Free tissue transfer provides durable treatment for large nonhealing venous ulcers

Kumins, Norman H.; Weinzweig, Norman; Schuler, James J.

doi:10.1067/mva.2000.110344

Cited by 37 publications

(50 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Weinzweig et al also described a 10-year experience using free muscle flaps to reconstruct 24 recalcitrant venous stasis ulcers. 12 After a mean follow-up of 58 months, no recurrent ulcers were identified in the flap territory; however, three patients developed new ulcers on the same leg.…”

Section: A D E B Cmentioning

confidence: 99%

Muscle Flaps and their Role in Limb Salvage

Klebuc¹,

Menn

2013

Methodist DeBakey Cardiovascular Journal

View full text Add to dashboard Cite

Muscle flaps have proved to be a valuable and versatile tool in the surgical treatment of the severely compromised lower extremity. Utilized as both local pedicle flaps and free tissue transfers, muscles have been successfully employed to cover complex wounds, manage osteomyelitis, salvage infected vascular grafts, treat recalcitrant venous stasis ulcers, preserve amputation levels, and restore motion following compartment syndrome. Free flap pedicles have also been used in a flow-through fashion to create a distal arterial bypass. This article explores the multipurpose role of muscle flaps in limb salvage surgery and their beneficial physiologic characteristics in hostile wound environments.

show abstract

Section: A D E B Cmentioning

confidence: 99%

Muscle Flaps and their Role in Limb Salvage

Klebuc¹,

Menn

2013

Methodist DeBakey Cardiovascular Journal

View full text Add to dashboard Cite

show abstract

“…6 Because of lipodermatosclerosis, some venous ulcers do not heal despite optimal treatment, and 60% of ulcers recur after initial healing. 7 Surgical treatment of these ulcers can be accomplished by removal of ulcer and surrounding lipodermatosclerotic tissue, followed by tissue transfer to close the resulting soft-tissue defect.…”

mentioning

confidence: 99%

Distally Based Sural Flap in Treatment of Chronic Venous Ulcers

Top

Benlier

Aygıt

et al. 2005

Annals of Plastic Surgery

View full text Add to dashboard Cite

The treatment of venous ulcers of the leg often fails to heal because venous ulcers are mostly associated with severe lipodermatosclerosis. These complicated ulcers may require correction of local hemodynamics, excision of ulcer with surrounding lipodermatosclerotic skin, and replacement of the defect with healthy tissue. We present our experience with the use of the distally based sural flaps for the reconstruction of soft-tissue defects of the distal region of the lower limb in patients with chronic venous ulcer. Between 2001 and 2003, 12 patients with venous ulceration were treated with distally based sural flaps. At operation, the ulcer and its surrounding lipodermatosclerotic skin were excised. The defects after excision ranged from 3 x 3 to 11 x 17 cm. The distally based sural artery flap was inset within the defect. In all patients, the flap survived completely, and in only 1 patient, distal venous congestion was seen and was treated successfully with leeches. There was donor site skin graft loss in 2 patients. Two flaps had minor local complications that healed with local wound care. No recurrent ulcers were identified after average 19.7 months. In conclusion, the distally based sural flaps can be used reliably for treatment of venous ulcers. Our approach in treatment of chronic venous ulcers improves venous hemodynamics and provides local flap alternative that should be considered prior to a free-flap transfer for closure of the defect.

show abstract

“…The results showed that all ulcers were healed, and no recurrent ulcers were identified after a 58-month follow-up. 58 The complications after interventions include infection, superficial or deep vein thrombosis, numbness, paresthesia, ecchymosis, and skin staining. However, the prevalence of significant complications is less than 5 percent.…”

Section: Surgical Interventionmentioning

confidence: 99%

Current Management of Venous Ulceration

Patel

Labropoulos

Pappas

2006

Plastic and Reconstructive Surgery

View full text Add to dashboard Cite

It has been estimated that chronic venous insufficiency affects 10 to 35 percent of the entire U.S. population and that 4 percent of people older than 65 have active venous ulcers. The high prevalence of the disease results in an annual expenditure of more than 1 billion dollars a year to the U.S. health care system. To have a rational approach toward patients with venous ulcers, it is important to understand the pathophysiology and clinical characteristics of the disease process, in order to initiate appropriate treatment and prevent venous ulcer recurrence.

show abstract

Free tissue transfer provides durable treatment for large nonhealing venous ulcers

Cited by 37 publications

References 24 publications

Muscle Flaps and their Role in Limb Salvage

Muscle Flaps and their Role in Limb Salvage

Distally Based Sural Flap in Treatment of Chronic Venous Ulcers

Current Management of Venous Ulceration

Contact Info

Product

Resources

About