While timely recognition and re-exploration of the compromised free flap in the early postoperative setting is important in determining the flap salvage success, it is demonstrated that salvage rates are poorer for muscle only flaps compared with flaps with a skin paddle.
Introduction:The main complications in distal interphalangeal (DIP) arthrodeses are nonunion and hardware related. The main aim of this study was to show that joint preparation for DIP fusion is useless in Stage IV chondropathies. The secondary aim was to show that the use of buried compression screws decreases the complication rate. Methods: Our continuous retrospective study included two groups of DIP percutaneous arthrodeses with self-breaking 1.8 mm compression screws: Group 1 with a joint preparation through a dorsal approach and Group 2 with no joint preparation. Group 1 included 15 patients (18 fingers) with a mean age of 65.3 years, representing nine cases of osteoarthritis, four cases of open trauma, one gout and one rheumatoid arthritis. Group 2 included 18 patients (21 fingers), with a mean age of 58.9 years, representing 16 cases of osteoarthritis, one rheumatoid arthritis and one swan-neck deformity. Results: Tourniquet time was longer in Group 1 (61 min) than in Group 2 (24 min). The amount of emitted ionizing radiation was not different between groups. Pain and quick-DASH scores were not improved in Group 1, but were in Group 2. There was no difference in terms of consolidation time. One nonunion was observed in Group 1. Conclusion: Our results showed that joint preparation for DIP arthrodesis is useless in Stage IV chondropathies and that there were no hardware-related complications.A-0005 Are fluoroscopic anteroposterior and lateral views sufficient for distal radius volar plating? About 75 cases with fluoroscopic 'skyline'
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