brahmanand clinic

pre op marking 32 year old man met with a accident which resulted in a degloving  injury of  elbow. Orthopedic surgeons stabilised the extremity with external fixator. Patient had exposed bones around elbow joint which necessitated flap surgery for elbow, but area was large . So decision was taken to cover necessary portion with flap rest was to be skin grafted.  Later patient under went thoraco abdominal flap  and after three weeks flap division and skin grafting was done. External fixator was removed once complete wound healed and physiotherapy was started. Dr Adhishwar Sharma MBBS MS gen surgery Mch Plastic surgery Fellowship in microvascular and hand surgery 8860650846 adhishwar7@gmail.com brahmanand clinic.com

Before surgery  Pre op After completion of surgery Straight fore arm after surgery Volkmann's Ischemic contracture is a disabling condition. 11 year old child sustained fracture both bone forearm and developed compartment syndrome and developed resultant sequelae. We did  flexor slide surgery and neurolysis of nerves common flexor origin was slided , Hand become straight. A cast was applied for 6 weeks and physio therapy was started . Patient recovered uneventfully.  Dr Adhishwar Sharma 8860650846

before surgery before surgery After completion of surgery post op post op Dr Adhishwar Sharma 8860650846

healed flap healed flap healed flap pre op wound post op healed flap post op healed flap 10 year old boy had a accident which resulted in total loss of medial side soft tissue. Resultant defect was managed with sural flap. Which healed nicely. Dr Adhishwar Sharma 8860650846 adhishwar7@gmail.com

ulcer

pre o[ pre op closing checking gold wieght After gold wieght post op after gold weight and cross facial nerve grafting