Abstract
A pure dermal sling for implant reconstruction after mastectomy in the generous breast
Highlights
Skin reducing mastectomy is a useful technique in immediate implant-based reconstruction
TECHNIQUE A skin reducing mastectomy is performed via Wise pattern incisions, retaining an extensive inferior dermal sling of de-epithelialised tissue
A sizer is used to ensure the skin envelope meets the inframammary fold before an anatomical implant is placed on the pectoralis major
Summary
The insertion of distal locking screws on an intramedullary nail can be problematic as there is no hardware such as a jig to aid insertion. Developed computer aided techniques are available but the cost can be prohibitive. Insertion of distal screws usually relies wholly on image intensifier guided positioning. This can be time consuming and requires many x-rays to be taken in order to create the ‘perfect circles’ on the image intensifier that demonstrate satisfactory alignment. We propose a technique that decreases insertion time and requires fewer image intensifier images to be taken while inserting a distal locking screw
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