Autologous breast reconstruction offers an alternative to implant procedures, if there is a contraindication to implant use, or patients are preferentially inclined. Deep inferior epigastric perforator (DIEP) flap is considered the universal gold standard for this purpose, owing to the ready availability of donor site, the paired vascular pedicle enabling large-volume breast configurations, and low donor-site morbidity. Unfortunately, DIEP flaps may not be suitable for all patients, necessitating a search for reasonable substitutes. The transverse upper gracilis (TUG) flap is easily harvested to recruit a fair volume of tissue from the inner upper thigh region, making it the second choice of certain authors, especially when reconstructing small- or medium-sized breasts. Contraindications to this particular approach are previous thigh lift or liposuction, lower limb lymphoedema, and hip replacement.The latter is deemed prohibitive due to positional requirements (i.e., thigh flexed, abducted, and extra-rotated) that predispose to anterior dislocation of prosthetic femoral heads.

Resection arthroplasty of the hip was already performed for recent 100 years. This kind of surgery was an operative procedure that can be a valuable tool to address complex hip problems. Girdlestone resection arthroplasty (Girdlestone procedure) was a common option especially before the introduction of antibiotics and arthroplasty management for infectious or post-traumatic lesion of the hip were limited. When surgery was possible, the option was to resected the femoral head to relieved the painful infected joint.

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Mishita
Jornal co-ordinator
Journal of Bone Research and Reports