Use of Custom-made Stockings to Control Postoperative Leg and Foot Edema Following Free Tissue Transfer and External Fixation of Fractures

Unal, Cigdem; Gercek, Huseyin

doi:10.1053/j.jfas.2011.10.029

Cited by 7 publications

(7 citation statements)

References 5 publications

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“…In those studies that reported a positive influence of postoperative CS, the CS wearing behavior was not controlled by a sensor. 13,15 Our study is the first that controlled the patients' CS wearing compliance with a sensor. By knowing the objective patients' CS wearing time, it is more reliable to detect if any outcome differences are associated with the postoperative CS therapy or not.…”

Section: Discussionmentioning

confidence: 99%

“…4,10,11 In addition, the use of CS appears to reduce ankle swelling and correlates with superior ankle function, reduced pain, and improved quality-of-life scores after ankle fractures and open ankle surgery. 2,13,15 But for CS to be efficient, patients should wear them as advised. We cannot speculate or study the efficacy of a postoperative CS therapy without assessing patients’ wearing compliance.…”

mentioning

confidence: 99%

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Compressive Stockings After Hindfoot and Ankle Surgery

et al. 2017

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Compressive Stockings After Hindfoot and Ankle Surgery

et al. 2017

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“…Few procedures to prevent flap congestion have been described in the literature, mainly consisting of surgical re-exploration and application of leeches or compressive stockings [4, 8, 9]. …”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, in the most severe cases, postoperative reactive edema and inflammation can protract the healing course [4]. Negative-pressure wound therapy (NPWT) is known to increase local blood flow and decrease tissue edema.…”

Section: Introductionmentioning

confidence: 99%

Failure by congestion of pedicled and free flaps for reconstruction of lower limbs after trauma: the role of negative-pressure wound therapy

Vaienti

Gazzola

Benanti

et al. 2013

J Orthopaed Traumatol

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Lower limb reconstruction with pedicled or free flaps can be commonly compromised by venous insufficiency. This complication often leads to partial/complete flap necrosis and increases the risk of superinfection. Negative-pressure wound therapy (NPWT) is known to increase local blood flow, decrease edema, promote tissue granulation, and reduce the likelihood of soft tissue infection. This study aims to evaluate the effectiveness of NPWT in the treatment of congested pedicled and free flaps of the lower limb after reconstructions in lower limb traumas. A retrospective analysis was performed on four congested (pedicled and free) flaps on the lower limbs. NPWT was applied in all cases after partial flap debridement. NPWT was able to improve and resolve tissue edema and venous insufficiency, avoid further flap necrosis, and promote granulation. On NPWT removal, a split-thickness skin graft was applied on the wound, achieving complete and uneventful healing. NPWT is a useful instrument in managing flaps affected by venous insufficiency in lower limb reconstruction, although larger studies are necessary to better define the effectiveness and indications of NPWT in this setting.

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“…7,8 Large free tissue transfers or pedicled local myocutaneous flaps are commonly troubled post-operatively with oedema of the transplanted tissue. 9 In addition to oedema, the postoperative course can be complicated by venous flap insufficiency, hematomas, hemorrhage, and infections 10,11 causing partial or total flap necrosis. Few strategies exist to mitigate flap congestion and mainly involve surgical re-exploration and application of leeches or compressive stockings, 12 but it seems the best answer is to avoid congestion if at all possible.…”

Section: Introductionmentioning

confidence: 99%

Reconstruction of a Massive Traumatic Necrotizing Wound With Contiguous Anterior Thigh and Lower Leg Fillet Flap With Leg and Hemipelvic Amputation

Frank

Hill

Clarkson

2017

Plastic Surgery Case Studies

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Reconstruction of massive soft tissue defects is challenging in the setting of polytrauma. We present a case report of a polytrauma patient with an open acetabulum fracture with a necrotizing wound that was managed with a hemipelvectomy and contiguous thigh and leg fillet flap. The harvest of the entire leg flap was utilized due to the presence of a high cervical spine injury that rendered the lower extremities non-functional. The patient's tenuous medical status was normalized once the necrotizing wound was covered, and subsequent complications related to the flap were minimized. The patient currently enjoys a reasonable quality of life consistent with that of a C7 quadriplegic.

show abstract

Use of Custom-made Stockings to Control Postoperative Leg and Foot Edema Following Free Tissue Transfer and External Fixation of Fractures

Cited by 7 publications

References 5 publications

Compressive Stockings After Hindfoot and Ankle Surgery

Compressive Stockings After Hindfoot and Ankle Surgery

Failure by congestion of pedicled and free flaps for reconstruction of lower limbs after trauma: the role of negative-pressure wound therapy

Reconstruction of a Massive Traumatic Necrotizing Wound With Contiguous Anterior Thigh and Lower Leg Fillet Flap With Leg and Hemipelvic Amputation

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