Gustillo IIIb, Soleus Flap

Classification of lower extremity injuries is best put forth by Gustillo.

This wound is covered by a combination of rotational muscle flap (Soleus m.) plus STSG (skin graft. The tibial fx was previously fixed by orthopedic surgery.

Ventral Hernia Repair

Ventral hernia repair with a biologic matrix.
(actually a xenograft). Do you know the product?

Tib Fib Fracture

RLE tib fib fracture, s/p ORIF tibia.
Large soft tissue defect.
Important questions:
-what is the vascular status of the leg?
-will the knee joint be functional?
-can the soft tissue be reconstructed, if so how?

Median Nerve Repair

Here is the same nerve injury -- with neuroma resected followed by repair using several means.

Median nerve neuroma

It's been awhile since I've posted anything -- busy residency -- but hope to get it going again. Here is a neuroma of the median nerve following traumatic laceration to the volar wrist. Read about Sunderland and Seddon. I will post a photo of the repair next.