Microsurgical Coverage Reconstruction in Upper and Lower Extremities

Spyropoulou, Alexandra; Jeng, Seng‐Feng

doi:10.1055/s-0030-1253244

Cited by 35 publications

(29 citation statements)

References 52 publications

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“…The management of high energy trauma remains challenging, often involving multiple procedures that may take years to complete reconstruction and rehabilitation [33].…”

Section: Introductionmentioning

confidence: 99%

Functional and psychological outcomes of delayed lower limb amputation following failed lower limb reconstruction

Merwe

Birkholtz

Tetsworth

et al. 2016

Injury

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Purpose:The purpose of this study was to evaluate the functional and psychological outcomes of patients who underwent delayed lower limb amputation following failed limb salvage surgery. Methods:This retrospective, descriptive study evaluated functional outcomes using the Sickness Impact Profile (SIP) and Short Form-36 (SF-36) in 12 patients. Inclusion criteria included patients who underwent limb reconstruction and delayed amputation between between July 2006 and December 2014, with an age range between 18-80 years of age, the ability to ambulate independently, a time interval between the last salvage procedure and amputation greater than six months, and a minimum follow-up of 24 months. Patients were contacted via telephone by the principal investigator and both the Sickness Impact Profile (SIP) and Short Form-36 (SF-36) were completed. Descriptive analysis (means and standard deviation) was used to determine outcomes for both SIP and SF-36 health profiles. Results:Ten patients who had amputations following failed reconstruction (2006-2014) with a mean age of 53+10 years were interviewed. Six patients had a SIP < 5, three patients scored between five and 10 points and one scored >10 points. The main deficit on the SF-36 was in the physical component. The SF-36 scores demonstrated a mean score of 40.8+11.5 for the physical component, and 57.4+7.9 for the mental component. Three patients returned to work after amputation and continued performing their pre-injury duties as farmers.Three other patients returned to work, but were allocated to administrative duties. Two patients were pensioners at the time of their injuries, and the only female patient was a housewife. One patient went into early retirement. Conclusion:The results of this study strongly suggest that delayed amputation following failed limb salvage surgery can still result in good and satisfactory outcomes in the majority of patients and achieves results similar to early amputation and limb reconstruction techniques.

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“…The management of high energy trauma remains challenging, often involving multiple procedures that may take years to complete reconstruction and rehabilitation [33].…”

Section: Introductionmentioning

confidence: 99%

Functional and psychological outcomes of delayed lower limb amputation following failed lower limb reconstruction

Merwe

Birkholtz

Tetsworth

et al. 2016

Injury

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Section: Discussionmentioning

confidence: 99%

“…[20] Reconstruction of lower leg defects is difficult for plastic surgeons due to few available local flap options in this area. [1,13,[19][20][21] One of the most common causes of complex lower leg and foot defect in industrialized society is high voltage (>1000 volts) electrical injury. [22][23][24] In high voltage electrical burns, the electrical source contact area (entry and exit points of body) determines the severity of the lesion.…”

Section: Discussionmentioning

confidence: 99%

An alternative method to free flap for distal leg and foot defects due to electrical burn injury: Distally Based Cross-Leg Sural Flap

Eser

Kesiktaş

Gencel

et al. 2015

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: High voltage electrical injuries can cause devastating results especially in distal extremities. Although free flaps are the golden standards for the reconstruction of these defects, sometimes local flap alternatives are more useful. One of the most favorable local flap is distally based sural flap (DBSF), which can be used in cross-leg fashion when ipsilateral extremity is affected by a high voltage electrical injury. The purpose of this study was to evaluate long term results of eleven patients who underwent a reconstruction to the lower extremity with cross-leg DBSF due to high voltage electrical burn injury between the years of 2003-2013.

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“…The primary Plastic and Reconstructive Surgery • November 2015 soft-tissue coverage, which is considered essential for a number of reasons, 21 was achieved with a free fasciocutaneous anterolateral thigh flap, an advantageous reconstructive option in hand and upper extremity reconstruction. [42][43][44] The functional limitation resulting from damage of the metacarpophalangeal joints of the index and middle fingers was improved by a ray amputation of the index finger. This was an advantageous and indicated solution for a number of reasons.…”

Section: Discussionmentioning

confidence: 99%