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Functional Reconstruction of a Combined Tendocutaneous Defect of the Achilles Using a Segmental Rectus Femoris Myofascial Construct: A Viable Alternative

DeFazio MV, Han KD, Evans KK

The composite anterolateral thigh flap with vascularized fascia lata has emerged as a workhorse at our institution for complex Achilles defects requiring both tendon and soft tissue reconstruction. Safe elevation...
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Systematic Review and Comparative Meta-Analysis of Outcomes Following Pedicled Muscle versus Fasciocutaneous Flap Coverage for Complex Periprosthetic Wounds in Patients with Total Knee Arthroplasty

Economides JM, DeFazio MV, Golshani K, Cinque M, Anghel EL, Attinger C, Evans KK

BACKGROUND: In cases of total knee arthroplasty (TKA) threatened by potential hardware exposure, flap-based reconstruction is indicated to provide durable coverage. Historically, muscle flaps were favored as they provide vascular...
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Subtotal calvarial vault reconstruction utilizing a customized polyetheretherketone (PEEK) implant with chimeric microvascular soft tissue coverage in a patient with syndrome of the trephined: A case report

Wang JS, Ter Louw R, DeFazio MV, McGrail KM, Evans KK

The syndrome of the trephined is a neurologic phenomenon that manifests as sudden decline in cognition, behavior, and sensorimotor function due to loss of intracranial domain. This scenario typically occurs...
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Cutaneous mucormycosis of the lower extremity leading amputation in two diabetic patients

Coerdt KM, Zolper EG, Starr AG, Fan KL, Attinger CE, Evans KK

Mucormycosis is an invasive, rapidly progressive, life-threatening fungal infection, with a propensity for diabetic, immunosuppressed, and trauma patients. The classic rhinocerebral variation is most common in diabetic patients. While the...
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Utility of a modified components separation for abdominal wall reconstruction in the liver and kidney transplant population

Black CK, Zolper EG, Walters ET, Wang J, Martinez J, Tran A, Naz I, Kotha V, Kim PJ, Sher SR, Evans KK

BACKGROUND: Incisional hernia is a common complication following visceral organ transplantation. Transplant patients are at increased risk of primary and recurrent hernias due to chronic immune suppression and large incisions....
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Management of complex surgical wounds of the back: identifying an evidence-based approach

Zolper EG, Saleem MA, Kim KG, Mishu MD, Sher SR, Attinger CE, Fan KL, Evans KK

Background Postoperative dehiscence and surgical site infection after spinal surgery can carry serious morbidity. Multidisciplinary involvement of plastic surgery is essential to minimizing morbidity and achieving definitive closure. However, a...
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