By Kartik G. Krishnan
This instruction manual is an introductory consultant to harvesting crucial workhorse
flaps of the torso and higher and decrease extremities. Chapters are grouped into
separate sections in accordance with the anatomic quarter of the flaps. each one bankruptcy
details the serious medical details the physician must comprehend to
effectively harvest flaps, delivering concise descriptions of the coaching,
incision, and dissection strategies. distinctive illustrations supplementing the
descriptions permit surgeons to totally comprehend the technical maneuvers of every
- Step-by-step descriptions of flap harvesting
- Thorough dialogue of the suitable vascular or
neurovascular anatomy for every dissection
- More than 2 hundred illustrations and schematics
demonstrating key thoughts
- Consistent presentation in each one bankruptcy to facilitate
reference and evaluation
- Practical dialogue of universal pitfalls to arrange
the medical professional for coping with the complete diversity of eventualities within the medical environment
- Overview of basic techniques, together with
microvascular anatomy and styles of vasculature of sentimental tissue flaps,
instrumentation, and microvascular and microneural suturing techniques
a good starting place upon which to extra boost surgical talents, this publication is an necessary source for citizens in plastic and reconstructive surgical procedure, trauma surgical procedure, orthopedics, and neurosurgery.
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Additional resources for An Illustrated Handbook of Flap-Raising Techniques
Spine 2005;30(23): 2621–2630. 75 Structural failure is important because it adversely affects the mechanical environment of disc cells (Fig. 9,76,77 Moreover, it does so permanently because adult discs have too few cells to repair their matrix. 82 Structural disruption progresses, both mechanically and biologically, and animal models confirm that it always leads to typical degenerative changes83 over a time span that increases with the size of the animal. Examples of mechanical progression are the propagation of fissures or cracks, and the buckling of already-collapsing lamellae in the anulus.
6). Rim tears involve avulsions of the outer anulus fibers from bone and often occur in the anterolateral margins, suggesting an etiology involving torsional stresses. 66 Internal collapse (“internal disc disruption”67) is common, especially in the anterior anulus (Fig. 5C). Endplate fracture is the most common injury to occur after compressive overload. 68,69 Disc prolapse involves relative movement between nucleus and anulus in such a manner that the outer surface of the disc is disturbed: typically, nucleus pulposus material is expressed into or through a radial fissure70 as shown in Fig.
J Bone Joint Surg Am 2006;88A(suppl 2):25–29. ) Fig. 4 Structure of collagen and the proteoglycan aggrecan. Sites of attack by collagenases and other proteinases (arrowheads). CS, chondroitin sulfate; G1-G3, globular domains; KS, keratan sulfate. (From Recklies AD, Poole AR, Banerjee S, et al. Pathophysiologic aspects of inflammation in diarthrodial joints. In: Buckwalter JA, Einhorn TA, Simon SR, eds. Orthopaedic Basic Science: Biology and Biomechanics of the Musculoskeletal System. 2nd ed. Rosemont, IL: American Academy of Orthopaedic Surgeons; 2000:489–530.