2026 Issue 3

Introduction Chikungunya virus infection is Characterised by acute fever, polyarthralgia, and myalgia. Although most patients recover completely, a substantial proportion develop chronic inflammatory musculoskeletal manifestations such as arthritis, tenosynovitis, and synovitis. These chronic sequelae can persist for months or years and significantly affect quality of life. Localised mass-forming synovitis of the hand and wrist following

Introduction The rapid reconstruction and coverage of massive soft-tissue defects following thermal injury demand aggressive surgical strategies. In patients with significant burns, autologous donor sites are often scarce or compromised by localized infections. Early tangential excision must be followed by immediate biological coverage to halt fluid loss, prevent heat loss, and mitigate burn wound sepsis.

Introduction Burn injuries remain a major global health concern, particularly in the pediatric population where even minor incidents can lead to catastrophic outcomes. Infants are especially vulnerable due to their thin skin, higher body surface area-to-weight ratio, and limited physiological reserves. Large surface area burns, particularly those exceeding 70% TBSA, carry a grave prognosis. However,

Introduction Tumors involving the Brachial plexus are uncommon and may arise from either intrinsic neural elements or from extrinsic lesions compressing the plexus. Neurogenic tumors in this region are frequently associated with Neurofibromatosis type 1 (NF-1). Neurofibromas are benign, heterogeneous tumors originating from the connective tissue of peripheral nerve sheaths[1]. In contrast to Schwannoma, which

Introduction Venous malformations are congenital low-flow vascular anomalies that predominantly involve skin and soft tissues. Their intraneural occurrence, especially within peripheral nerves like the ulnar nerve, is extremely rare and diagnostically challenging. Only a limited number of cases have been reported in the literature. These lesions can mimic common entrapment neuropathies, leading to delays in

As healthcare professionals, our primary mandate has always been clear: help people live better, healthier lives. Yet, there is a quiet, uncomfortable irony in how we deliver that care. The very systems we rely on to heal are leaving behind a destructive trail of greenhouse gases, massive energy consumption, and mountains of physical waste. Globally,

Introduction Intraosseous hemangiomas are relatively uncommon, slow-growing, benign vascular tumors. While they typically arise in the vertebral column or calvarium, primary intraosseous hemangiomas of the facial skeleton, particularly the maxillary bone, are exceedingly rare. Management primarily involves surgical excision, with the surgical approach dictated by the tumor’s size, location, and proximity to vital structures. Complete

Introduction Chromoblastomycosis is not a condition most plastic surgeons encounter regularly, but in tropical practice it lands on our doorstep with increasing frequency. It is a chronic granulomatous fungal infection caused by dematiaceous fungi, most commonly Fonsecaea pedrosoi, predominantly affecting agricultural workers [1][2], and is now recognised by the WHO as a neglected tropical disease

Introduction Lymphedema of the upper and lower extremities presents a significant clinical challenge, profoundly impacting patient mobility, increasing susceptibility to infection, and diminishing overall quality of life. While conservative management remains a staple, lymphovenular anastomosis (LVA) has emerged as a promising, minimally invasive surgical intervention. By creating direct connections between obstructed lymphatic vessels and adjacent