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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Updated: Apr 25, 2026

Vascularized Composite Upper Limb Allograft Harvesting for Proximal Arm Allotransplantation
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Vascularized Composite Upper Limb Allograft Harvesting for Proximal Arm Allotransplantation

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Vascularized Proximal Phalanx Transfer for First Ray Reconstruction Following High-Energy Gunshot Injury: A Case

Juan David Bernate1, Ahmed Nageeb Mahmoud1, Daniel S Horwitz1

  • 1Department of Orthopedic Surgery, Geisinger Medical Center, Danville, PA USA.

Indian Journal of Orthopaedics
|April 24, 2026
PubMed
Summary

This study presents a successful surgical reconstruction for severe first ray foot injuries caused by high-velocity gunshot wounds (GSWs). The innovative technique restored function and allowed pain-free weight-bearing, offering a new option for complex trauma reconstruction.

Area of Science:

  • Orthopedic Surgery
  • Trauma Surgery
  • Microsurgery

Background:

  • High-velocity gunshot wounds (GSWs) to the foot often cause extensive bone and soft tissue defects, especially involving the first ray.
Keywords:
Flap surgical procedureFoot injuriesGunshot woundsSurgical flaps

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  • Reconstructive options for such injuries are limited, with few documented cases of first metatarsal reconstruction after firearm trauma.