulcers in diabetic patients are difficult to treat. Recently, the use of human blood platelet-derived components in this indication has been raising interest. In this study, we have evaluated the safety and efficacy of the combination of autologous platelet gel (PG) and skin graft for treating large size recalcitrant ulcers. Eight consecutive diabetic patients aged 25 to 82 with...