> ## Content Index > Fetch the complete content index at: https://www.theplasticsfella.com/llms.txt > Use this file to discover other available public pages before exploring further. # Good Journals Making a Comeback, 3 Classic Hand Flaps, & Sub-I Accessibility - URL: https://www.theplasticsfella.com/march-30th/ - Published: 2025-03-28T19:48:35.000Z - Updated: 2025-03-29T22:44:55.000Z - Description: Also: The Sunday quiz, original Quaba flap, & AI surgical studio update. - Author: PlasticsFella - Tags: thePlasticsPaper #### In this week's edition 1. ****✍️** [****Letter from P'Fella**](https://www.theplasticsfella.com/march-30th/#a-letter-from-pfella) Are plastic surgery journals about to get good again? 2. ****🤓** [****The Sunday Quiz**](https://www.theplasticsfella.com/march-30th/#the-sunday-quiz) How well do you know **local flaps*? 3. [🖼️](https://emojipedia.org/framed-picture?ref=theplasticsfella.com) [****Image of the Week**](https://www.theplasticsfella.com/march-30th/#image-of-the-week) A raised PIA flap illustration. 4. ****🚑** [****Technique Tip**](https://www.theplasticsfella.com/march-30th/#technique-tip) The original description of the Quaba flap. 5. ****🎈** [****Upcoming Events**](https://www.theplasticsfella.com/march-30th/#upcoming-events) A curated list of webinars, courses, & conferences. 6. ****🚀**[ **New Features**](https://www.theplasticsfella.com/march-30th/#new-features) AI surgical studio update! 7. 🎓 [****JPRAS Journal Club**](https://www.theplasticsfella.com/march-30th/#jpras-journal-club) Accessibility and cost of plastic surgery sub-internships. 8. ****🔥** [****Articles of the Week**](https://www.theplasticsfella.com/march-30th/#articles-of-the-week) Foucher flap, PIA flap, & Moberg's original on upper limb sensations: with 1-sentence summaries. 9. 💕 [****Feedback**](https://www.theplasticsfella.com/march-30th/#feedback) Suggest ideas & give feedback! ## A Letter from P'Fella **Are Plastic Surgery Journals About to Get Good Again?* 👋 ****Hey Team!** PRS just released a bold new mission and vision: to publish the most impactful, innovative, and clinically relevant advances in plastic surgery. And honestly? It feels like the journal world might finally be waking up. Because here’s the truth — we’ve been drowning in data. Hundreds of papers every month. But how many actually change what we do in the OR? This could be the moment things turn. **Why This Actually Matters** Plastic surgery is built on creativity, evidence, and precision. But our literature hasn’t always reflected that. We've seen: - Paywalls blocking essential knowledge. - Industry influence shaping conclusions. - Copy-paste citations creating a broken game of academic telephone​. - And entire papers written to tick career boxes instead of solve problems. PRS says it’s time to reset. Focus on breakthroughs. Elevate peer review. Embrace new media. If they mean it — and stick to it — it could raise the bar for every journal in the field. **Who’s Doing What?** Let’s give credit where it’s due: - **PRS** is leaning into innovation with a clearer purpose and higher ambition. - **JPRAS** continues to quietly deliver the clinical content people actually use. - **Open-access journals** is still not sure about these, to be honest. - **The Plastics Fella** (yeah, us) is making content actually readable and useful — especially for trainees who need clarity, not clutter. The journal world is finally diversifying. Each one has a lane. And that’s a *good* thing. P’Fella ❤️ ## The Sunday Quiz **How Well Do You Know Local Flaps?* ****Are you ready to make it to the leaderboard?** Welcome to the ****next round** of The Weekly Quiz. Each edition of thePlasticsPaper includes a quiz question designed to challenge and engage our readers. Keep your wits about you and join in every week — the winner at the end of six rounds will earn you a one-year subscription to thePlasticsPro. --- ## Image of the Week **Posterior Interosseous Artery (PIA) Flap* 🖼️ ****Image of the Week** In this section, we feature an anatomical illustration. This week’s image shows a raised PIA flap, a fasciocutaneous flap based on ****septocutaneous perforator**s from the ****posterior interosseous artery**. It’s commonly used for ****dorsal hand and wrist** ****reconstruction**, preserving major vessels and minimising donor site morbidity. ![a raised PIA flap for dorsal hand and wrist reconstruction](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2025/03/image-7.png) [Source](https://journals.sagepub.com/cms/10.1177/15589447211028925/asset/af8f7c03-8c94-480b-bbd7-975907c718dd/assets/images/large/10.1177%5F15589447211028925-fig1.jpg?ref=theplasticsfella.com) ## Technique Tip **Original Description of the Quaba Flap* 🚑 ****Technique Tip of the Week** This week’s tip highlights the original Quaba flap operative technique, described for post-electric burn contracture of the dorsal hand. \- The flap is elliptical, raised at the ****radial border to the paratenon**. \- Dissection continues ****proximal to intertendinous** connections; some serpiginous vessels may be sacrificed. \- Once the ****pedicle** is identified, the flap is islanded and inset. ![Quaba flap operative technique](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2025/03/Screenshot-2025-03-26-at-08-05-45.png) [Source](https://www.jprasurg.com/article/0007-1226%2890%2990042-X/fulltext?ref=theplasticsfella.com) ## Upcoming Events **A Curated List of Webinars, Courses, & Conferences* 📣 P’Fella spotlights impactful events, high-yield webinars, and hand-picked courses we know you'll love. If there’s a new feature or update, you’ll hear about it here first. We continuously update our event page with fresh additions — both hand-picked by our team and suggested by you. ## New Features **AI Surgical Studio Update* 🩹 **In Case You Missed It:* Our ****AI Surgical Studio** is now live — an interactive, AI-powered tool designed to help surgeons visualise, plan, and refine operative techniques. ****C**heck out the new elements! ****Join the waitlist** to get early access to ****Guide Mode** and ****Exam Mode** before the full release. ![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2025/03/sutdiooo.png) ## JPRAS Journal Club **We have partnered with JPRAS to improve access to evidence-based information.* 📽️ ****How Much Does a Sub-Internship Actually Cost?** P'fella's educational fellow, Dr. Hatan Mortada explores the ****disparities in plastic surgery sub-internships** using 2024–2025 VSLO and program data. [Differences in Accessibility and Cost of Plastic Surgery Sub-Internships and Away Rotations for International and US Medical StudentsThis study highlights large cost disparities for IMGs in plastic surgery sub-internships: fewer program acceptances and fees 17x higher. IMGs’ median cost for \~4.5 away rotations is \~$9K vs. \~$500 for US peers, emphasizing the need for standardized fees and scholarships.![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/icon/Logo-Small-2-7.png)thePlasticsFellaPlasticsFella![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/thumbnail/Lunchtime-Lessons-2.png)](https://www.theplasticsfella.com/journal-sub-internships/) ## Articles of the Week **3 Interesting Articles with One-Sentence Summaries* ✅ ****First Dorsal Metacarpal Artery Flap for Thumb Reconstruction** ([Foucher & Braun](https://pubmed.ncbi.nlm.nih.gov/368837/?ref=theplasticsfella.com), 1979) The Foucher flap, based on the first dorsal metacarpal artery and including veins and sensory nerves, offers reliable one-stage sensate thumb reconstruction using a dorsal index flap without a skin pedicle. ✅ ****Posterior Interosseous Artery Flap for Hand and Wrist Reconstruction** ([Zancolli & Angrigiani](https://pubmed.ncbi.nlm.nih.gov/3385286/?ref=theplasticsfella.com), 1988) The posterior interosseous artery flap provides a thin, reliable island flap from the dorsal forearm for hand and wrist defects, based on distal anastomoses of the interosseous arteries, with primary closure possible if flap width is ≤4 cm. ✅ ****Moberg’s Foundational Work on Sensation in Upper Limb Reconstruction** ([Moberg](https://pubmed.ncbi.nlm.nih.gov/14161094/?ref=theplasticsfella.com), 1964) Moberg's original paper highlights the critical importance of preserving and restoring sensibility in upper extremity reconstruction, emphasizing its central role in functional hand recovery. ## Feedback ### I hope you enjoyed it 😄 ---