Clinical application of venous nutrition flap pedicled by medial plantar artery of the hallux on the medical aspect of the foot / 中华整形外科杂志

<p><b>OBJECTIVE</b>To introduce the clinical application of venous nutrition flap pedicled by medial plantar artery of the hallux on the medical aspect of the foot.</p><p><b>METHODS</b>Based on the anastomoses between the medial plantar artery of the hallux and the nutritional vein, the flap was designed with the perforator of medial plantar artery adjacent to the first metatarsal bone as the rotation point. The flap axis was along the vein at the medial aspect of the foot between rotation point and medial malleolus.</p><p><b>RESULTS</b>5 cases were treated with primary healing and complete survival flaps. The patients were followed up for 1-12 months with good match of texture and color.</p><p><b>CONCLUSIONS</b>The venous nutrition flap pedicled by medial plantar artery of the hallux on the medical aspect of the foot can be transpositioned to repair the defect at forefoot.</p>

Application of Halo-vest head ring in replantation of total scalp avulsion / 中华整形外科杂志

<p><b>OBJECTIVE</b>To investigate the clinical effect of Halo-vest head ring in the treatment of replantation of total scalp avulsion.</p><p><b>METHODS</b>We treated 11 cases of total scalp avulsion with the anastomosis of arteriovenous vessels and Halo-vest head ring from December 2006 to February 2015.</p><p><b>RESULTS</b>One patient's replanted scalp got necrosis because of serious contusion which was healed without hair growth after free skin graft and dressing. All the scalp flaps in the other 10 patients survived. After 3-96 months follow-up, the wound completely healed, the scalp and hair grew well with satisfactory appearance.</p><p><b>CONCLUSIONS</b>The use of Halo-vest head ring for replantation of total scalp avulsion can effectively improve the survival rate and survival area.</p>