03713nam a22004695i 4500001001800000003000900018005001700027007001500044008004100059020003700100024003500137050001600172072001600188072002300204072001500227100008200242245014700324250001800471264006900489300006700558336002600625337002600651338003600677347002400713505037200737520172101109650002902830650002402859650002002883650002802903650002502931650002802956710003402984773002603018776003603044776003603080776003603116856004603152912001403198912001403212999001703226978-3-031-76702-9DE-He21320251030114945.0cr nn 008mamaa250225s2024    sz |    s    |||| 0|eng d  a97830317670299978-3-031-76702-97 a10.1007/978-3-031-76702-92doi 4aRD118-120.5 7aMNP2bicssc 7aMED0850302bisacsh 7aMNP2thema1 aBehan, Felix.eauthor.4aut4http://id.loc.gov/vocabulary/relators/aut99090510aKeystone Flap for Complex Orthopaedic Problemsh[electronic resource] :bReconstructive Surgery with Audiovisual Guidelines /cby Felix Behan.  a1st ed. 2024. 1aCham :bSpringer Nature Switzerland :bImprint: Springer,c2024.  aXXV, 149 p. 466 illus., 458 illus. in color.bonline resource.  atextbtxt2rdacontent  acomputerbc2rdamedia  aonline resourcebcr2rdacarrier  atext filebPDF2rda0 a1. Principles of Keystone Reconstruction -- 2. The Keystone Flap Technique to Reconstruct Palmar Defects Resulting from Dupuytren’s Fasciectomy – the Provence of Orthopaedic Hand Surgeons -- 3. The Keystone Flap Technique to Solve Orthopaedic Defects of the Lower Limb from the Inguinal Region to the Dorsum of the Foot -- 4. Potential Complicating Circumstances.  aKDPIF, or Keystone Design Perforator Island Flap, is the main reconstructive tool available as a valid alternative to microsurgical procedures; its low complication rate is the key to its surgical success. This stepwise guide illustrates the technique’s applications in orthopaedic reconstruction. The sections of the book cover the upper limb (including Dupuytren’s disease), the lower limb defects (from groin to foot) and the rare vascular complications of the technique. The illustrations range from simple to complex cases in an easy-to-follow format, with audio files, acting as a supplementary tool to amplify and illustrate the technique to enhance the reader’s experience and foster clear understanding. The basic design format for all Keystones are highlighted, all sitting within the dermatomal precincts. The KDPIF must contain a fascial base for lining and must be aligned within the dermatomal precincts. This island outline is an essential pre-requisite for its success. It is hypothesized that this islanding creates a sympathectomy effect resulting in hyperaemic blood flow which optimises healing: the KDPIF technique provides an alternative to microvascular procedures where the biggest drawback is tissue match. The KDPIF addresses this problem admirably with a low pain component, an excellent aesthetic match with a low vascular complication rate and executed in an expeditious manner with sensory recovery and resolution of oedema. Keystone Flap for Complex Orthopaedic Problems: Reconstructive Surgery with Audiovisual Guidelines will be a valued companion to plastic and reconstructive surgeons and orthopaedic surgeons, that might find a valid alternative to microsurgical techniques. 0aSurgery, Plastic.974690 0aOrthopedics.970127 0aSurgery.97208014aPlastic Surgery.97469224aOrthopaedics.97012924aGeneral Surgery.9743782 aSpringerLink (Online service)0 tSpringer Nature eBook08iPrinted edition:z978303176701208iPrinted edition:z978303176703608iPrinted edition:z978303176704340uhttps://doi.org/10.1007/978-3-031-76702-9  aZDB-2-SME  aZDB-2-SXM  c66761d66761