Peroneal perforator‐based peroneus longus tendon and sural neurofasciocutaneous composite flap transfer for a large soft‐tissue defect of the forearm: A case report

Hayashida, Kenji; Saijo, Hiroto; Fujioka, Masaki

doi:10.1002/micr.30104

Cited by 9 publications

(3 citation statements)

References 26 publications

(35 reference statements)

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“…At Wang C and Hayashida K used a perforator-based sural neurocutaneous flap for the reconstruction of complex forearm injuries. However, due to the lack of availability of microsurgery and when raising a flap needs to be well vascularised to avoid pedicle torsion or compression (1,5), this technique could not be performed in a country with low healthy infrastructure, like Somalia. So, we preferred vacuum-assisted closure because it is a simple and effective method of treating traumatic soft tissue defects instead of doing free flap transplantation, which is unavailable due to the inaccessibility of microsurgery.…”

Section: Discussionmentioning

confidence: 99%

Upper Limb Salvage Surgery Due to Explosion Using Vacuum-Assisted Closure: A Case Report

Abdulkadir¹,

Cicek²

2022

STMJ

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High trauma injuries of the forearm frequently present with complex bone and soft tissue defects. Early repair is required to retrieve the extremity and restore its function, As the advance of surgical repair and reconstruction technology, limbs damaged by high energy trauma that might have needed to be amputated in the past can now be saved by surgical reconstruction This is a case report of 36 year old man with left upper limb injury after high energy explosion trauma where a large soft tissue defect of the forearm with exposure of the vital structures and fracture of the ulna and radius and the fracture of radius and ulna were fixed by Elastic Nail to maintain their alignments and length, and put a cerclage on the fracture site of the radius to hold a fragment. The large soft tissue was reconstructed by a primary tendon and muscle repair, with vacuum assisted closure followed by split thickness skin graft. And at 6 Weaks physıotherapy was started wıth dynamıc hand splınt by slıgthly flexıng the fıngers The application of VAC as temporary coverage of large tissue defects in upper limbs supports wound conditioning and facilitates the definitive wound closure.

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Section: Discussionmentioning

confidence: 99%

Upper Limb Salvage Surgery Due to Explosion Using Vacuum-Assisted Closure: A Case Report

Abdulkadir¹,

Cicek²

2022

STMJ

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“…Each component of a chimeric flap has an independent vascular supply, and joins to a common vascular pedicle. This chimeric style provides many advantages for repairing complex forearm injuries (Giessler & Schmidt, ; Hallock, ; Hayashida, Saijo, & Fujioka, ; Huang, Chen, Wei, Cheng, & Schnur, ).…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of complex tissue defect of forearm with a chimeric flap composed of a sural neurocutaneous flap and a vascularized fibular graft: A case report

Wang

Wen

et al. 2018

Microsurgery

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One-stage reconstruction of composite bone and soft-tissue defects in the forearm remains a tough challenge. Here, we present a case of reconstruction of complex tissue defect at forearm with a chimeric flap consisting of a sural neurocutaneous flap and a fibular graft. A 61-year-old man suffered from a machine crush injury in his left forearm, resulting in a complex tissue defect including extensive dorsomedial soft-tissue, digit extensor muscles of 2-4 fingers, the muscle flexor carpi ulnaris, the ulna bone with 5.5 cm in length, segmental injuries of ulna nerve and vessels, and the radius fracture. The defects were reconstructed by a modified chimeric flap, in which the sural neurocutaneous flap supplied by a peroneal perforator was used to repair the soft-tissue defect and the vascularized fibular graft was used to repair the ulna defect. The two components were supplied by the peroneal vessels. The ulnar nerve defect was bridged by a sural nerve graft. The venous congestion caused by thrombosis was observed at 24 hours postoperatively. After the venous anastomosis was reperformed, the flap survived completely without other complications. Bone healing was achieved at the 7-month follow-up. The index and middle fingers reached nearly full range of motion, while the ranges of motion of metacarpophalangeal joint of the ring and little fingers were less than 60 degrees. The results showed that the modified chimeric flap may be an option for reconstruction of complex tissue defect in the forearm.

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“…Tendon defect is one of the common clinical diseases (Hayashida et al, 2018;Kunze et al, 2019). After the tendon injury, it often leads to limb dysfunction, severe cases, or even disability without repairation in time (Ando et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review of Tissue Engineering Scaffold in Tendon Bone Healing in vivo

Mao

Fan

Wang

et al. 2021

Front. Bioeng. Biotechnol.

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Background: Tendon-bone healing is an important factor in determining the success of ligament reconstruction. With the development of biomaterials science, the tissue engineering scaffold plays an extremely important role in tendon-bone healing and bone tissue engineering.Materials and Methods: Electronic databases (PubMed, Embase, and the Web of Science) were systematically searched for relevant and qualitative studies published from 1 January 1990 to 31 December 2019. Only original articles that met eligibility criteria and evaluated the use of issue engineering scaffold especially biomaterials in tendon bone healing in vivo were selected for analysis.Results: The search strategy identified 506 articles, and 27 studies were included for full review including two human trials and 25 animal studies. Fifteen studies only used biomaterials like PLGA, collage, PCL, PLA, and PET as scaffolds to repair the tendon-bone defect, on this basis, the rest of the 11 studies using biological interventions like cells or cell factors to enhance the healing. The adverse events hardly ever occurred, and the tendon bone healing with tissue engineering scaffold was effective and superior, which could be enhanced by biological interventions.Conclusion: Although a number of tissue engineering scaffolds have been developed and applied in tendon bone healing, the researches are mainly focused on animal models which are with limitations in clinical application. Since the efficacy and safety of tissue engineering scaffold has been proved, and can be enhanced by biological interventions, substantial clinical trials remain to be done, continued progress in overcoming current tissue engineering challenges should allow for successful clinical practice.

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Peroneal perforator‐based peroneus longus tendon and sural neurofasciocutaneous composite flap transfer for a large soft‐tissue defect of the forearm: A case report

Cited by 9 publications

References 26 publications

Upper Limb Salvage Surgery Due to Explosion Using Vacuum-Assisted Closure: A Case Report

Upper Limb Salvage Surgery Due to Explosion Using Vacuum-Assisted Closure: A Case Report

Reconstruction of complex tissue defect of forearm with a chimeric flap composed of a sural neurocutaneous flap and a vascularized fibular graft: A case report

A Systematic Review of Tissue Engineering Scaffold in Tendon Bone Healing in vivo

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