Lower Extremity Soft Tissue Reconstruction Review Article

Mansour, Ahmed M.; Jacobs, Aaron; Raj, Mamtha S.; Lee, Frank G.; Terrasse, Weston; Wallace, Sean J; Miller, Nathan

doi:10.1016/j.ocl.2022.03.003

Cited by 3 publications

(2 citation statements)

References 38 publications

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“…Injuries to the lower extremities remain a problem and can lead to disability if untreated, as the foot is a supporting mechanism for the body. Reconstruction of the feet must provide a stable skeleton, sensitive coverage and adorable shape to be aesthetically acceptable and fit shoes [ 9 ]. Degloving injuries range from skin avulsion to more complex wounds with bony, vascular and neural element loss, and the mechanism of trauma usually predicted severity of injury [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

Case report of uneventful resurfacing of the dorsum of foot degloving injury using pedicled lateral supramalleolar flap

Hassan,

Mohamed

2024

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Case report of uneventful resurfacing of the dorsum of foot degloving injury using pedicled lateral supramalleolar flap

Hassan,

Mohamed

2024

International Journal of Surgery Case Reports

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“…The advantages of early flap coverage include light scarring around the wound, clear tissue structure, mild inflammatory reaction, and good tissue tension during suturing. [33][34][35] Based on the concept of orthoplastic surgery, [36][37][38][39] we advocate emergency surgery with limited internal fixation combined with free flap coverage if the damage condition is acceptable. In 1986, Godina 40 published a report on 532 cases of limb salvage with severe trauma, of which 134 cases completed soft tissue repair within 72 h after injury.…”

Section: Effect Of the Time From Injury To Flap Coverage On Prognosismentioning

confidence: 99%

Analysis of the Risk Factors for Free Flap Necrosis in Soft Tissue Reconstruction of the Lower Limbs

Líu

et al. 2023

Orthopaedic Surgery

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Objective Free flaps are widely used for the repair of soft tissue defects in the lower limbs, but there is still a specific rate of necrosis. Few clinical retrospective studies have analyzed the nontechnical risk factors for lower limb free flap necrosis. This study aimed to analyze the nontechnical causes of flap necrosis in lower limb soft tissue reconstruction in order to identify risk factors and improve the survival rate of free flaps. Methods Clinical data from 244 cases of soft tissue defects of the leg or foot that were repaired with a free flap from January 2011 to June 2020 were retrospectively analyzed. The flap results were divided into complete survival and necrosis groups. The patients' general information, smoking history, soft tissue defect site, Gustilo‐Anderson classification, shock after injury, type and size of the flap, and time from injury to flap coverage were recorded. A logistic regression model was used to analyze the correlations between flap necrosis and possible risk factors. Results Of the 244 flaps, 32 suffered from partial or total necrosis, and 212 completely survived. Univariate analysis showed that age, smoking history, soft tissue defect site, and time from injury to flap coverage were significantly correlated with flap necrosis (p ≤ 0.2). Multivariate logistic regression analysis showed that moderate‐to‐severe smoking history (p < 0.001, odds ratio [OR] = 10.259, 95% confidence interval [CI] = 2.886–36.468), proximal leg defect (p = 0.006, OR = 7.095, 95% CI = 1.731–29.089), and time from injury to flap coverage >7 days (p = 0.003, OR = 12.351, 95% CI = 2.343–65.099) were statistically significant risk factors for flap necrosis (p < 0.05), and age was excluded (p = 0.666; p = 0.924). Conclusion The risk of flap necrosis was significantly increased when the soft tissue defect was located in the proximal leg, the time from injury to flap coverage was >7 days, and the patient had a moderate‐to‐severe smoking history. These three risk factors have an increased influence on flap necrosis and have guiding significance in predicting flap prognosis.

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Reconstruction of a lateral thigh defect with a transverse rectus abdominis myocutaneous (TRAM) free flap: A case report

Ghavidel,

Akhondinasab,

Karami

et al. 2023

International Journal of Surgery Case Reports

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Lower Extremity Soft Tissue Reconstruction Review Article

Cited by 3 publications

References 38 publications

Case report of uneventful resurfacing of the dorsum of foot degloving injury using pedicled lateral supramalleolar flap

Case report of uneventful resurfacing of the dorsum of foot degloving injury using pedicled lateral supramalleolar flap

Analysis of the Risk Factors for Free Flap Necrosis in Soft Tissue Reconstruction of the Lower Limbs

Reconstruction of a lateral thigh defect with a transverse rectus abdominis myocutaneous (TRAM) free flap: A case report

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