Soft-Tissue Reconstruction of Open Fractures of the Lower Limb

Chan, James; Harry, Lorraine; Williams, Graham V.; Nanchahal, Jagdeep

doi:10.1097/prs.0b013e3182589e63

Cited by 127 publications

(85 citation statements)

References 74 publications

(78 reference statements)

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“…However, fasciocutaneous flaps offer a number of advantages such as ease of dissection, reduced donor site morbidity and a thinner, more pliable reconstructive substrate which is more like the tissue being replaced. Furthermore, recent studies have suggested that there is no difference between muscle and fasciocutaneous flaps in terms of flap survival, postoperative infection, osteomyelitis, primary and overall bone union and ambulation [32][33][34]. The results of our study support this latter view.…”

Section: Discussionsupporting

confidence: 87%

Microvascular free tissue transfer in acute and secondary burn reconstruction

Jabir

Frew

Magdum

et al. 2015

Injury

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Section: Discussionsupporting

confidence: 87%

Microvascular free tissue transfer in acute and secondary burn reconstruction

Jabir

Frew

Magdum

et al. 2015

Injury

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“…However, disadvantages are related to frequent and potential functional deficits of the donor site and a generally poor cosmetic result (even in donor areas) [28,29].…”

Section: Discussionmentioning

confidence: 99%

Soft Tissue Reconstructions with Dermal Substitutes Versus Alternative Approaches in Patients with Traumatic Complex Wounds

Morozzo¹,

Villafañe

Ieropoli

et al. 2015

Indian J Surg

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The use of dermal substitutes is considered an effective treatment in several pathologies involving skin damage, mainly extensive burns and trauma. Treatment alternatives entail performing flaps or autografts. The purpose of this cross-sectional study is to assess the clinical effects and costeffectiveness of dermal substitutes in surgical procedure in complex wound healings of adult trauma patients. The study includes 52 patients who received dermal substitutes (n=25) between 2007 and 2012 and patients treated between 2006 and 2011 who received standard treatment (n=27). All patients presented with posttraumatic soft tissue defects with bone and/or tendon exposure. Differences in costs, mean differences in Euros and Euros per square centimeter, and clinical data were collected as outcome measures. Pearson's correlations were used to assess the relationship between total costs with sociodemographic data and clinical services to different healthcare providers (clinical data and costs were recorded for both groups). No relevant differences on acceptance rates were noticed amongst groups. Surgery costs were shown to be significantly reduced in the dermal substitutes group (P<0.01) even though total costs (surgery+hospitaliza-tion) did not exhibit a significant difference. Surgical time was significantly reduced in the dermal substitutes group (1.81 min/cm 2 lesions) as compared with the standard group (6.08 min/cm 2 lesions). The current study suggests that not only clinical but also possible economic and logistical advantages in choosing dermal substitutes may exist.

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“…El uso de colgajos basados en perforantes y del DIEP en particular, es menos habitual muchas veces por el abultamiento que produce en un lugar donde se requiere de coberturas cutáneas más finas, sin embargo, ha sido comunicado su utilización con éxito en diferentes sitios, tales como extremidades superiores e inferiores [11][12][13][14][15][16] . En este caso, dado las condiciones generales y locales de la paciente este colgajo resultó ser una excelente alternativa, sin morbilidad en la zona dadora y un resultado adecuado.…”

Section: Discussionunclassified

Uso De Doble Colgajo Diep Para Reconstrucción De Extremidad Inferior

et al. 2015

Rev Chil Cir

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Double DIEP flap for lower extremities reconstructionintroduction: A soft tissue defect considering the extent, location, depth and involved structures can be a complex task, leading to search for unusual reconstructive alternatives. case report: Puerperal woman, 21 years, previously healthy, admitted for septic shock and skin necrosis of both extremities secondary to purpura fulminans. Escharectomy was performed and the final defect was 27% of total body surface, corresponding to necrotic areas of both superior and lower extremities. Is remarkable the presence of musculocutaneous perforating vessels thrombosis and segmental muscular necrosis in legs and interosseous muscles necrosis in hands. In upper extremity coverage was performed with dermoepidermal grafts. To cover peroneal malleolus and feet dorsum, whereas there were no regional or local alternatives, we realize a double DIEP flap. Flap elevation of bilateral DIEP flap was performed simultaneously for two surgical teams. The patient had no complications and was discharged with complete soft tissue coverage.key words: Double DIEP flap, lower limb reconstruction, microsurgery.

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Soft-Tissue Reconstruction of Open Fractures of the Lower Limb

Cited by 127 publications

References 74 publications

Microvascular free tissue transfer in acute and secondary burn reconstruction

Microvascular free tissue transfer in acute and secondary burn reconstruction

Soft Tissue Reconstructions with Dermal Substitutes Versus Alternative Approaches in Patients with Traumatic Complex Wounds

Uso De Doble Colgajo Diep Para Reconstrucción De Extremidad Inferior

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