Access the full text.
Sign up today, get DeepDyve free for 14 days.
Loading next page...
/lp/wiley/re-evaluating-the-paradigm-of-early-free-flap-coverage-in-lower-pXUBH0ia0X
References (15)
-
B. Rinker, J. Amspacher, Patrick Wilson, H. Vásconez (2008)
Subatmospheric Pressure Dressing as a Bridge to Free Tissue Transfer in the Treatment of Open Tibia FracturesPlastic and Reconstructive Surgery, 121
-
T. Francel, C. Kolk, J. Hoopes, P. Manson, M. Yaremchuk (1992)
Microvascular Soft‐Tissue Transplantation for Reconstruction of Acute Open Tibial Fractures: Timing of Coverage and Long‐Term Functional ResultsPlastic and Reconstructive Surgery, 89
-
Byrd (1985)
Management of open tibial fracturesPlast Reconstr Surg, 76
-
A. Kolker, A. Kasabian, N. Karp, Jacob Gottlieb (1977)
Fate of Free Flap Microanastomosis Distal to the Zone of Injury in Lower Extremity TraumaPlastic and Reconstructive Surgery, 99
-
Y. Karanas, John Nigriny, James Chang (2008)
The timing of microsurgical reconstruction in lower extremity traumaMicrosurgery, 28
-
S. Mathes, Lu‐Jean Feng, T. Hunt (1983)
Coverage of the Infected WoundAnnals of Surgery, 198
-
Y. Low (1988)
Management of open tibial fractures.Singapore medical journal, 29 1
-
Mathes (1983)
Coverage of the infected woundAnn Surg, 198
-
R. Hertel, S. Lambert, S. Müller, F. Ballmer, R. Ganz (1999)
On the timing of soft-tissue reconstruction for open fractures of the lower legArchives of Orthopaedic and Trauma Surgery, 119
-
M. Godina (1986)
Early microsurgical reconstruction of complex trauma of the extremitiesOrthopedic Trauma Directions, 4
-
Godina (1986)
Early microsurgical reconstruction of complex trauma of the extremitiesPlast Reconstr Surg, 78
-
M. Fischer, R. Gustilo, T. Varecka (1991)
The timing of flap coverage, bone-grafting, and intramedullary nailing in patients who have a fracture of the tibial shaft with extensive soft-tissue injury.The Journal of bone and joint surgery. American volume, 73 9
-
M. Morykwas, L. Argenta, Erica Shelton-Brown, W. McGuirt (1997)
Vacuum‐Assisted Closure: A New Method for Wound Control and Treatment: Animal Studies and Basic FoundationAnnals of Plastic Surgery, 38
-
L. Argenta, M. Morykwas (1997)
Vacuum‐Assisted Closure: A New Method for Wound Control and Treatment: Clinical ExperienceAnnals of Plastic Surgery, 38
-
D. Bui, P. Cordeiro, Q. Hu, J. Disa, A. Pusic, B. Mehrara (2007)
Free Flap Reexploration: Indications, Treatment, and Outcomes in 1193 Free FlapsPlastic and Reconstructive Surgery, 119
- Publisher
- Wiley
- Copyright
- "Copyright © 2013 Wiley Subscription Services, Inc., A Wiley Company"
- ISSN
- 0738-1085
- eISSN
- 1098-2752
- DOI
- 10.1002/micr.21994
- pmid
- 22730189
- Publisher site
- See Article on Publisher Site
Abstract
Early free flap coverage in lower extremity trauma is a practice largely supported by research that may be outdated and is frequently impractical due to logistics, resuscitation efforts, and associated injuries. Our objective was to re‐evaluate this paradigm to determine whether reconstructive timing impacts outcome in modern clinical practice. We reviewed 60 free flaps for traumatic lower extremity coverage from December 2005 to December 2010 by the plastic surgery service at an academic medical center. All reconstructions were >72‐hours from injury, spanning from 3 days to 2.2 years. The overall failure rate was 13.3% (8/60). Statistical analysis yielded no significant associations between reconstructive timing and flap failure or morbidity, although there was a trend toward fewer failures among latest reconstructions (>91 days) compared to within 30 days (P = 0.053). These findings support that delays may be safely utilized to allow patient and wound optimization without negatively impacting outcomes in free tissue transfer. © 2012 Wiley Periodicals, Inc. Microsurgery, 2013.
Journal
Microsurgery – Wiley
Published: Jan 1, 2013