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Nettelblad, Hans
Publications (6 of 6) Show all publications
Abdelrahman, I., Elmasry, M., Steinvall, I., Olofsson, P., Nettelblad, H. & Zdolsek, J. (2018). Versatility of the Extensor Digitorum Brevis Muscle Flap in Lower Limb Reconstruction. Plastic and Reconstructive Surgery – Global Open, 6(12), Article ID e2071.
Open this publication in new window or tab >>Versatility of the Extensor Digitorum Brevis Muscle Flap in Lower Limb Reconstruction
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2018 (English)In: Plastic and Reconstructive Surgery – Global Open, E-ISSN 2169-7574, Vol. 6, no 12, article id e2071Article in journal (Refereed) Published
Abstract [en]

Background: Reconstruction of complex defects in the lower leg is a challenge. Although microvascular free tissue transfer is a popular technique, experience and available resources limit its use. Furthermore, free tissue transfer is not always required in the reconstruction of small lower leg defects, as many of them can be reconstructed with local alternatives such as an extensor digitorum brevis flap (EDB). Our aim was to describe our experience of the last 20 years with the EDB as a local muscle flap to cover small complex lower leg defects to establish its clinical feasibility and to document its associated complications. Methods: All adult patients who were operated with EDB flap reconstruction of the lower limb during 1997–2017 at the Department of Hand and Plastic Surgery, Linköping University Hospital, were included in this retrospective study. Results: Of 64 patients operated, only 7 had total flap failure, and the rate of complete success was 73% (47/64). Most of the skin defects were associated with fractures or complications thereof and were located in the ankle region, the dorsum of the foot, and the distal third of tibia or even the proximal tibia. Defects in the malleolar region and coexisting cardiovascular condition were factors associated with flap loss (either partial or total). Conclusion: The pedicled EDB-flap has, in our hands, proved to be a versatile and safe reconstructive option in the reconstruction of small defects in the lower leg and foot. Long-time follow-up is, however, recommended. 

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2018
National Category
Surgery
Identifiers
urn:nbn:se:liu:diva-153635 (URN)10.1097/GOX.0000000000002071 (DOI)
Available from: 2019-01-06 Created: 2019-01-06 Last updated: 2019-04-12
Eriksson, J., Huljebrant, I., Nettelblad, H. & Svedjeholm, R. (2011). Functional impairment after treatment with pectoral muscle flaps because of deep sternal wound infection. Scandinavian Cardiovascular Journal, 45(3), 174-180
Open this publication in new window or tab >>Functional impairment after treatment with pectoral muscle flaps because of deep sternal wound infection
2011 (English)In: Scandinavian Cardiovascular Journal, ISSN 1401-7431, E-ISSN 1651-2006, Vol. 45, no 3, p. 174-180Article in journal (Refereed) Published
Abstract [en]

Objective. Pectoral muscle flaps (PMF) are effective in terminating protracted sternal wound infections (SWI) but long-term outcome remains uncertain. Therefore, the aim of this study was to evaluate long-term outcome in patients treated with PMF. Design. Thirty-four of 263 patients revised because of deep SWI from 1991-2005 were treated with PMF. Of the 21 patients alive, 11 had left-sided, two right-sided and eight bilateral procedures. Sternal debridement without closure of the sternum was done in 17 patients. Nineteen of 21 patients responded to a questionnaire. Results. At follow-up on average 5.9 years (range 1.9-14.8 years) after surgery 63% (12/19) experienced unstable chest. Two thirds (12/18) reported problems carrying a grocery bag and 37% (7/19) had problems putting on a coat. Reduction of power and mobility was more common in the right arm and shoulder even in patients with left-sided PMF. Thirty-two percent (6/19) would have preferred alternative treatment if possible to avoid sternal instability even if healing had been substantially delayed. Conclusions. Surgery with PMF and sternal debridement was associated with long-term disability, which appeared to be significant in one third of the patients. The function of the right arm and shoulder was affected more often despite the majority of procedures being left-sided suggesting that loss of skeletal continuity of the chest wall is more disabling than loss of pectoral muscle function.

Place, publisher, year, edition, pages
Informa Healthcare, 2011
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-68778 (URN)10.3109/14017431.2011.563318 (DOI)000290870200008 ()21405983 (PubMedID)
Note

Original Publication: Jenny Eriksson, Inger Huljebrant, Hans Nettelblad and Rolf Svedjeholm, Functional impairment after treatment with pectoral muscle flaps because of deep sternal wound infection, 2011, SCANDINAVIAN CARDIOVASCULAR JOURNAL, (45), 3, 174-180. http://dx.doi.org/10.3109/14017431.2011.563318 Copyright: Informa Healthcare http://informahealthcare.com/

Available from: 2013-04-11 Created: 2011-06-07 Last updated: 2017-12-11Bibliographically approved
Henriksson, T.-G. & Nettelblad, H. (2005). Technical refinements in the Washio tempororetroauricular flap in reconstruction of the nasal wing. Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery, 39(5), 295-298
Open this publication in new window or tab >>Technical refinements in the Washio tempororetroauricular flap in reconstruction of the nasal wing
2005 (English)In: Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery, ISSN 2000-656X, E-ISSN 2000-6764, Vol. 39, no 5, p. 295-298Article in journal (Refereed) Published
Abstract [en]

Retroauricular tissue for reconstruction of external nasal defects was described by Washio. We describe our recent experiences in elderly patients, in whom the risk of reconstruction after excision of a malignant growth is high. We present seven reconstructions, six after excision of malignant disease, together with our ideas about how to maximise its possibilities. © 2005 Taylor & Francis.

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-30812 (URN)10.1080/02844310410004928 (DOI)16442 (Local ID)16442 (Archive number)16442 (OAI)
Available from: 2009-10-09 Created: 2009-10-09 Last updated: 2017-12-13
Nettelblad, H. & Tarpila, E. (2003). Abdominal wall reconstruction with vascularised autologous tissue. Scandinavian Journal of Surgery, 92(4), 297-300
Open this publication in new window or tab >>Abdominal wall reconstruction with vascularised autologous tissue
2003 (English)In: Scandinavian Journal of Surgery, ISSN 1457-4969, E-ISSN 1799-7267, Vol. 92, no 4, p. 297-300Article in journal (Refereed) Published
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-25284 (URN)9724 (Local ID)9724 (Archive number)9724 (OAI)
Available from: 2009-10-07 Created: 2009-10-07 Last updated: 2017-12-13
Adolfsson, L. & Nettelblad, H. (2001). Radial nerve entrapment in the upper arm as a cause of lateral arm pain: A report of four cases. Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery, 35(2), 217-220
Open this publication in new window or tab >>Radial nerve entrapment in the upper arm as a cause of lateral arm pain: A report of four cases
2001 (English)In: Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery, ISSN 2000-656X, E-ISSN 2000-6764, Vol. 35, no 2, p. 217-220Article in journal (Refereed) Published
Abstract [en]

Four patients with no history of trauma presented with lateral arm pain, local tenderness, and a tingling sensation at the distal end of the arm when the radial nerve was percussed in the mid-third of the upper arm (Tinel's sign), but no clinical or subjective signs of muscular weakness. They were treated by decompression of the radial nerve in the fibrous canal proximal to the lateral intermuscular septum. Three of the patients had a complete or pronounced reduction in pain, while the fourth had only a slight improvement. Non-traumatic radial nerve entrapment in the upper arm may be the cause of lateral arm pain without clinical signs of muscular weakness.

Keywords
Radial nerve entrapment, Surgical decompression, Upper arm
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-47308 (URN)10.1080/028443101300165381 (DOI)
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2017-12-13
Adolfsson, L., Lysholm, J. & Nettelblad, H. (1999). Adverse effects of extensive clavicular resections and a suggessted method of reconstruction.. Journal of shoulder and elbow surgery, 8, 361-365
Open this publication in new window or tab >>Adverse effects of extensive clavicular resections and a suggessted method of reconstruction.
1999 (English)In: Journal of shoulder and elbow surgery, ISSN 1058-2746, E-ISSN 1532-6500, Vol. 8, p. 361-365Article in journal (Refereed) Published
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-24829 (URN)9226 (Local ID)9226 (Archive number)9226 (OAI)
Available from: 2009-10-07 Created: 2009-10-07 Last updated: 2017-12-13
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