External Delta Fixator in the Postoperative Management of Microsurgical Flaps in the Lower Limb: Experience of a Tertiary Hospital
Abstract Objective To evaluate the use of external fixators in the delta-type kickstand configuration as an adjuvant method in the postoperative period of patients submitted to free flaps in the lower limbs. Methods A total of 17 external delta fixators were used in patients submitted to free flap...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Revinter Publicações Ltda.
2022-03-01
|
| Series: | Revista Brasileira de Ortopedia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162022000100069&tlng=en |
| _version_ | 1827266691839557632 |
|---|---|
| author | Bruno Moraes Vasconcelos Mario Matiotti Neto Luis Guilherme Rosifini Alves Rezende Amanda Favaro Cagnolati Alex Eduardo Calderón Irusta Nilton Mazzer |
| author_facet | Bruno Moraes Vasconcelos Mario Matiotti Neto Luis Guilherme Rosifini Alves Rezende Amanda Favaro Cagnolati Alex Eduardo Calderón Irusta Nilton Mazzer |
| author_sort | Bruno Moraes Vasconcelos |
| collection | DOAJ |
| description | Abstract Objective To evaluate the use of external fixators in the delta-type kickstand configuration as an adjuvant method in the postoperative period of patients submitted to free flaps in the lower limbs. Methods A total of 17 external delta fixators were used in patients submitted to free flaps in the lower limbs. The surgical technique was performed in a standardized manner, with the distal pin located 6 cm proximally to the anastomosis, and the proximal pin, 6 cm distally to the anterior tuberosity of the tibia. Results The mean age of the sample was of 34.76 years (range: 15 to 66 years). In total, 11 men and 6 women were selected. The posterior tibial artery was used in 14 cases, and the anterior tibial artery, in 3 cases. The mean time of use of the external fixators was of 3.88 weeks. The rate of reoperation was of 17.64%; that of retail loss was of 11.76%; that of success rate was of 88.23%; and the rate of infection was of 5.9%. Conclusion The use of delta-type fixators as an adjunct method in the postoperative period is reliable; however, more studies are needed to evaluate its true role in the postoperative period. |
| first_indexed | 2024-03-08T07:36:19Z |
| format | Article |
| id | doaj.art-81101949964940888d7a22a868b40b3e |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2025-03-22T04:21:53Z |
| publishDate | 2022-03-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-81101949964940888d7a22a868b40b3e2024-04-28T07:43:58ZengThieme Revinter Publicações Ltda.Revista Brasileira de Ortopedia1982-43782022-03-01571697410.1055/s-0041-1735832External Delta Fixator in the Postoperative Management of Microsurgical Flaps in the Lower Limb: Experience of a Tertiary HospitalBruno Moraes Vasconceloshttps://orcid.org/0000-0003-3039-9289Mario Matiotti Netohttps://orcid.org/0000-0002-4183-1455Luis Guilherme Rosifini Alves Rezendehttps://orcid.org/0000-0002-2037-0135Amanda Favaro Cagnolatihttps://orcid.org/0000-0002-8760-6325Alex Eduardo Calderón Irustahttps://orcid.org/0000-0002-0756-6432Nilton Mazzerhttps://orcid.org/0000-0002-1239-7602Abstract Objective To evaluate the use of external fixators in the delta-type kickstand configuration as an adjuvant method in the postoperative period of patients submitted to free flaps in the lower limbs. Methods A total of 17 external delta fixators were used in patients submitted to free flaps in the lower limbs. The surgical technique was performed in a standardized manner, with the distal pin located 6 cm proximally to the anastomosis, and the proximal pin, 6 cm distally to the anterior tuberosity of the tibia. Results The mean age of the sample was of 34.76 years (range: 15 to 66 years). In total, 11 men and 6 women were selected. The posterior tibial artery was used in 14 cases, and the anterior tibial artery, in 3 cases. The mean time of use of the external fixators was of 3.88 weeks. The rate of reoperation was of 17.64%; that of retail loss was of 11.76%; that of success rate was of 88.23%; and the rate of infection was of 5.9%. Conclusion The use of delta-type fixators as an adjunct method in the postoperative period is reliable; however, more studies are needed to evaluate its true role in the postoperative period.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162022000100069&tlng=enmyocutaneous flapperforator flapmicrosurgeryfractures, bone |
| spellingShingle | Bruno Moraes Vasconcelos Mario Matiotti Neto Luis Guilherme Rosifini Alves Rezende Amanda Favaro Cagnolati Alex Eduardo Calderón Irusta Nilton Mazzer External Delta Fixator in the Postoperative Management of Microsurgical Flaps in the Lower Limb: Experience of a Tertiary Hospital Revista Brasileira de Ortopedia myocutaneous flap perforator flap microsurgery fractures, bone |
| title | External Delta Fixator in the Postoperative Management of Microsurgical Flaps in the Lower Limb: Experience of a Tertiary Hospital |
| title_full | External Delta Fixator in the Postoperative Management of Microsurgical Flaps in the Lower Limb: Experience of a Tertiary Hospital |
| title_fullStr | External Delta Fixator in the Postoperative Management of Microsurgical Flaps in the Lower Limb: Experience of a Tertiary Hospital |
| title_full_unstemmed | External Delta Fixator in the Postoperative Management of Microsurgical Flaps in the Lower Limb: Experience of a Tertiary Hospital |
| title_short | External Delta Fixator in the Postoperative Management of Microsurgical Flaps in the Lower Limb: Experience of a Tertiary Hospital |
| title_sort | external delta fixator in the postoperative management of microsurgical flaps in the lower limb experience of a tertiary hospital |
| topic | myocutaneous flap perforator flap microsurgery fractures, bone |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162022000100069&tlng=en |
| work_keys_str_mv | AT brunomoraesvasconcelos externaldeltafixatorinthepostoperativemanagementofmicrosurgicalflapsinthelowerlimbexperienceofatertiaryhospital AT mariomatiottineto externaldeltafixatorinthepostoperativemanagementofmicrosurgicalflapsinthelowerlimbexperienceofatertiaryhospital AT luisguilhermerosifinialvesrezende externaldeltafixatorinthepostoperativemanagementofmicrosurgicalflapsinthelowerlimbexperienceofatertiaryhospital AT amandafavarocagnolati externaldeltafixatorinthepostoperativemanagementofmicrosurgicalflapsinthelowerlimbexperienceofatertiaryhospital AT alexeduardocalderonirusta externaldeltafixatorinthepostoperativemanagementofmicrosurgicalflapsinthelowerlimbexperienceofatertiaryhospital AT niltonmazzer externaldeltafixatorinthepostoperativemanagementofmicrosurgicalflapsinthelowerlimbexperienceofatertiaryhospital |