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[BACKGROUND] Biodegradable temporizing matrix (BTM) is a novel synthetic dermal matrix for wound reconstruction and an alternative to biological dermal substitutes such as Integra (Integra LifeSciences). It provides a scaffold for dermal re…

The anterolateral thigh (ALT) free flap is widely used in reconstructive microsurgery for its versatility and reliability, yet donor site management becomes challenging when flap dimensions exceed those for tension-free primary closure. The…

Soft tissue defects in the lower leg often represent a therapeutic challenge. One of the treatment modalities is plastic reconstruction with a propeller flap. In our case report, we would like to present a case of a 75-year-old, multimorbid…

[BACKGROUND] Contemporary guidelines advocate for initial debridement and single-stage definitive fixation with immediate soft tissue reconstruction for open fractures. This study aims to evaluate the effectiveness of single-stage stabiliza…

[BACKGROUND] The radial forearm free flap (RFFF) is widely used in microvascular reconstructions. However, donor site morbidity remains a concern, with complications such as wound healing issues, functional impairments, and aesthetic concer…

The radial forearm free flap (RFFF) is a common technique in head and neck reconstructive surgery. This study aimed to compare the clinical and biochemical outcomes of wound healing following ulnar-based transposition flap (UBTF) versus spl…

[OBJECTIVE] The fibula free flap (FFF) remains the workhorse flap for head and neck defects necessitating osteocutaneous reconstruction. Although lower extremity angiography, ultrasound (US), and other vascular studies are routinely used fo…

[BACKGROUND] The treatment of complex wounds remains a challenging aspect of reconstructive surgery, given their diverse nature and the frequent need for high-level surgical procedures. Standard treatment with flap coverage can achieve many…

Three cases of total thoracic esophageal re-reconstruction after failed jejunum grafting for esophageal cancer are described. A prefabricated long skin tube formed by a combination of tensor fascia lata and anterolateral thigh flaps was tra…

[PURPOSE] The current study assessed factors associated with limb salvage and subsequent amputations for patients with diabetic lower-extremity wounds in the United States. [METHODS] Using national administrative data from 2010 to 2022 (Pe…

[INTRODUCTION] The dorsum of the foot has distinct characteristics, including thin skin and minimal subcutaneous tissue. Injuries in this area can expose deeper structures, complicating recovery and increasing the risk of infection and tiss…

Quality registries provide real-world data that can drive quality improvement, which often starts with reducing inter-hospital variation. We explored outcomes and the extent of nationwide inter-hospital variation for patients undergoing rec…

 In addressing subungual melanoma, this study presents the efficacy of wide excision followed by reconstruction using a serratus anterior fascial free flap.  The study covers four patients treated between 2017 and 2020 for melanoma in the …

: Upper extremity reconstruction poses a significant challenge due to the complex anatomical and functional requirements of the hand and forearm. While free flaps have become the gold standard, pedicled abdominal flaps remain a valuable alt…

[BACKGROUND] This study explores a novel technique combining transposition flaps with Split-Thickness Skin Grafts (STSG) to enhance anastomosis site coverage in free tissue transfer surgeries, particularly in lower limb reconstructions usin…

: The reconstruction of hand defects, especially involving the dorsal region of the hand, has remained a challenge for surgeons because of its anatomical features and complex functions. The goal of reconstruction should include functional r…

[BACKGROUND] The anterolateral thigh flap is a versatile flap that offers many advantages. These include a long and reliable pedicle that enables a wide arc of rotation, the possibility to harvest a large skin area, raising the flap with un…

[INTRODUCTION] Necrotising soft tissue infection (NSTI) is an exceptionally dangerous infectious disease targeting soft tissues with high mortality as well as morbidity. The aim of reconstructive surgery after initial debridement is to main…

[INTRODUCTION] The reverse sural flap (RSF) is a random-type, pedicled flap based on sural artery perforators indicated for traumatic lower-extremity wounds. The RSF has demonstrated comparable results to free flap placement in the adult po…

[BACKGROUND] Orbital exenteration is a severe and disabling surgical procedure that involves the removal of all orbital contents. Effective reconstruction is crucial to managing the resulting defects. This study aims to propose a reconstruc…