دورية أكاديمية
Comparison of instep and non-instep flap in the reconstruction of the weight-bearing portion of the forefoot and heel.
| العنوان: | Comparison of instep and non-instep flap in the reconstruction of the weight-bearing portion of the forefoot and heel. |
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| المؤلفون: | Lee JH; Department of Orthopedic Surgery, Yeson Hospital, Bucheon, South Korea., Ku KH; Department of Orthopedic Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University, Seoul, South Korea., Kim JH; Department of Orthopedic Surgery, Kyung Hee University Hospital, Graduate School, Kyung Hee University, Seoul, South Korea.; Department of Orthopedic Surgery, Kyung Hee University Hospital, College of Medicine, Kyung Hee University, Seoul, South Korea., Baek JH; Department of Orthopedic Surgery, Kyung Hee University Hospital, College of Medicine, Kyung Hee University, Seoul, South Korea. |
| المصدر: | Microsurgery [Microsurgery] 2024 Jul; Vol. 44 (5), pp. e31209. |
| نوع المنشور: | Journal Article; Comparative Study; Case Reports |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley-Liss Country of Publication: United States NLM ID: 8309230 Publication Model: Print Cited Medium: Internet ISSN: 1098-2752 (Electronic) Linking ISSN: 07381085 NLM ISO Abbreviation: Microsurgery Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Hoboken, NJ : Wiley-Liss Original Publication: New York : Alan R. Liss, [c1983- |
| مواضيع طبية MeSH: | Weight-Bearing* , Plastic Surgery Procedures*/methods , Heel*/surgery , Heel*/injuries , Foot Injuries*/surgery , Forefoot, Human*/surgery, Humans ; Retrospective Studies ; Female ; Male ; Middle Aged ; Adult ; Surgical Flaps/transplantation ; Soft Tissue Injuries/surgery ; Aged ; Free Tissue Flaps/transplantation ; Treatment Outcome ; Young Adult |
| مستخلص: | Background: Instep flaps are commonly used for the reconstruction of weight-bearing areas of the foot. However, in cases of large defects or damage to the instep area, non-instep flaps such as reverse sural flaps (RSF) or free anterolateral thigh flaps (ALTF) can be employed. Previous studies have primarily focused on heel reconstruction when comparing different flaps, without considering the forefoot. This study aims to verify the clinical outcomes of these flaps and determine the appropriate donor site for weight-bearing areas of the foot including forefoot reconstruction. Methods: In a retrospective study, 39 patients who had undergone flap reconstruction of weight-bearing area defects in the foot with a follow-up period of ≥1 year were included. The patients were categorized into two groups: Group A (n = 19) using instep flaps, and Group B (n = 20) using non-instep flap including RSFs and ALTFs. Surgical outcomes were assessed based on the success of the flap, the presence of partial necrosis, the number of additional surgeries, and complications related to the donor site. Clinical evaluation included visual analogue scale (VAS) and American Orthopedic Foot and Ankle Society (AOFAS) score, and the occurrence of ulcers. Results: All flaps were successful, while partial necrosis occurred in one case in Group B. There were three reclosures after flap border debridement in both groups and one donor site debridement in Group A. The VAS scores during weight-bearing were 2.0 ± 1.1 and 2.2 ± 1.5 for Groups A and B, respectively (p = .716). The AOFAS scores were 52.8 ± 6.8 and 50.2 ± 12.7 for Groups A and B, respectively (p = .435). The occurrence of ulcers was 0.4 ± 0.9 times for Group A and 0.3 ± 0.7 times for Group B, with no significant difference between the two groups (p = .453). Conclusion: There was no difference in clinical outcomes between the types of flaps after reconstruction of the forefoot and hindfoot. Therefore, it is recommended to choose the appropriate flap based on factors such as the size of the defect, its location, and vascular status rather than the type of flap. (© 2024 The Author(s). Microsurgery published by Wiley Periodicals LLC.) |
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| تواريخ الأحداث: | Date Created: 20240706 Date Completed: 20240706 Latest Revision: 20240706 |
| رمز التحديث: | 20240707 |
| DOI: | 10.1002/micr.31209 |
| PMID: | 38970406 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1098-2752 |
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| DOI: | 10.1002/micr.31209 |