Free temporoparietal fascia flap in reconstruction of the lower extremity
| Autor: | J. M. Woods, R. B. Shack, K. F. Hagan |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty Soft Tissue Injuries Adolescent Surgical Flaps Fracture Fixation Internal Fractures Open Hematoma Postoperative Complications medicine Humans Local anesthesia Ankle Injuries Aged Retrospective Studies Palsy Scalp business.industry Osteomyelitis Middle Aged medicine.disease Facial nerve Surgery Tendon Tibial Fractures Temporoparietal fascia medicine.anatomical_structure Female Ankle business Follow-Up Studies |
| Zdroj: | Annals of plastic surgery. 34(5) |
| ISSN: | 0148-7043 |
| Popis: | Twenty-one patients with open wounds of the non-weight-bearing foot or the ankle underwent coverage with a free temporoparietal fascia flap and split-thickness skin graft. Our indications for this thin, well-vascularized flap included osteomyelitis and exposed tendon, bone, or fixation hardware. The pliability of the flap allowed superior restoration of natural anatomical contours. Only one flap was completely lost (95.2% overall success). There were four cases (20%) of partial flap loss, none of which required flap revision or a new flap. Four patients (19%) experienced transient donor-site alopecia, and one patient suffered transient palsy of the temporal branch of the facial nerve. One patient (4.7%) had an area of persistent scar alopecia in the temporal scalp after a donor-site hematoma that required revision under local anesthesia. Follow-up was available on 95% of the patients and averaged 20 months (range, 1-54 months). All patients resumed weight-bearing ambulation within 1 month from operation using unmodified footwear. The free TPF flap is a reliable coverage option, with long-term durability and minimal donor-site morbidity, for relatively superficial wounds of the distal lower extremity. |
| Databáze: | OpenAIRE |
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