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The study of temperature regulation of human body will help to better understand the physiology and functioning of every biological system. Skin is the largest organ of the integumentory system playing an important role to maintain the body core temperature (T_b) at 37°C. Any disturbance in the temperature regulation may cause lots of abnormality in the body. The purpose of this paper is to present an overview of temperature variations of tissues of human peripheral region during wound healing process after plastic surgery. An attempt has been made to study temperature variations of normal region (region before surgery) as well as abnormal region (region after surgery) of human peripheral region after the plastic surgery at different atmospheric temperatures and rates of evaporation for an undressed wound by extending finite domain to infinite using infinite element method (IEM). The two-dimensional peripheral region (skin and subcutaneous tissues) consists of finite triangular elements of very small size and the infinitely long rectangular elements. The appropriate shape functions are used for the elements. Physiological parameters like thermal conductivity, rate of metabolism, blood mass flow rate, latent heat, rate of evaporation etc. are used along with the proper initial and boundary conditions. The temperature variations are noted for tissue of donor site (normal region) as well as tissues after surgery (abnormal region). The information obtained from this model can be of great use for biomedical scientists for application in treatment of various diseases as well as helpful to develop protocols for medical purpose.

We present a case of compartment syndrome of the forearm following harvesting of a full thickness skin graft from the medial forearm for a double digit dermofasciectomy. The patient underwent forearm fasciectomy followed by multiple surgical debridements. At 18 months, despite intensive physiotherapy, the patient was left with a very significant residual functional deficit. This case highlights a previously undescribed but devastating complication of closure of a forearm skin graft donor site.

Background: Different techniques are used to release simple and complex congenital syndactyly in order to create an adequate web space, and to separate the fingers to allow independent function.

Methods: This article is a systematic review of the literature, aiming to evaluate the evidence for the different techniques and outcome measures utilised.

Results: The studies consisted mainly of retrospective, non-controlled descriptive series and a few retrospective cohort studies. The level of evidence is predominantly poor.

Conclusions: Although recommendations in favour of any particular surgical technique cannot be given based on evidence, a number of conclusions can be drawn out of the existing literature with regards to the design of the incisions for finger separation, use of pulp flaps and grafts.

We reconstructed a segmental bone defect in a finger associated with a dorsal skin defect using a bone graft covered with a free medial femoral condyle periosteal flap and a skin graft in two patients. The vascularised periosteal flap (VPF) improved the survival of the bone graft and allowed the take of the skin graft. The use of a VPF can be considered in patients with crush injury of the digits with segmental loss of bone and dorsal skin

Level of Evidence: Level V (Therapeutic)