Alica Hokynková

Wrap-around flap in urgent thumb reconstruction after high-voltage electrical injury

In this case we describe a young man, who suffered highvoltage electrical injury (22 000 V) caused by moving rails with a crane standing on a high ramp at the train station and hitting high-voltage wires, followed by fall to the floor and short-term unconsciousness (2 min) with posttraumatic amnesia.

Employment of Flap Surgery in Pressure Ulcers Surgical Treatment

Aim: Aim of the paper is to describe surgical treatment of pres sure ulcers, which includes primarily careful necrectomy with complete extirpation of ulcer’s pseudocyst, remov ing of fi stulas and eventual resection of osteolytic or osteomyelitic centre. Material and methods: This case report presents surgical procedure of pres sure ulcer treatment, includ ing photo documentation, in a paraplegic patient (born 1974) with pres sure ulcer treated by fl ap surgery. Conclusion: Surgical treatment of pres sure ulcer requires multidisciplinary approach, especial ly at the treatment onset. Type as well as tim ing of fl ap surgery is plan ned individual ly accord ing to patient’s commorbidities, based on size, depth and localisation of defect. Antidecubital prevention in all phases of treatment – before, dur ing and after the surgery – signifi cantly decreases risk of acute and late complications and pres sure ulcers recur rence. Autoři deklarují, že v souvislosti s předmětem studie nemají žádné komerční zájmy. The authors declare they have no potential confl icts of interest concerning drugs, products, or services used in the study. Redakční rada potvrzuje, že rukopis práce splnil ICMJE kritéria pro publikace zasílané do biomedicínských časopisů. The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers. A. Hokynková1, P. Šín1, F. Černoch1, M. Nováková2, P. Babula2 1 Klinika popálenin a rekonstrukční chirurgie LF MU a FN Brno 2 Fyziologický ústav, LF MU, Brno  MUDr. Alica Hokynková Klinika popálenin a rekonstrukční chirurgie LF MU a FN Brno Jihlavská 20 625 00 Brno e-mail: alicah@post.cz Přijato k recenzi: 28. 5. 2017 Přijato do tisku: 27. 6. 2017