Reconstruction of a Mangled Foot with an Anterolateral Thigh Free Flap
Archives of Reconstructive Microsurgery
; : 7-11, 2016.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-51935
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE:
In recent decades, amputation is still recommended for patients with extensive lower extremity wounds requiring coverage. Although the feet contribute relatively little to total body surface area, they are essential organ for ambulation, and a high mortality rate after amputation has been reported. We report on 10 challenging cases of a mangled foot which was reconstructed using an anterolateral thigh (ALT) free flap, and analyze the advantages and disadvantages of this technique. MATERIALS ANDMETHODS:
This retrospective study was conducted on 10 patients who underwent reconstructive surgery on a foot. Patients' charts were reviewed for age, sex, causes, defect size and site, flap size and type, flap type, and complications. Cases with a defect size of >100 cm2 were included.RESULTS:
Seven of the 10 patients were male, and overall mean age was 38.5 years (range, 22 to 61 years). Mean defect size was 179.6 cm2 (range, 104 to 330 cm2), and mean flap size was 193 cm2 (range, 120 to 408 cm2). Three cases were reconstructed with a musculocutaneous free flap and seven cases were reconstructed with a fasciocutaneous free flap. There were two occurrences of local wound complication. All ten flaps survived well, however five patients underwent a debulking procedure to reduce flap volume.CONCLUSION:
Reconstruction of a near completely degloved soft tissue defect or a wide defect containing two or more surfaces of extremity with an ALT free flap was performed. The purpose of this case study is to report on free tissue transfer using the ALT flap for salvage of the lower extremity.
Texto completo:
Disponível
Contexto em Saúde:
ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
Problema de saúde:
Doenças Musculoesqueléticas e Reumáticas
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Coxa da Perna
/
Ferimentos e Lesões
/
Superfície Corporal
/
Estudos Retrospectivos
/
Mortalidade
/
Caminhada
/
Lesões dos Tecidos Moles
/
Traumatismos do Pé
/
Extremidade Inferior
/
Extremidades
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Archives of Reconstructive Microsurgery
Ano de publicação:
2016
Tipo de documento:
Artigo