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Fingers and toes and how to do it!
The authors provide an excellent historical and current overview of the options for reconstruction of injuries of the thumb and finger tips. This takes you through the reconstructive ladder in its entirety, but also discusses philosophically the different approaches we...
Superiorly based nasolabial flaps
This interesting paper takes the common or garden nasolabial flap to new extremes. The flap is based on the contralateral superior orbital artery and behaves as an axial patterned flap as far as the alar rim, becoming a random patterned...
Oestrogen receptors in breast capsules – experimental findings
This study from Rome, on humans, is stated by the authors to be not definitive and further work is required before any treatment can be recommended. But careful analysis of oestrogen receptors in breast capsules and the number of fibroblasts...
Raised serum lactate as a marker in the diagnosis of necrotising fasciitis
A 10-year prospective study of cases of suspected necrotising fasciitis was made, involving 53 patients. Of these, 28 had histologically proven necrotising fasciitis, 25 did not. Serum lactate measured at presentation of those who had the condition was 4.1+or-1.62 mmol/l...
Classification of contour deformities after massive weight loss, using the Pittsburgh Rating Scale
While the treatment of patients by skin reduction following massive weight loss is increasing, the conclusions of this study from the Netherlands finds that the Pittsburgh Rating Scale is not entirely suitable for this classification purpose and another system must...
The Accordion Severity Grading System in the assessment of negative outcomes following carpal tunnel release
Classification systems come and go, some more memorable than others. Without such systems it is not possible to compare like with like and so it must be conceded that they are necessary, although I personally find them difficult to commit...
