Clinical Results & Patient Outcomes

Amputated Thumb Tip Preserved with Modified Moberg Flap

A 25-year-old caught his thumb in a motorcycle chain, amputating the tip down to the distal phalanx bone. Rather than shortening the digit, Dr. Thakur advanced local sensate tissue to save both full length and pinch strength.

Procedure

Modified Moberg flap under nerve block (V-Y neurovascular advancement)

Outcome

100% flap survival, normal touch sensation, complete thumb length retained

Recovery

Returned to daily functional writing and work within 3 weeks

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Micro-Follicular Hair Restoration for Receding Hairline

Natural hair restoration designed around age-appropriate facial proportions and hairline architecture.

Area

Frontal hairline advancement and crown density improvement

Technique

Follicular unit extraction with natural directional angulation

Result

Substantial natural density increase with unnoticeable donor sites

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High-Voltage Electrical Scalp Burn with Exposed Skull Bone

Full-thickness loss of scalp soft tissue and periosteum exposing the cranial bone. Reconstructed using a large local scalp rotation flap.

Challenge

Exposed skull bone requires vascularized hair-bearing tissue coverage

Surgery

Wide debridement and arterial scalp rotation flap

Result

Stable, durable cranial cover with normal cosmetic hair regrowth

Weight-Bearing Heel Defect Rebuilt with Durable Flap

Exposed Achilles tendon and calcaneus bone covered with a specialized locoregional flap to allow durable weight-bearing walking.

Surgery

Debridement, local fasciocutaneous flap, external fixation

Outcome

Painless weight-bearing ambulation with complete contour restoration

Bilateral Mandible Fractures Fixed with Rigid Titanium Miniplates

Road traffic accident causing double fracture of the lower jaw (mandibular angle and parasymphysis).

Procedure

Open reduction and internal fixation (ORIF) with titanium miniplates

Outcome

Restored anatomic bite alignment (dental occlusion) and symmetrical jawline

Complete Excision of Little Finger Tumour via Bruner Incision

Removal of a deep 2 cm mass restricting flexion, preserving digital nerves and flexor tendons.

Technique

Neutral zigzag Bruner incisions to prevent postoperative flexion contractures

Result

Zero nerve injury, full unrestricted finger flexion restored

Orbito-Ethmoid Sinus Mucocele Decompressed Through Nostril

Large sinus mass compressing the orbit and causing double vision (diplopia), drained endoscopically with zero external scars.

Procedure

Endoscopic transnasal marsupialisation and drainage under general anaesthesia

Outcome

Eye displacement resolved on Day 1; double vision cured by Day 4

Allergic Fungal Rhinosinusitis (AFRS) Managed Endoscopically

Thorough clearing of aggressive fungal debris and polyps obstructing sinus ventilation.

Management

Preoperative medical optimization followed by meticulous endoscopic clearance

Outcome

Restored nasal ventilation, olfaction recovery, and long-term symptom control