Soft-Tissue Coverage of the Elbow

Stevanović, Milan; Sharpe, Frances

doi:10.1097/prs.0b013e31829ae29f

Cited by 29 publications

(15 citation statements)

References 73 publications

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“…Soft tissue coverage of joints is always a challenge for surgeons; managing elbow and knee defects is difficult; thus, pedicled muscular flaps are frequently the first choice of surgical teams (Andre et al, 2014; Corten et al, 2013; Helgeson et al, 2007; Milcheski et al, 2014; Rehim et al, 2014; Stevanovic and Sharpe, 2013) and remain available even following failure of a propeller flap. In our review of available cases, no significant difference was highlighted in this review ( p = 1; OR = 1.32; 95% CI: 0.274–8.628) between this location and others in terms of complication rate.…”

Section: Discussionmentioning

confidence: 99%

Perforator-based propeller flaps reliability in upper extremity soft tissue reconstruction: a systematic review

Vitse

Bekara

Bertheuil³

et al. 2016

J Hand Surg Eur Vol

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Section: Discussionmentioning

confidence: 99%

Perforator-based propeller flaps reliability in upper extremity soft tissue reconstruction: a systematic review

Vitse

Bekara

Bertheuil³

et al. 2016

J Hand Surg Eur Vol

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“…Sin embargo, requieren un lecho receptor bien vascularizado y ferulizaciones prolongadas para evitar la contractura secundaria 27 . Además, el injerto no provee una cobertura duradera apropiada que resista los movimientos de flexión y extensión repetidos, lo que puede llevar a ulceraciones o erosiones frecuentes 28 . Los colgajos locales son útiles para el tratamiento de secuelas cicatrizales leves o bridas con tejido adyacente sano disponible.…”

Section: Discussionunclassified

Algoritmo de tratamiento en las secuelas cicatrizales posquemadura en codo

Scarafoni¹,

Martínez²,

Vidaurre³

et al. 2020

RACP

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Introducción. Las retracciones cicatrizales secundarias a quemaduras representan un desafío para el cirujano plástico debido a la variabilidad en su complejidad y presentación. La pérdida de movimiento del codo conlleva una limitación funcional con impacto directo en la calidad de vida, por lo que la indicación quirúrgica se hace necesaria. La gran variedad de tácticas quirúrgicas plantean la necesidad de sistematizar el tratamiento de las retracciones cicatrizales.

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“…Similar local flaps available for the elbow and arm when local skin is healthy and viable including advancement flaps and Z-plasties [ 21 ]. Rhomboid flaps are useful around the elbow when the defect is small and the defect can be excised in a triangular shape [ 22 ].…”

Section: Elbow and Arm Soft Tissue Reconstructionmentioning

confidence: 99%

Flap Decisions and Options in Soft Tissue Coverage of the Upper Limb

Griffin

Hindocha

Malahias

et al. 2014

TOORTHJ

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Soft tissue deficiency in the upper limb is a common presentation following trauma, burns infection and tumour removal. Soft tissue coverage of the upper limb is a challenging problem for reconstructive surgeons to manage. The ultimate choice of soft tissue coverage will depend on the size and site of the wound, complexity of the injury, status of surrounding tissue, exposure of the vital structures and health status of the patient. There are several local cutaneous flaps that provide adequate soft tissue coverage for small sized defects of the hand, forearm and arm. When these flaps are limited in their mobility regional flaps and free flaps can be utilised. Free tissue transfer provides vascularised soft tissue coverage in addition to the transfer of bone, nerve and tendons. Careful consideration of free flap choice, meticulous intraoperative dissection and elevation accompanied by post-operative physiotherapy are required for successful outcomes for the patient. Several free flaps are available for reconstruction in the upper limb including the groin flap, anterolateral flap, radial forearm flap, lateral arm flap and scapular flap. In this review we will provide local, regional and free flap choice options for upper limb reconstruction, highlighting the benefits and challenges of different approaches.

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Soft-Tissue Coverage of the Elbow

Cited by 29 publications

References 73 publications

Perforator-based propeller flaps reliability in upper extremity soft tissue reconstruction: a systematic review

Perforator-based propeller flaps reliability in upper extremity soft tissue reconstruction: a systematic review

Algoritmo de tratamiento en las secuelas cicatrizales posquemadura en codo

Flap Decisions and Options in Soft Tissue Coverage of the Upper Limb

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