Over the past 4 decades, gluteal augmentation has increased tremendously in popularity. Therefore, numerous techniques have been developed to provide patients with the best possible outcomes. The submuscular technique has been proven to be a reliable option for a broad cohort of patients. The main objective of the present retrospective study is to describe the characteristics and clinical outcomes of a group of patients that underwent gluteal augmentation using the submuscular technique. A retrospective analysis was conducted on 80 female patients that underwent submuscular gluteal augmentation with silicone implants from August 2019 to May 2022. All of the patients were operated on by the authors of the present study. Information about the patient demographic, implants, complications, and treatments was analyzed. Moreover, the satisfaction of the patients was assessed with a short survey. The most frequent complication was wound dehiscence. Only 7 patients necessitated surgical revisions, while two required isolated antibiotic therapy. All complications were effectively addressed, and no implants had to be removed. Furthermore, the retrospective analysis revealed a noteworthy association between the size of the implant and the occurrence of complications. In the authors’ opinion, the submuscular method provides the best aesthetic results and adequate safety for the patients. It significantly minimizes the possibility of complications, such as fluid collection due to muscle fiber dissection or implant exposure/extrusion.

Some variances and anatomical proportions of the wrist may contribute to development of avascular necrosis of the lunate. Kienböck's disease is more often encountered in young males, who suffer, among others, from type II of the lunate (with two joint surfaces for the capitate and hamate) and/or negative variance of ulna in relation to radius. The aim of the study was to investigate whether there exists interdependence between the simultaneous occurrence of individual types of the lunate with one of the variances of ulna in both genders. A retrospective analysis of 394 (n=394) radiological tests of the wrist in 174 (44%) women and 220 (56%) males aged 18-83 years (average age 39 years). From the entire pool, 265 X-rays were educed in 104 females and 161 males, and no fractures or wrist instability features were could be observed. The X-rays were obtained from computer lab and archive data base at St Hedwig Hospital in Trzebnica from the beginning of January 2011 to the end of December 2012. 196 cases (74%) were found with type I of the lunate and 69 cases (26%) with type II. Ulnar variance amounted to from +4.7 mm to -4.2 mm (mean value +0.9 mm). Positive ulnar variance was stated in 44 patients (16.6%), negative in 63 (23.7%) and neutral accounted for the biggest group of other 158 (59.7%) patients. Neutral variance of ulna is the one that occurs most often in the Polish population. There is no correlation between gender and ulnar variance. There is also lack of direct connection between occurrence of individual lunate types and ulnar variance.

Background: Post-traumatic osteomyelitis (PTO) of the lower extremity is among the most demanding problems in orthoplastic reconstructive surgery. It typically follows open fractures, failed osteosynthesis, or implant infection. Effective management requires coordinated infection control, stable skeletal fixation, and timely vascularized soft-tissue coverage. Methods: We conducted a retrospective case series of 20 consecutive patients with PTO of the lower limb treated between 2021 and 2024 at a tertiary orthoplastic center. All patients underwent radical debridement, culture-directed intravenous antibiotic administration, and soft-tissue reconstruction using local muscle, fasciocutaneous, or free flaps; vascularized bone flaps were used to select nonunion cases. The primary outcomes were flap survival, complications, infection resolution, and limb salvage. Exploratory analyses included descriptive subgroup summaries by flap category. Results: Among 20 patients (15 men, 5 women; mean age 53.6 years), reconstructions included reverse/pedicled sural flaps (n = 9), hemisoleus muscle flaps (n = 7), medial gastrocnemius muscle flaps (n = 2), peroneus brevis muscle flaps (n = 2), and free flaps (n = 6), which comprised anterolateral thigh (ALT), medial femoral condyle (MFC) osteoperiosteal, deep circumflex iliac artery (DCIA) osteocutaneous, and radial forearm free flaps (RFFFs). Single-flap reconstructions were performed in 13 cases, whereas multistage/multiflap strategies were used in 7. Overall flap survival was 90%. Major flap complications comprised partial necrosis in two reverse sural flaps and one complete loss of a reverse sural flap; two patients had minor wound dehiscence. Infection resolved in 18/20 patients (90%; 95% CI ≈ 0.70–0.97). One patient requested below-knee amputation due to persistent nonunion associated with a pathological fracture. At a mean 10-month follow-up, all limb-salvaged patients were ambulatory. Conclusions: Effective reconstruction of PTO is improved by using a patient-specific algorithm that considers the defect location, vascular status, and host comorbidities. Local muscle and fasciocutaneous flaps remain dependable for most defects, with free or vascularized bone flaps reserved for composite or recalcitrant cases. Early referral to high-volume centers, radical debridement, and orthoplastic collaboration are critical for optimizing limb salvage. Our findings should be interpreted in light of the study’s retrospective design and small sample size.

Acute compartment syndrome is caused due to a sudden increase in the tissue pressure in a given fascial compartment. Missed and undiagnosed or not treated in time can lead to irreversible damage to limb muscles and nerves due to ischemia mechanism. This paper presents a case of a patient with an open forearm fracture treated conservatively in plaster.

Background: The thumb accounts for 40–50% of hand function. Traumatic amputation of the thumb results in significant disability and necessitates a structured approach to management. Methods: We conducted a retrospective review of 144 patients treated for thumb amputations between 2004 and 2025 at a specialist hand surgery unit. Over 21 years, an institutional algorithm was developed and refined to guide treatment decisions based on amputation level, injury mechanism and patient factors. Results: Out of the 144 cases, 118 patients underwent replantation, achieving an 82% success rate. Alternative reconstructive procedures included toe-to-thumb transfers (eight cases), index finger pollicisation (six cases) and fourth finger pollicisation (five cases). Functional outcomes showed that 90% of patients returned to work, 83% regained temperature and touch sensation, and 94% could lift a 0.5 L bottle. Conclusions: Implementing a structured treatment algorithm facilitates personalised care and leads to favourable functional outcomes in patients with traumatic thumb amputations.

Trans-metacarpal hand replantation is one of the most complex and difficult procedures in the reconstructive microsurgery. As far as we know the arrangement of the palmar arterial network, the problem lies in the absence of accurate venous maps at the dorsum of the hand. The quality of venous circulation structure at the replanted hand determine the success of the surgery. In this paper we present a case of a failed replantation of a metacarpal hand after early thrombosis at the venous microcirculation system.