Posterior Pelvic Injury need correct squeal procedure reduction and fixation.Here we hare our experience in China Medical University Hospital , Taichung,Taiwan. This topic also presented in the meeting in TOA.
Evolution of surgical strategies instrumentation in scoliosis- dr.shashidhar...Dr. Shashidhar B K
SCOLIOISIS SURGEON BANGALORE
SCOLIOSIS SURGEON INDIA
Website: http://spinesurgeonbangalore.com/
My goal is to provide spine care with a patient centeric-holistic approach in Bangalore, encompassing all aspects of non-operative and operative management of spinal disorders with special interest in the management of spinal deformities (scoliosis and kyphosis).
Bangalore Spine Specilaist Clinic. For Appointment contact : Call: 08025442552( 9 am to 9 pm). Whatsapp: +919448311068. Email: drshashidharbk@gmail.com.
Posterior Pelvic Injury need correct squeal procedure reduction and fixation.Here we hare our experience in China Medical University Hospital , Taichung,Taiwan. This topic also presented in the meeting in TOA.
Evolution of surgical strategies instrumentation in scoliosis- dr.shashidhar...Dr. Shashidhar B K
SCOLIOISIS SURGEON BANGALORE
SCOLIOSIS SURGEON INDIA
Website: http://spinesurgeonbangalore.com/
My goal is to provide spine care with a patient centeric-holistic approach in Bangalore, encompassing all aspects of non-operative and operative management of spinal disorders with special interest in the management of spinal deformities (scoliosis and kyphosis).
Bangalore Spine Specilaist Clinic. For Appointment contact : Call: 08025442552( 9 am to 9 pm). Whatsapp: +919448311068. Email: drshashidharbk@gmail.com.
Artroplastia Total do Joelho - Dr. Cláudio Gholmia.Ricardo Montija
Nessa aula, o dr. Claudio Ghomia da Clínica Uniort faz o estudo de caso de dois pacientes que se submeteram ao procedimento de Artroplastia Total do Joelho (ATJ).
Background:
The anterolateral ligament (ALL) is a true well-defined ligament in the knee first described in 1879 by Segond. After the work of Claes et al., several studies were conducted about biomechanics and its role in stability of the knee. The anatomical existence of the ALL has been studied by and various radiographic diagnostic modalities and in cadavers. It originates from lateral femoral epicondyle and is inserted between Gerdy’s tubercle and the fibular head. There has been controversy about the existence of ALL in pediatric patients. The aim of this work was to confirm the presence of ALL in pediatric patients by using MRI.
Materials and Methods:
We reviewed the knee MRI scans of 100 pediatric patients (ages between one and 12 yr) who had no knee injury or congenital deformity and had been evaluated by an expert radiologist.
Results:
The ALL was detected in 90% of the pediatric patients with the use of MRI.
Conclusions:
The main finding of this study was that ALL can be seen in pediatric patients using MRI. Despite numerous studies, additional research is needed to further define the role of the ALL in knee function.
Level of Evidence:
Level IV.
The value of clinical knowledge in understanding pathological findings in Ang...University of Derby
Palaeopathology is about understanding what you are looking at and how it relates to actual clinical conditions. It is often only by having an awareness of the clinical condition that you can come to a diagnosis when viewing osteological features.
Using examples from clinical photography, specifically orthopaedics, examples of pathology from the Anglo-Saxon cemetery in Little Chester, Derby and papers published, in many and varied journals, by Calvin Wells it is possible to see the importance of viewing palaeopathology from a clinician’s perspective.
Population level analysis, for example the quantification of osteoarthritis (OA) in a particular area or cemetery, gives information about the frequency of occurrence of specific traits associated with OA. What it doesn’t do is give us a picture of actual diagnoses. Under a general category of OA of the knee you could have individuals with varus or valgus deformities, eburnation of the tibial plateau and femoral condyles and accompanying osteophytes through to variations in the patella-femoral joint e.g. subluxation, lateral patella maltracking and patella alta.
Individual diagnoses though leading to short simple papers or a series of case studies can be equally valuable in understanding how our ancestors lived. Through looking at actual diagnoses we can link how people lived with specific increases or decreases in clinical conditions that could lead to ways of decreasing the impact of OA in modern populations.
Biomechanical Properties of the AnteroLateral Ligament (ALL) of the Knee comp...KHALIFA ELMAJRI
Improvising is an established corner in orthopaedic surgery .But if we start handling healthy body tissues surgically we are actually disturbing nature. The lateral knee region is known by its complex functional anatomy. Injury to the integrity of biceps tendons components in this region or direct injury to the FCL could happen during surgery in this region. As the injuries of FCL augment ALRI of the knee it is worth to study the effect of passing the graft deep to the LCL in lateral extra-articular reconstructions , an injury could arise from fixing distal FCL to its tunnel which prevent FCL normal gliding within this tunnel.
To restore function of a structure in the lateral knee using another structure one should have sound comparable knowledge’s about exact nature of structures to be handled, their clinical anatomy and their material and structural properties is a must before their investment, this to minimise the risk of introducing imbalance to a sensitive ligamentous balance or alter the proprioceptive function or affect the stability of the lateral meniscus .That’s why the more work on the anterolateral knee would be invested, in addition to management of acute knee injury , in the study of graft placement isometry in ACL reconstruction , as well as isometry of lateral extra-articular reconstructions to control (ALRI) with ITT, when indicated .
Artroplastia Total do Joelho - Dr. Cláudio Gholmia.Ricardo Montija
Nessa aula, o dr. Claudio Ghomia da Clínica Uniort faz o estudo de caso de dois pacientes que se submeteram ao procedimento de Artroplastia Total do Joelho (ATJ).
Background:
The anterolateral ligament (ALL) is a true well-defined ligament in the knee first described in 1879 by Segond. After the work of Claes et al., several studies were conducted about biomechanics and its role in stability of the knee. The anatomical existence of the ALL has been studied by and various radiographic diagnostic modalities and in cadavers. It originates from lateral femoral epicondyle and is inserted between Gerdy’s tubercle and the fibular head. There has been controversy about the existence of ALL in pediatric patients. The aim of this work was to confirm the presence of ALL in pediatric patients by using MRI.
Materials and Methods:
We reviewed the knee MRI scans of 100 pediatric patients (ages between one and 12 yr) who had no knee injury or congenital deformity and had been evaluated by an expert radiologist.
Results:
The ALL was detected in 90% of the pediatric patients with the use of MRI.
Conclusions:
The main finding of this study was that ALL can be seen in pediatric patients using MRI. Despite numerous studies, additional research is needed to further define the role of the ALL in knee function.
Level of Evidence:
Level IV.
The value of clinical knowledge in understanding pathological findings in Ang...University of Derby
Palaeopathology is about understanding what you are looking at and how it relates to actual clinical conditions. It is often only by having an awareness of the clinical condition that you can come to a diagnosis when viewing osteological features.
Using examples from clinical photography, specifically orthopaedics, examples of pathology from the Anglo-Saxon cemetery in Little Chester, Derby and papers published, in many and varied journals, by Calvin Wells it is possible to see the importance of viewing palaeopathology from a clinician’s perspective.
Population level analysis, for example the quantification of osteoarthritis (OA) in a particular area or cemetery, gives information about the frequency of occurrence of specific traits associated with OA. What it doesn’t do is give us a picture of actual diagnoses. Under a general category of OA of the knee you could have individuals with varus or valgus deformities, eburnation of the tibial plateau and femoral condyles and accompanying osteophytes through to variations in the patella-femoral joint e.g. subluxation, lateral patella maltracking and patella alta.
Individual diagnoses though leading to short simple papers or a series of case studies can be equally valuable in understanding how our ancestors lived. Through looking at actual diagnoses we can link how people lived with specific increases or decreases in clinical conditions that could lead to ways of decreasing the impact of OA in modern populations.
Biomechanical Properties of the AnteroLateral Ligament (ALL) of the Knee comp...KHALIFA ELMAJRI
Improvising is an established corner in orthopaedic surgery .But if we start handling healthy body tissues surgically we are actually disturbing nature. The lateral knee region is known by its complex functional anatomy. Injury to the integrity of biceps tendons components in this region or direct injury to the FCL could happen during surgery in this region. As the injuries of FCL augment ALRI of the knee it is worth to study the effect of passing the graft deep to the LCL in lateral extra-articular reconstructions , an injury could arise from fixing distal FCL to its tunnel which prevent FCL normal gliding within this tunnel.
To restore function of a structure in the lateral knee using another structure one should have sound comparable knowledge’s about exact nature of structures to be handled, their clinical anatomy and their material and structural properties is a must before their investment, this to minimise the risk of introducing imbalance to a sensitive ligamentous balance or alter the proprioceptive function or affect the stability of the lateral meniscus .That’s why the more work on the anterolateral knee would be invested, in addition to management of acute knee injury , in the study of graft placement isometry in ACL reconstruction , as well as isometry of lateral extra-articular reconstructions to control (ALRI) with ITT, when indicated .
Analysis of Cost of Autologous Bone Graft; Podium Presentation; AOFAS Annual ...Erik Harris
This Podium Presentation summarized the initial findings of a study that applied an interactive budget impact model (BIM) to assist surgeons and hospitals with cost/benefit analyses of: 1) incremental costs associated with iliac crest bone graft harvest and local bone graft harvest; 2) additional costs associated with graft site enhancers; and 3) utilization of an orthobiologic bone graft substitute (Β-TCP with rhPDGF-BB) as a replacement of autograft. The objective of the study was to facilitate informed decision-making through the application of comparative clinical and economic value assessments of competing interventions in foot and ankle fusion.
Implant surgeries to overcome anatomic difficulties ii / dental implant cour...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Implant surgeries to overcome anatomic difficulties/ oral surgery courses Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
bone graft /certified fixed orthodontic courses by Indian dental academy Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Craniomaxillofac trauma reconstruction bone graft in cranifacial surgery/oral...Indian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Evolution of internal fixation ravi raidurg.Ravi Raidurg
Aim : Understand the events in
“Evolution of internal fixation in Veterinary Orthopaedics”
Learning Objectives
At the end of this session you should be able to:
Explain how “Internal Fixation evolved in Veterinary practice”.
(From Conservative method to Biological Osteosynthesis)
Understand the genesis of AO & AOVET group
Recognise and apply AO principles to small animal fracture management.
Explain Biological Osteosynthesis (BO) & concept of MIPO
Enumerate the “Turning points in history which revolutionized Orthopaedics”
Occipitalization of atlas vertebra- A Case reportiosrphr_editor
During routine activities in the department of Anatomy,GSVM, Medical College Kanpur(U.P), an atlanto-occipital fusion was observed in cadaveric skull. The skull used in our study had complete fusion of the atlas vertebra with occipital bone along with ossification of atlanto-occipital membranes. The knowledge of such a fusion may be of importance for radiologists, anaesthetist, orthopedic and neurosurgeons because skeletal abnormalities at the craniocervical junction may result in sudden unexpected death. It can result in dysphagia, dysarthria or torticollis because of compression of cranial nerves. Neurosurgeons should be aware that such an anomaly may exist without any typical symptomatic presentation, and thus serious consequences of upper cervical spinal manipulative therapy may arise when a complete and adequate clinical assessment is missed.
Reconstruction of The Hand in Congenital Polydactylysuppubs1pubs1
A new method of surgical treatment of polydactyly of the hand, the most common pathology among congenital malformations of the upper limb, is proposed.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
Reconstruction of scaphoid
1. Palmar pedicled vascularized bone flap of the radius (Kuhlmann/Mathoulin) 5th Workshop on Hand Flaps 04. - 05.02.2009 Dr. I. Tami Division of Plastic Surgery and Hand Surgery, University Hospital Zürich
5. Histor y 1965 palmar tubercle of scaphoid 1983 palmar distal radius 1987 free iliac crest 1991 dorsal distal radius 2000 free medial femoral condyle 2003 second metacarpal base 5th Workshop on Hand Flaps
6. Histor y 1965 palmar tubercle of scaphoid 1983 palmar distal radius 1987 free iliac crest 1991 dorsal distal radius 2000 free medial femoral condyle 2003 second metacarpal base 5th Workshop on Hand Flaps Kuhlmann J.N., Minoun M., Boabighi A., Baux S. Vascularised bone graft pedicled on the volar carpal artery for non-union of the scaphoid. J Hand Surg (Br) 1987; 12-B(2): 203-210.
7. Histor y 1965 palmar tubercle of scaphoid 1983 palmar distal radius 1987 free iliac crest 1991 dorsal distal radius 2000 free medial femoral condyle 2003 second metacarpal base 5th Workshop on Hand Flaps Mathoulin C., Haerle M. Vascularised bone graft from the palmar carpal artery for treatement of scaphoid nonunion. J Hand Surg (Br) 1998; 23-B(3): 318-323. « HARVESTING THE VASCULARIZED BONE GRAFT WAS A RELATIVELY DIFFICULT AND DELICATE PROCEDURE IN ALL CASES. »
8. Histor y 1965 palmar tubercle of scaphoid 1983 palmar distal radius 1987 free iliac crest 1991 dorsal distal radius 2000 free medial femoral condyle 2003 second metacarpal base 5th Workshop on Hand Flaps Fairbank S., Papadogeorgou E., Mathoulin C. Indications and outcomes of volar vascularised bone grafts for scaphoid nonunion. FESSH, Poznan (Pl), 3-6 June 2009.
9. Anatom y 5th Workshop on Hand Flaps Scaphoid Palmar Carpal Artery Radius Radial Artery Ulna Radius Scaphoid Palmar Carpal Artery Ulnar Artery Radial Artery M. Pronator Quadratus DRUJ
19. Dorso-radial pedicled vascularized bone flap of the radius (Zaidemberg) 5th Workshop on Hand Flaps 04. - 05.02.2009 Dr. I. Tami Division of Plastic Surgery and Hand Surgery, University Hospital Zürich
20. Histor y 1965 palmar tubercle of scaphoid 1983 palmar distal radius 1987 free iliac crest 1991 dorsal distal radius 2000 free medial femoral condyle 2003 second metacarpal base 5th Workshop on HandFlaps
21. Histor y 1965 palmar tubercle of scaphoid 1983 palmar distal radius 1987 free iliac crest 1991 dorsal distal radius 2000 free medial femoral condyle 2003 second metacarpal base 5th Workshop on HandFlaps Zaidemberg C., Siebert J.W., Angrigiani C. A new vascularized bone graft for scaphoid nonunion. J Hand Surg (Am) 1991; 16: 474-478.
22. Anatom y 1,2 I nter C ompartmental S upra R etinacular A rtery [email_address] 5th Workshop on HandFlaps
23. Anatom y Hand and wrist surgery, 2008 5th Workshop on HandFlaps
33. Take care… … not to denude the vessels of the pedicle: preserve surrounding soft tissue to keep venous drainage … not to detach the periosteum from the bone … carefully close the extrinsic anterior carpal ligaments to prevent instability ( Kuhlmann/Mathoulin ) 5th Workshop on Hand Flaps
34. Thank you for your attention! … any questions? 5th Workshop on Hand Flaps