club foot correction








 

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Andy Bump deformity Anterior mandibular reconstruction

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Andy gump deformity is loss of anterior mandibular segment due to trauma ,infection or tumor resection. It is named after a famous cartoon character in USA . Best way to reconstruct is to do a microvascular reconstructive surgery. Osteocutaneous fibula is harvested on peroneal vessel , shaped into desired form and transferred. Microvascular anastomosis is done to local available  vessel. Flap is monitored for 5 days .Subsequently patient is discharged  . Tracheostomy if done is removed at day 5.                                                                                                                       At two weeks Fibula with blood vessel vasc...
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Vascular malformation are of 3 types . Arterial venous malformations , venous malformations and capillary malformations. Venous malformations are bunch of jumbled up veins that can affect any part of body . Pain ,swelling sudden painful enlargement are main symptoms. Sometimes lymphatic symptoms are also involved. pre op photo medial view Posterior view Anterior view venous malformation  after complete excision Skin necrosis of skin flaps a common complication 5 year old boy presents with swelling in thigh ,which  was present since birth. It was soft , non tender compressible . Dilated veins were present all over left thigh. MRI  scan was ordered and it showed lymphovenous malformation .  Dr  Adhishwar Sharma Dr Adhishwar Sharma MBBS,MS General Surgery PGIMER Chd Mch Plastic Surgery Fellowship in hand and microvascular surgery 8860650846, adhishwar7@gmail.com
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