Pediatric Microsurgery
As microsurgical expertise has improved, allowing for the safe transfer of smaller and more refined flaps, free tissue transfer has continued to gain popularity for the management of pediatric soft…
Complex Microsurgical Reconstruction After Tumor Resection in the Trunk and Extremities
Reconstruction of soft tissue defects following tumor ablation procedures in the trunk and extremities can challenge the microsurgeon. The goal is not just to provide adequate soft tissue coverage but…
Compound or Specially Designed Flaps in the Lower Extremities
Novel and combined tissue transfers from the lower extremity provide new tools to combat soft tissue defects of the hand, foot, and ankle, or fracture nonunion. Flaps can be designed…
Vascularized Small-Bone Transfers for Fracture Nonunion and Bony Defects
Vascularized small-bone grafting is an efficient and often necessary surgical approach for nonunion or necrosis of several bones in particular sites of the body, including scaphoid, lunate, distal ulna, and…
Medial Femoral Trochlea Osteochondral Flap
Vascularized osteochondral flaps are a new technique described for the reconstruction of challenging articular defects of the carpus. The medial femoral trochlea osteochondral flap is supplied by the descending geniculate…
Severe Crush Injury to the Forearm and Hand
The main goals of treating severe crush injuries are debriding away devitalized tissue and filling any resultant dead space with vascularized tissue. In the authors’ experience, the most ideal methods…
Exploring New Frontiers of Microsurgery
This article presents the authors’ understanding and experience concerning anatomic studies and clinical methods in microsurgical hand reconstruction. The 4 parts of this article include anatomic study of the hand…
A Global View of Digital Replantation and Revascularization
Survival rates of digital replantation vary in different regions and countries, and Asian surgeons see more challenging cases and have developed some unique methods. Replantation of multiple digits in one…
Microsurgical Technical Training: Differences Between China and the United States
I have been fortunate to work in two different countries in treating hand-related trauma and disorders, in which microvascular anastomosis is sometimes necessary. Though surgeons in both China and United…
Microsurgery Half a Century After Establishment: Global Perspectives
Jin Bo Tang, MD Michel Saint-Cyr, MD, FRCS(C), Editors We are proud to assemble and edit this issue offering global perspectives on microsurgery for the jubilee commemoration of the technical…
Negative Pressure Wound Therapy for Burns
Negative pressure wound therapy (NPWT) has become a widely used treatment for acute and chronic wounds. NPWT is indicated for a variety of complex wounds, and some studies validate its…
Management of the Chronic Burn Wound
This article reviews the current evidence in using hyperbaric oxygen therapy (HBOT) in burn wounds. There is also separate consideration of diabetic foot burns and a protocol for use of…
Chemical, Electrical, and Radiation Injuries
This article reviews the unique challenges presented by chemical, electrical, and radiation injuries. The authors discuss pathophysiology and diagnosis of these injuries and provide recommendations for management. Key points •…
Even Better Than the Real Thing? Xenografting in Pediatric Patients with Scald Injury
This article reviews a single burn center experience with porcine xenografts to treat pediatric scald injuries, over a 10-year period. The authors compare xenografting to autografting, as well as wound…
Skin Substitutes and Bioscaffolds
Advancements in surgical wound treatment have led to skin substitutes and bioscaffolds as temporary and permanent coverage for burn wounds. Skin substitutes are used to improve wound coverage and restore…
Surgical Excision of Burn Wounds
This article reviews guidelines for burn wound excision, regarding timing, depth, and technique. The authors collect evidence from both animal models and the clinical literature, to recommend best practices for…
Stem Cells and Tissue Engineering
In this review, the authors discuss the stages of skin wound healing, the role of stem cells in accelerating skin wound healing, and the mechanism by which these stem cells…
Patient Safety in Burn Care
This article reviews 5 areas in burn care that increasingly use evidence-based medicine to optimize quality and safety: resuscitation protocols, transfusion practices, vascular access, venous thromboembolic prophylaxis, and rational use…
Life-threatening Skin Disorders Treated in the Burn Center
This article reviews a single burn center experience with life-threatening skin disorders, over a 10-year period. It explores the incidence of health care–associated infections and the impact on length of…
Pediatric Burn Care
Severe pediatric burns require a multidisciplinary team approach at a specialized pediatric burn center. Special attention must be paid to estimations of total body surface area, fluid resuscitation and metabolic…
