Monthly Archives: January 2014

Skin Grafting-Types of skin grafts

Split thickness skin grafts   Also known as thiersch graft,split-thickness grafts consist of epidermis and a variable thickness of dermis. Thinner grafts (<0.016 in.) have a higher rate of engraftment, whereas thicker grafts, with a greater amount of dermis, are …

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Sister Mary Joseph Nodule

Sister Mary Joseph Dempsey (born Julia Dempsey; 1856-1939) was the surgical assistant of William J. Mayo at St. Mary’s Hospital in Rochester, Minnesota,USA from 1890 to 1915. She drew Mayo’s attention to the phenomenon, and he published an article about …

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Cardinal Signs of Kanavel

Seen in suppurative tenosynovitis,which involves infection of the flexor tendon sheath, which is usually caused by a puncture wound to the volar aspect of the digit or palm. Diagnosed by:Cardinal Signs of Kanavel Finger held in flexion. Fusiform swelling of …

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Classification of nerve injuries

Sunderlanda Seddonb Structure injured Prognosis First degree Neurapraxia Schwann cell (demyelination) Complete recovery within 12 wk Second degree Axonotmesis Axon (wallerian degeneration) Complete recovery regeneration 1 mm/day Third degree Endoneurium Incomplete recovery Fourth degree Perineurium No recovery Fifth degree Neurotmesis …

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Compartment Syndrome

Compartment syndrome results from increased pressure within an osseofascial space, leading to decreased perfusion pressure. If it is left untreated, muscle and nerve ischemia may progress to necrosis and fibrosis, causing Volkmann ischemiccontracture.Compartment syndrome is usually seen in hand and …

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The Reconstructive ladder of soft tissues

The reconstructive ladder of soft-tissue coverage begins with consideration of the simplest approach (healing by secondary intention) and culminates with the most complex (free tissue transfer) 1.Healing by secondary intention is the simplest approach but is not always feasible. Absolute …

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