Outcomes of Lower Extremity Defects Reconstruction with Free Flaps
Background: The aims of soft-tissue reconstruction of lower leg defects are covering and repairing wounds, maintaining limb function, preventing amputation, and improving quality of life. Methods: In this cross-sectional study, 27 patients underwent soft-tissue reconstruction of lower extremities w...
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| Format: | Article |
| Language: | fas |
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Isfahan University of Medical Sciences
2017-09-01
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| Series: | مجله دانشکده پزشکی اصفهان |
| Subjects: | |
| Online Access: | http://jims.mui.ac.ir/index.php/jims/article/view/8342 |
| _version_ | 1827846456812240896 |
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| author | Mehrdad Adibparsa Mehdi Rasti-Ardakani Razieh Karimi |
| author_facet | Mehrdad Adibparsa Mehdi Rasti-Ardakani Razieh Karimi |
| author_sort | Mehrdad Adibparsa |
| collection | DOAJ |
| description | Background: The aims of soft-tissue reconstruction of lower leg defects are covering and repairing wounds, maintaining limb function, preventing amputation, and improving quality of life.
Methods: In this cross-sectional study, 27 patients underwent soft-tissue reconstruction of lower extremities with free flaps were enrolled. The cause and the site of defects, free flap types, anastomosis types, survival rate, and complications were assessed.
Findings: 27 patients with mean age of 31 years with large lower extremity defects with at least 2 months follow up were assessed. The sites of defects were middle and distal one-third of the legs (21 cases), foot and heel (4 cases), and knees (2 cases), and causes of defects were trauma (21 cases), and chronic wounds (2 cases). Used musculocutaneous free flaps were for latissimus dorsi (15 cases), rctus abdominis (8 cases), and gracilis (4 cases). 43 and 11 cases had end-to-end and end-to-site anastomosis, respectively. Survival rate was 88.9 percent and 3 flaps were failed due to thrombosis.
Conclusion: Using free flaps with appropriate vascular pedicles is a reliable and effective method for reconstruction of lower leg large defects. |
| first_indexed | 2024-03-12T09:13:59Z |
| format | Article |
| id | doaj.art-9a2ead0b406b4f61b849986c1fa3366d |
| institution | Directory Open Access Journal |
| issn | 1027-7595 1735-854X |
| language | fas |
| last_indexed | 2024-03-12T09:13:59Z |
| publishDate | 2017-09-01 |
| publisher | Isfahan University of Medical Sciences |
| record_format | Article |
| series | مجله دانشکده پزشکی اصفهان |
| spelling | doaj.art-9a2ead0b406b4f61b849986c1fa3366d2023-09-02T14:52:08ZfasIsfahan University of Medical Sciencesمجله دانشکده پزشکی اصفهان1027-75951735-854X2017-09-01354398838892591Outcomes of Lower Extremity Defects Reconstruction with Free FlapsMehrdad Adibparsa0Mehdi Rasti-Ardakani1Razieh Karimi2Assistant Professor, Department of General Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranAssociate Professor, Department of General Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranStudent of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranBackground: The aims of soft-tissue reconstruction of lower leg defects are covering and repairing wounds, maintaining limb function, preventing amputation, and improving quality of life. Methods: In this cross-sectional study, 27 patients underwent soft-tissue reconstruction of lower extremities with free flaps were enrolled. The cause and the site of defects, free flap types, anastomosis types, survival rate, and complications were assessed. Findings: 27 patients with mean age of 31 years with large lower extremity defects with at least 2 months follow up were assessed. The sites of defects were middle and distal one-third of the legs (21 cases), foot and heel (4 cases), and knees (2 cases), and causes of defects were trauma (21 cases), and chronic wounds (2 cases). Used musculocutaneous free flaps were for latissimus dorsi (15 cases), rctus abdominis (8 cases), and gracilis (4 cases). 43 and 11 cases had end-to-end and end-to-site anastomosis, respectively. Survival rate was 88.9 percent and 3 flaps were failed due to thrombosis. Conclusion: Using free flaps with appropriate vascular pedicles is a reliable and effective method for reconstruction of lower leg large defects.http://jims.mui.ac.ir/index.php/jims/article/view/8342Lower extremityFree flapsWound healing |
| spellingShingle | Mehrdad Adibparsa Mehdi Rasti-Ardakani Razieh Karimi Outcomes of Lower Extremity Defects Reconstruction with Free Flaps مجله دانشکده پزشکی اصفهان Lower extremity Free flaps Wound healing |
| title | Outcomes of Lower Extremity Defects Reconstruction with Free Flaps |
| title_full | Outcomes of Lower Extremity Defects Reconstruction with Free Flaps |
| title_fullStr | Outcomes of Lower Extremity Defects Reconstruction with Free Flaps |
| title_full_unstemmed | Outcomes of Lower Extremity Defects Reconstruction with Free Flaps |
| title_short | Outcomes of Lower Extremity Defects Reconstruction with Free Flaps |
| title_sort | outcomes of lower extremity defects reconstruction with free flaps |
| topic | Lower extremity Free flaps Wound healing |
| url | http://jims.mui.ac.ir/index.php/jims/article/view/8342 |
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