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Honda K, Sugimoto K, Kawamura K, Isomoto S, Tanaka Y. Treatment of severe thermal necrosis of the fifth metatarsal after intramedullary screw fixation for proximal diaphyseal stress fracture: A case report. J Orthop Sci 2023; 28:1576-1579. [PMID: 34906402 DOI: 10.1016/j.jos.2021.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/14/2021] [Revised: 10/15/2021] [Accepted: 11/01/2021] [Indexed: 11/17/2022]
Affiliation(s)
- Kenji Honda
- Department of Orthopaedic Surgery, Matsusaka Chuo General Hospital, Mie, Japan.
| | - Kazuya Sugimoto
- Department of Orthopaedic Surgery, Nara Prefecture General Medical Center, Nara, Japan
| | - Kenji Kawamura
- Department of Orthopaedic Surgery, Nara Medical University, Nara, Japan
| | - Shinji Isomoto
- Department of Orthopaedic Surgery, Nara Prefecture General Medical Center, Nara, Japan
| | - Yasuhito Tanaka
- Department of Orthopaedic Surgery, Nara Medical University, Nara, Japan
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Palukuri L, Ireni RKKG, Jabbar FA, Nair SS, Jambula PR, Kommu V. Reverse Peroneal Artery Flap-A Workhorse Flap for Reconstruction of Large, Distal Defects of Ankle and Foot. Indian J Plast Surg 2023; 55:383-390. [PMID: 36683885 PMCID: PMC9859685 DOI: 10.1055/s-0042-1760091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023] Open
Abstract
Background Reconstruction of large foot and ankle defects is a difficult task due to less available local soft tissue and more critical from functional point of view. To overcome the limitations associated with locoregional flaps and free flaps, reverse peroneal artery (RPA) flap was selected and its usefulness in reconstruction of distal large defects of the ankle and foot and its complications were studied. Materials and Methods This is a prospective observational study done in 20 patients treated as cohort within 2 years and 8 months from January 2018 to August 2020. Large defects of foot and ankle were reconstructed with RPA flap and evaluated for its usefulness. Three cases were evaluated with computed tomography angiography postoperatively, to assess the vascular pattern. Conclusion RPA flap is a versatile and very reliable flap for the reconstruction of large and distal defects of foot and ankle. It is safely done in children and in acute trauma without any major complications.
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Affiliation(s)
- Lakshmi Palukuri
- Department of Plastic and Reconstructive Surgery, Osmania Medical College and Hospital, Hyderabad, Telangana, India,Address for correspondence Lakshmi Palukuri, MCh Department of Plastic and Reconstructive Surgery, Osmania Medical College and Hospital5-96/3/a/ Road No. 11, Bhavani Nagar, Dilsukh Nagar, Hyderabad 500060, TelanganaIndia
| | - Raja Kiran Kumar Goud Ireni
- Department of Plastic and Reconstructive Surgery, Osmania Medical College and Hospital, Hyderabad, Telangana, India
| | - Faiyaz Abdul Jabbar
- Department of Plastic Surgery, Osmania Medical College, Hyderabad, Telangana, India
| | - Shaleena Sukumaran Nair
- Department of Plastic and Reconstructive Surgery, Osmania Medical College and Hospital, Hyderabad, Telangana, India
| | - Pranav Reddy Jambula
- Department of Plastic and Reconstructive Surgery, Osmania Medical College and Hospital, Hyderabad, Telangana, India
| | - Vijaybabu Kommu
- Department of Plastic Surgery, Osmania Medical College, Hyderabad, Telangana, India
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Yang X, Fang Z, Liu M, Zhang Y, Chen Q, Tao K, Han J, Hu D. Reconstruction of Deep Burn Wounds Around the Ankle With Free Fascia Flaps Transfer and Split-Thickness Skin Graft. J Burn Care Res 2019; 40:763-768. [PMID: 31106818 DOI: 10.1093/jbcr/irz078] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
We aimed to introduce a technique by combining free fascia flaps transfer with split-thickness skin graft for the reconstruction of deep burn wounds at the ankle. Fifteen patients from 2009 to 2016 were enrolled in this study. Patients in this series suffered from a deep burn injury around the ankle, which was accompanied with exposure of tendon and medial or lateral malleolus exposure due to severe soft-tissue defects (N = 15). All the 15 wounds were repaired combining free fascia flaps with split-thickness skin graft operations, including nine anterolateral thigh fascia lata flaps (ATFL flaps) and six superficial temporal fascia flaps (STF flaps). All the fascia flaps completely survived. Two patients showed partial grafting skin necrosis due to either wound infection or subcutaneous hematoma infection, and this was eventually healed satisfactorily after conventional dressing change. All patients achieved esthetic outcome and acceptable functionality without further revisions needed. Our present study reports a useful method that involves using free fascia flaps in combination with split-thickness skin graft to repair deep burn wounds around the ankle. This method provided reliable and durable soft-tissue coverage with good outcomes.
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Affiliation(s)
- Xuekang Yang
- Department of Burns and Cutaneous Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China
| | - Zhuoqun Fang
- Department of Burns and Cutaneous Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China
| | - Mengdong Liu
- Department of Burns and Cutaneous Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China
| | - Yue Zhang
- Department of Burns and Cutaneous Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China
| | - Qiaohua Chen
- Department of Burns and Cutaneous Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China
| | - Ke Tao
- Department of Burns and Cutaneous Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China
| | - Juntao Han
- Department of Burns and Cutaneous Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China
| | - Dahai Hu
- Department of Burns and Cutaneous Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China
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