A Case of Heel Reconstruction with a Reverse Sural Artery Flap in a Hemophilia B Patient
Hemophilia B is a rare blood coagulation disorder. Complications such as bleeding and hematoma can cause necrosis of flaps, wound disruption, and the disturbance of wound healing. In particular, guidelines for flap operations in hemophilia B patients have still not been defined, and case reports are...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2012-03-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2012.39.2.150 |
| _version_ | 1798006847816335360 |
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| author | Byung Kwon Lee Jeong Su Shim |
| author_facet | Byung Kwon Lee Jeong Su Shim |
| author_sort | Byung Kwon Lee |
| collection | DOAJ |
| description | Hemophilia B is a rare blood coagulation disorder. Complications such as bleeding and hematoma can cause necrosis of flaps, wound disruption, and the disturbance of wound healing. In particular, guidelines for flap operations in hemophilia B patients have still not been defined, and case reports are rare. We reconstructed the heel of a 41-year-old male hemophilia B patient using a reverse sural artery flap operation. The patient presented with mild hemophilia, having 27% of the normal value of coagulation factor IX. Coagulation and the changing value of the coagulation factor were regularly measured, and 70% of the normal value of coagulation factor IX was maintained through the injection of recombinant coagulation factors and antihemorrhagics. Hematoma developed twice (postoperative day [POD] 5 and POD 7) and in each case the hematoma was removed. Injections of recombinant coagulation factors and antihemorrhagics were continuously administered until postoperative week 2. When the coagulation factors were within normal ranges. In this article, a hemophilia B patient underwent reverse sural artery flap surgery and the healing progress was analyzed. We conclude that higher than baseline levels of coagulation factors are needed for successful healing in reverse sural artery flap surgery. |
| first_indexed | 2024-04-11T13:01:08Z |
| format | Article |
| id | doaj.art-f82213483ad84ed9b30c9f7c058caeb1 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-11T13:01:08Z |
| publishDate | 2012-03-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-f82213483ad84ed9b30c9f7c058caeb12022-12-22T04:22:56ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712012-03-01390215015310.5999/aps.2012.39.2.150A Case of Heel Reconstruction with a Reverse Sural Artery Flap in a Hemophilia B PatientByung Kwon Lee0Jeong Su Shim1Department of Plastic and Reconstructive Surgery, Catholic University of Daegu School of Medicine, Daegu, KoreaDepartment of Plastic and Reconstructive Surgery, Catholic University of Daegu School of Medicine, Daegu, KoreaHemophilia B is a rare blood coagulation disorder. Complications such as bleeding and hematoma can cause necrosis of flaps, wound disruption, and the disturbance of wound healing. In particular, guidelines for flap operations in hemophilia B patients have still not been defined, and case reports are rare. We reconstructed the heel of a 41-year-old male hemophilia B patient using a reverse sural artery flap operation. The patient presented with mild hemophilia, having 27% of the normal value of coagulation factor IX. Coagulation and the changing value of the coagulation factor were regularly measured, and 70% of the normal value of coagulation factor IX was maintained through the injection of recombinant coagulation factors and antihemorrhagics. Hematoma developed twice (postoperative day [POD] 5 and POD 7) and in each case the hematoma was removed. Injections of recombinant coagulation factors and antihemorrhagics were continuously administered until postoperative week 2. When the coagulation factors were within normal ranges. In this article, a hemophilia B patient underwent reverse sural artery flap surgery and the healing progress was analyzed. We conclude that higher than baseline levels of coagulation factors are needed for successful healing in reverse sural artery flap surgery.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2012.39.2.150hemophilia bheelsurgical flapsblood coagulation disordersfactor ix |
| spellingShingle | Byung Kwon Lee Jeong Su Shim A Case of Heel Reconstruction with a Reverse Sural Artery Flap in a Hemophilia B Patient Archives of Plastic Surgery hemophilia b heel surgical flaps blood coagulation disorders factor ix |
| title | A Case of Heel Reconstruction with a Reverse Sural Artery Flap in a Hemophilia B Patient |
| title_full | A Case of Heel Reconstruction with a Reverse Sural Artery Flap in a Hemophilia B Patient |
| title_fullStr | A Case of Heel Reconstruction with a Reverse Sural Artery Flap in a Hemophilia B Patient |
| title_full_unstemmed | A Case of Heel Reconstruction with a Reverse Sural Artery Flap in a Hemophilia B Patient |
| title_short | A Case of Heel Reconstruction with a Reverse Sural Artery Flap in a Hemophilia B Patient |
| title_sort | case of heel reconstruction with a reverse sural artery flap in a hemophilia b patient |
| topic | hemophilia b heel surgical flaps blood coagulation disorders factor ix |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2012.39.2.150 |
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