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Vascularized Rib Bone Grafting: Indications, Techniques, and Clinical Outcomes
Winocour, Sebastian J; Agrawal, Nikhil; Wagner, Kathryn M; Davis, Matthew J; Abu-Ghname, Amjed; Shekher, Rohil; Raber, Michael R; Bohl, Michael A; Ropper, Alexander E; Reece, Edward M
Pseudarthrosis is a difficult complication often seen in patients with complex spinal pathology. To supplement existing neurosurgical approaches to cervicothoracic spinal instrumentation and fusion, novel vascularized rib bone grafts can be utilized in patients at high risk for failed spinal fusion. In this article, we discuss the indications, benefits, surgical technique, feasibility, and limitations of using rib vascularized rib bone grafts to augment spinal fusion.
PMCID:8110345
PMID: 33994876
ISSN: 1535-2188
CID: 5019102
The Impact of Hospital-Based Systems on Plastic Surgery Resident Education: Veterans Affairs Medical Centers versus Public County Hospitals
Shih, Linden; Abu-Ghname, Amjed; Davis, Matthew J; Agrawal, Nikhil; Winocour, Sebastian; Buchanan, Edward P; Reece, Edward M
PMID: 32858655
ISSN: 1529-4242
CID: 5019052
When Is Science Significant? Understanding the p Value [Editorial]
Rohrich, Rod J; Agrawal, Nikhil A; Savetsky, Ira; Avashia, Yash; Chung, Kevin C
PMID: 32970017
ISSN: 1529-4242
CID: 5019072
Recurrent Schwannomatosis of the Hand [Case Report]
Nicolescu, Razvan; Agrawal, Nikhil A; Pettit, Rowland W; Netscher, David T
PMCID:7543218
PMID: 31948274
ISSN: 1558-9455
CID: 5018952
Venous Thromboembolism in Plastic Surgery: Where Are We Now? [Editorial]
Rohrich, Rod J; Agrawal, Nikhil A
PMID: 32740605
ISSN: 1529-4242
CID: 5018992
Protecting Your Reconstructive Plastic Surgery Practice in a Pandemic: Five Ways to Mitigate This Unique Environment
Grome, Luke J; Reece, Edward; Agrawal, Nikhil; Kaplan, Jordan; Winocour, Sebastian
PMID: 32740635
ISSN: 1529-4242
CID: 5019022
Four Strategies for Plastic Surgery Education amid the COVID-19 Pandemic
Kania, Kasia; Abu-Ghname, Amjed; Agrawal, Nikhil; Maricevich, Renata S
PMID: 32740634
ISSN: 1529-4242
CID: 5019012
Impact Factor, h-Index, and Alternative Metrics: How Should We Measure the Impact of Publications in Plastic Surgery?
Davis, Matthew J; Abu-Ghname, Amjed; Agrawal, Nikhil; Reece, Edward M; Winocour, Sebastian J
PMID: 32740630
ISSN: 1529-4242
CID: 5019002
Safety in the Use of Fillers in Nasal Augmentation-the Liquid Rhinoplasty
Rohrich, Rod J; Agrawal, Nikhil; Avashia, Yash; Savetsky, Ira L
PMCID:7489605
PMID: 32983752
ISSN: 2169-7574
CID: 5019082
Targeted Muscle Reinnervation for Symptomatic Neuromas Utilizing the Terminal Anterior Interosseous Nerve
Grome, Luke J; Agrawal, Nikhil A; Wang, Eric; Netscher, David T
Sensory nerve trauma at the level of the wrist can lead to debilitating neuromas. Targeted muscle reinnervation (TMR) is an effective therapy for the treatment of neuromas. Here we propose the use of the terminal anterior interosseous nerve (AIN) as a viable recipient for TMR. All superficial sensory nerves around the wrist, including the dorsal ulnar sensory nerve, the distal lateral antebrachial cutaneous nerve, the distal branches of the superficial branch of the radial nerve, and the palmar cutaneous branch of the median nerve were dissected in 2 cadaver specimens. The AIN branch to pronator quadratus was divided just distal to the final branch of flexor pollicis longus to preserve adequate length for TMR. The sensory nerves at the wrist were fully dissected to identify a viable location for coaptation to the AIN. After the cadaveric concept was demonstrated, the technique was successfully used in a clinical case. In summary, the distal AIN is a versatile recipient for TMR as a treatment of painful sensory neuromas at the level of the wrist, with minimal donor-site morbidity.
PMCID:7413765
PMID: 32802671
ISSN: 2169-7574
CID: 5019042